Arero Hospital Multidisciplinary Ward Rounds
Arero Hospital Multidisciplinary Ward Rounds
Arero Hospital Multidisciplinary Ward Rounds
Prep. By
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Introduction
MDWR a structured round where key clinicians involved in the patient's care meet
together to discuss the patient’s care and the coordination of that care. The round is a
place where dialogue and feedback occurs in relation to the needs of the patient and
provides the multidisciplinary team an opportunity to plan and evaluate the patient’s
treatment and transfer of care together. The round is patient centered and is based on the
needs of the patient and their carers. The frequency of the round is determined by the
needs of the patient/carer population.
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The following are positive characteristics of effective multidisciplinary ward rounds
They are structured, efficient and non-hierarchical;
Accurate, legible notes are made;
Notes are taken by a member of the team who is able to understand and record
complex medical information and instruction. This is not necessarily the most junior
medical officer or clinician;
Those on the ward round introduce themselves to the patients.
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Goals and Intended Outcomes of MDWR
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Implementation of MDWR
Implementation plan that is specific and will support implementation of MDWR should be
developed agreement of all stakeholders should be sought regarding:
Patients to be included
Logistical issues such as frequency, day and time and location of MDWR
o Round should be 7 days a week,
o At 8:30 A.M in morning
o In every ward
o Physicians at least once a day for stable patients &>2 for critical patients
o Nurses 1 hourly for all patients
Identification and source of resources that will be required to support the rounds
MDWR participants –
o Doctors
o Nurses
o Pharmacists
o Dietician
o Physiotherapist
o Related health professionals
o Patient and
o Caregivers
Documentation requirements and responsibilities
A communication strategy for staff and patients
Strategies to promote attendance of identified participants
Staff and patient education
Ensure that all understand the key goals and outcomes to be achieved
Identification of strategies to support and foster the active engagement of patients
in MDWR
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Strategies to ensure that the language used is understood by clinical staff and
patients
Strategies to ensure that team members roles and input are valued, encouraged and
respected
Discussion of issues with regard to patient safety
These tools will give more specific feedback on evaluation of effectiveness of MDWR
Patient satisfaction
Staff satisfaction
Readmission rates
Observation of process
Identification of barriers interfering with patient discharge
Length of stay
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