Close
Open
Share on Facebook
Twitter
Google+
Email
 
Notice: Users may be experiencing issues with displaying some pages on stanfordhealthcare.org. We are working closely with our technical teams to resolve the issue as quickly as possible. Thank you for your patience.
Menu
Search
Menu
Search
  • Doctors
  • Clinics & Locations
  • Conditions & Treatments
  • Patients & Visitors
  • MyHealth Login
  • Billing
  • Insurance
  • Medical Records
  • Support Groups
  • Financial Assistance
  • Locations and Parking
  • Visiting Hours
  • Your Hospital Stay
  • International Patients
  • Contact Us
View All Information for Patients & Visitors »
We are available to assist you 24/7.
650-498-3333
GuestServices@stanfordhealthcare.org

New to MyHealth?

Manage Your Care From Anywhere.

Access your health information from any device with MyHealth.  You can message your clinic, view lab results, schedule an appointment, and pay your bill.

Activate Your Account with an access code or Create a New Account


MyHealth for Mobile

The MyHealth mobile app puts all your health information at your fingertips and makes managing your health care simple and quick.  Available for iPhone and Android.

WELCOME BACK

Forgot ID or Forgot Password?
Need Help?

Clear

Nursing: Quality and Safety

  • About
  • About
Quality and Safety Overview
Purposeful Rounding
Bedside RN to RN Handoff
Safe Patient Handling
Transform
Team Sepsis
Fall Risk
Peri-operative
Annual Report
Quality and Safety Overview
Purposeful Rounding
Bedside RN to RN Handoff
Safe Patient Handling
Transform
Team Sepsis
Fall Risk
Peri-operative
Annual Report

Purposeful Rounding

Purposeful Rounding seeks to improve the patient experience through the use of a structured hourly rounding routine. Staff nurses and managers from several units reviewed the best practices literature in this area, examined existing internal practices, and developed the Purposeful Rounding protocol for Stanford Health Care (SHC). This initiative, launched in Fall 2012, has been widely proven to improve patient outcomes and satisfaction.

The concept of Purposeful Rounding is introduced to the patient and family members upon admission in order to set expectations for the hospital stay.

SHC has identified eight specific behaviors that inform the success of Purposeful Rounding. 

1

Eight Behaviors of Purposeful Hourly Rounding

1

Expected Results

1

Use Opening Key Words (C-I-CARE) with PRESENCE

1

Reduces anxiety, contributes to efficiency

1

Accomplish scheduled tasks

1

Contributes to efficiency

1

Address 4 P's (pain, toileting, positioning, fall prevention)

1

Quality Indicators, pain management, decubitus and fall prevention

1

Address additional personal needs, questions

1

Nurse sensitive indicators care and respect, listening

1

Conduct environmental assessment (bed alarms, IV pumps, hats, urinals)

1

Contributes to efficiency, safety, teamwork and addresses patient satisfaction

1

Ask "Is there anything else I can do for you before I go? I have time."

1

Increases efficiency, improves communication and teamwork (respect, caring, listening)

1

Tell each patient when you will be back

1

Contributes to efficiency, provides reassurance

1

Document the round

1

Quality and accountability

Click to See Chart

Research on hourly rounding in 14 hospitals revealed impressive improvements:

  • 12% increase in Patient Satisfaction scores.
  • 52% reduction in patient falls.
  • 37% reduction in light use.
  • 14% decline in skin breakdowns.
  • In addition, one hospital measured a 20% reduction in the distance walked each day by the nursing staff.

Leighty, John. "Hourly Rounding Dims Call Lights". www.Nurse.com, December 4, 2006.
Meade, Christine M. et al. "Effects on Nursing Rounds on Patients' Call Light Use, Satisfaction, and Safety". American Journal of Nursing, September 2006. 106 (9): 60.

Press Ganey measured the results of fourteen hospitals that implemented Purposeful Rounding, comparing them to hospitals with random rounding:

  • Hourly rounding substantially increased patient satisfaction in ALL of the Press Ganey Subscales and the HCAHPS Subscales, every two hour rounding, and hourly (purposeful) rounding.
  • A "tipping-point" is achieved with hourly rounding in the patient's perception of the overall experience of care.
RNs discuss their approach on Purposeful Rounding
RNs discuss their approach on Purposeful Rounding Play Video | 2:56
Previous Section Next Section
  • Find a Doctor
  • Find Conditions & Treatments
  • Find a Stanford clinic
  • For Patients & Visitors
  • Billing
  • Insurance
  • Your Hospital Stay
  • Contact Us
  • Get a Second Opinion
  • Make a Gift
  • About Us
  • Quality & Safety
  • CEO Report
  • Stanford Health Now
  • For Healthcare Professionals
  • Referring Physicians
  • Nursing
  • Allied Healthcare Professionals
First Responders
  • Newsroom
  • Careers
  • Volunteering
  • University HealthCare Alliance
  • Stanford Health Care – ValleyCare
  • Stanford Medicine
  • Stanford Children's Health
  • Stanford University
  • Legal
  • Privacy
  • Code of Conduct
  • |   Notice of Nondiscrimination     ©2019 Stanford Health Care. All Rights Reserved
Home
Close
Doctors
Clinics & Locations
Conditions & Treatments
Clinical Trials
MyHealth Login

Patients & Visitors
Billing
Insurance
Financial Assistance
Medical Records
Contact Us
Get a Second Opinion
Healthcare Professionals
Referring Physicians
Nursing
Allied Healthcare
About Us
Quality & Safety
Careers
Newsroom
Make a Donation
Stanford Health Now
Close