Evidence map›Paper›PMID 40962364›Full record

ArticleBMJ open quality2025

Enhancing senior physician-led multidisciplinary team rounds to improve patient care at Wallaga University Comprehensive Specialized Hospital, 2025.

Gedefa Bayisa, Dechassa Edessa, Meskerem Deyasa, Ganna Gobena, Dereje Obsa, Temesgen Tilahun, Tesfaye Shibiru, Amsalu Takele, Chala Abera, Etenat Tigabe

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gedefa BayisaPublic Health, Wollega University, Zone, Ethiopia gedefa2019@gmail.com.ORCID 0009-0002-5052-7962
Dechassa EdessaDepartment of Nursing, Wollega University, Nekemte, Ethiopia.
Meskerem DeyasaDepartment of Nursing, Wollega University, Nekemte, Ethiopia.
Ganna GobenaDepartment of Nursing, Wollega University, Nekemte, Ethiopia.
Dereje ObsaWollega University, Nekemte, Ethiopia.
Temesgen TilahunWollega University, Nekemte, Ethiopia.ORCID 0000-0003-4138-4066
Tesfaye ShibiruPediatrics and Child Health, Wollega University, Nekemte, Ethiopia.
Amsalu TakeleDepartment of Surgery, Wollega University, Nekemte, Ethiopia.
Chala AberaPharmacy, Wollega University, Nekemte, Ethiopia.
Etenat TigabeDepartment of Midwifery, Wollega University, Nekemte, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe healthcare system is facing challenges due to insufficient multidisciplinary collaboration, leading to gaps in treatment, compromised patient safety and increased medical errors. Poor communication can cause misunderstandings, delays in critical decisions and cost escalation. Implementing multidisciplinary team (MDT) rounds, led by a senior physician, can improve communication, streamline decision-making and improve patient care.

methodsA multidimensional interventional study was conducted to address the identified problem. A fishbone diagram was used to identify the root causes of the problem. A driver diagram was developed to outline the key drivers and change concepts necessary for achieving the desired outcomes. Plan-Do-Study-Act cycles were implemented to test and refine interventions systematically.

interventionA daily dashboard-based performance audit was implemented, which includes the status of MDT rounds recorded by unit heads and analysed by the Hospital SBFR Taskforce team. Both morning and evening round statuses from various service units are collected for review of the data and communication with department heads prior to morning sessions. The report is shared in a common Telegram group for accessibility among hospital leaders. Each service unit engages in discussions with their MDT every Friday, while a weekly SBFR forum takes place every Tuesday, attended by directors and representatives from service units to review weekly performance. On-site MDT supportive supervision is conducted as needed.

resultsSenior physician engagement has significantly improved overall, as evidenced by the average score rising from 49% to 81%. Furthermore, 94% of participants agreed that senior-led MDT rounds were good for teamwork, professional development and discussion quality. Additionally, improvements in patient outcomes and decision-making were acknowledged by 80% of respondents and 97% of participants, respectively.

conclusionsThe study indicates that senior-led MDT rounds enhance discussion quality, team collaboration, decision-making, patient outcomes and professional growth. To maintain MDT rounds, daily performance audits, clinical audits and continuous monitoring using common communication platforms are recommended.

Indexed as

Patient CarePatient Care TeamPhysiciansQuality ImprovementTeaching RoundsHumansDecision makingPDSAQuality improvement

Identifiers

PMID40962364
PMCPMC12443179

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.