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"

"We need to prevent

  • staff frustration"

  • team dissatisfiers"

  • fragmented care"

  • miscommunications"

  • patient frustration"

"We need to prevent

  • 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:

Unit-Oriented Doctors

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:

Unit-Oriented Doctors

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:

Unit-Oriented Doctors

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

Literature Review

Summary outcomes presented in articles, conferences or shared directly

Staff Sat.

24% increase nursing job satisfaction

The Christ Hospital
Aged care for the Elderly

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

49% increase nurse participation on rounds

Loma Linda University Medical Center
ICU

97% residents say SIBR is more efficient than rounds without structure

Loma Linda Children's Hospital
Pediatric ICU

78% nurses found SIBR to be more useful than traditional rounds

Westmead Hospital
ED

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

Literature Review

Summary outcomes presented in articles, conferences or shared directly

Staff Sat.

24% increase nursing job satisfaction

The Christ Hospital
Aged care for the Elderly

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

49% increase nurse participation on rounds

Loma Linda University Medical Center
ICU

97% residents say SIBR is more efficient than rounds without structure

Loma Linda Children's Hospital
Pediatric ICU

78% nurses found SIBR to be more useful than traditional rounds

Westmead Hospital
ED

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

Literature Review

Summary outcomes presented in articles, conferences or shared directly

Staff Sat.

24% increase nursing job satisfaction

The Christ Hospital
Aged care for the Elderly

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

49% increase nurse participation on rounds

Loma Linda University Medical Center
ICU

97% residents say SIBR is more efficient than rounds without structure

Loma Linda Children's Hospital
Pediatric ICU

78% nurses found SIBR to be more useful than traditional rounds

Westmead Hospital
ED

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

How It Works

How SIBR Works to Improve Staff Satisfaction

1

Every patient, every morning

Hardwire into the morning workflow, no matter who the physician is

2

Includes the whole care team

Convene the hospitalist, bedside nurse, care manager, pharmacist

3

Structured and standardized

Discharge barriers, pre-admission details, needs & complex supports, & next site

4

Everyone comes prepared

Routines, training, and preparation ensure it's a good use of time for all

5

Doesn't exclude bedside nurse

Avoid discharge delays from common issues like mobility and delayed BMs

6

Synchronized and focused

Physician synthesizes a plan for discharge, including an EDD so everyone else can plan

How It Works

How SIBR Works to Improve Staff Satisfaction

1

Every patient, every morning

Hardwire into the morning workflow, no matter who the physician is

2

Includes the whole care team

Convene the hospitalist, bedside nurse, care manager, pharmacist

3

Structured and standardized

Discharge barriers, pre-admission details, needs & complex supports, & next site

4

Everyone comes prepared

Routines, training, and preparation ensure it's a good use of time for all

5

Doesn't exclude bedside nurse

Avoid discharge delays from common issues like mobility and delayed BMs

6

Synchronized and focused

Physician synthesizes a plan for discharge, including an EDD so everyone else can plan

How It Works

How SIBR Works to Improve Staff Satisfaction

1

Every patient, every morning

Hardwire into the morning workflow, no matter who the physician is

2

Includes the whole care team

Convene the hospitalist, bedside nurse, care manager, pharmacist

3

Structured and standardized

Discharge barriers, pre-admission details, needs & complex supports, & next site

4

Everyone comes prepared

Routines, training, and preparation ensure it's a good use of time for all

5

Doesn't exclude bedside nurse

Avoid discharge delays from common issues like mobility and delayed BMs

6

Synchronized and focused

Physician synthesizes a plan for discharge, including an EDD so everyone else can plan

"How is SIBR different than our current interdisciplinary rounds?"

Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding

Unit-Oriented Doctors

"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

"How is SIBR different than our current interdisciplinary rounds?"

Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding

Unit-Oriented Doctors

"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

"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