Patient satisfaction
SIBR® Rounds Results
Patient satisfaction
SIBR® Rounds Results
Patient satisfaction
SIBR® Rounds Results
Improve patient engagement across a range of measures
SIBR is the best program to improve patient engagement in your hospital. Evidence-based, high-value, and designed by physicians and nurses just like you to optimize the patient and family experience: proactive and patient oriented.
We implement, you get the glory.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
"We need to prevent
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
"We need to prevent
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
"We need to prevent
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
patient frustration"
miscommunications"
fragmented care"
"I would never have said three weeks ago that I would ever SIBR on delirious patient, but I absolutely see the value now. It helps so much to put the patient and family at ease."
Dr Mwangi
Geriatrician, US
"The changes on the Unit have made my recent stay very different to my previous ones. I feel listened to. I feel like my needs are being met quickly. And I like the daily rounds where I see my doctor and my nurse."
Patient
Australia
"SIBR gets rid of the chaos and fosters teamwork with all the people providing care – and with a much-improved relationship with the patient and their families. It’s so obvious to me that this is what we’re supposed to be doing."
Hospitalist
Canada
"The care was remarkable ... We should be so lucky that this kind of care is available to more people in our community. Just to be able to meet regularly with the physician and the nurses, to know what is happening."
Patient
US
"I would never have said three weeks ago that I would ever SIBR on delirious patient, but I absolutely see the value now. It helps so much to put the patient and family at ease."
Dr Mwangi
Geriatrician, US
"The changes on the Unit have made my recent stay very different to my previous ones. I feel listened to. I feel like my needs are being met quickly. And I like the daily rounds where I see my doctor and my nurse."
Patient
Australia
"SIBR gets rid of the chaos and fosters teamwork with all the people providing care – and with a much-improved relationship with the patient and their families. It’s so obvious to me that this is what we’re supposed to be doing."
Hospitalist
Canada
"The care was remarkable ... We should be so lucky that this kind of care is available to more people in our community. Just to be able to meet regularly with the physician and the nurses, to know what is happening."
Patient
US
"I would never have said three weeks ago that I would ever SIBR on delirious patient, but I absolutely see the value now. It helps so much to put the patient and family at ease."
Dr Mwangi
Geriatrician, US
"The changes on the Unit have made my recent stay very different to my previous ones. I feel listened to. I feel like my needs are being met quickly. And I like the daily rounds where I see my doctor and my nurse."
Patient
Australia
"SIBR gets rid of the chaos and fosters teamwork with all the people providing care – and with a much-improved relationship with the patient and their families. It’s so obvious to me that this is what we’re supposed to be doing."
Hospitalist
Canada
"The care was remarkable ... We should be so lucky that this kind of care is available to more people in our community. Just to be able to meet regularly with the physician and the nurses, to know what is happening."
Patient
US
Typical Impact on Staff Satisfaction
Improvements in staff satisfaction have significantly improved with staff reporting more time to complete their work, that their job is rewarding and:
Unit-Oriented Doctors
Improvements in self-reported staff satisfaction
IPC
Improvements in interprofessional communication
Rounds Efficiency
Improvements in care process efficiency
Reported Improvements in Staff Satisfaction
24%
Job satisfaction improvement
37%
Residents rating of IPC improvement
Typical Impact on Staff Satisfaction
Improvements in staff satisfaction have significantly improved with staff reporting more time to complete their work, that their job is rewarding and:
Unit-Oriented Doctors
Improvements in self-reported staff satisfaction
IPC
Improvements in interprofessional communication
Rounds Efficiency
Improvements in care process efficiency
Reported Improvements in Staff Satisfaction
24%
Job satisfaction improvement
37%
Residents rating of IPC improvement
Typical Impact on Staff Satisfaction
Improvements in staff satisfaction have significantly improved with staff reporting more time to complete their work, that their job is rewarding and:
Unit-Oriented Doctors
Improvements in self-reported staff satisfaction
IPC
Improvements in interprofessional communication
Rounds Efficiency
Improvements in care process efficiency
Reported Improvements in Staff Satisfaction
24%
Job satisfaction improvement
37%
Residents rating of IPC improvement
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
Unit-Oriented Doctors
"Run the list" huddles
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Bedside or Conference Room
Bedside
Consistent start and end times
✔
?
✔
Average duration
1-2 mins per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
?
✔
Pharmacist discusses medication safety
⤬
?
✔
Standardized, structured communication protocol
⤬
⤬
✔
Collaborative Cross-Checking
⤬
?
✔
Discharge Coordination
Mobility & last BM
?
?
✔
EDD each day for each patient
?
⤬
✔
Interdisciplinary discharge plan
✔
⤬
✔
Shorter length of stay
?
⤬
✔
Patient & Family Centered
Involves patient
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
✔
Nursing Involvement
Interdisciplinary care plan
⤬
?
✔
Supports inexperienced nurses
⤬
⤬
✔
Nurses not in rounds all morning
N/A
?
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
✔
Summary
Advantages
Brief, Discharge-oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
Disadvantages
No interdisciplinary care planning
No patient/family presence
Requires experts to help implement and hardwire
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
Unit-Oriented Doctors
"Run the list" huddles
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Bedside or Conference Room
Bedside
Consistent start and end times
✔
?
✔
Average duration
1-2 mins per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
?
✔
Pharmacist discusses medication safety
⤬
?
✔
Standardized, structured communication protocol
⤬
⤬
✔
Collaborative Cross-Checking
⤬
?
✔
Discharge Coordination
Mobility & last BM
?
?
✔
EDD each day for each patient
?
⤬
✔
Interdisciplinary discharge plan
✔
⤬
✔
Shorter length of stay
?
⤬
✔
Patient & Family Centered
Involves patient
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
✔
Nursing Involvement
Interdisciplinary care plan
⤬
?
✔
Supports inexperienced nurses
⤬
⤬
✔
Nurses not in rounds all morning
N/A
?
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
✔
Summary
Advantages
Brief, Discharge-oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
Disadvantages
No interdisciplinary care planning
No patient/family presence
Requires experts to help implement and hardwire
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
"Run the list" huddles
Conference room medical rounds
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Conference Room
Bedside
Bedside
Consistent start and end times
✔
✔
X
✔
Average duration
1-2 mins per patient
2-3 minutes per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
⤬
?
✔
Pharmacist discusses medication safety
⤬
✔
?
✔
Standardized, structured communication protocol
⤬
?
⤬
✔
Collaborative Cross-Checking
⤬
?
?
✔
Discharge Coordination
Mobility & last BM
?
?
?
✔
Collaborative Cross-Checking
⤬
?
?
✔
Patient & Family Centered
EDD each day for each patient
?
?
⤬
✔
Interdisciplinary discharge plan
✔
✔
⤬
✔
Shorter Length of Stay
?
⤬
⤬
✔
Nursing Involvement
Involves patient
⤬
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
⤬
✔
Interdisciplinary care plan
⤬
⤬
✔
✔
Supports inexperienced nurses
⤬
⤬
⤬
✔
Nurses not in rounds all morning
N/A
N/A
⤬
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
⤬
✔
Summary
What works?
Brief
Discharge oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
What's missing?
No interdisciplinary care planning
No patient/family presence
Primary data gathering happens together
Requires experts to implement and sustain
Features
How SIBR Works to Improve Staff Satisfaction
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Features
How SIBR Works to Improve Staff Satisfaction
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Features
How SIBR Works to Improve Staff Satisfaction
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Top Case Studies
Loma Linda
25% point increase in team rounds with a summarized plan
Cao, V., Tan, L.D., Horn, F., Bland, D., Giri, P., Maken, K., Cho, N., Scott, L., Dinh, V.A., Hidalgo, D. & Nguyen, H.B.
Critical Care Medicine
Yale New Haven
68% increase in residents’ rating of interprofessional communication
Schwartz, J.I., Gonzalez-Colaso, R., Gan, G., Deng, Y., Kaplan, M.H., Vakos, P.-A., Kenyon, K., Ashman, A., Sofair, A.N. & Huot, S.J.
Journal of Interprofessional Care
The Christ Hospital
24% higher nursing job satisfaction than control units
Gausvik, C., Lautar, A., Miller, L., Pallerla, H. & Schlaudecker, J.
Journal of multidisciplinary healthcare
Top Case Studies
Loma Linda
25% point increase in team rounds with a summarized plan
Cao, V., Tan, L.D., Horn, F., Bland, D., Giri, P., Maken, K., Cho, N., Scott, L., Dinh, V.A., Hidalgo, D. & Nguyen, H.B.
Critical Care Medicine
Yale New Haven
68% increase in residents’ rating of interprofessional communication
Schwartz, J.I., Gonzalez-Colaso, R., Gan, G., Deng, Y., Kaplan, M.H., Vakos, P.-A., Kenyon, K., Ashman, A., Sofair, A.N. & Huot, S.J.
Journal of Interprofessional Care
The Christ Hospital
24% higher nursing job satisfaction than control units
Gausvik, C., Lautar, A., Miller, L., Pallerla, H. & Schlaudecker, J.
Journal of multidisciplinary healthcare
Top Case Studies
Loma Linda
25% point increase in team rounds with a summarized plan
Cao, V., Tan, L.D., Horn, F., Bland, D., Giri, P., Maken, K., Cho, N., Scott, L., Dinh, V.A., Hidalgo, D. & Nguyen, H.B.
Critical Care Medicine
Yale New Haven
68% increase in residents’ rating of interprofessional communication
Schwartz, J.I., Gonzalez-Colaso, R., Gan, G., Deng, Y., Kaplan, M.H., Vakos, P.-A., Kenyon, K., Ashman, A., Sofair, A.N. & Huot, S.J.
Journal of Interprofessional Care
The Christ Hospital
24% higher nursing job satisfaction than control units
Gausvik, C., Lautar, A., Miller, L., Pallerla, H. & Schlaudecker, J.
Journal of multidisciplinary healthcare
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