Collaborative Communication in Acute Bone Marrow Transplant and Haematology Patients

Amy Keating, Peter Frederikson, David Williams, Midori Nakagaki, Stephanie Johnstone


In a study conducted at a tertiary urban academic hospital in Queensland, the implementation of Structured Interdisciplinary Bedside Rounds (SIBR) improved patient safety, clinical outcomes, and staff satisfaction in an acute haematology and bone marrow transplant (BMT) unit.

0 %
reduction in length of stay
0 %
point increase in VTE prophylaxis compliance


To evaluate the effects of implementing Structured Interdisciplinary Bedside Rounds (SIBR) on patient clinical outcomes, patient flow, and staff satisfaction in a haematology/BMT unit.


The study involved a retrospective analysis of data collected twelve months pre- and twelve months post-SIBR implementation. The SIBR model included daily interdisciplinary rounds at the patient’s bedside with prepared and certified staff members. Data were collected on patient safety incidents, medication errors, skin integrity incidents, patient and staff satisfaction, VTE prophylaxis compliance, discharge script efficiencies, and length of stay (LOS).


Clinical Outcomes:

Falls: Decreased from 2.72 to 2.18 incidents per 1,000 patient days.

Medication Errors: Decreased from 7.09 to 5.56 incidents per 1,000 patient days.

Skin Integrity Incidents: Decreased from 2.36 to 1.25 incidents per 1,000 patient days.

VTE Prophylaxis Prescribing Compliance: Increased by 57%.

Patient Flow:

Average Length of Stay (LOS): Reduced by 11%.

Discharge Scripts: Pharmacists received discharge scripts significantly earlier, improving discharge efficiency and patient flow.

Staff and Patient Satisfaction:

• Improved perceptions of patient safety and satisfaction.

• Better communication and coordination among healthcare team members.


The implementation of Structured Interdisciplinary Bedside Rounds (SIBR) in the haematology/BMT unit significantly improved patient safety, clinical outcomes, and staff satisfaction. The SIBR model enhanced communication and collaboration among healthcare providers, leading to more efficient patient flow and reduced length of stay. These findings suggest that healthcare teams should consider integrating SIBR into their daily care routines to optimize patient outcomes and operational efficiency.

Additional Data

This summary slide highlights the pre- & post-ACU & SIBR  rounds implementation outcomes

I hope you enjoyed reading these strong results. Unit outcomes like these are achievable within 3 to 6 months using a seasoned implementation methodology:

  1. skillful project management
  2. smooth training and launch, and a
  3. long-term partnership for sustainability.

One option to achieve similar results is to engage our 1Unit experts. Backed by 15 studies like this one, our work has received awards from The Joint Commission, CMS, Clinical Excellence Commission, IHI, BMJ, and the Society of Hospital Medicine.

Whether your unit(s) have current multidisciplinary rounds or not, our experts can guide your unit leaders to launch and sustain the best interdisciplinary teamwork and communication you’ve ever seen on a hospital ward.

This is not some ivory tower theory. Our methods have been toughened and refined worldwide. Everything we teach has been carefully tested over more than a decade, so we know it works.

Connect with us if you’d like the “Easy Button” to steadily reduce harm events, discharge delays, and patient and staff dissatisfiers.

Liam Chadwick, PhD