Standardized bedside rounds can improve communication and the quality of care for patients in hospitals. However, it can be challenging to change previously established provider practices to adhere to new procedures. This study evaluated 2 packaged interventions, derived from a modified Performance Diagnostic Checklist interview, to increase adherence to standardized rounding practices in 2 hospital units. Researchers observed physicians at a university hospital on rounds 2-3 times per week, and 2 phases of intervention were implemented to improve adherence. The interventions included task clarification, feedback, and weekly huddles. Compared to baseline, phases 1 and 2 of the intervention improved clinician adherence to the standardized bedside rounding checklist by 24.94% and 30.94% in unit 1 and 26.76% and 44.06% in unit 2, respectively. The standardized rounds did not require additional time following the intervention. These results indicate that physician adherence can be improved through behavioral interventions.

中文翻译：

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在两个住院病房中提高对标准化舍入程序的依从性

标准化的床边检查可以改善医院患者的沟通和护理质量。然而，改变先前建立的提供者实践以遵守新程序可能具有挑战性。本研究评估了 2 项打包干预措施，这些干预措施源自修改后的绩效诊断检查表访谈，以提高 2 个医院单位对标准化四舍五入做法的依从性。研究人员每周观察大学医院的医生 2-3 次，并实施了 2 个阶段的干预以提高依从性。干预措施包括任务澄清、反馈和每周聚会。与基线相比，干预的第 1 阶段和第 2 阶段使临床医生对标准化床边四舍五入清单的依从性在第 1 单元中分别提高了 24.94% 和 30.94%，在第 2 单元中分别提高了 26.76% 和 44.06%。标准化轮次在干预后不需要额外的时间。这些结果表明，可以通过行为干预来提高医生的依从性。