Advocate Lutheran General Hospital

Presentation Notes

Quality Improvement poster presented at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.


Background: Interdisciplinary bedside rounds involved the care team, patients, and families working together to improve communication. Advocate Lutheran General Hospital (ALGH) lacked a standardized, interdisciplinary approach toward communicating effectively at the bedside, which impacted patient experience and team collaboration. The “It Takes Two” initiative echoed the principles of current literature that interdisciplinary rounding at the bedside enhances communication and patient experience.

Local Problem: ALGH nurses, physicians, and leaders identified a need to improve patient experience and physician/nurse collaboration at the bedside. Patient experience scores and comments identified that nurses and physicians were not communicating effectively. “It Takes Two” bedside collaborative rounds were implemented for all medical surgical inpatient units.

Methods: Education and expectations were distributed to nursing leaders, physicians, and frontline team members from participating units through huddles and departmental meetings. “It Takes Two” signage, auditing tools, and recommendations were established to facilitate ease of coordination and compliance. Nurse leaders collected rounding compliance and reported results at weekly huddle. Best performing physicians were identified and recognized to encourage further participation in each unit. Monthly patient experience scores were reviewed at physician and nurse leadership meetings.

Results/ Conclusion: From September 2021 to April 2022, patients receiving daily nurse-physician bedside rounds increased from 39% to 66%. The overall patient experience score improved from 18 to 77. Reports from weekly huddles, leader rounding, and the monthly physician/nurse engagement committee indicated that “It Takes Two” was perceived positively, leading to improved trust, increased collaboration, and enhanced clinical communications.

Implications for Practice: Although there are other contributing factors influencing patient experience, the “It Takes Two Initiative” illustrated a positive correlation between increased interdisciplinary bedside rounds and increased patient experience scores. By performing daily bedside rounds collaboratively at the bedside, ALGH has enhanced communication and trust between team members, patients, and their families.

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