Daily Intensive Care Unit Rounds: A Multidisciplinary perspective

Abstract

The distinctive nature of the workflow in the Intensive Care Unit (ICU), combined with the time sensitive nature and cognitive burden to the various providers make it an error prone environment. With the current proliferation of health information technology, it’s crucial to recognize and define the current practice needs to enable a successful integration of these technologies into the workflow. Our study aimed to define the objectives and tasks of ICU Multidisciplinary Rounds (MDR) activities and gain insight from different ICU providers regarding their perceived versus observed practice. We conducted a survey of healthcare providers in the Medical and Surgical ICU at Mayo Clinic, Rochester, MN.A total of 105 surveys were distributed and 75 were collected, yielding a response rate of 71.5%.72% of providers identified designing or developing a plan of care, 23% mentioned data gathering, 16% team consensus, 12% patient and family interaction and 11% educationMembers of multidisciplinary ICU teams most often identified the development of a care plan as the purpose of morning MDRs. Interruptions and resource utilization were identified as the main interferences to task completion, where limiting interruptions, workflow changes and technology were the suggested solutions

Keywords

• Multidisciplinary Rounds (MDR)
• Interruptions
• Intensive Care Unit (ICU)
• Rounding process
• Surveykey