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Impact of EHR-based rounding tools on interactive communication: A prospective observational study.

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Electronic Health Record-integrated rounding tools streamline clinical communication and improve patient care workflows. These tools enhance discussion of patient identifiers and action items, while reducing communication breakdowns.

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Area of Science:

  • Health Informatics
  • Clinical Communication
  • Medical Education

Background:

  • Structured rounding tools enhance efficiency and satisfaction.
  • Impact of EHR-integrated tools on communication content and interactivity is understudied.

Purpose of the Study:

  • Compare a Word-based tool with an EHR-integrated rounding report tool (RRT).
  • Evaluate effects on clinical content, communication interactivity, and clinician perspectives.

Main Methods:

  • Prospective pre-post evaluation with 27 clinicians across two teams.
  • Audio-recorded and coded communication using conversational analysis.
  • Follow-up interviews for clinician perspectives.

Main Results:

  • RRT increased discussion of patient identifiers and action items.
  • RRT decreased discussion of imaging and reduced questions/responses.
  • RRT use was associated with fewer communication breakdowns related to incorrect responses.

Conclusions:

  • EHR-integrated rounding tools streamline pre-rounding information gathering.
  • RRT streamlines in-rounding conversations and supports post-rounding task discussion.
  • RRT positively impacts patient care planning and management workflows.