Adverse Events
SIBR® Rounds Results
Adverse Events
SIBR® Rounds Results
Adverse Events
SIBR® Rounds Results
Reduce common complications with SIBR rounds
SIBR is the best program to proactively manage hospital acquired complications and infections on your inpatient-units. Evidence-based, high-value, and designed by physicians and nurses just like you. Safer for patients & better for staff.
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
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
"We need to prevent
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
"We need to prevent
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
falls"
pressure injuries"
CAUTIs"
CLABSIs"
glycemic events"
medication events"
The Joint Commission cited us for having patients on oxygen without an order, so we added it to the checklist. Now it gets reviewed every SIBR, across 6 physician teams. I haven’t seen a simpler rollout of a QI initiative
Director of Hospital Medicine
US
This is by far the most efficient, effective, safest method that I've ever been part of. It's been a privilege for me to be part of this – the highlight of my career.
Pharmacist
Canada
Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after, and it also improved the same when we compared to a control group across the city.
Dr Jon Manheim
Unit Medical Director, US
We recognize change fast because we're attending rounds daily, so when someone starts to do really well and maybe not do so well, it's recognized that day, not a week later.
Hospitalist
US
The Joint Commission cited us for having patients on oxygen without an order, so we added it to the checklist. Now it gets reviewed every SIBR, across 6 physician teams. I haven’t seen a simpler rollout of a QI initiative
Director of Hospital Medicine
US
This is by far the most efficient, effective, safest method that I've ever been part of. It's been a privilege for me to be part of this – the highlight of my career.
Pharmacist
Canada
Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after, and it also improved the same when we compared to a control group across the city.
Dr Jon Manheim
Unit Medical Director, US
We recognize change fast because we're attending rounds daily, so when someone starts to do really well and maybe not do so well, it's recognized that day, not a week later.
Hospitalist
US
The Joint Commission cited us for having patients on oxygen without an order, so we added it to the checklist. Now it gets reviewed every SIBR, across 6 physician teams. I haven’t seen a simpler rollout of a QI initiative
Director of Hospital Medicine
US
This is by far the most efficient, effective, safest method that I've ever been part of. It's been a privilege for me to be part of this – the highlight of my career.
Pharmacist
Canada
Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after, and it also improved the same when we compared to a control group across the city.
Dr Jon Manheim
Unit Medical Director, US
We recognize change fast because we're attending rounds daily, so when someone starts to do really well and maybe not do so well, it's recognized that day, not a week later.
Hospitalist
US
Typical Impact on Adverse Events
Improvements in a range of adverse events have significantly reduced hospitals cost of care and workload achieved through:
Mortality
Reductions in mortality and unexpected deaths
Falls
Reductions in falls and falls with injury
Code Blues
Reductions in code blues and calls for clinical review
Reported Reductions in Adverse Events
42%
Unit mortality reduction
30%
Falls reduction on aged care units
Typical Impact on Adverse Events
Improvements in a range of adverse events have significantly reduced hospitals cost of care and workload achieved through:
Mortality
Reductions in mortality and unexpected deaths
Falls
Reductions in falls and falls with injury
Code Blues
Reductions in code blues and calls for clinical review
Reported Reductions in Adverse Events
42%
Unit mortality reduction
30%
Falls reduction on aged care units
Typical Impact on Adverse Events
Improvements in a range of adverse events have significantly reduced hospitals cost of care and workload achieved through:
Mortality
Reductions in mortality and unexpected deaths
Falls
Reductions in falls and falls with injury
Code Blues
Reductions in code blues and calls for clinical review
Reported Reductions in Adverse Events
42%
Unit mortality reduction
30%
Falls reduction on aged care units
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
Type of Rounds
"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
Type of Rounds
"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
SIBR Reduces Adverse Events by Creating Proactive Care Teams
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
SIBR Reduces Adverse Events by Creating Proactive Care Teams
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
SIBR Reduces Adverse Events by Creating Proactive Care Teams
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
Westmead Hospital
30% decrease in falls
Basic, D., Huynh, E.T., Gonzales, R. & Shanley, C.G.
Journal of the American Geriatrics Society
Providence St Vincent
0.58 aOR for unit mortality in Year 2
Loertscher, L., Wang, L. & Sanders, S.S.,
Journal of Community Hospital Internal Medicine Perspectives
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
Top Case Studies
Westmead Hospital
30% decrease in falls
Basic, D., Huynh, E.T., Gonzales, R. & Shanley, C.G.
Journal of the American Geriatrics Society
Providence St Vincent
0.58 aOR for unit mortality in Year 2
Loertscher, L., Wang, L. & Sanders, S.S.,
Journal of Community Hospital Internal Medicine Perspectives
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
Top Case Studies
Westmead Hospital
30% decrease in falls
Basic, D., Huynh, E.T., Gonzales, R. & Shanley, C.G.
Journal of the American Geriatrics Society
Providence St Vincent
0.58 aOR for unit mortality in Year 2
Loertscher, L., Wang, L. & Sanders, S.S.,
Journal of Community Hospital Internal Medicine Perspectives
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
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