PEDIATRICS Vol. 43 No. 3 March 1969, pp. 469-472
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Multidisciplined Patient Care Rounds

T. Berry Brazleton M.D.1

1 Clinical Associate in Pediatrics Harvard Medical School, and Coordinator Patient Care Children's Hospital Medical Center Boston, Massachusetts

The value of multidisciplined, weekly rounds concerned with patient care is emphasized. These rounds are important in a busy, acute hospital in improving the atmosphere and in offering an opportunity for the staff to focus on the total patient and his family. These rounds foster communication and teamwork between physicians, nurses, social workers, play therapists, physical therapists, dieticians, school teachers, outpatient personnel, and community follow-up agencies. Their value in a large hospital has been proved in the following specific areas: (1) teaching child development, the impact of illness and hospitalization on a child and his family, and the psychosomatic aspects of all disease; (2) improving the diagnostic value of history taking and observation of the child and his family; (3) uncovering areas of ignorance and stimulating research in these areas; (4) role sorting and airing of tensions so the disciplines can develop teamwork; (5) documentation of plans on the patients' charts so continuity of care can be more effective; and (6) improving the atmosphere of the hospital so the need for a patient care committee at an administrative level is established.