Impact of SIBR on patient outcomes large academic health centre

Padageshwar Sunkara, Tareq Islam, Abhishek Bose, Gary E Rosenthal, Parag Chevli, Hanumantha Jogu, Luqman Arafath TK, Chi-cheng Huang, Dipendra Chaudhary, Daniel Beekman, Abhishek Dutta, Suma Menon, Jaime l Speiser


In a study conducted at Wake Forest School of Medicine, the implementation of Structured Interdisciplinary Bedside Rounds (SIBR) led to a significant reduction in 7-day readmission rates, though it did not impact length of stay or 30-day readmissions.

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reduction in 7-day readmission rates


To evaluate the impact of Structured Interdisciplinary Bedside Rounds (SIBR) on patient outcomes, specifically length of stay (LOS) and readmission rates, at a large academic health center.


The study was conducted over a one-year period from October 2016 to September 2017, involving 2,221 patients admitted to two hospital medicine units. One unit implemented SIBR, while the other served as a control. The SIBR team included a physician, bedside nurse, pharmacist, social worker, and bridge nurse navigator. Data were analyzed using multivariable negative binomial regression for LOS and logistic regression for readmission rates.


7-Day Readmission

• SIBR unit: 6.3%

• Control unit: 9.0%

• Adjusted odds ratio (OR): 0.70 (p=0.03)

30-Day Readmission

• SIBR unit: 16.6%

• Control unit: 20.3%

• Adjusted OR: 0.81 (p=0.07)

Length of Stay (LOS)

• SIBR unit: 6.7 days

• Control unit: 6.6 days

• No significant difference (p=0.58)


The implementation of SIBR significantly reduced 7-day readmissions, indicating an improvement in early post-discharge care. However, there was no significant impact on length of stay or 30-day readmission rates. Further research is needed to explore the potential benefits of SIBR on broader patient outcomes.

Additional Data

“We found patients admitted to the SIBR unit had similar LOS as patients admitted to the control unit and similar odds of being readmitted within 30 days of discharge. However, SIBR patients had a 30% lower odds of being readmitted within 7 days, and while the lower odds of 30-day readmission did not achieve statistical significance (p=0.07), the observed difference (19%) is clinically significant.

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