Annals for Hospitalists Inpatient Notes - Modernizing Rounds—Why It's Time to Redesign Our Hospital Practice
Authors: Jason Stein, Susan Shapiro
Journal: Annals of Internal Medicine (2018)

Web Exclusives16 January 2018Annals for Hospitalists Inpatient Notes - Modernizing Rounds—Why It's Time to Redesign Our Hospital PracticeJason Stein, MD and Susan Shapiro, PhD, RNJason Stein, MD1Unit, Atlanta, Georgia (J.S.)Search for more papers by this author and Susan Shapiro, PhD, RNNell Hodgson Woodruff School of Nursing at Emory University, Atlanta, Georgia (S.S.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-3334 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail We begin by stating the obvious: Most hospital care as practiced today is fragmented at best and chaotic at worst. Hospitalists often care for patients on multiple units, making it impractical to build the relationships and systems to facilitate teamwork. In the face of this geographic fragmentation, physicians tend to round first on patients who are the sickest or most likely to be discharged. However, that approach does not allow for coordination with the workflow of other hospital professionals, who have valuable information to contribute to daily bedside rounds. When direct communication between hospitalists and other members of the team ...References1. Stein J, Payne C, Methvin A, Bonsall JM, Chadwick L, Clark D, et al. Reorganizing a hospital ward as an accountable care unit. J Hosp Med. 2015;10:36-40. [PMID: 25399928] doi:10.1002/jhm.2284 CrossrefMedlineGoogle Scholar2. Mueller SK, Schnipper JL, Giannelli K, Roy CL, Boxer R. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11:620-7. [PMID: 26917417] doi:10.1002/jhm.2566 CrossrefMedlineGoogle Scholar3. O'Leary KJ, Johnson JK, Auerbach AD. Do interdisciplinary rounds improve patient outcomes? only if they improve teamwork [Editorial]. J Hosp Med. 2016;11:524-5. [PMID: 27149426] doi:10.1002/jhm.2587 CrossrefMedlineGoogle Scholar4. Manheim J, Harry E, Mastalerz K. Portability and success of a clinical microsystem model in improving safety, quality, and cost at a community teaching hospital [Abstract]. J Hosp Med. 2015;10 (suppl 2). Accessed at www.shmabstracts.com/abstract/portability-and-success-of-a-clinical-microsystem-model-in-improving-safety-quality-and-cost-at-a-community-teaching-hospital/ on 31 August 2017. Google Scholar5. Gausvik C, Lautar A, Miller L, Pallerla H, Schlaudecker J. Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. J Multidiscip Healthc. 2015;8:33-7. [PMID: 25609978] doi:10.2147/JMDH.S72623 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: 1Unit, Atlanta, Georgia (J.S.)Nell Hodgson Woodruff School of Nursing at Emory University, Atlanta, Georgia (S.S.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-3334.Requests for Single Reprints: Jason Stein, MD, 1Unit, Centripital, 1579 Monroe Drive NE, Suite F506, Atlanta, GA 30324; e-mail, jason.[email protected]com. Previousarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 16 January 2018 David H. Wesorick and Vineet Chopra Modernizing Rounds Jason Stein and Susan Shapiro Modernizing Rounds Sherif B. Mossad Metrics Cited byThe effect of geographic rounding on hospitalist work experience: a mixed-methods studyThe impact of an accountable care unit on mortality: an observational studyModernizing RoundsSherif B. Mossad, MD 16 January 2018Volume 168, Issue 2Page: HO2-HO3KeywordsDisclosureHospital medicineHospitalistsInpatientsMorbidityMortalityNursesPatientsProspective studiesSafety ePublished: 16 January 2018 Issue Published: 16 January 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...