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
The #1 model of team rounds – research-backed, efficient, and patient-centered
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 implement, you get the glory.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
The #1 model of team rounds – research-backed, efficient, and patient-centered
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 implement, you get the glory.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
The #1 model of team rounds – research-backed, efficient, and patient-centered
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 implement, you get the glory.
"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"
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:
Job Satisfaction
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:
Job Satisfaction
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:
Job Satisfaction
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
Staff Satisfaction Literature Review
Summary outcomes presented in articles, conferences or shared directly
Staff Sat.
68% increase residents' perception of interprofessional communication (p<0.009)
Yale New Haven
Gen Med
105% increase in # of nurses favorably rating interprofessional communication (p < 0.008)
Yale New Haven
Gen Med
79% decrease in # of residents poorly rating interprofessional communication (p<0.024)
Yale New Haven
Gen Med
97% residents say SIBR is more efficient than rounds without structure
Loma Linda Children's Hospital
Pediatric ICU
91 percentage point increase in nurses reporting “physicians speak face-to-face with me daily"
BayCare Hospital
Gen Med
35 percentage point increase in physicians reporting: #nurses prepared to discuss patient
BayCare Hospital
Gen Med
Request a Lit Review or Webinar
An academic overview of SIBR outcomes
Staff Satisfaction Literature Review
Summary outcomes presented in articles, conferences or shared directly
Staff Sat.
68% increase residents' perception of interprofessional communication (p<0.009)
Yale New Haven
Gen Med
105% increase in # of nurses favorably rating interprofessional communication (p < 0.008)
Yale New Haven
Gen Med
79% decrease in # of residents poorly rating interprofessional communication (p<0.024)
Yale New Haven
Gen Med
97% residents say SIBR is more efficient than rounds without structure
Loma Linda Children's Hospital
Pediatric ICU
91 percentage point increase in nurses reporting “physicians speak face-to-face with me daily"
BayCare Hospital
Gen Med
35 percentage point increase in physicians reporting: #nurses prepared to discuss patient
BayCare Hospital
Gen Med
Request a Lit Review or Webinar
An academic overview of SIBR outcomes
Staff Satisfaction Literature Review
Summary outcomes presented in articles, conferences or shared directly
Staff Sat.
68% increase residents' perception of interprofessional communication (p<0.009)
Yale New Haven
Gen Med
105% increase in # of nurses favorably rating interprofessional communication (p < 0.008)
Yale New Haven
Gen Med
79% decrease in # of residents poorly rating interprofessional communication (p<0.024)
Yale New Haven
Gen Med
97% residents say SIBR is more efficient than rounds without structure
Loma Linda Children's Hospital
Pediatric ICU
91 percentage point increase in nurses reporting “physicians speak face-to-face with me daily"
BayCare Hospital
Gen Med
35 percentage point increase in physicians reporting: #nurses prepared to discuss patient
BayCare Hospital
Gen Med
Request a Lit Review or Webinar
An academic overview of SIBR outcomes
"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
How It Works
How SIBR Works to Improve Staff Satisfaction
A structured, standardized discharge huddle…
Review barriers, pre-admission details, needs & supports, and next site.
…for every patient, every morning…
Hardwire into the morning workflow, no matter who the physician is.
...with the whole care team…
Convene the hospitalist, bedside nurse, care manager, and pharmacist
…including bedside nurses …
Avoid discharge delays from common issues like mobility and delayed BMs.
…everyone arriving prepared…
Routines, training, and preparation for a well-oiled process
…planning a safe discharge.
A unified team creates an efficient discharge.
How It Works
How SIBR Works to Improve Staff Satisfaction
A structured, standardized discharge huddle…
Review barriers, pre-admission details, needs & supports, and next site.
…for every patient, every morning…
Hardwire into the morning workflow, no matter who the physician is.
...with the whole care team…
Convene the hospitalist, bedside nurse, care manager, and pharmacist
…including bedside nurses …
Avoid discharge delays from common issues like mobility and delayed BMs.
…everyone arriving prepared…
Routines, training, and preparation for a well-oiled process
…planning a safe discharge.
A unified team creates an efficient discharge.
How It Works
How SIBR Works to Improve Staff Satisfaction
A structured, standardized discharge huddle…
Review barriers, pre-admission details, needs & supports, and next site.
…for every patient, every morning…
Hardwire into the morning workflow, no matter who the physician is.
...with the whole care team…
Convene the hospitalist, bedside nurse, care manager, and pharmacist
…including bedside nurses …
Avoid discharge delays from common issues like mobility and delayed BMs.
…everyone arriving prepared…
Routines, training, and preparation for a well-oiled process
…planning a safe discharge.
A unified team creates an efficient discharge.
"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
Learn more in our Guide to Team Rounds
Understand the pros and cons of each approach
"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
Learn more in our Guide to Team Rounds
Understand the pros and cons of each approach
"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
Learn more in our Guide to Team Rounds
Understand the pros and cons of each approach
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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