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Effect of Multidisciplinary Rounding On Relational Coordination in the Care of Patients with Pressure Sores
Yuewei Wu-Fienberg, Devra Becker
University Hospitals Case Medical Center
2016-01-31
Presenter: Yuewei Wu-Fienberg
Affidavit:
certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: Hooman Soltanian
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
PURPOSE: There are often a variety of medical services involved in the management of pressure sore patients. This can lead to inadequate communication between services and conflicting recommendations. The Cleveland VA Medical Center has an interdisciplinary team for pressure sore patients in spinal cord injury (SCI) unit. This team conducts monthly bedside rounds and journal clubs with variety of specialists. This study aims to determine whether such an interdisciplinary team improves care coordination among practitioners caring for patients with pressure sores.
METHODS: The Relational Coordination survey is a validated tool for gauging team performance. This survey was distributed to all providers invited to participate in multidisciplinary rounds. Respondents completed one set of questions for pressure sore patients in the SCI unit, and a second set of questions for pressure sore patients outside the SCI unit. Responses for SCI and non-SCI patients were compared to determine the impact of multidisciplinary care on relational coordination for pressure sore patients.
RESULTS: Multidisciplinary rounding in the SCI unit was associated with significantly more frequent communication, timely communication, and shared knowledge in the care of SCI patients with pressure sores as compared to other pressure sore patients. Multidisciplinary rounding in the SCI unit was also associated with significantly better relational coordination with hospitalists, surgical specialists, infectious diseases, nursing, and pharmacy.
CONCLUSION: Multidisciplinary rounding in the SCI unit significantly improves relational coordination in the care of pressure sore patients several domains and with several services, representing a worthwhile approach caring for these complex patients.
