Make a Big Impact by Incorporating Evidence-Based Fall Interventions into Your Safety Rounds
Interprofessional (or multidisciplinary) rounds are frequently used in hospital units to enhance care coordination and communication among all members of the care delivery team, including physicians, nurses, case managers, social workers, physical therapists, and pharmacists as well as with the patient and their caregivers/family members.
As outlined in the Institute for Healthcare Improvement’s (IHI) How to Guide: Multidisciplinary Rounds, there are numerous benefits that can be realized from this practice including:
- Better care coordination among disciplines
- Review and common understanding of the patient’s current status
- Identification and clarification of patient’s goals and desired outcomes
- Development of a continuum-based care plan
- Identification of safety risks
- Identification of daily goals
- Increased reliability in using standard protocols and guidelines
- Identification of education and teaching opportunities
- Identification of process improvement opportunities
- Supporting a culture focused on quality, safety and high reliability
In addition, the rounds offer an opportunity for the patient and caregivers to ask questions of multiple health care team members as they are gathered together at the same time.
Assessment results from the Hendrich II Fall Risk Model provide critical patient information that can be shared and discussed during the interprofessional rounds. Given the diverse issues addressed in the risk factors, it can also serve as a structure to offer a comprehensive assessment of the patient’s status. And through the engagement of all-important decision-makers, the rounds offer the opportunity to collectively identify and develop interventions that modify the patient’s risk and support the achievement of their goals.
How-to Guide: Multidisciplinary Rounds. Cambridge, Massachusetts: Institute for Healthcare Improvement; February 2015.