Table 4.
Unadjusted and Adjusted Associations Between Rounding Variables and Increased Time Spent Per Patient During Interprofessional Rounds (n = 412 Rounding Sessions)
| Variable - n (%) | “High” time spent at bedside (n = 203) | Unadjusted OR (95 % CI) | Adjusted OR (95 % CI)a |
|---|---|---|---|
| Team’s resident year-of-training | |||
| Junior resident | 130 | 1 | |
| Senior resident | 73 | 1.07 (0.72–1.62) | |
| Attending physician years since residency graduation: | |||
| ≤4 | 87 | 2.38 (1.44–3.95) | 2.51 (1.49–4.25) |
| 5–15 | 76 | 1.82 (1.10–3.02) | 1.91 (1.13–3.21) |
| ≥16 | 40 | 1 | 1 |
| Team census: | |||
| ≤11 | 48 | 1.16 (0.68–1.98) | 1.07 (0.61–1.88) |
| 12–13 | 106 | 1.67 (1.05–2.67) | 1.64 (1.01–2.66) |
| ≥14 | 49 | 1 | 1 |
| General medicine unit census: | |||
| ≤5 | 63 | 0.88 (0.53–1.47) | |
| 6–7 | 81 | 0.77 (0.48–1.24) | |
| ≥8 | 59 | 1 | |
| Intermediate care unit census: | |||
| ≤2 | 110 | 1.30 (0.88–1.93) | |
| ≥3 | 93 | 1 | |
| “Overflow” unit censusb: | |||
| ≤2 | 66 | 1.05 (0.63–1.73) | |
| 3–4 | 78 | 0.91 (0.57–1.47) | |
| ≥5 | 59 | 1 | |
| Weekday | |||
| No | 46 | 1 | 1 |
| Yes | 157 | 1.71 (1.10–2.65) | 2.04 (1.26–3.30) |
| Call day | |||
| No | 146 | 1 | |
| Yes | 57 | 1.46 (0.93–2.30) | |
| Attending physician “new to service” | |||
| No | 175 | 1 | |
| Yes | 28 | 0.93 (0.53–1.62) | |
| Intern or resident in clinic | |||
| No | 162 | 1.53 (0.97–2.43) | 2.22 (1.32–3.72) |
| Yes | 41 | 1 | 1 |
“High” time spent at bedside = number of minutes greater than median value (> 8.0 min)
aMultivariable model included control variables that were associated with “high” minutes spent per patient during interprofessional rounds in bivariate analysis (p < 0.1)
b“Overflow” units refer to non-medicine specific units throughout the hospital