1. A time-motion study of inpatient rounds using a family-centered rounds model
- Author
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Bhansali, P., Birch, S., Campbell, J.K., Agrawal, D., Hoffner, W., Manicone, P., Shah, K., Krieger, E., and Ottolini, M.
- Subjects
Chemical and physical biology [NCMLS 7] - Abstract
Item does not contain fulltext OBJECTIVE: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model. METHODS: We conducted a prospective observational study at Children's National Medical Center between September 2010 and February 2011. Investigators directly observed rounds on hospitalist and neurology services. Events were timed, and key features were recorded by using a Microsoft Access-based program. Associations with increased time spent during rounds were determined by using regression analyses. RESULTS: One hundred fifty-nine rounding encounters were observed. Rounds lasted 7.9 minutes on average per patient. An average of 1.3 minutes was spent between patients during rounds. Eighty-six (54%) encounters occurred outside the patient's room, 3% of the time because of the family's request. Infectious isolation was associated with rounds occurring outside the room (P
- Published
- 2013