Prevent A Death Every Week

Structured Interdisciplinary Bedside Rounds (SIBR Rounds) have been shown to 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 results?

Several common hospital acquired complications can be proactively managed using our Nurses First and SIBR programs – key to these is the inclusion of a quality-safety checklist into both our bedside handover and SIBR processes. These ensure that those common risks for patients are being actively discussed and targeted multiple times per day.

CASE STUDIES

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 it’s 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.

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LOS & DC coordination

Up to 43% decrease in LOS – 9-15% typical

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Patient experience

88 point increase for HCAHPS “rate the hospital”

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Care costs

$1.4M annual savings per unit due to lower LOS

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Employee engagement

24% increase in nursing job satisfaction