New Rounding Model Summary

Hospital resources and capabilities are obstacles that need to be overcome when implementing new rounding models (Butterfield, 2014). Also, the costs and financials associated with the improvement pose barriers (Butterfield, 2014). To tackle any one of those obstacles, hospital leaders must take a hard look at its organizations' resources and decide which methods are most practical (Butterfield, 2014). Other limitations of multidisciplinary rounds include lack of teamwork, which can lead to a lack of engagement among physicians and other staff (IHI, 2015). IHI (2015) suggest starting slow and small. Test a small unit to gauge acceptance. As acceptance spreads, recruit more units. Another barrier is the frequency of patients transferring between
units (Butterfield, 2014). This can slow down rounds as patient leave different units. Scheduling of multidisciplinary care teams is another barrier (Butterfield, 2014). For example, nurses may be occupied with other duties such as dispensing medications, when other members of the care team are available for rounds (Butterfield, 2014). Butterfield (2014) suggests changing the schedule to pass out drugs so that rounds do not conflict with those schedules. The most significant barrier of rounds is finding a good time that agrees with everyone on the team (Butterfield, 2014). Making sure everyone feels like a valuable contributor is another barrier. Establishing a good leader is vital to the multidisciplinary rounds approach because they help facilitate rounds and contributions.