SHM Converge Scientific Abstract ePoster Gallery-When Rounds Become a Catalyst: How Rebuilding Multidisciplinary Bedside Rounding Unlocked System-Wide Innovation Beyond Its Original Aim

When Rounds Become a Catalyst: How Rebuilding Multidisciplinary Bedside Rounding Unlocked System-Wide Innovation Beyond Its Original Aim

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UC San Diego Health rebuilt multidisciplinary bedside FIT rounding after COVID-19 had shifted rounds away from patients. The original goal was to restore patient-centered bedside communication, improve teamwork, and bring back the benefits of shared interdisciplinary rounding. The redesigned process used a standardized communication script involving medicine, nursing, pharmacy, care management, social work, and rehab, with an emphasis on consistent bedside presence, shared mental models, and real-time documentation.<br /><br />As the new rounding model was sustained, it uncovered broader system opportunities beyond the original aim. The project led to several innovations: a multilingual FIT framework to better support patients and families, an EHR-embedded patient deliverable tool, night-shift rounding groups to improve continuity and awareness, discipline-specific subgroup work to tailor data and communication, and structured learner engagement through observation and participation. It also supported real-time data streams through quality dashboards and transition metrics, improving oversight and continuous program development.<br /><br />Overall, rebuilding bedside rounds became a catalyst for system-wide improvement. It strengthened patient engagement, expanded interdisciplinary collaboration, improved day-night coordination, and created a more inclusive, multilingual care framework. The initiative showed that centering care at the bedside can drive innovation well beyond communication alone, generating momentum for ongoing improvements in patient-centered care.

Asset Subtitle

Anna Gelberg

Meta Tag

Author List Anna Gelberg, Cecilia Caronongan, Charles Daniels, Constance Chace, Corinne Aukerman, Donna Beifus, Eric Lundin, Jessica Mathers, Jessica Salzman, Judy Temsuk, Karen Armenion, Kendra Everly, Kristina James, Lilliane Udomphonkul, Margarita Baggett, Ne

Category Innovations

Concept Patient-Centered Multidisciplinary Bedside Rounding

Concept Standardized Interdisciplinary Communication Script

Concept Team Communication

Concept Shared Mental Models

Concept Ambient Documentation

Distinguished Non-Finalist

Presenter Organization Ucsd

Presenting Author Anna Gelberg

Track Communication

Keywords

UC San Diego Health

bedside rounding

multidisciplinary care

patient-centered communication

interdisciplinary collaboration

standardized communication script

multilingual framework

EHR documentation

night-shift coordination

quality dashboards

Patient-Centered Multidisciplinary Bedside Rounding

Standardized Interdisciplinary Communication Script

Team Communication

Shared Mental Models

Ambient Documentation