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.

1Unit Nurses First SIBR rounds quality & safety 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.

1Unit SIBR rounds doctor and care team with patient


Browse the outcomes reported by 1Unit-partner hospitals after implementing our programs

Fewer Deaths with SIBR #1

1Unit SIBR Rounds quality & safety mortality outcomes

70% reduction in mortality

0.5 day reduction in length of stay

Fewer Deaths with SIBR #2

1Unit SIBR Rounds quality & safety mortality outcomes

24.5% reduction in mortality

vs. 32.1% increase on control units

Fewer Deaths with SIBR #3

1Unit SIBR Rounds quality & safety outcomes reduce cost of care

27% reduction in mortality

vs. 35% increase in control

SIBR Reduces Falls

1Unit SIBR Rounds quality & safety outcomes

30% reduction in falls (p<0.001)

Falls, Ulcers & CLABSIs

1Unit SIBR Rounds quality & safety falls ulcers CLABSI outcomes

82% reduction in falls

Reduction in code blues

1Unit SIBR Rounds quality & safety code blues reduction outcomes

40% reduction in code blues

Reduction in ‘calls for clinical review’

56% reduction in ‘calls for clinical review’

Reduction in Foley Days

1Unit SIBR rounds foley day reduction outcomes

31.9% reduction mean foley days

Reduction in central line days

1Unit SIBR rounds central line days reduction outcomes

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.

1Unit Nurses First SIBR rounds Early Discharge Length of stay

LOS & DC coordination

9-15% decrease in LOS typical

paqtient engagement - home page-01

Patient experience

88 point increase for HCAHPS “rate the hospital”

refuced cost care - home page-01

Care costs

$1.4M annual savings per unit due to lower LOS


Employee engagement

24% increase in nursing job satisfaction