Implementation Of Intentional Hourly Rounding Or Intentional Hourly Rounding

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Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding

Author : Rachel Abril
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding by : Rachel Abril

Download or read book Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding written by Rachel Abril and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, it is estimated that 700,000 to 2,000,000 individuals have a fall in the acute hospital setting with one in three individuals aged 65 years and older. Yearly, 20-30 percent of hospitalized patients suffer an injury that could have been prevented (Ganz, Saliba, Huang and Shier, 2013). Based on documented studies, implementing purposeful rounding or intentional rounding decreases call lights, alarms, falls, increases patient and employee satisfaction, supports a more productive shift for nursing staff, and most importantly increases patient safety (Olrich, Kalman, and Nigolian, 2012). Several documented studies have reported a decrease in fall rates post implementation of intentional rounding, one hospital reported a decrease in falls by 23 percent post implementation (Olrich, Kalman, and Nigolian, 2012). Falls in the acute hospital setting are a serious complex problem, addressing and implementing purposeful or intentional hourly rounding while better serving patients will decrease the fall rate in the acute hospital setting. Based on several journal readings successful implementation of intentional rounding or purposeful rounding that included the nursing staff in the implementation process yielded the most rewarding results. Identifying the problem or issue, developing an implementation plan and evaluation plan, along with finding the best avenues to disseminate the evidence are key to successful implementation of any project.

Hourly Rounding

Author : Kelsey Lynne Johnson
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Kelsey Lynne Johnson

Download or read book Hourly Rounding written by Kelsey Lynne Johnson and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly Rounding, also known as intentional rounding, is a fairly new concept in many medical facilities. Hourly rounding consists of asking patients important questions each hour to help keep patients more comfortable while also maintaining safety during the hospital stay. In order to assist hourly rounding in becoming an even bigger part of the health care routine, data needs to be collected from studies to see how well it really works. By doing a study and tracking the results over a six-month time frame, it will not only help hourly rounding become implemented on that particular floor, but it could also lead to the implementation of hourly rounding in many other places. Evidence based practice runs the health care profession. Once a theory is proven to work or proven to be the safer method, it will be implemented in a larger setting. Hourly rounding is hypothesized to decrease patient falls, patient call lights, and increase patient safety and satisfaction. Before the study begins, the staff and supervisors will be educated on the topic as well as what is expected from hourly rounding. There will be a staff meeting with pamphlets, power point presentations, and additional time to ask any questions that may arise. Once the information from the study has been collected and interpreted, we should see that patient satisfaction rises because patients feel a bigger sense of responsibility in their own care. Some patients have commented that hourly rounding made them feel more important. Patients need to feel like the center of their care and feel like their opinions truly matter. Hourly rounding is going to help hospitals achieve that goal.

Capstone

Author : Nichole A. Hunt
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Capstone by : Nichole A. Hunt

Download or read book Capstone written by Nichole A. Hunt and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rate of falls among patients in the acute care hospital setting continues to be an important issue in nursing. Many falls can be prevented with the implementation of proper interventions. Intentional hourly rounding is one such intervention that has been proven through research to be an effective measure in reducing the rate of patient falls. Intentional hourly rounding requires staff to round on patients on an hourly basis addressing basic care needs. Those needs include pain, potty, position, and placement of frequently used objects. This project focuses on the implementation of an hourly rounding initiative on an acute care unit. Outcomes are evaluated through the use of rounding log reviews, fall rate comparisons, and staff surveys. Fall rate data will be gathered for the six month period before implementation of the rounding process and for the six month trial period. Rounding logs are kept in each patient room and staff are expected to initial the log each time they round on the patient. Staff will be expected to complete a survey regarding the usefulness and adaptability of the hourly rounding process. By evaluating the completeness of the rounding logs and surveying staff attitudes toward the process, the researcher will have the ability to determine if the hourly rounding process is being fully applied. Results of the initiative will be disseminated to nursing staff, management, and the nursing community as a whole through a process of meetings and conferences. Information will be made available regarding fall rates and patient satisfaction.

Impact of Hourly Rounding

Author : Kelli DiPietro
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Impact of Hourly Rounding by : Kelli DiPietro

Download or read book Impact of Hourly Rounding written by Kelli DiPietro and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals face increasingly high pressure to maintain quality care as evidenced by patient satisfaction as well as patient safety scores. The rigorous gravity of satisfaction and safety are factors that affect the return of satisfied patients and payment by the Centers for Medicare and Medicaid (CMS) (Hagland, 2011). Because nurses are seen as key providers and are the ones that are typically perceived as providers of timely pain management, ones who develop healthy, trusting relationships and communicators of much of the information that is provided in a hospital setting, many satisfaction scores are based on the quality of nurse care delivered. Due to the importance of nursing and their overall impact on patient's as well as hospital's bottom line, it imperative that the nurse excel at meeting and exceeding patient expectations. When nursing staff is overwhelmed and understaffed, the patient suffers. The suffering can cause longer stays and increased financial burden on the patient as well as the hospital. One way to improve outcomes is to design and implement an hourly or intentional rounding program to ensure that the patient's needs are being met and that patients feel well taken care of. There are different situations in a variety of facilities that can benefit from hourly rounding. The need to develop an program that is tailored to the necessities of a specific floor or unit is crucial in the success of the program. Based on research, hourly rounding can make a positive impact on patient and nurse satisfaction.

Purposeful Hourly Rounding and Improved Patient Outcomes

Author : Angela C. Radonski
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Purposeful Hourly Rounding and Improved Patient Outcomes by : Angela C. Radonski

Download or read book Purposeful Hourly Rounding and Improved Patient Outcomes written by Angela C. Radonski and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety is at the core of healthcare as a fundamental of caring. Based on research studies, patient safety and outcomes is increased with the use of hourly rounding. This project is a review of literature regarding the impact of hourly rounding on call light use, patient satisfaction, and safety with a primary focus on falls in an acute care setting. It is proposed that use of purposeful hourly rounding will increase both patient safety and decrease use of call lights if implementation includes the use of theory of planned behavior, which would impact both patient and nursing staff behavior. The implementation plan set forth in this project is not one of new design. It is one of modified design which relies heavily on implementation research studies allowing for an understanding of what can be improved so that professional behaviors already in place will be more streamlined. The evaluation plan has reasoning as well as tools to be used in the process of piloting the program allowing for improvement before dissemination to other facilities for a larger scale impact.

Intentional Hourly Rounding

Author : Stanislaus Akisah
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Intentional Hourly Rounding by : Stanislaus Akisah

Download or read book Intentional Hourly Rounding written by Stanislaus Akisah and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The patient population of 50 years and older, the baby boomer population, are seen more in hospitals nowadays. Due to their age, they are more vulnerable to injury after surgery as they are weaker and need more assistance postoperatively. This research proposal is aimed verifying if intentional hourly rounding on post operatives patients 50 years and older can improve patient safety and satisfaction compared to patients who are seen by nurses or nursing assistants following a patient stimulated call bell. The nursing assistants are expected to round on the patients during the odd hours while the registered nurses round on the patients on even hours. Each time rounding is conducted, four key components need to be assessed, that is; pain, position, potty and personal needs (4Ps). Fall rate and hospital acquired pressure ulcers (HAPUs) will be the variables measure pre and post rounding implementation to determine improvements in patient safety, while the Press-Ganey discharge survey will.

Improving Patient Care and Safety Through Hourly Rounding

Author : Josily Koithara
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Improving Patient Care and Safety Through Hourly Rounding by : Josily Koithara

Download or read book Improving Patient Care and Safety Through Hourly Rounding written by Josily Koithara and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient care, safety and satisfaction are top priority for the health care team when providing in-patient care. Patients must be monitored and cared well to improve their health conditions and to avoid further complications during hospital stay. Risk of hospitalized patients fall is the most concern for nurses. Hospital acquired new incidents like patient fall and pressure ulcers has a negative impact on patient recovery, causes lengthy hospital stay, financial burden for hospitals and increases nursing burnouts. Patients with stroke are at high risk for fall. In earlier studies it is found that 14% of the stroke patients fell at least once during their hospital admission (Tutuarima, Meulen, and Limburg, 2012). Frequent monitoring of the patients by nurses can prevent never events. But nurses attempt to be proactive on avoiding these issues are impaired by factors like high patient ratios, lack of time , frequent call lights and stress from meeting the patients demands. Planned hourly rounding is a proactive approach to patient care. Hourly rounding reduces patient fall, skin break downs, call light use, noise level and also improve patient satisfaction. Studies on hourly rounding to increase the patient safety and patient satisfaction showed a 52% decline in call light use after implementing hourly rounding and unit was quiet and nurses could spend more time for patient care and logs (Ford, 2010). Intentional rounding researches showed significant reduction in fall rate with one hour rounding. With the implementation of hourly rounding on the stroke and cardiac inpatient unit of the Texas Health Resources Hospital, the purpose is to prevent unwanted events and to improve patient satisfaction and safety.

Hourly Rounding

Author : Sarah Nakawaki
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Sarah Nakawaki

Download or read book Hourly Rounding written by Sarah Nakawaki and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of hourly rounding in nursing care has been supported by research and evidence-based practice to improve patient outcomes. Research has indicated that by regularly rounding on patients in a purposeful manner, such as addressing pain, toileting, positioning needs and placing important and personal items within reach of the patient decreases the incidences of patient falls and increases patient satisfaction (Meade, Bursell, and Ketelsen, 2006). An hourly rounding protocol already is in place at Hoag Hospital, but patient falls and hospital-acquired pressure ulcers still continue to happen. Hoag Hospital can greatly benefit by re-educating nursing staff and nursing assistants on proper hourly rounding protocol, including rationale for hourly rounding and important factors to address with patients. A chime will also be introduced to ring when hourly rounding is performed, every one hour for day shift and every two hours for night shift, to gently remind staff to round on their patients. The staff can also benefit by reinforcing the importance of hourly rounding through the yearly house side mandatory review session accessed through the hospital's intranet website. This proposal will include an implementation plan that shows the positive benefits implementing hourly rounding re-education given to nurses and nursing assistants has improved patient outcomes, specifically improved patient safety as seen by a decrease in falls, and improved patient satisfaction. In addition, evaluation of the findings as well as disseminating them to all unit department directors and the nursing community will be discussed.

Intentional Rounding

Author : Janine Jones
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Intentional Rounding by : Janine Jones

Download or read book Intentional Rounding written by Janine Jones and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intentional rounding is a structured process whereby nursing conducts regular checks on patients at set intervals rather than waiting to respond to the call light. Research studies have evidenced implementing intentional rounding on inpatient hospital units improves the patient experience by giving the patient a sense of security and reducing anxiety leading to increased patient satisfaction. This project will describe the challenge many hospitals struggle with, patient satisfaction. This purpose of this project is to describe the problem, propose a solution to the problem, implement a plan for change in process, and evaluate outcomes related to the change in process.

Improving Nurses Knowledge of Purposeful Rounding by Implementing Evidence Into the Practice Setting in the Emergency Department

Author : Beena Mathew
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Improving Nurses Knowledge of Purposeful Rounding by Implementing Evidence Into the Practice Setting in the Emergency Department by : Beena Mathew

Download or read book Improving Nurses Knowledge of Purposeful Rounding by Implementing Evidence Into the Practice Setting in the Emergency Department written by Beena Mathew and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keywords: Purposeful hourly rounding, emergency department (ED), Nurses' Perception of Patient Rounding Scale (NPPRS)

Purposeful Hourly Rounding on the Medical Unit

Author : Katie Charlson
Publisher :
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.:/5 (812 download)

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Book Synopsis Purposeful Hourly Rounding on the Medical Unit by : Katie Charlson

Download or read book Purposeful Hourly Rounding on the Medical Unit written by Katie Charlson and published by . This book was released on 2012 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this study was to show that the implementation of purposeful hourly rounding in a clinical setting will effectively decrease call light usage thereby improving patient satisfaction." -- from the abstract.

Care and Compassion?

Author : Great Britain. Parliamentary and Health Service Ombudsman
Publisher : The Stationery Office
ISBN 13 : 9780102971026
Total Pages : 44 pages
Book Rating : 4.9/5 (71 download)

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Book Synopsis Care and Compassion? by : Great Britain. Parliamentary and Health Service Ombudsman

Download or read book Care and Compassion? written by Great Britain. Parliamentary and Health Service Ombudsman and published by The Stationery Office. This book was released on 2011 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report, "Care and compassion?" the Health Service Ombudsman says the NHS is failing to treat older people with care, compassion, dignity and respect. The report is based on the findings of ten independent investigations into complaints about NHS care for people over the age of 65 across England. It serves to illuminate the gulf between the principles and values of the NHS Constitution and the felt reality of being an older person in the care of the NHS in England. The Ombudsman's findings show how ten older patients suffered unnecessary pain, indignity and distress while in the care of the NHS. Her investigations highlight common failures in pain control, discharge arrangements, communication with patients and their relatives and ensuring adequate nutrition. These are not isolated cases. Of the nearly 9,000 properly made complaints to the Ombudsman about the NHS last year, 18 per cent were about the care of older people. The Ombudsman accepted twice as many cases for investigation about older people as for all other age groups put together. The findings reveal an attitude - both personal and institutional - which fails to recognise the humanity and individuality of the people concerned and to respond to them with sensitivity, compassion and professionalism. These accounts present a picture of NHS provision that is failing to meet even the most basic standards of care. The NHS must close the gap between the promise of care and compassion outlined in its Constitution and the injustice that many older people experience.

Keeping Patients Safe

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding

Author : Virginia Ragonese-Green
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding by : Virginia Ragonese-Green

Download or read book Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding written by Virginia Ragonese-Green and published by . This book was released on 2017 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this practice improvement project was to determine if a relationship exists between purposeful hourly rounding and incidence of patient falls and patient satisfaction with information received from nurses for male and female patients over 18 years in one 60-bed acute rehabilitation setting. The first question that guided this project was: Are patient falls in an acute rehabilitation setting reduced when purposeful hourly rounding occurs? The second question was: Do patient satisfaction scores improve when purposeful hourly rounding was implemented in acute rehabilitation setting? This project implemented purposeful hourly rounding by nursing staff over a three-week intervention period in one rehabilitation hospital with an average daily census of 40 male and female patients. Employee education occurred in February, 2017. Fall rates were gathered from the hospital's internal incident reporting system. Patient satisfaction scores were obtained from Press Ganey surveys. The patient satisfaction results and the fall rates of 39 patients who did not experience purposeful hourly rounding were compared to the patient satisfaction and fall rates of 68 patients who experienced the purposeful hourly rounding. This project used a quasi-experimental correlational design. An independent t-test analysis did not demonstrate a difference between the patient satisfaction scores on 10 surveys received from the first group of patients and the 5 surveys received from the patients who experienced rounding. A chi-square analysis of the fall rates did not demonstrate a statistical difference between the groups. Although the results were not statistically significant, the project provided a baseline for future projects such as identifying barriers for staff to perform purposeful hourly rounding and improving the preparation for staff to perform hourly rounding.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Resident Duty Hours

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309131529
Total Pages : 427 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Resident Duty Hours by : Institute of Medicine

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Significance of Hourly Rounding

Author : Rugiatu Mansaray
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Hourly Rounding by : Rugiatu Mansaray

Download or read book Significance of Hourly Rounding written by Rugiatu Mansaray and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient falls remain a common detrimental incident in an acute care setting. Studies have shown that inpatient falls are the second largest category of reported adverse events, and are estimated to cost more than $20 billion a year. It is predicted that the cost of fall injuries will reach $43.8billion dollars by 2020.Research had shown that implementing hourly rounding in an acute care setting will reduce harm to patients, and increase patient's satisfaction. Hourly rounding is a planned method by which nurses and other health care workers performed checks on patients at a given time to assess, and care their basic needs. The purpose of hourly rounding is to decrease harm to patients such as, falls, pressure ulcers, urinary tract infections, as well as increase patient's satisfaction. The aim is to explore the implementation and use of hourly rounding, and its effectiveness in improving patient care, decreasing hospital cost, and length of stay.