Barb Bedell, Sara Charlton, Sophie Clyne, and Francisco Velazquez

Intentional Hourly Rounding: Our Med-Surg Journey

“We do not have any affiliation (financial or otherwise) with a commercial organization that may have a direct or indirect connection to the content of our presentation."

CARE PHC

• CARE PHC: Quality and Practice Improvement Program within Providence Health Care

• 28 unit led teams

• 1 coach per team

AIMProvide excellent care

that is responsive to the needs of the people that we serve

and engages them in the process and is based on data and

evidence

Context

• What is intentional hourly rounding?

• The intent is the key

• Why this?• Increased patient safety outcomes

• Increased nurse & patient satisfaction

The 4 P’s

• Pain• Personal belongings• Personal hygiene

• Personal safety

Education and Engagement

• What we discovered• Skepticism

• What we did• Practice discussions

• Unit champions

• Model for Improvement

• What we learned• Builds relationships

Challenges

• Isolation rooms• Documentation• Varied practices in

different areas

• Patient response• Language

Sustainment

• Leadership• Revisit results• Build into practice

• Training• Education

Measures

Outcomes Improved • UTI Reduction• Serious Falls

Reduction

• Patient and Staff Satisfaction increased

What we Measure• % of UTI’s• % of falls with no

harm

• Patient and Staff Satisfaction

How we share

• Staff Meetings

• Display Boards

• Newsletters• Safety Huddles

% Falls with No Harm/Total Falls

25%

Target 100%

66%; 3

80%:5

50%:

4

Staff Satisfaction

3.71

Target: >4.5

3.23 3.48

3.46

Patient Satisfaction

4.32

Target: >4.5

4.55 4 4.41

What’s being said…“The patient

appreciated that I came in every hour

to see if they needed anything”

“I felt the nurse was more attentive and more care given”“I was very appreciative that rounds were done”

Resources

And many moresee handout for our favourites!

Questions?

Contact us• Barb Bedell – Practice Consultant

bbedell@providencehealth.bc.ca • Sara Charlton – Practice Consultant

scharlton@providencehealth.bc.ca • Sophie Clyne – Quality Improvement Specialist

sclyne@providencehealth.bc.ca

• Francisco Velazquez – Change Specialist fvelazquez@providencehealth.bc.ca