Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics

Recruiting

• Conditions: Wellness, Psychological

• Registration Number: NCT06336915
• Lead Sponsor: Methodist Health System

Brief Summary

The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care

Detailed Description

Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration.

LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.

Study Timeline

• Study Start: 2023-01-03
• Study First Submitted: 2023-03-30
• Status Verified: 2024-01
• Study First Submitted QC: 2024-03-26
• Last Update Submitted: 2024-03-26
• Study First Posted: 2024-03-29
• Last Update Posted: 2024-03-29
• Primary Completion: 2024-12-30
• Study Completion: 2024-12-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Patient Experience, LOS, and Discharge Times: Private hospitalist patients at MDMC
• LOS: Patients with a LOS ≤20 days

Exclusion Criteria

• Patient Experience: Patients other than private hospitalist patients excluded from this measure.
• LOS: Patients with LOS >20 days are considered an outlier and will be excluded from the study

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation	"up to 100 weeks"	Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation

Secondary Outcome Measures

Name	Time	Method
Difference in LOS of private hospitalist patients after project implementation compared to before implementation	"up to 100 weeks"	Difference in LOS of private hospitalist patients after project implementation compared to before implementation
Difference in Top Box Patient Satisfaction Scores and Doctor Domain	"up to 100 weeks"	Difference in top box patient satisfaction scores and doctor domain for private hospitalist patients after project implementation compared to before implementation
Difference in collaboration and build positive relationships scores after project implementation compared to before implementation	"up to 100 weeks"	Difference in collaboration and build positive relationships scores after project implementation compared to before implementation

Trial Locations

Locations (2)

Clinical Research Institute at Methodist Health System; 🇺🇸 Dallas, Texas, United States

Methodist Dallas Medical Center; 🇺🇸 Dallas, Texas, United States