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Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience
Hospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement duri...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205390/ https://www.ncbi.nlm.nih.gov/pubmed/34179432 http://dx.doi.org/10.1177/23743735211008303 |
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author | Ratelle, John T Herberts, Michelle Miller, Donna Kumbamu, Ashok Lawson, Donna Polley, Eric Beckman, Thomas J |
author_facet | Ratelle, John T Herberts, Michelle Miller, Donna Kumbamu, Ashok Lawson, Donna Polley, Eric Beckman, Thomas J |
author_sort | Ratelle, John T |
collection | PubMed |
description | Hospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement during ward rounds. Research assistants directly observed medicine services to quantify the amount of time spent discussing each patient’s care inside versus outside the patient’s room. “Time-at-bedside” was defined as the proportion of time spent discussing a patient’s care in his or her room. Patient experience and patient–clinician care agreement both were measured immediately after ward rounds. Results demonstrated that the majority of patient and physicians completely agreement on planned tests (66.3%), planned procedures (79.7%), medication changes (50.6%), and discharge location (66.9%), but had no agreement on the patient’s main concern (74.4%) and discharge date (50.6%). Time-at-bedside was not correlated with care agreement or patient experience (P > .05 for all comparisons). This study demonstrates that spending more time at the bedside during ward rounds, alone, is insufficient to improve patient experience. |
format | Online Article Text |
id | pubmed-8205390 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82053902021-06-25 Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience Ratelle, John T Herberts, Michelle Miller, Donna Kumbamu, Ashok Lawson, Donna Polley, Eric Beckman, Thomas J J Patient Exp Research Article Hospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement during ward rounds. Research assistants directly observed medicine services to quantify the amount of time spent discussing each patient’s care inside versus outside the patient’s room. “Time-at-bedside” was defined as the proportion of time spent discussing a patient’s care in his or her room. Patient experience and patient–clinician care agreement both were measured immediately after ward rounds. Results demonstrated that the majority of patient and physicians completely agreement on planned tests (66.3%), planned procedures (79.7%), medication changes (50.6%), and discharge location (66.9%), but had no agreement on the patient’s main concern (74.4%) and discharge date (50.6%). Time-at-bedside was not correlated with care agreement or patient experience (P > .05 for all comparisons). This study demonstrates that spending more time at the bedside during ward rounds, alone, is insufficient to improve patient experience. SAGE Publications 2021-04-08 /pmc/articles/PMC8205390/ /pubmed/34179432 http://dx.doi.org/10.1177/23743735211008303 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Article Ratelle, John T Herberts, Michelle Miller, Donna Kumbamu, Ashok Lawson, Donna Polley, Eric Beckman, Thomas J Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
title | Relationships Between Time-at-Bedside During Hospital Ward Rounds,
Clinician–Patient Agreement, and Patient Experience |
title_full | Relationships Between Time-at-Bedside During Hospital Ward Rounds,
Clinician–Patient Agreement, and Patient Experience |
title_fullStr | Relationships Between Time-at-Bedside During Hospital Ward Rounds,
Clinician–Patient Agreement, and Patient Experience |
title_full_unstemmed | Relationships Between Time-at-Bedside During Hospital Ward Rounds,
Clinician–Patient Agreement, and Patient Experience |
title_short | Relationships Between Time-at-Bedside During Hospital Ward Rounds,
Clinician–Patient Agreement, and Patient Experience |
title_sort | relationships between time-at-bedside during hospital ward rounds,
clinician–patient agreement, and patient experience |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205390/ https://www.ncbi.nlm.nih.gov/pubmed/34179432 http://dx.doi.org/10.1177/23743735211008303 |
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