1022 / Family-Centered Rounds in the Department of Surgery

GERMANY
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Communication
Patient involvement There is no specified text here
Topic of the reported practice
Patient involvement
Aim and the benefit of the Patient Safety Practice
 
The quality of care is depending on many factors during the patient's stay in the hospital. One factor is the information and involvement of the patient and his or her family. Often the patient and the family do not have all the information they would like to receive and often have a hard time getting hold of a doctor or nurse.
Description of the Patient Safety Practice
 
The implementation of the family-centered rounds in the unit of surgery is aiming to improve the patient-doctor relationship as well as the quality of care through the inter-professional exchange of standardized information between doctors and nurses as well as through the communication with the patients and their families. Furthermore, the goal is to generate a better understanding and appreciation for each other and the individual situation.
Another purpose of the concept is the education of the residents regarding the practical implementation of a personalized handling with the patient and the family, based on the core values of the patient-doctor relationship by role model functioning of the head physician and the attendings.
The family-centered rounds are conducted regularly at fixed times. The times are announced via posters put up in the ward. Through this it represents a good tool of time management for the nurses, who can give reliable answers to patients and family members asking for a doctor or specific medical information.
Twice a week (either Monday and Wednesday or Tuesday and Thursday) the bedside rounds are conducted by a doctor, who is competent to give a ruling, and a nurse of the ward. During the round the participants exchange relevant information and answer open questions. In certain cases also the care after the hospital stay can be discussed and planned with the family members. By doing so, all necessary information can be obtained on both sides in a timely and structured manner. The accessibility of the doctors can be improved from the family’s point of view; the doctors save time and resources by gathering and giving information in an efficient way. The duration of each single visit is depending on the severity of the clinical symptoms: Sometimes just a few words have to be exchanged (e.g. after a procedure without any complications), sometimes the conversation takes up to ten minutes when it is a complicated case.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Unit or ward level
Specific and measurable outcome for the reported practice were defined
No
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
Type of before-and after evaluation
There is no specified text here
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Patient representative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
During the evaluation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
There is no specified text here
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Motivated staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Not relevant
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Not relevant
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Rother, Carmen
Country: GERMANY
Organisation: Asklepios Klink Nord
E-mail: ca.rother@asklepios.com
Phone: There is no specified text here
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