Mapping Current Adult Intensive Care Unit Patient Care Rounding Practices
Date
2015-04-24
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Abstract
Effective communication is essential for high quality patient care; within the ICU the
majority of health care provider communication occurs during patient care rounds. While
several best practices for rounds have been proposed it is unclear if they are being used in
Canadian adult Intensive Care Units (ICU). The objective of this thesis was to describe
current rounding practices in a sample of Canadian adult ICUs. A prospective
observational study consisting of a national survey and follow up interviews was
undertaken. ICU rounding practices were found to be heterogeneous across the country
and overall self-rated rounding quality was high, but several opportunities for
improvement were highlighted. This thesis proposes five recommendations for rounding
practices: defining participants and roles, managing interruptions, further study on patient
and family involvement, streamlining teaching during rounds, and creating an objective
metric to assess rounding quality. A structured tool for use during ICU rounds is also
proposed.
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Medicine and Surgery
Citation
Holodinsky, J. (2015). Mapping Current Adult Intensive Care Unit Patient Care Rounding Practices (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/26828