Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience
Hospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement duri...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-04-01
|
| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735211008303 |
| _version_ | 1818441969021485056 |
|---|---|
| author | John T Ratelle MD Michelle Herberts MD Donna Miller MD Ashok Kumbamu PhD Donna Lawson Eric Polley PhD Thomas J Beckman MD |
| author_facet | John T Ratelle MD Michelle Herberts MD Donna Miller MD Ashok Kumbamu PhD Donna Lawson Eric Polley PhD Thomas J Beckman MD |
| author_sort | John T Ratelle MD |
| collection | DOAJ |
| description | Hospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement during ward rounds. Research assistants directly observed medicine services to quantify the amount of time spent discussing each patient’s care inside versus outside the patient’s room. “Time-at-bedside” was defined as the proportion of time spent discussing a patient’s care in his or her room. Patient experience and patient–clinician care agreement both were measured immediately after ward rounds. Results demonstrated that the majority of patient and physicians completely agreement on planned tests (66.3%), planned procedures (79.7%), medication changes (50.6%), and discharge location (66.9%), but had no agreement on the patient’s main concern (74.4%) and discharge date (50.6%). Time-at-bedside was not correlated with care agreement or patient experience ( P > .05 for all comparisons). This study demonstrates that spending more time at the bedside during ward rounds, alone, is insufficient to improve patient experience. |
| first_indexed | 2024-12-14T18:36:41Z |
| format | Article |
| id | doaj.art-0bdfbf32500b44c694966d5689c203ee |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-12-14T18:36:41Z |
| publishDate | 2021-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-0bdfbf32500b44c694966d5689c203ee2022-12-21T22:51:35ZengSAGE PublishingJournal of Patient Experience2374-37432021-04-01810.1177/23743735211008303Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient ExperienceJohn T Ratelle MD0Michelle Herberts MD1Donna Miller MD2Ashok Kumbamu PhD3Donna Lawson4Eric Polley PhD5Thomas J Beckman MD6 Division of Hospital Internal Medicine, , Rochester, MN, USA Division of Pulmonary and Critical Care Medicine, , Rochester, MN, USA Division of Hospital Internal Medicine, , Rochester, MN, USA Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, , Rochester, MN, USA Division of Hospital Internal Medicine, , Rochester, MN, USA Division of Biomedical Statistics and Informatics, , Rochester, MN, USA Division of General Internal Medicine, , Rochester, MN, USAHospital medicine ward rounds are often conducted away from patients’ bedsides, but it is unknown if more time-at-bedside is associated with improved patient outcomes. Our objective is to measure the association between “time-at-bedside,” patient experience, and patient–clinician care agreement during ward rounds. Research assistants directly observed medicine services to quantify the amount of time spent discussing each patient’s care inside versus outside the patient’s room. “Time-at-bedside” was defined as the proportion of time spent discussing a patient’s care in his or her room. Patient experience and patient–clinician care agreement both were measured immediately after ward rounds. Results demonstrated that the majority of patient and physicians completely agreement on planned tests (66.3%), planned procedures (79.7%), medication changes (50.6%), and discharge location (66.9%), but had no agreement on the patient’s main concern (74.4%) and discharge date (50.6%). Time-at-bedside was not correlated with care agreement or patient experience ( P > .05 for all comparisons). This study demonstrates that spending more time at the bedside during ward rounds, alone, is insufficient to improve patient experience.https://doi.org/10.1177/23743735211008303 |
| spellingShingle | John T Ratelle MD Michelle Herberts MD Donna Miller MD Ashok Kumbamu PhD Donna Lawson Eric Polley PhD Thomas J Beckman MD Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience Journal of Patient Experience |
| title | Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
| title_full | Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
| title_fullStr | Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
| title_full_unstemmed | Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
| title_short | Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician–Patient Agreement, and Patient Experience |
| title_sort | relationships between time at bedside during hospital ward rounds clinician patient agreement and patient experience |
| url | https://doi.org/10.1177/23743735211008303 |
| work_keys_str_mv | AT johntratellemd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT michelleherbertsmd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT donnamillermd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT ashokkumbamuphd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT donnalawson relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT ericpolleyphd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience AT thomasjbeckmanmd relationshipsbetweentimeatbedsideduringhospitalwardroundsclinicianpatientagreementandpatientexperience |