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Change the Work Environment:
Institute Multidisciplinary Rounds
Mulitidisciplinary rounds include representatives of the various departments involved in patient care. The makeup of the team conducting multidisciplinary rounds varies from hospital to hospital but often includes the following: nurse manager, staff nurses, pharmacists, social workers, nutritionists, case managers, pastoral services, and discharge planners. Discussing patients’ predicted discharge dates during multidisciplinary rounds helps ensure that all departments are planning together around the anticipated discharge date and time for improved patient flow. Potential issues around placement or transfer may also be addressed during rounds.


Examples of Tests of this Change
Queens Hospital (Jamaica, NY, USA) has seen a drop in average length of stay from 5 days to 4.3 days since implementing multidisciplinary rounds.