Bedside Patient Case Presentation Clinical Trial
Official title:
Effect of Bedside Patient Case Presentation Compared to Outside the Room Case Presentation on Patient Perception of Quality of Care and Patient Outcomes: a Randomized-controlled, Multicenter Trial
Patient case presentations during ward rounds can take place at the bedside or outside the room. The best approach to patient case presentation is yet unclear. Thus, the overall aim of this multicenter, randomized-controlled study is to test the hypothesis that outside the room patient case presentation compared to bedside patient case presentation results in better outcomes across different dimensions including patient understanding and perception of quality of care as well as patient outcomes, physicians' preferences, perception of quality and effectiveness, and timing of the ward rounds, respectively.
Patient-centered care may be defined as "providing care that is respectful of and responsive
to individual patient preferences, needs, and values and ensuring that patient values guide
all clinical decisions". Involving patients in all steps of the healthcare process is thus
important. Yet, best presentation of patients' cases during ward rounds remains unknown.
During outside the room patient case presentation, the medical team discusses difficult
patient or medical issues in the team, and later presents a "patient-friendly" synthesis to
the patient. Bedside patient case presentation, on the other hand, allows a patient to be
part of the whole team discussion. Yet, there is concern that patients may be unable to cope
with the magnitude of medical information and misunderstandings may occur. Currently, there
is equipoise regarding both possibilities of patient case presentation with an important lack
of trial data. We thus aim to compare the effect of bedside patient case presentation with
outside the room patient case presentation during ward rounds ("Chefarztvisite") on different
patient- and physician-related endpoints.
Therefore, this randomized controlled trial aims to test the hypothesis that outside the room
patient case presentation compared to bedside patient case presentation results in better
outcomes across different dimensions including patient understanding and perception of
quality of care as well as patient outcomes, physicians' preferences, perception of quality
and effectiveness, and timing of the ward rounds, respectively.
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