Table 3.
Team, patient/client, and health care quality and delivery outcomes reported by included studies following implementation of interprofessional bedside rounds (n=79).
| Data collected, (n/%) | Positive (desirable change reported) (n/%) | % Positive if collected and reported | Negative (not desirable change reported)
(n/%) |
Outcome did not change, (n/%) |
Mixed results (combination of positive, negative, no change) (n/%) | |
|---|---|---|---|---|---|---|
| Team Outcomes | ||||||
|
| ||||||
| Satisfaction with change | 37 (46.8) | 29 (36.7) | 78.4 | 0 (0.0) | 3 (3.8) | 5 (6.3) |
| Satisfaction with model | 28 (35.4) | 21 (26.6) | 75.0 | 0 (0.0) | 2 (2.5) | 5 (6.3) |
| Rounds constructive use of time | 22 (27.9) | 16 (20.3) | 72.7 | 1 (1.3) | 0 (0.0) | 5 (6.3) |
| Team Communication | 34 (43.0) | 29 (36.7) | 85.2 | 0 (0.0) | 2 (2.5) | 3 (3.8) |
| Team Relationships | 20 (25.3) | 17(21.5) | 85.0 | 0 (0.0) | 0 (0.0) | 3 (3.8) |
| Team Perception of Patient Centeredness of Model | 23 (29.1) | 16 (20.3) | 69.6 | 0 (0.0) | 2 (2.5) | 5 (6.3) |
| High Reliability (1 did not report results) |
4 (5.1) | 3 (3.8) | 75.0 | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Retention/ Turnover (2 did not report results) | 5 (6.3) | 2 (2.5) | 40.0 | 0 (0.0) | 1 (1.3) | 0 (0.0) |
| Alignment with Professional Goals | 3 (3.8) | 1 (1.3) | 33.3 | 0 (0.0) | 0 (0.0) | 2 (2.5) |
| Workload | 11 (13.9) | 6 (7.6) | 54.5 | 0 (0.0) | 0 (0.0) | 5 (6.3) |
| Other (i.e. discussions of goals of care on rounds, number of interruptions, duration of rounds, disciplines present) | 18 (22.8) | 11 (13.9) | 61.1 | 1 (1.3) | 2 (2.5) | 4 (5.1) |
|
| ||||||
| Patient/Client Outcomes | ||||||
|
| ||||||
| Patient Experience | ||||||
|
| ||||||
| Perceptions of Care Received | 29 (36.7) | 20 (25.3) | 69.0 | 0 (0.0) | 4 (5.1) | 5 (6.3) |
| Overall satisfaction with rounds | 24 (30.4) | 17 (21.5) | 70.8 | 0 (0.0) | 5 (6.3) | 2(3.8) |
| Experiences of families joining rounds | 20 (25.3) | 12 (15.2) | 60.0 | 0 (0.0) | 4 (5.1) | 4 (5.1) |
| Maintenance of patient confidentiality | 3 (3.8) | 3 (3.8) | 100.0 | 0 (0.0) | 0 (0.0) | 0 (0.0) |
|
| ||||||
| Clinical Outcomes | ||||||
|
| ||||||
| Length of Stay | 25(31.7) | 17 (21.5) | 68.0 | 1 (1.3) | 5 (6.3) | 2 (2.5) |
| Readmissions | 14 (17.7) | 8 (10.1) | 57.1 | 0 (0.0) | 5 (6.3) | 1 (1.3) |
| Incidence of Nosocomial Infections | 2 (2.5) | 2 (2.5) | 100.0 | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Mortality | 8 (10.8) | 2 (2.5) | 25.0 | 0 (0.0) | 6(7.6) | 0 (0.0) |
| Achievement of Clinical Performance Targets | 5 (6.3) | 5 (6.3) | 100.0 | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Procedural Complications | 2 (2.5) | 2 (2.5) | 100.0 | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Triggers of Harm or Actual Harm | 7 (8.9) | 6 (7.6) | 85.7 | 0 (0.0) | 0 (0.0) | 1 (1.3)1 |
| Other (i.e., family stress, family knowledge of daily plan, family knows doctor, clinical deterioration, changes in medications, timing of orders /discharges) | 18 (22.8) | 12 (15.2) | 66.7 | 0 (0.0) | 3 (3.8) | 3 (3.8) |
|
| ||||||
| Health Care Quality and Delivery Outcomes | ||||||
|
| ||||||
| Safety | 17 (21.5) | 15 (19.0) | 88.2 | 0.0 | 1 (1.3) | 1 (1.3) |
| Effectiveness (1 did not report results) |
17 (21.5) | 13 (16.5) | 76.5 | 0.0 | 1 (1.3) | 2 (2.5) |
| Patient Centeredness (4 did not report results) |
32 (40.5) | 19 (24.1) | 59.4 | 1 (1.3) | 5 (6.3) | 3 (3.8) |
| Timeliness | 19 (24.1) | 12 (15.2) | 63.2 | 1 (1.3) | 4 (5.1) | 2 (2.5) |
| Efficiency (1 did not report results) |
31 (39.2) | 21 (26.6) | 67.7 | 1 (1.3) | 2 (2.5) | 6 (7.6) |
| Equity | 3 (3.8) | 0 (0.0) | 0.0 | 0 (0.0) | 1 (1.3) | 2 (2.5) |
Note. Malec et al. (2018) reported zero CAUTIs or CLABSIs during the pre-intervention period but 3 CAUTIs and 1 CLABSI by the time of the 9-month post assessment; they also report desirable changes in utilization rates of central line devices (increased) and Foley catheters (decreased).