Improving the efficiency and effectiveness of ward rounds

Enslev Jensen, Birgitte and Found, Pauline and Williams, Sharon J. and Walley, Paul (2016) Improving the efficiency and effectiveness of ward rounds. International Journal of Quality and Service Sciences, 8 (3). ISSN 1756-669X

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Abstract

Purpose: Ward rounds in hospitals are crucial for decision-making in the context of patient treatment processes. However, these tasks are not systematically managed and are often extended due to missing information, equipment or staff unavailability. This research assesses whether ward rounds can be structured more efficiently and effectively from the perspective of patients and staff. Methodology/Approach: This mixed method approach examines the ward rounds conducted in three units within a haematology department of a major Danish hospital. Baseline measures were collected to capture the value of the ward round described by patients and staff. The information, patient and equipment flows associated with a typical ward round were mapped with recommendations for improvement. Findings: Staff aspired to deliver a good quality ward round, but what this meant was never articulated and there were no established standards. The duration of the ward round was unpredictable and could take six hours to complete. Improvements identified by the team allows the ward round to be completed by mid-day with much more certainty. Research Limitations/implications: This research provides an insight as to how ward rounds are conducted within a Danish haematology department. This has implications for those involved in ward rounds to reduce the time taken whilst maintaining quality and safety of patient care. Originality/Value: Previous research has focused on the interactions between doctors and nurses. This research focuses on the operational process of the ward round and presents a structured approach to support multi-disciplinary teams with a focus on value from the patient’s perspective.

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