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The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care
Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration.
LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physician-Nurse Dyad Rounding | Behavioral | Collaborative Approach to Improve Unit-Level Metrics |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation | Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation | "up to 100 weeks" |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in Top Box Patient Satisfaction Scores and Doctor Domain | Difference in top box patient satisfaction scores and doctor domain for private hospitalist patients after project implementation compared to before implementation | "up to 100 weeks" |
| Difference in LOS of private hospitalist patients after project implementation compared to before implementation |
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Inclusion Criteria:
Exclusion Criteria:
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Private hospitalist patients at MDMC
Patients with a LOS ≤20 days
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Institute at Methodist Health System | Dallas | Texas | 75203 | United States | ||
| Methodist Dallas Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26281644 | Result | Pritts KE, Hiller LG. Implementation of Physician and Nurse Patient Rounding on a 42-Bed Medical Unit. Medsurg Nurs. 2014 Nov-Dec;23(6):408-13. | |
| Result | Shortell, S. (1989). ICU Nurse Questionnaire. Excerpted from The Organization and Management of Intensive Care Units. Copyright 1989, Shortell and Rousseau. | ||
| Result | Rigel, N., Delp, S., Ward, C. (2018). Effects of Nurse-Physician Collaborative Rounding, MEDSURG Nursing, 27(3) 149-152. | ||
| Result | Sturdivant, T., Herrin, K., Reynolds, M., Mestas, L. (2020). Improving Patient Satisfaction through a Nurse Leader-Physician Bedside Rounding Protocol: A Pilot Project, Nursing Econonmic$, 38(3). |
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Study data or any protected health information will not be shared with anyone that is not delegated to the study. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual
All study-related documents will be retained by the CRI until at least three years after study completion or according to local laws, whichever is longer
Records will also be accessible to MHS staff upon request unless constituting a violation of patient confidentiality
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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Difference in LOS of private hospitalist patients after project implementation compared to before implementation |
| "up to 100 weeks" |
| Difference in collaboration and build positive relationships scores after project implementation compared to before implementation | Difference in collaboration and build positive relationships scores after project implementation compared to before implementation | "up to 100 weeks" |
| Dallas |
| Texas |
| 75203 |
| United States |