ASSISTANCE ROUND AS A STRATEGY FOR QUALIFYING HOSPITAL ASSISTANCE: EXPERIENCE REPORT

Abstract

Introduction: patient safety remains a challenge in Brazilian healthcare services, especially in small and medium-sized hospitals located outside major urban centers. In this context, the structured interdisciplinary bedside round (SIBR-inspired) emerges as an effective strategy to foster interprofessional communication, continuity of care, and standardization of clinical practices. The round encourages active participation from various professional categories, with a focus on clinical safety and individualized therapeutic planning. Objective: to analyze the effects of systematic implementation of interdisciplinary assistive rounds on the quality of care, patient safety, and multiprofessional cohesion in a medium-sized hospital located in the interior of the Northeast region of Brazil. Methodology: this is a descriptive study, designed as an experience report, conducted in a reference hospital in the Cariri region, Ceará, with a mixed healthcare profile. The rounds were implemented in 2024 and occur Monday through Friday in two distinct sectors, with regular participation of a physician, nurse, and physical therapist, as well as frequent contributions from a nutritionist and a clinical pharmacist. The discussions are conducted using the SBAR method (Situation, Background, Assessment, and Recommendation), aiming for shared, patient-centered decision-making. As the study involved academic observation without collection of identifiable personal data, it was exempt from ethics committee review, in accordance with CNS Resolution Nº. 510/2016. Results and Discussion: the implementation of assistive rounds resulted in visible improvements in care quality, professional integration, and clinical communication. Initially challenged by resistance and logistical obstacles, the practice was consolidated through awareness-raising strategies and continuous professional education. A reorganization of decision-making processes was observed, replacing fragmented approaches with collaborative, reflective, and patient-centered dynamics. The practice enhanced clinical safety, reduced care-related risks, and promoted the use of the Singular Therapeutic Plan (PTS). Although this phase did not include quantitative measurement, the observed qualitative results indicate a positive impact, consistent with international literature on the benefits of interdisciplinary rounds. Final Considerations: this institutional experience demonstrated that interdisciplinary assistive rounds are a powerful organizational transformation tool, promoting horizontal communication, shared responsibility, and person-centered care. It is a replicable, low-cost, and highly effective strategy for improving hospital care quality. Further studies with more robust designs are recommended to quantitatively assess the impact of this practice on clinical, economic, and user satisfaction indicators.