Logan Hospital is the first Queensland hospital to launch Structured Interdisciplinary Bedside Rounding (SIBR) in an Accountable Care Unit (ACU) in a move designed to increase collaborative cross checking and promote proactive patient care.
The model ensures every patient on a ward received a visit at the same time, every day by all disciplines at their bedside. SIBR could commence for each patient only when the doctor and nurse were both present and end only after the day’s plan for the patient was verbalised.
This collaborative cross checking was inclusive and created respect, a mutual understanding, truth and accuracy in unit based teams which included the patient’s doctor, nurse, social worker, physiotherapist, other disciplines involved in their care as well as their family members.
The ACU model has four distinct features which included unit-based teams, structured interdisciplinary bedside rounds (SIBR), unit level performance reporting and unit-level physician and nurse co-leadership.
The SIBR model engages clinicians, the patient and their families as integral members of the team to coordinate care in shared decision making.
SIBR promotes teamwork and transparency where the interdisciplinary team, works together with accountability to each other for shared outcomes.