Case Studies

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Presbyterian St Luke's

Setting: 27 bed medical telemetry unit.

Summary: Improved their outcomes on every measure when compared with similar Hospitalist groups in 6 different hospitals within the system.

Orange Healthcare
Orange Hospital

Setting: 26 bed acute medical unit.

Summary: Significantly reduced their adjusted cost of stay per patient, despite a significant increase in Patient Clinical Complexity Level. The unit also reduced mortality and need for clinical reviews.

Loma Linda Children's Hospital

Setting: 25 bed pediatric intensive care unit.

Summary: SIBR reduced rounding times per patient and significantly decreased lengths of PICU stay. Improvements in the quality of rounds saw improved interdisciplinary participation and improved family satisfaction.

The Christ Hospital

Setting 1: Setting 1: 10 bed aged care for the elderly unit
Setting 2: 16 bed aged medical-surgical unit

Summary: Implemented SIBR on 2 units and saw a variety of benefits including improvements in staff satisfaction, length of stay, 30-day readmissions, throughput, and patient satisfaction.

Yale New Haven Health

Setting: 32-bed gen-med teaching unit.

Summary: SIBR significantly improved perceptions of IPC (interprofessional communication) and workplace efficiency, which are two important domains of healthcare quality.

Westmead Hospital

Setting: 2 side-by-side 25 bed aged care wards

Summary: Significant improvements including a significant reduction in falls and nursing home placements, but did not see improvements in length of stay or readmissions; a probable consequence of doing SIBR only twice per week.