Effective Rounding for Quality and Safety

Abstracts from the Kaiser Permanente2018 National Quality Conference


Maggie Robbins, MPH; Lizabeth Taghavi


From Colorado, Georgia, Hawaii, Mid-Atlantic States, Northern California, Northwest, Southern California, Washington, Program Offices

Background: Rounding for safety in department/facility includes asking staff about safety risks and observing environmental hazards. Rounding with timely, effective follow-up action is essential to safety excellence. Safety rounding increases communication within a department and related support functions. Regular rounds and effective follow-up can identify problems and risks, surface ideas on better ways to do the work, and reduce risk and inefficiency. The session will include small-group activities to generate discussion on key messages.
Methods: Rounding is recognized as an important tool for employee engagement, and as the starting point for a comprehensive hazard identification and mitigation process. Safety rounds are an important leading indicator and performance metric and foundational component of any safety program, and of the High Reliability Operating Model currently under development.
Results: Metrics related to effective safety rounding are on the list of potential leading indicators the National Workplace Safety Leadership Team is developing for use across the program.
Discussion: Kaiser Permanente is in the process of consolidating various rounding platforms into an integrated rounding tool that can be used across various specialities. The development of many different rounding systems indicates many parts of the organization believe rounding is an important process.

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