Care is too fragmented.
Hospital teamwork has gaps. Bridge the gaps with SIBR Rounds
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SIBR is the leading model of interdisciplinary bedside rounds – backed by 15 studies and implementation lessons from 80+ hospitals
Structured
6-step communication protocol to create a shared mental model of who says what, when, and in what sequence at the bedside.
Interdisciplinary
Teamwork model with role clarity for the bedside nurse, physician, and any available allied health professionals.
Bedside
Patient-centered communication to synthesize mutually supported plans of care and discharge.
Rounds
Efficient: 3-5 minutes per patient, -12 patients in a mid-morning SIBR hour for 1 physician team.
Achievable Unit-Level Outcomes
Methodology
What We Do (For You)
Readiness Evaluation
Our experts lay the groundwork, shoulder-to-shoulder, to help win hearts and minds before Day 1.
Custom Training & Job Aids
Our time-efficient learning is thoughtfully customized for each discipline and supported by popular job aids and tools.
Implement & Launch
We’ve spent a decade refining our project methodology to help solve all the common pitfalls you’ll encounter.
Achieve & Sustain Excellence
With a mix of gentle leadership and clever software, our experts help each unit hardwire daily routines that last
"We measured mortality, length of stay, readmissions, CAUTIs, CLABSIs, some process measures. We measured cost ... before/after implementation of the ACU on the same unit. And we also compared ourselves to a control group in our larger hospital system. So, the hospitalist patients matched by DRG amongst six hospitals in the area.
All of those metrics got better. We improved mortality 25 to 30 percent, relatively, while
reducing length of stay by 10 to 15 percent while reducing readmissions by about 20 percent while reducing costs by about $1,500 to $2,000 per patient per stay, before versus after, but it also looked the same when we compared to a control group across the city. "
"Not only is {SIBR} a time saver because we're getting all the people that you need to talk to you throughout the day together, it's also a much more fun way to work. It's a more collaborative way to work."
"As a nurse leader, I want my nurses in that type of supportive {ACU} environment. And because of this, we use this model as part of our recruitment and retention strategy."
"I thought we were pretty good beforehand and I used to like working where I worked, pre-SIBR but I love it a lot more now. And the most satisfying part is being part of a team where everyone actually knows each other very well, communicates really effectively.
And the patients wouldn't let us go back, I don't think. Staff hear nothing but really positive feedback from the vast majority of patients about communication.
So I wouldn't go back!"
"SIBR just works really well. Everybody who was negative – they’re all on board. Patients think it’s amazing. They’ve loved it."
"The nurses are more engaged, they look forward to SIBR and it's more partnership with their patients, especially if families are at the bedside."
"I will not forget that first day of SIBR where I had a nurse come out and say "I didn't know that that was going to be ordered."
And I went, "This is why we SIBR."
This is the information that you don't normally get, but you find at the end of your shift because you're flicking through your chart."
"One of my favorite stories is still a patient who was trying to figure out what we did that made it different. And he eventually told me that I must have done a search through the entire health region and found the best nurses, doctors, pharmacists, etcetera, and brought them all to one place. And that's how we made the care so great!
Which of course isn't true. And that is a giant compliment because the unit previously was thought of a place where the patient experience was terrible. And the staff hadn't changed, same people but we changed the environment they get to work in."
25 Different Outcomes Improved
Most PI interventions improve one or two outcomes. SIBR has shown results across 25 different outcomes.
Choose a category to learn more:
High-Performance teamwork
12 Advanced Team Skills that SIBR brings to your Units
Resilience
The dynamic ability to recognize and respond to complications early ...
Standardization
Hardwiring evidence-based clinical practice to reduce unnecessary variation and improve predictability and quality ...
Shared Mental Models
A common understanding of the roles & responsibilities within a team ...
Common Ground
Team situational awareness where members share knowledge to coordinate interdependent tasks efficiently
High Reliability
Delivering the right care to the right patient at the right time every time
Sense-Making
High comprehension of information exchange because listeners receive the same data elements in the same sequence every time
Diagnostic error & normalization of deviance mitigation
Mitigate tendencies to be swayed by initial impressions & discounting subtle declines in clinical indicators suggesting a misdiagnosis.
Orchestration
A collective competence where team members actively notice team effectiveness and interact dynamically to optimize
Situational Awareness
Perceiving data, comprehending its significance, and projecting potential future states
Cognitive Empathy
Proactively supporting colleagues when needed without having to be asked ...
Collaborative Cross-Checking
Exchanging perspectives for information accuracy
Clinical Inertia prevention
Prevent teams from failing to initiate or intensify therapy when indicated.
Who We Serve
A Closer Look At:
SIBR + Physicians
“I was skeptical at first — I’ve done interdisciplinary rounds and it wasn’t a great use of time — but I’m a believer now. SIBR is so quick and efficient, the patients love it, and it makes my whole rest of my day much more streamlined with substantially fewer interruptions.”
– Hospitalist
A Closer Look At:
SIBR + Nurses
“I don’t know how … we haven’t done this yet. It just makes sense. It makes sense for patient safety, and for patient advocacy. Just to have the physician there and support me as nurse, and know that he or she has my back and I can communicate face-to-face with that physician. That’s very important to patient safety.”
– Bedside Nurse
A Closer Look At:
SIBR + Care Managers
“We’ve been teaching the same way for 50 years, but with this care model we now teach delivery of care. This is exactly where healthcare is heading. Staff and trainees today need to understand that prescribing a therapy is the easy part. The hard part is getting a huge, complicated system to deliver that therapy to the right patient at the right time, while being alert enough to recognize-and-respond when therapy fails or patients drift off course. Traditional hospital care does none of that. But this care model does. This is the future. This is the ‘new way’ and the ‘old way’ just looks crude and unacceptable by comparison.”
– Bedside Nurse
A Closer Look At:
SIBR + Pharmacists
“I believe that pharmacists should see this because it’s a real eye opener in my opinion. It’s the way pharmacy should be done in a hospital and not working in isolation, making your solutions and figuring out problems that don’t actually even exist, right? Highlight of my career!”
– Pharmacist
A Closer Look At:
SIBR + Patients
“The changes on the Unit have made my recent stay very different to my previous ones. I feel listened to. I feel like my needs are being met quickly. And I like the daily rounds where I see my doctor and my nurse.”
– Patient (cancer care)