Abstract
Abstract Introduction An interdisciplinary round is a patient-focused communication system aimed to agree to, understand and execute the appropriate plan of care for the patient by specialists from different disciplines. In the intensive care unit, interdisciplinary rounds are increasingly recommended because ineffective interdisciplinary communication among medical teams is a leading cause of preventable patient harm and a source of severeconflicts. In recent years, intensive care unit management and staff have conducted these interdisciplinary rounds by bringing different disciplines in the same meeting to discuss diagnosis and disease management of the intensive care unit patient. Nevertheless, itprovesdifficulttoadequately perform these meetings, because each profession within the intensivecareunithasauniqueperspective and professional culture. Previous studies about interdisciplinary rounds were in particular survey studies, which described the differences between doctors and nurses regarding status/authority, gender, training and patient care responsibilities. We therefore developed performance improvements, based on 60 videotaped interdisciplinary rounds, literature reviews and Delphi Rounds, aimed at supporting and increasingthequalityofperformance in IDRs. We discuss here the applications of these performance improvements with reference to processes within interdisciplinary rounds as a strategy for improving ICU care. Conclusion This review discusses the observation and intervention applications of performance improvements for interdisciplinary rounds. Depending on the characteristics of the intensive care unit, such as staffing level and open versus closed unit type, work rounds being interdisciplinary rounds in crowded hallways, or teaching obligations, the intensive care unit staff have some options to choose for which instrument(s) to apply.
Highlights
An interdisciplinary round is a patient-focused communication system aimed to agree to, understand and execute the appropriate plan of care for the patient by specialists from different disciplines
Depending on the characteristics of the intensive care unit, such as staffing level and open versus closed unit type, work rounds being interdisciplinary rounds in crowded hallways, or teaching obligations, the intensive care unit staff have some options to choose for which instrument(s) to apply
interdisciplinary round (IDR) in the intensive care unit (ICU) are endorsed by the Society of Critical Care Medicine[5]
Summary
Assessment of the quality of performed IDRs gives insight into the main ICU processes such as the continuity of care, information transfer, teaching obligations and whether or not the communication and planning within the team was effective. This review discusses the observation and intervention applications of performance improvements for IDRs. Depending on the characteristics of the ICU, such as staffing level and open versus closed unit type, work rounds being IDRs in crowded hallways, or teaching obligations, the ICU staff has some options when choosing which instrument(s) to apply. Abbreviations list ICU, intensive care unit; IDR, interdisciplinary round
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