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Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study
Edilaine Maran1,2, Laura Misue Matsuda1, Alexandre Biasi Cavalcanti3,4
1Universidade Estadual de Maringá. Maringá, Paraná, Brazil.
Revista Brasileira De Enfermagem
|September 28, 2022
Summary
Multidisciplinary rounds using checklists significantly improved Intensive Care Unit (ICU) patient safety by reducing hospital stay and healthcare-associated infections. This practice is vital for comprehensive critical care and harm reduction.
Area of Science:
- Critical Care Medicine
- Healthcare Quality Improvement
- Patient Safety
Background:
- Intensive Care Units (ICUs) require structured approaches to optimize patient care and safety.
- Multidisciplinary rounds are a key strategy for coordinating care in complex patient populations.
Purpose of the Study:
- To evaluate the implementation of multidisciplinary checklist-directed rounds in an ICU.
- To assess the impact of these rounds on key health indicators.
- To understand the multidisciplinary team's perception of this practice.
Main Methods:
- A mixed-methods study with an explanatory sequential design was conducted.
- Data collection occurred from September 2020 to August 2021 in a Brazilian hospital.
- Quantitative and qualitative data were integrated for comprehensive analysis.
Main Results:
- Checklist-directed rounds led to a significant reduction in hospital length of stay.
- Incidence of ventilator-associated pneumonia and urinary tract infections decreased.
- Daily invasive device utilization also showed a reduction.
Conclusions:
- Multidisciplinary rounds incorporating checklists are essential for comprehensive ICU care.
- This practice effectively reduces adverse events and improves patient safety.
- The implementation was perceived as vital for critical patient management.
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