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September 2010, Volume 40 Number 9 , p 21 - 23



The American Academy of Pediatrics has long recommended that rounds take place in patient rooms with parents present and involved in the discussion. To examine how widely this recommendation is followed and how well it works, researchers surveyed 265 hospitalists working on pediatric units across the United States and Canada. Forty-four percent of them said they conduct family-centered rounds, with university-affiliated facilities more likely than nonacademic hospitals to use this rounding system. The most commonly mentioned benefits of family-centered rounds included greater family involvement in children's care, an improved learning experience for interns and residents, and effective healthcare team communication. Family-centered rounds weren't associated with an increase in rounding duration, according to this self-reported data.One of the perceived drawbacks to family-centered rounds was concerns from healthcare team members that they'd look unprepared in front of families if they seemed to lack knowledge about a case. Other obstacles were logistical, such as a lack of privacy or not having enough physical space in patient rooms for the whole healthcare team to gather at the bedside.Researchers conclude that successful implementation of family-centered rounds involves educating healthcare team members about the benefits and addressing barriers.Source: Mittal VS, Sigrest T, Ottolini MC, et al. Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. Pediatrics. 2010;126(1):37–43.The Centers for Medicare and Medicaid Services (CMS) has proposed new rules that would require Medicare- and Medicaid-participating hospitals to have written policies and procedures regarding hospitalized patients' visitation rights. Hospitals would also need to describe any instances when patient access to visitors might be restricted based on "reasonable clinical needs."A key element of the proposed rules is that patients have

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