Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics

March 26, 2024 updated by: Methodist Health System
The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care

Study Overview

Status

Recruiting

Detailed Description

Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration.

LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.

Study Type

Observational

Enrollment (Estimated)

300

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Loretta W Bedell, MPH
  • Phone Number: 74680 214-947-4680
  • Email: mhsirb@mhd.com

Study Contact Backup

  • Name: Colette N Ndjom, MS
  • Phone Number: 214-947-1280
  • Email: MHSIRB@mhd.com

Study Locations

    • Texas
      • Dallas, Texas, United States, 75203
        • Recruiting
        • Clinical Research Institute at Methodist Health System
        • Contact:
        • Contact:
        • Principal Investigator:
          • Lauren Hoffman, MD
      • Dallas, Texas, United States, 75203
        • Not yet recruiting
        • Methodist Dallas Medical Center
        • Principal Investigator:
          • Lauren Hoffman, MD
        • Contact:
          • Colette N Ndjom, MS
          • Phone Number: 214-947-4681
          • Email: mhsirb@mhd.com
        • Contact:
          • Loretta W Bedell, MPH
          • Phone Number: 217-947-4680
          • Email: mhsirb@mhd.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Private hospitalist patients at MDMC

Patients with a LOS ≤20 days

Description

Inclusion Criteria:

  • Patient Experience, LOS, and Discharge Times: Private hospitalist patients at MDMC
  • LOS: Patients with a LOS ≤20 days

Exclusion Criteria:

  • Patient Experience: Patients other than private hospitalist patients excluded from this measure.
  • LOS: Patients with LOS >20 days are considered an outlier and will be excluded from the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation
Time Frame: "up to 100 weeks"
Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation
"up to 100 weeks"

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Difference in Top Box Patient Satisfaction Scores and Doctor Domain
Time Frame: "up to 100 weeks"
Difference in top box patient satisfaction scores and doctor domain for private hospitalist patients after project implementation compared to before implementation
"up to 100 weeks"
Difference in LOS of private hospitalist patients after project implementation compared to before implementation
Time Frame: "up to 100 weeks"
Difference in LOS of private hospitalist patients after project implementation compared to before implementation
"up to 100 weeks"
Difference in collaboration and build positive relationships scores after project implementation compared to before implementation
Time Frame: "up to 100 weeks"
Difference in collaboration and build positive relationships scores after project implementation compared to before implementation
"up to 100 weeks"

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 3, 2023

Primary Completion (Estimated)

December 30, 2024

Study Completion (Estimated)

December 30, 2024

Study Registration Dates

First Submitted

March 30, 2023

First Submitted That Met QC Criteria

March 26, 2024

First Posted (Actual)

March 29, 2024

Study Record Updates

Last Update Posted (Actual)

March 29, 2024

Last Update Submitted That Met QC Criteria

March 26, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 121.NUR.2022.D

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Study data or any protected health information will not be shared with anyone that is not delegated to the study. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual

IPD Sharing Time Frame

All study-related documents will be retained by the CRI until at least three years after study completion or according to local laws, whichever is longer

IPD Sharing Access Criteria

Records will also be accessible to MHS staff upon request unless constituting a violation of patient confidentiality

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • ANALYTIC_CODE
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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