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Development and Testing of an Electronic Multidisciplinary Rounding Tool.

Elizabeth P Gunter1, Meera Viswanathan1, Sonja E Stutzman1

  • 1Elizabeth P. Gunter is Clinical Nurse Educator, Neuroscience, University of Texas Southwestern Medical Center, Dallas, Texas. Meera Viswanathan is Physician Assistant, Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. Sonja E. Stutzman is Clinical Research Manager, Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. DaiWai M. Olson is Professor, Neurological Surgery & Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. Venkatesh Aiyagari is Professor, Neurological Surgery & Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5151 Harry Hines Blvd, Dallas, TX 75390 (venkatesh.aiyagari@utsouthwestern.edu).

AACN Advanced Critical Care
|August 30, 2019
PubMed
Summary

An electronic multidisciplinary rounding tool improves communication and efficiency for neuroscience critical care unit (NCCU) staff. This technology enhances patient care by providing concise summaries for shift handoffs and daily rounds.

Keywords:
communicationhandoffneurocritical careneurosciencerounding

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Area of Science:

  • Neuroscience
  • Critical Care Medicine
  • Health Informatics

Background:

  • Neuroscience critical care units (NCCUs) manage patients with complex, rapidly changing neurologic and medical conditions.
  • The extensive data required for patient review poses a significant challenge to delivering high-quality care.
  • Effective communication and efficient data management are crucial in critical care settings.

Purpose of the Study:

  • To implement and evaluate an electronic multidisciplinary rounding tool in a neuroscience critical care unit.
  • To assess the tool's impact on team communication, data review, and patient care quality.
  • To determine nursing staff satisfaction with the tool for rounds and patient handoffs.

Main Methods:

  • Development and implementation of an electronic multidisciplinary rounding tool.
  • Integration of the tool into daily clinical workflows within the NCCU.
  • Data collection through nursing staff surveys regarding satisfaction and perceived benefits.
  • Ongoing quality improvement initiative with 4 years of tool usage.

Main Results:

  • The electronic rounding tool facilitates accurate and concise review of patient information.
  • Nurses reported the tool provides a comprehensive summary of patient status, aiding shift handoffs.
  • Nursing staff surveys indicated high satisfaction levels with the tool during multidisciplinary rounds and handoffs.
  • The tool contributes to lessening the data review burden for medical staff.

Conclusions:

  • Electronic multidisciplinary rounding tools can enhance communication and efficiency in neuroscience critical care.
  • The implemented tool demonstrably improves information accessibility for nursing staff during rounds and handoffs.
  • This technology represents a valuable component of quality improvement initiatives in critical care settings.
  • High nursing staff satisfaction suggests the tool's effectiveness and potential for broader adoption.