Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jan 2, 2022
Date Accepted: Apr 25, 2022
Integration of an ICU Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds: A Cluster Randomized Controlled Trial
ABSTRACT
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 touchscreens during MDRs. The present study aimed to evaluate the performance, including the efficiency of pre-rounding data gathering, communication accuracy and information exchange, and clinical satisfaction of integrating i-Dashboard as a platform to facilitate MDRs.
Methods:
A cluster randomized trial was performed in two surgical ICUs at a university hospital. Study participants included all multidisciplinary care team members. The performances and clinical satisfaction of i-Dashboard during MDRs were compared with those of the established electronic medical record (EMR) through direct observation and questionnaire survey.
Results:
Between April 26, 2021, and July 18, 2021, 78 and 91 MDRs were performed with the established EMR and i-Dashboard, respectively. For pre-rounding data gathering, the median (interquartile range [IQR]) time was 10.4 (9.1-11.8) and 4.6 (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 [IQR]: 0 [0-0]) than with the established EMR (4 [3-5]; P<.001). Also, 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 the efficiency in data gathering. Displaying i-Dashboard on large touchscreens 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. Clinical Trial: ClinicalTrials.gov NCT04845698; https://clinicaltrials.gov/ct2/show/NCT04845698
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