TY - JOUR
T1 - Integration of an Intensive Care Unit Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds
T2 - Cluster-Randomized Controlled Trial
AU - Lai, Chao Han
AU - Li, Kai Wen
AU - Hu, Fang Wen
AU - Su, Pei Fang
AU - Hsu, I. Lin
AU - Huang, Min Hsin
AU - Huang, Yen Ta
AU - Liu, Ping Yen
AU - Shen, Meng Ru
N1 - Funding Information:
We appreciate Prof Yu Shyr, Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, for his help in study design, Mr Cheng-Ping Lai, Department of Information Technology, for his excellent technical support, Ms Yu Miao, Department of Statistics, for her contribution in data analysis, and Ms Yu-Fang Hsieh, Ms Pei-Jung Wu, Ms Li-Chin Hsiao, Ms Tzu-Yun Chiu, and Ms Kuan-Ling Chin, Department of Nursing, for their laborious contribution to this work. This work is supported by grants from the Ministry of Science and Technology, Executive Yuan, Taiwan (MOST 109-2634-F-006-023 to M-RS).
Publisher Copyright:
© 2022 Journal of Medical Internet Research. All rights reserved.
PY - 2022/5/1
Y1 - 2022/5/1
N2 - Background: Multidisciplinary rounds (MDRs) are scheduled, patient-focused communication mechanisms among multidisciplinary providers in the intensive care unit (ICU). Objective: i-Dashboard is a custom-developed visualization dashboard that supports (1) key information retrieval and reorganization, (2) time-series data, and (3) display on large touch screens during MDRs. This study aimed to evaluate the performance, including the efficiency of prerounding data gathering, communication accuracy, and information exchange, and clinical satisfaction of integrating i-Dashboard as a platform to facilitate MDRs. Methods: A cluster-randomized controlled trial was performed in 2 surgical ICUs at a university hospital. Study participants included all multidisciplinary care team members. The performance and clinical satisfaction of i-Dashboard during MDRs were compared with those of the established electronic medical record (EMR) through direct observation and questionnaire surveys. Results: Between April 26 and July 18, 2021, a total of 78 and 91 MDRs were performed with the established EMR and i-Dashboard, respectively. For prerounding data gathering, the median time was 10.4 (IQR 9.1-11.8) and 4.6 (IQR 3.5-5.8) minutes using the established EMR and i-Dashboard (P<.001), respectively. During MDRs, data misrepresentations were significantly less frequent with i-Dashboard (median 0, IQR 0-0) than with the established EMR (4, IQR 3-5; P<.001). Further, effective recommendations were significantly more frequent with i-Dashboard than with the established EMR (P<.001). The questionnaire results revealed that participants favored using i-Dashboard in association with the enhancement of care plan development and team participation during MDRs. Conclusions: i-Dashboard increases efficiency in data gathering. Displaying i-Dashboard on large touch screens in MDRs may enhance communication accuracy, information exchange, and clinical satisfaction. The design concepts of i-Dashboard may help develop visualization dashboards that are more applicable for ICU MDRs.
AB - Background: Multidisciplinary rounds (MDRs) are scheduled, patient-focused communication mechanisms among multidisciplinary providers in the intensive care unit (ICU). Objective: i-Dashboard is a custom-developed visualization dashboard that supports (1) key information retrieval and reorganization, (2) time-series data, and (3) display on large touch screens during MDRs. This study aimed to evaluate the performance, including the efficiency of prerounding data gathering, communication accuracy, and information exchange, and clinical satisfaction of integrating i-Dashboard as a platform to facilitate MDRs. Methods: A cluster-randomized controlled trial was performed in 2 surgical ICUs at a university hospital. Study participants included all multidisciplinary care team members. The performance and clinical satisfaction of i-Dashboard during MDRs were compared with those of the established electronic medical record (EMR) through direct observation and questionnaire surveys. Results: Between April 26 and July 18, 2021, a total of 78 and 91 MDRs were performed with the established EMR and i-Dashboard, respectively. For prerounding data gathering, the median time was 10.4 (IQR 9.1-11.8) and 4.6 (IQR 3.5-5.8) minutes using the established EMR and i-Dashboard (P<.001), respectively. During MDRs, data misrepresentations were significantly less frequent with i-Dashboard (median 0, IQR 0-0) than with the established EMR (4, IQR 3-5; P<.001). Further, effective recommendations were significantly more frequent with i-Dashboard than with the established EMR (P<.001). The questionnaire results revealed that participants favored using i-Dashboard in association with the enhancement of care plan development and team participation during MDRs. Conclusions: i-Dashboard increases efficiency in data gathering. Displaying i-Dashboard on large touch screens in MDRs may enhance communication accuracy, information exchange, and clinical satisfaction. The design concepts of i-Dashboard may help develop visualization dashboards that are more applicable for ICU MDRs.
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U2 - 10.2196/35981
DO - 10.2196/35981
M3 - Article
C2 - 35560107
AN - SCOPUS:85130030041
SN - 1439-4456
VL - 24
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
IS - 5
M1 - e35981
ER -