Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review,World Journal of Surgery

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Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
World Journal of Surgery ( IF 2.3 ) Pub Date : 2023-10-19 , DOI: 10.1007/s00268-023-07221-z
Reuben He ₁ , Sameer Bhat _{1,

2} , Chris Varghese ₁ , Jeremy Rossaak ₃ , Celia Keane ₁ , Wal Baraza _{1,

4} , Cameron I Wells _{1,

4}

Affiliation

Background

Ward rounds are an essential component of surgical and perioperative care. However, the relative effectiveness of different interventions to improve the quality of surgical ward rounds remains uncertain. The aim of this systematic review was to evaluate the efficacy of various ward round interventions among surgical patients.

Methods

A systematic literature search of the MEDLINE (OVID), EMBASE (OVID), Scopus, Cumulative Index of Nursing and Allied Health (CINAHL), and PsycInfo databases was performed on 7 October 2022 in accordance with PRISMA guidelines. All studies investigating surgical ward round quality improvement strategies with measurable outcomes were included. Data were analysed via narrative synthesis based on commonly reported themes.

Results

A total of 28 studies were included. Most were cohort studies (n = 25), followed by randomised controlled trials (n = 3). Checklists/proformas were utilised most commonly (n = 22), followed by technological (n = 3), personnel (n = 2), and well-being (n = 1) quality improvement strategies. The majority of checklist interventions (n = 21, 95%) showed significant improvements in documentation compliance, staff understanding, or patient satisfaction. Other less frequently reported ward round interventions demonstrated improvements in communication, patient safety, and reductions in patient stress levels.

Conclusions

Use of checklists, technology, personnel, and well-being improvement strategies have been associated with improvements in ward round documentation, communication, as well as staff and patient satisfaction. Future studies should investigate the ease of implementation and long-term durability of these interventions, in addition to their impact on clinically relevant outcomes such as patient morbidity and mortality.

中文翻译：

改善外科查房患者护理的干预措施：系统评价

背景

查房是手术和围手术期护理的重要组成部分。然而，不同干预措施在提高外科查房质量方面的相对有效性仍不确定。本系统评价的目的是评估手术患者中各种查房干预措施的效果。

方法

根据 PRISMA 指南，于 2022 年 10 月 7 日对 MEDLINE (OVID)、EMBASE (OVID)、Scopus、护理和联合健康累积指数 (CINAHL) 和 PsycInfo 数据库进行了系统文献检索。所有调查具有可衡量结果的外科查房质量改进策略的研究均被纳入。通过基于常见报道主题的叙述综合来分析数据。

结果

总共纳入 28 项研究。大多数是队列研究（ n = 25），其次是随机对照试验（ n = 3）。最常用的是检查表/形式 ( n = 22)，其次是技术 ( n = 3)、人员 ( n = 2) 和福利 ( n = 1) 质量改进策略。大多数清单干预措施（ n = 21, 95%）显示在文件合规性、员工理解或患者满意度方面有显着改善。其他较少报道的查房干预措施表明沟通、患者安全和患者压力水平降低方面有所改善。