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Interdisciplinary rounds reduced hospital stay and costs and improved staff satisfaction

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Question Can interdisciplinary rounds improve efficiency of patient care and staff satisfaction, and decrease costs on inpatient medical units?


Randomised controlled trial.


3 inpatient medical units in an acute care, tertiary referral and teaching hospital in Cleveland, Ohio, USA.


1102 patients (mean age 53 y, 52% women) who were admitted to and discharged from the medical unit. Patients who spent <50% of their hospital stay on the medical unit or who were transferred to another service were excluded.


On their first admission, patients were allocated to 1 of 3 inpatient medical units from which they received all care for this and any subsequent admissions. Each of the 3 medical units had 2 physician teams. The teams were divided so that both teams …

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  • Source of funding: not stated.

  • For correspondence: Dr C Curley, Division of General Internal Medicine, Department of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland OH 44109, USA. Fax +1 216 778 5000.

  • A modified version of this abstract appears in ACP Journal Club.