Key result
Surgical multidisciplinary rounds were associated with reductions in length of stay (6.1 to 5.1 days) and postoperative respiratory failure (15.5% to 6.8%) among surgical inpatients.
Why the study?
Do twice-weekly surgical multidisciplinary rounds improve clinical outcomes and reduce complications in surgical inpatients?
Observational
No
Do twice-weekly surgical multidisciplinary rounds improve clinical outcomes and reduce complications in surgical inpatients?
Absolute Event Rate: 6.8% vs 15.5%
Implementation of twice-weekly surgical multidisciplinary rounds is associated with reduced length of stay and lower rates of postoperative complications.
May support adoption of surgical multidisciplinary rounds; hypothesis-generating and requires randomized confirmation.
An analysis of outcomes, quality, and survey data was carried out to evaluate the impact of surgical multidisciplinary rounds (SMDR) at a community teaching hospital. Surgical inpatients were reviewed over a 4-year period. Real-time changes to clinical care, documentation, and programs were enacted during the rounds. SMDR contributed to reductions in length of stay (6.1 to 5.1 days), postoperative respiratory failure (15.5% to 6.8%), deep venous thrombosis/pulmonary embolism (2.8% to 2.3%), cardiac complications (7.0% to 1.6%), and catheter-associated urinary tract infection (5.2% to 1.5%), and increased Surgical Care Improvement Program All-or-None compliance (95.6% to 98.7%). Additionally, SMDR increased awareness of Accreditation Council for Graduate Medical Education core competencies among surgical residents and was associated with enhanced job satisfaction among participants. Twice-weekly SMDR is an effective care paradigm that has changed culture, improved care coordination, and facilitated rapid, sustained process improvement along multiple patient safety indicators and core measures.
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Counihan et al. (2014) conducted an observational in Surgical inpatients. Surgical multidisciplinary rounds (SMDR) vs. Prior to SMDR implementation was evaluated on postoperative respiratory failure. Surgical multidisciplinary rounds were associated with reductions in length of stay (6.1 to 5.1 days) and postoperative respiratory failure (15.5% to 6.8%) among surgical inpatients.
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