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The first modified Delphi consensus building exercise on ward rounds in the UK National Health Service

Amr, Bassem, Omar, Islam, Abdelrahman,, M, Abdalkoddus,, M, El Ella,, Y, Abukbakr,, M, Andrews,, S, Awad,, S, Bunting, D, Callejas-Diaz, Lindes, Cambridge, W, Carr, W, Chesworth, A, Courtney, M, Edge, J, Froghi, F, Graham, Yitka, Gilliam, Andrew, Harwood, S, Hollyman, M, Kimble, A, Kotb, A, Majithia, R, Mallinson, S, Metcalfe, N, O'Kane, Mary, Parmar, C., Saiyed, S, Singhal, Rishi, Trewin, L, Wadhawan, H and Mahawar, Kamal (2023) The first modified Delphi consensus building exercise on ward rounds in the UK National Health Service. World Journal of Surgery, 47 (6). pp. 1348-1357. ISSN 1432-2323

Item Type: Article


The ward round is an integral part of everyday surgical practice. It is a complex clinical activity that requires both sound clinical management and communication skills. This study reports the results of a consensus-building exercise on the common aspects of the general surgical ward rounds.
The consensus-building committee involving a range of stakeholders from 16 United Kingdom (UK) National Health Service trusts took part in this consensus exercise. The members discussed and suggested a series of statements concerning surgical ward round. An agreement of ≥ 70% among members was regarded as a consensus.
Thirty-two members voted on 60 statements. There was a consensus on fifty-nine statements after the first round of voting, and one statement was modified before it reached consensus in the second round. The statements covered nine sections: a preparation phase, team allocation, multidisciplinary approach to the ward round, structure of the round, teaching considerations, confidentiality and privacy, documentation, post-round arrangements, and weekend round.
There was a consensus on spending time to prepare for the round, a consultant-led round, involvement of the nursing staff, an MDT round at the beginning and end of the week, a minimum of 5 minutes allocated to each patient, utilisation of a round checklist, afternoon virtual round, and a clear handover and plan for the weekend.
The consensus committee achieved agreement on several aspects concerning the surgical ward rounds in the UK NHS. This should help improve the care of surgical patients in the UK.

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Depositing User: Yitka Graham


Item ID: 15650
Identification Number:
ISSN: 1432-2323
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 20 Feb 2023 12:00
Last Modified: 23 Apr 2024 08:15


Author: Yitka Graham ORCID iD
Author: Bassem Amr
Author: Islam Omar
Author: M Abdelrahman,
Author: M Abdalkoddus,
Author: Y El Ella,
Author: M Abukbakr,
Author: S Andrews,
Author: S Awad,
Author: D Bunting
Author: Lindes Callejas-Diaz
Author: W Cambridge
Author: W Carr
Author: A Chesworth
Author: M Courtney
Author: J Edge
Author: F Froghi
Author: Andrew Gilliam
Author: S Harwood
Author: M Hollyman
Author: A Kimble
Author: A Kotb
Author: R Majithia
Author: S Mallinson
Author: N Metcalfe
Author: Mary O'Kane
Author: C. Parmar
Author: S Saiyed
Author: Rishi Singhal
Author: L Trewin
Author: H Wadhawan
Author: Kamal Mahawar

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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