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Quality improvement
Interdisciplinary rounds reduced hospital stay and costs and improved staff satisfaction

https://doi.org/10.1136/ebn.2.2.56

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    Curley C, McEachern JE, Speroff T.A firm trial of interdisciplinary rounds on the inpatient medical wards. An intervention designed using continuous quality improvement.Med Care1998 ;36:AS4–12OpenUrl

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

    Design

    Randomised controlled trial.

    Setting

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

    Patients

    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.

    Intervention

    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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    Footnotes

    • 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.