Impact of SIBR on patient outcomes at a large academic health centre
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Overview
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.
Objectives
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.
Methods
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.
Results
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)
Conclusion
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.
