Staff satisfaction
SIBR® Rounds Results
Staff satisfaction
SIBR® Rounds Results
Staff satisfaction
SIBR® Rounds Results
Improve staff satisfaction across a range of measures
SIBR is the best program to improve staff satisfaction in your hospital. Evidence-based, high-value, and designed by physicians and nurses just like you. SIBR brings agency, self-actualization and patient-centered care to staff and teams.
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
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
"We need to prevent
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
"We need to prevent
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
staff frustration"
team dissatisfiers"
fragmented care"
miscommunications"
patient frustration"
"Having then done the SIBR round, all of the phone calls, taps on the shoulder, forms put in front of you to sign will be less and it'll be a more structured day."
Director of Cardiothoracic Care
Australia
"Not only is it a time saver because we're getting all the people that you need to talk to you throughout the day and we're getting them all together, it's also a much more fun way to work. It's a more collaborative way to work."
Hospitalist
US
"I can tell you: encouraging patients and families to be there on rounds saves tremendous downstream time."
Hospitalist
US
"I’m happy here. The ACU makes it so that nurses are heard. It’s changed my job. This unit made me love nursing again."
Licensed Practical Nurse
Canada
"Having then done the SIBR round, all of the phone calls, taps on the shoulder, forms put in front of you to sign will be less and it'll be a more structured day."
Director of Cardiothoracic Care
Australia
"Not only is it a time saver because we're getting all the people that you need to talk to you throughout the day and we're getting them all together, it's also a much more fun way to work. It's a more collaborative way to work."
Hospitalist
US
"I can tell you: encouraging patients and families to be there on rounds saves tremendous downstream time."
Hospitalist
US
"I’m happy here. The ACU makes it so that nurses are heard. It’s changed my job. This unit made me love nursing again."
Licensed Practical Nurse
Canada
"Having then done the SIBR round, all of the phone calls, taps on the shoulder, forms put in front of you to sign will be less and it'll be a more structured day."
Director of Cardiothoracic Care
Australia
"Not only is it a time saver because we're getting all the people that you need to talk to you throughout the day and we're getting them all together, it's also a much more fun way to work. It's a more collaborative way to work."
Hospitalist
US
"I can tell you: encouraging patients and families to be there on rounds saves tremendous downstream time."
Hospitalist
US
"I’m happy here. The ACU makes it so that nurses are heard. It’s changed my job. This unit made me love nursing again."
Licensed Practical Nurse
Canada
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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