SHM Converge Scientific Abstract ePoster Gallery-Structured Interdisciplinary Bedside Rounds in the Oncology Ward

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This project piloted Structured Interdisciplinary Bedside Rounds (SIBR) on a high-complexity oncology unit at Huntington Hospital to improve communication, teamwork, and patient outcomes. Oncology patients often receive care from multiple consultants, increasing the risk of fragmented care and loss of trust. The SIBR model brought together the hospitalist, primary nurse, nurse manager, case manager, and social worker each morning for bedside rounds using open-ended questions to better understand patient concerns and build a shared care plan.<br /><br />The team rounded on an average of 14 patients over 90 minutes, with additional interdisciplinary rounds for patients not seen at bedside. A project manager tracked punctuality, attendance, time, and patient volume, and the team reviewed performance daily for rapid feedback. Outcomes were compared for six months before and after implementation using HCAHPS scores and operational measures.<br /><br />Results showed improved patient experience scores, especially in communication. “Communication with Doctors” improved from 81.8% to 84.3%, and “Communication with Nurses” improved from 83.3% to 87.6%. Operational outcomes were mixed: falls dropped significantly from 5 to 1, likely because the team identified bed alarm issues, pain, and delirium earlier. However, length of stay rose slightly from 4.8 to 5.2 days, and 30-day readmissions increased marginally from 15.1% to 15.4%. Discharges by 2:00 pm improved modestly from 21% to 23.3%.<br /><br />Overall, the SIBR approach improved communication, reduced interruptions, increased staff engagement, and may have contributed to fewer falls. The authors suggest further study to evaluate effects on rapid response events, length of stay, and readmissions.

Asset Subtitle

Sandhya Kadiyam

Meta Tag

Author List Jamie Cristallo, Sandhya Kadiyam

Category Innovations

Concept Structured Interdisciplinary Bedside Rounds

Concept Oncology Unit

Concept Interdisciplinary Team

Concept Patient Experience

Concept Interdisciplinary Engagement

Distinguished Non-Finalist

Presenter Organization Huntington Hospital, Northwell Health

Presenting Author Sandhya Kadiyam

Track Value in Hospital Medicine

Keywords

Structured Interdisciplinary Bedside Rounds

SIBR

oncology unit

patient communication

teamwork

patient outcomes

HCAHPS scores

falls reduction

length of stay

readmissions

Structured Interdisciplinary Bedside Rounds

Oncology Unit

Interdisciplinary Team

Patient Experience

Interdisciplinary Engagement