Quality & Safety
Prevent A Death Every Week
Structured Interdisciplinary Bedside Rounds (SIBR Rounds) have been shown to improve quality & safety outcomes and reduce various harm events by 20% to 50%.
For example, we’ve seen hospital mortality go down 58%, coupled with a 24% decrease in discharges to hospice. If spread across the med-surg and critical care units at a mid-size hospital, SIBR could prevent 1 death every week.
No other care or rounding model is as supported in the literature in its ability to simultaneously improve a range of clinical outcomes.
82% fewer falls — and other achievable results
SIBR has been well-studied — both on Accountable Care Units implemented by 1Unit and on hospital units where we were not involved.
Only SIBR at 1Unit-partner hospitals have reported these achieveable results:
- 58% reduction in mortality
- 82% reduction in falls
- 47% reduction in average monthly skin integrity incidents
- 22% reduction in average monthly medication incidents
- 50% point increase in VTE prophylaxis compliance
- 40% decrease in ‘Code Blues’
- 0 CLABSIs over three years
What mechanisms create these Quality & Safety results?
Processes and protocols — not better drugs or treatments — are primarily responsible for the last few decades’ improvements in patient care outcomes.
Consider quality-safety checklists. The ideal content of these checklists is not controversial, but how many hospital teams fully leverage these checklists every day?
A hospital unit that uses 1Unit’s Nurses First and SIBR programs will embed a quality-safety checklist into the flow of clinical care 3 times each day — twice during nursing handover, and once when reviewed by the whole care team and patient during SIBR.
There’s no more effective and efficient way to manage and target common risk-states, proactively protecting against hospital acquired complications.
The result is arguably the most comprehensive “off-the-shelf” Quality Improvement project available for med-surg units.
Browse the outcomes reported by 1Unit-partner hospitals after implementing our programs
Fewer Deaths with SIBR #1
70% reduction in mortality
0.5 day reduction in length of stay
Fewer Deaths with SIBR #2
24.5% reduction in mortality
vs. 32.1% increase on control units
Fewer Deaths with SIBR #3
27% reduction in mortality
vs. 35% increase in control
SIBR Reduces Falls
30% reduction in falls (p<0.001)
Falls, Ulcers & CLABSIs
82% reduction in falls
Reduction in code blues
40% reduction in code blues
Reduction in ‘calls for clinical review’
56% reduction in ‘calls for clinical review’
Reduction in Foley Days
31.9% reduction mean foley days
Reduction in central line days
18.9% reduction in mean central line days
Embed new clinical protocols with ease
SIBR® rounds originated as a quality improvement project – designed to bring together several disparate QI projects into a single solution and to create the foundation of standardized care that would allow for additional improvements to be layered on top.
For example, one hospital unit was a study site in a multisite nutrition screening and intervention QI project. The unit simply added the nutritional screening as an item on the bedside handover report and SIBR inputs for the bedside nurses. If the trigger criteria was met, the nurse would alert the team during SIBR so that the team could activate the response protocol and track its progress during rounds over the subsequent days. The unit drew interest from the study investigators for the ease in which the new process was embedded into daily care.
Explore Other Real Life Examples and Case Studies
Our programs, which have been embraced by hundreds of unit-based teams around the world, provide better care more efficiently and with a more human touch.