Anesthesiology Leadership Rounding: Identifying Opportunities for Improvement
| Autor: | F. Kayser Enneking, Susan Ford, Dietrich Gravenstein |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Quality management media_common.quotation_subject Audit Efficiency Organizational Nursing Anesthesiology Health care Patient experience Medical Staff Hospital medicine Humans Quality (business) Teaching Rounds media_common Postoperative Care business.industry Rounding Process Assessment Health Care General Medicine Original Research & Contributions Quality Improvement Leadership business Delivery of Health Care |
| Zdroj: | The Permanente Journal. 16:37-40 |
| ISSN: | 1552-5775 1552-5767 |
| Popis: | Introduction: Rounding that includes participation of individuals with authority to implement changes has been advocated as important to the transformation of an institution into a high-quality and safe organization. We describe a Department of Anesthesiology's experience with leadership rounding. Methods: The Department Chair or other senior faculty designate, a quality coordinator, up to four residents, the ward charge nurse, and patient nurses participated in rounds at bedsides. Results: During a 23-month period, 14 significant opportunities to improve care were identified. Nurses identified 5 of these opportunities, primary team physicians 2, the rounding team 4, and patients or their family members another 3. The anesthesiology service had sole or shared responsibility for 10 improvements. Conclusion: A variety of organizations track specific measures across all phases of the patient experience to gauge quality of care. Chart auditing tools for detecting threats to safety are often used. These measures and tools missed opportunities for improvement that were discovered only through rounding. We conclude that the introduction of leadership rounding by an anesthesiology service can identify opportunities for improving quality that are not captured by conventional efforts. |
| Databáze: | OpenAIRE |
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