SHM Converge Scientific Abstract ePoster Gallery-A Slam Dunk! "Net Rounding" Intervention Improves the Efficiency of Hospital Medicine Teaching Rounds

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This poster describes a “NET Rounding” intervention designed to improve the efficiency of hospital medicine teaching rounds. Prior work at the institution found that internal medicine residents spent about 3.4 hours per day rounding, and both residents and attendings often viewed rounds as inefficient and low value. Because duty-hour compliance is a major priority, the team aimed to reduce rounding time while preserving learning and patient safety.<br /><br />A faculty-resident taskforce developed the NET Rounding Tool, which grouped practical strategies into three areas: shared expectations, time management, and purposeful rounding. Examples included pre-round preparation, setting a time-based agenda, using timers, prioritizing active problems, limiting repetitive comments, buddy rounding, and choosing only selected patients for bedside rounds.<br /><br />The intervention was implemented during 10–14 day inpatient ward rotations from March to May 2021. Teams were asked to use at least one strategy from each category. Effectiveness was measured through pre- and post-intervention surveys plus brief daily and weekly questions about rounding time and safety.<br /><br />Results showed strong uptake: 100% of residents and 93% of attendings reported using the tool at least half the days. The share reporting rounds lasted 2.5 hours on average dropped sharply, from 79% to 9% among residents and from 84% to 18% among attendings. Resident-reported duty-hour violations also improved, with “never” violating duty hours rising from 28% to 78%. Most participants reported a positive impact on their overall wards experience, and patient safety appeared preserved, with only one near-miss event reported.<br /><br />Overall, the intervention reduced rounding time and work-hour violations without compromising learning or safety.

Asset Subtitle

Emily R. Insetta

Meta Tag

Author List Emily R. Insetta, Hannah Archibald, Peter Barish, Shirley J. Chan, Stephanie Conner

Category Research

Concept NET Rounding Intervention

Concept Teaching Rounds

Concept NET Rounding Tool

Concept Rounding Time

Concept Work-hour violation

Distinguished Non-Finalist

Presenter Organization University of California San Francisco

Presenting Author Emily R. Insetta

Track Education

Keywords

NET Rounding

hospital medicine

teaching rounds

rounding efficiency

duty-hour compliance

internal medicine residents

time management

patient safety

ward rotations

intervention

NET Rounding Intervention

Teaching Rounds

NET Rounding Tool

Rounding Time

Work-hour violation