Outcomes

Our results have been published in Academic Medicine: Southwick F., M. Lewis, D. Treloar, K. Cherabuddi, N. Radakrishnan, R. Leverence, X. Hand, and L. Cottler, Applying athletic principles to medical rounds to improve teaching and patient care. Acad. Med. 89:1018-1023, 2014

As compared to a control group that had no new training, when physicians, students, nurses, pharmacists and case managers followed their playbooks and fundamentals there was:

Significant reduction in

  • Duration of rounds Shortened by 16 minutes  – Control   126.1 ± 3.8 min, n = 64 vs Experimental  110.8 ± 2.8 min, n = 75  P = .0049

    Shortening Rounds

    Control rounding times (random variation) versus Experimental (specific cause variation) progressive reduction in round duration, consistently below 2 hr by day 9.

  • Length of Stay   20% reduction: Control 0.93 ± 0.07, n = 242   vs Experimental 0.76 ± 0.05, n = 213  P = 0.01

    Gatorounds reduced LOS

    Length of stay based on DRGs. 1 = expected LOS, below 1 shorter than expected. 

  • 30-day readmission percentage:  30% reduction, Control  9.95 ± 1.02, n = 659 vs 6.95 ± 1.29, n = 576 P= 0.039

    Gatorounds reduces readmission rate

    Both the Control and Experimental Groups demonstrated decreased readmission rates. Both teams had case managers attend daily work rounds.

  • Significant improvement in satisfaction by Attendings, Residents, Medical Students, and Nurses.
  • Improvement in patient satisfaction did not achieve statistical significance:

    control group: 4.0 ± 0.1, n = 46 patients; vs experimental 4.3 ± 0.1, n = 44 patients,  P = .076

  • Improved attending satisfaction

    Asterisk = p < 0.05 statistically significant. 5 Highly satisfied, 1 Very unsatisfied. Hashed bars = Experimental group.

    Gatorounds improves resident satisfaction

    Asterisk = P <0.05 5 highly satisfied, 1 very unsatisfied. Hashed bars = Experimental Group

    Gatorounds increased student satisfaciton

    Students demonstrated marked increases in satisfaction

    Gatorounds improved nursing satisfcation

    Nurses experienced greater respect and greater contact with physicians.