Two months after Kernan Hospital in Baltimore implemented hourly rounding in its orthopedics and rehabilitation center, patient satisfaction scores rose from the 1% mark to the 99th percentile in one unit, the fall rate dropped from 4.03 to zero, and the number of complaints went from seven to none. "It was unbelievable," says Valerie Summerlin, RN, MSN, CNAA, vice president of patient care services at the facility. "It took a while, but it really worked out well."