Liam Chadwick

Human Factors Engineer, Systems Thinker, Patient centered care, Patient Safety, ACU advocate, SIBR rounds guru, aspiring cook, travel fan

[Liam Chadwick @drliamchadwick]

@markeymcdonnell @YvonneCYoung @NdigginNiamh @EvaDoherty @EmilyODowdpsych @FardodOKelly Congratulations Sue, very well deserved.

[Liam Chadwick @drliamchadwick]

Having seen today who some of the keynote speakers will be, this will be an exciting few days in Dublin.

[Tamasine Grimes @Tagrimes]

Trinity College Dublin will host #HEPS2025 18-20 June 2025 to share how to Design Safer Better Healthcare, By All For All. #MedicationWithoutHarm #MedicationSafety
Come and join us! Submit abstracts now https://t.co/cKvrok6Sqo

[Tamasine Grimes @Tagrimes]

Trinity College Dublin will host #HEPS2025 18-20 June 2025 to share how to Design Safer Better Healthcare, By All For All. #MedicationWithoutHarm #MedicationSafety
Come and join us! Submit abstracts now https://t.co/cKvrok6Sqo

[Liam Chadwick @drliamchadwick]

My mate's new food truck was stolen this morning before he even got to trade from it. Police investigating. Assuming it's already on a ferry to the UK we've started a https://t.co/8TSCLyciva to get something so Dejan can trade in. If it's recovered, donations will be refunded.🙏

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @valle_erling @j59dd @blairgolden https://t.co/SHWF2iRbuy Schwartz et al had folding stools on their doors. I think this spread elsewhere at Yale New Haven then.

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @Hyfy19 @Trisha_the_doc @drjeffcott can you see #sibr working in a Scottish environment?

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @Hyfy19 @Trisha_the_doc Those are all common objections that can all be overcome with a designed rounding process

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @Trisha_the_doc @1JasonStein Good morning, happy to get on a call with anyone who'd like to learn more about SIBR rounds, we also have a very solid nursing bedside handover program that we can rollout on up to 10 wards on a week.

[Liam Chadwick @drliamchadwick]

"Interprofessional communication (IPC) & workplace efficiency ... are two important domains of healthcare quality."
66.7% of residents believed IPC was better on the unit running #SIBR #wardrounds vs other units.

[Liam Chadwick @drliamchadwick]

We've just updated our twice monthly free webinar times for the coming months. Learn how our Nurses First (nursing change of shift) or #SIBR rounds programs can improve your ward processes & outcomes.

Don't see a time that suits?
Pick one that does:
https://t.co/IlP1ZntDAa

[Liam Chadwick @drliamchadwick]

F/U on #ICU #wardrounds outcomes after #SIBR #wardrounds.
- 29.9% point increase in nurse attendance on rounds
- 21% point increase in family attendance
Keep in mind, they also reduced rounds duration by 25% & increased 'rounds done by noon' by 23%.
#familyengagement

[Liam Chadwick @drliamchadwick]

F/U on the #ICU #SIBR #wardrounds outcomes, the unit also tracked process and behavior criteria. Of note:
16% point increase in 'Attending summarizes plan', p<0.01
9.5% point increase in 'Clear on task assignment', p=0.01
7.3% increase in 'Obtained input from care team', p<0.01

[Liam Chadwick @drliamchadwick]

And with this reduction in #ICU #wardrounds duration down 5.5 minutes per patient with #SIBR rounds in place, there was a 23% increase in 'rounds done by noon'.

[Liam Chadwick @drliamchadwick]

Post-SIBR implementation outcomes for a 25-bed medical ICU in the US.
1. Mean rounding duration decreased 25% (p<0.01), or an average 5.5 minutes per patient. With an average daily census of 20 patients, that's an about a 110 minutes per day rounding.

Casual lunch anyone? ;)

[Liam Chadwick @drliamchadwick]

24-bed medical unit implemented #SIBR #wardrounds, no change in Length of Stay but a 30% reduction in 7-day readmissions (p=0.03) and 19% reduction in 30-day readmissions (not statistically significant, but "clinically significant").

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @DrGrumble @JohnLauner @Trisha_the_doc @BenAllenGP @BrennanSurgeon @nialldowney @trishgreenhalgh Also structure & flow enables: having the patient ready to participate, hearing aid in, speak to their left ear, that's the good one, get interpreter services lined up, inform patient of the process so they know what items will definitely be covered, reduces interruptions

[Liam Chadwick @drliamchadwick]

@doctorcaldwell @DrGrumble @JohnLauner @Trisha_the_doc @BenAllenGP @BrennanSurgeon @nialldowney @trishgreenhalgh By having a structure to the ward round interaction, we can ensure participants provide their inputs in a standardised way, this reduces cognitive load on peers as they know what to expect and their brain can process the information more efficiently.

[Liam Chadwick @drliamchadwick]

If anyone would like our nursing TEAM huddle sheet template for free, see below. Any of the units we've worked with always seem to really like this style of shift huddle.

[Andrew K. Stein @andrewkstein]

Inspired by opthamologist-comedian @DGlaucomflecken, we've tried to punch up our sample nursing Change of Shift Huddle sheet.

(For those who don't know: many hospital units conduct a 2-minute huddle at each shift-change to orient the oncoming staff and create good team vibes.)

[Liam Chadwick @drliamchadwick]

F/U on yesterday's 30-bed medical unit #ACU with #SIBR #wardrounds. Staff survey results:
Nurses rating:
- teamwork with docs ⬆35%
- physicians speak to me face to face daily ⬆91%
- docs listen to me & value my input ⬆27%
Physicians rating nurses prepared to discuss pt ⬆35%

[Liam Chadwick @drliamchadwick]

Outcomes for a 30-bed medical unit in the US that implemented the #ACU care model with #SIBR #wardrounds. The unit achieved a 16% reduction in Length of Stay (4.9 days to 4.1).
They also achieved a 25% reduction in 30-day readmissions.