Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care
Authors: Dana Sall, Benjamin Kinnear, Matthew Kelleher, Eric J. Warm
Journal: Annals of Internal Medicine (2022)

LettersJanuary 2022Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical CareDana Sall, MD, MEd, Benjamin Kinnear, MD, MEd, Matthew Kelleher, MD, MEd, Eric J. Warm, MDDana Sall, MD, MEdHonorHealth Thompson Peak Medical Center, Scottsdale, and University of Arizona College of Medicine—Phoenix, Phoenix, ArizonaSearch for more papers by this author, Benjamin Kinnear, MD, MEdCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OhioSearch for more papers by this author, Matthew Kelleher, MD, MEdCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OhioSearch for more papers by this author, Eric J. Warm, MDUniversity of Cincinnati College of Medicine, Cincinnati, OhioSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L21-0686 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We commend Becker and colleagues (1) on their trial examining the effects of bedside versus outside the room rounds on patients' knowledge of their care plan. Although this trial found increased efficiency in rounding in the bedside group, patient knowledge between the groups did not differ. However, patients in the bedside group experienced increased subjective confusion due to medical jargon and less time discussing sensitive information.We do not believe that these findings call for abandoning bedside rounds; instead, they highlight the importance of their proper execution.First, rounds described in Becker and colleagues' article are patient-proximate, ...References1. Becker C, Gamp M, Schuetz P, et al; BEDSIDE-OUTSIDE Study Group. Effect of bedside compared with outside the room patient case presentation on patients' knowledge about their medical care. A randomized, controlled, multicenter trial. Ann Intern Med. 2021;174:1282-92. [PMID: 34181449] doi:10.7326/M21-0909 LinkGoogle Scholar2. Ricotta DN, Freed JA, Hale AJ. Things We Do for No Reason: card flipping rounds. J Hosp Med. 2020;15:498-501. [PMID: 32118567] doi:10.12788/jhm.3374 CrossrefMedlineGoogle Scholar3. Anderson KM, Leister S, De Rego. The 5Ts for teach back: an operational definition for teach-back training. Health Lit Res Pract. 2020;4:e94-103. [PMID: 32293689] doi:10.3928/24748307-20200318-01 CrossrefMedlineGoogle Scholar4. Century J, Rudnick M, Freeman C. A framework for measuring fidelity of implementation: a foundation for shared language and accumulation of knowledge. Am J Eval. 2010;31:199-218. doi:10.1177/1098214010366173 Google Scholar5. Subramony A, Hametz PA, Balmer D. Family-centered rounds in theory and practice: an ethnographic case study. Acad Pediatr. 2014 Mar-Apr;14:200-6. [PMID: 24602584] doi:10.1016/j.acap.2013.11.003 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: HonorHealth Thompson Peak Medical Center, Scottsdale, and University of Arizona College of Medicine—Phoenix, Phoenix, ArizonaCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OhioUniversity of Cincinnati College of Medicine, Cincinnati, OhioDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L21-0686. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care Christoph Becker , Martina Gamp , Philipp Schuetz , Katharina Beck , Alessia Vincent , Seraina Hochstrasser , Kerstin Metzger , Madlaina Widmer , Emanuel Thommen , Beat Mueller , Christoph A. Fux , Jörg D. Leuppi , Rainer Schaefert , Wolf Langewitz , Marten Trendelenburg , Tobias Breidthardt , Jens Eckstein , Michael Osthoff , Stefano Bassetti , Sabina Hunziker , and Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care Sabina Hunziker Metrics January 2022Volume 175, Issue 1Page: W1 ePublished: 18 January 2022 Issue Published: January 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...