A Study of Bedside Versus Hallway Rounding
1 other identifier
interventional
81
1 country
1
Brief Summary
The purpose of this study is to compare bedside rounding with hallway and conference room rounding on the neurology inpatient ward service at an academic hospital and identify best practices associated with educational and patient care outcomes. Specifically, this study will determine which rounding practices are associated with a positive educational experience for learners, greatest patient and care team communication, and time efficiency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2020
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2020
CompletedFirst Submitted
Initial submission to the registry
February 5, 2021
CompletedFirst Posted
Study publicly available on registry
February 15, 2021
CompletedFebruary 15, 2021
February 1, 2021
2 months
February 5, 2021
February 11, 2021
Conditions
Outcome Measures
Primary Outcomes (3)
Mean patient rounding time as assessed by time-motion analysis
The first primary outcome measure will be mean rounding time in minutes per patient in the bedside and hallway groups.
90 days
Mean rounding proportion spent at the patient's bedside as assessed by time-motion analysis
The second primary outcome measure will be mean rounding proportion in percent spent at the patient's bedside in the bedside and hallway groups
90 days
Mean rounding proportion spent on various rounding activities as assessed by time-motion analysis
The third primary outcome measure will be mean rounding proportion in percent spent on history taking, review of data such as imaging, physical exam, answering patient questions, teaching, and discussion of plan in the bedside and hallway groups
90 days
Secondary Outcomes (1)
Patient, nurse, resident, and attending physician satisfaction with rounds as assessed by surveys
90 days
Study Arms (2)
Bedside
ACTIVE COMPARATORThe bedside rounding team will perform patient presentations at the bedside, with a focus on the patient, and will ensure nursing involvement when rounding on each patient,
Hallway
ACTIVE COMPARATORThe hallway rounding team will present patients outside of the patient's room, without an emphasis on nurse participation.
Interventions
Team rounded on new admissions either in hallway or at the bedside
Eligibility Criteria
You may qualify if:
- new admission to neurology team
You may not qualify if:
- comfort measures as sole treatment goal
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham Health
Boston, Massachusetts, 02115-6128, United States
Related Publications (1)
Solomon JM, Bhattacharyya S, Ali AS, Cleary L, Dibari S, Boxer R, Healy BC, Milligan TA. Randomized Study of Bedside vs Hallway Rounding: Neurology Rounding Study. Neurology. 2021 Aug 31;97(9):434-442. doi: 10.1212/WNL.0000000000012407. Epub 2021 Jun 22.
PMID: 34158383DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Neurologist
Study Record Dates
First Submitted
February 5, 2021
First Posted
February 15, 2021
Study Start
February 1, 2020
Primary Completion
March 31, 2020
Study Completion
March 31, 2020
Last Updated
February 15, 2021
Record last verified: 2021-02