Missing data were accounted for through use of multiple imputations. Top-box score was calculated as the percentage of participants that gave the top-most response (e.g., 5=Excellent). post-intervention were compared using a GEE chi-squared test for binary outcomes, clustered by site. post-intervention status conducted post-hoc analyses of a subset of rounds audio recordings using a structured assessment tool to measure rounding team adherence. Site research clinicians blinded to pre- vs. Research assistants conducted 1-hour weekly in-person rounds observation sessions per site, simultaneously completing a real-time assessment tool for each patient and audio-recording rounds. Quality of Communication on Rounds Ĭhanges in quality of communication during rounds processes were assessed before and after implementation based on: (a) real-time structured direct observations of rounds (n=653) and (b) post-hoc analyses of audio-recordings of a subset of rounds observations (n=164).Missing data was accounted for through use of multiple imputations appropriate for missing data in clustered studies. Top-box score was calculated as the percentage of participants that gave the top-most response for the given survey item (e.g., 5=Extremely 5=Excellent). post-intervention using a GEE chi-squared test for binary outcomes, clustered by site. We compared percent top-box experience ratings pre- vs. The survey was developed, cognitively tested, and piloted at a non-intervention site (Boston Children's Hospital) and translated into Arabic, Chinese, Russian, and Spanish. This included experience during and after rounds, experience with written communication, experience with physicians and nurses, and overall hospital experience. Parents were asked to rate various aspects of their experience with care. Experience was measured using a 10-15 minute survey verbally administered prior to discharge. Why Should I Register and Submit Results?įamily experience before and after implementation.
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