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Barb Bedell, Sara Charlton, Sophie Clyne, and Francisco Velazquez
Intentional Hourly Rounding: Our Med-Surg Journey
“We do not have any affiliation (financial or otherwise) with a commercial organization that may have a direct or indirect connection to the content of our presentation."
CARE PHC
• CARE PHC: Quality and Practice Improvement Program within Providence Health Care
• 28 unit led teams
• 1 coach per team
AIMProvide excellent care
that is responsive to the needs of the people that we serve
and engages them in the process and is based on data and
evidence
Context
• What is intentional hourly rounding?
• The intent is the key
• Why this?• Increased patient safety outcomes
• Increased nurse & patient satisfaction
Education and Engagement
• What we discovered• Skepticism
• What we did• Practice discussions
• Unit champions
• Model for Improvement
• What we learned• Builds relationships
Challenges
• Isolation rooms• Documentation• Varied practices in
different areas
• Patient response• Language
Measures
Outcomes Improved • UTI Reduction• Serious Falls
Reduction
• Patient and Staff Satisfaction increased
What we Measure• % of UTI’s• % of falls with no
harm
• Patient and Staff Satisfaction
How we share
• Staff Meetings
• Display Boards
• Newsletters• Safety Huddles
% Falls with No Harm/Total Falls
25%
Target 100%
66%; 3
80%:5
50%:
4
Staff Satisfaction
3.71
Target: >4.5
3.23 3.48
3.46
Patient Satisfaction
4.32
Target: >4.5
4.55 4 4.41
What’s being said…“The patient
appreciated that I came in every hour
to see if they needed anything”
“I felt the nurse was more attentive and more care given”“I was very appreciative that rounds were done”
Contact us• Barb Bedell – Practice Consultant
[email protected] • Sara Charlton – Practice Consultant
[email protected] • Sophie Clyne – Quality Improvement Specialist
• Francisco Velazquez – Change Specialist [email protected]