Table 1 Structured elements of the I-PASS SCORE family-centered rounds intervention [3]
Element | Element title | Element description |
|---|---|---|
I | Introductions Illness severity - Better - Worse - Same | • Multidisciplinary care team presents at the bedside • Team members are introduced • Family asked if patient is better, worse, or the same as prior day. Parent asked what specific concerns or questions they would like addressed |
P | Patient summary | • Nurse invited to share first on observations, questions, concerns, advocate for family • Physicians and other team members share observations and assessments using communication best practices • Discussion occurs among team members (including family) regarding clinical status, overall and daily treatment plans |
A | Action list | • Plans for the day and are reviewed with other team members (e.g., clinical pharmacist, medical social worker), including family |
S | Situation awareness/contingency plans | • If/then statements guide actions for potential future events (including major unexpected events) • Family is engaged in specific actions of care and awareness (e.g., “if there is a fever, we have to draw more blood cultures”) |
S | Synthesis by receiver | • Physician elicits teach-back from family (e.g., “Would you mind sharing your understanding of the plans for the day?”, “When you speak with grandma later today, how will you describe what’s happening with José here at the hospital?”) • Clarifications made as needed to confirm shared mental model • Physician re-confirms plans with nurse |