Daily Multidisciplinary Rounds Shorten Length of Stay for Trauma Patients

Dutton, Richard P.; Cooper, Carnell; Jones, Alan E.; Leone, Susan; Kramer, Mary E.; Scalea, Thomas M.

doi:10.1097/01.ta.0000093395.34097.56

Cited by 131 publications

(98 citation statements)

References 24 publications

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“…50,56 Moreover, first studies on the effects of changes in the design of work systems and processes indicate that restructuring toward a team-based approach improves staff well-being and the quality and safety of patient care. 52,57 Teamwork behaviors related to patient safety Observational studies of teamwork have identified patterns of communication, coordination, and leadership that support effective teamwork. However, only a few studies could establish a direct link between specific teamwork behaviors and clinical performance or patient outcome.…”

Section: Healthcare Providers Perceptions Of Teamwork In Dynamic Medimentioning

confidence: 99%

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature

Manser

2009

Acta Anaesthesiol Scand

1,038

700

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Aims/Background: This review examines current research on teamwork in highly dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams with a focus on aspects relevant to the quality and safety of patient care. Results: Evidence from three main areas of research supports the relationship between teamwork and patient safety: (1) Studies investigating the factors contributing to critical incidents and adverse events have shown that teamwork plays an important role in the causation and prevention of adverse events. (2) Research focusing on healthcare providers' perceptions of teamwork demonstrated that (a) staff's perceptions of teamwork and attitudes toward safety-relevant team behavior were related to the quality and safety of patient care and (b) perceptions of teamwork and leadership style are associated with staff well-being, which may impact clinician' ability to provide safe patient care. (3) Observational studies on teamwork behaviors related to high clinical performance have identified patterns of communication, coordination, and leadership that support effective teamwork. Conclusion: In recent years, research using diverse methodological approaches has led to significant progress in team research in healthcare. The challenge for future research is to further develop and validate instruments for team performance assessment and to develop sound theoretical models of team performance in dynamic medical domains integrating evidence from all three areas of team research identified in this review. This will help to improve team training efforts and aid the design of clinical work systems supporting effective teamwork and safe patient care.

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Section: Healthcare Providers Perceptions Of Teamwork In Dynamic Medimentioning

confidence: 99%

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature

Manser

2009

Acta Anaesthesiol Scand

1,038

700

View full text Add to dashboard Cite

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“…Participation in trauma team activities was low, presumably due to few dedicated trauma physiotherapists and varied trauma and physiotherapy team service structure. Of particular note is that physiotherapists attended ward rounds at less than 50% of the sites, despite research that shows their participation in this activity can reduce trauma patient hospital length of stay (Dutton et al 2003).…”

Section: Discussionmentioning

confidence: 99%

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

Calthorpe¹,

Kimmel²,

Webb³

et al. 2016

NZJP

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Traumatic injury places a great burden on individuals and society. As mortality plateaus in mature trauma systems, there is an increasing shift towards understanding patients' morbidity and functional outcomes. Physiotherapy plays a key role in recovery after traumatic injury, but little is currently known about its role in the acute hospital setting for trauma patients. This study aimed to document physiotherapy service structure and practice in adult major trauma services (MTS) across Australia and New Zealand. A survey was distributed electronically to physiotherapists working within designated MTS (n=25), achieving a 92% response rate (n=23). Physiotherapy service delivery, expertise and availability varied greatly. Only seven sites (30%) had a dedicated trauma physiotherapist with this showing a trend towards an association with major trauma admissions (provided by the Australian Trauma Registry; p=0.07). Only eight (35%) had blanket referral systems for physiotherapy review, which was significantly associated with having a dedicated specialised physiotherapist (p =0.015). Most ran a five day/week service for all patients with priority cover over the weekends (78% n=18). Future research should explore the benefits of specialised trauma physiotherapy roles in optimising patient outcomes in order to standardise this across all trauma centres in Australia and New Zealand.

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“…4,[8][9][10][11] Measurable outcomes such as shorter length of stay, improved morbidity and mortality, and decreased pulmonary complications (ventilator-associated infections, acute respiratory distress syndrome) have been reported in trauma, orthopedic, cardiac surgery, and critical care programs that utilize a format including care providers across multiple specialties and all points of patient care. 5,[12][13][14] Berkshire Medical Center applied this multidisciplinary approach to the care of all medical inpatients. Initially, the primary focus was to improve process measures such as the American Heart Association's Get With the Guidelines program and CMS core measures related to acute myocardial infarction and community-acquired pneumonia.…”

Section: Discussionmentioning

confidence: 99%

Surgical Multidisciplinary Rounds

et al. 2014

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An analysis of outcomes, quality, and survey data was carried out to evaluate the impact of surgical multidisciplinary rounds (SMDR) at a community teaching hospital. Surgical inpatients were reviewed over a 4-year period. Real-time changes to clinical care, documentation, and programs were enacted during the rounds. SMDR contributed to reductions in length of stay (6.1 to 5.1 days), postoperative respiratory failure (15.5% to 6.8%), deep venous thrombosis/pulmonary embolism (2.8% to 2.3%), cardiac complications (7.0% to 1.6%), and catheter-associated urinary tract infection (5.2% to 1.5%), and increased Surgical Care Improvement Program All-or-None compliance (95.6% to 98.7%). Additionally, SMDR increased awareness of Accreditation Council for Graduate Medical Education core competencies among surgical residents and was associated with enhanced job satisfaction among participants. Twice-weekly SMDR is an effective care paradigm that has changed culture, improved care coordination, and facilitated rapid, sustained process improvement along multiple patient safety indicators and core measures.

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Daily Multidisciplinary Rounds Shorten Length of Stay for Trauma Patients

Cited by 131 publications

References 24 publications

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

Surgical Multidisciplinary Rounds

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