i-Dashboard for Multi-disciplinary Rounds in SICU

NCT04845698 | Completed

• 1 other identifier: B-ER-110-040
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Information overload is a common problem in intensive care units. A display tool that facilitates retrieval of crucial clinical information from electronic medical records has excellent potential to attenuate information overload and benefit workflow. Study hypothesis: In this project, we aimed to evaluate the efficacy and clinical satisfaction of a team-designed, patient-centered electronic medical record viewer, i-Dashboard, to facilitate multi-disciplinary rounds in our surgical intensive care units.

Conditions

Workflow; Communication; Quality of Health Care

Keywords

Electronic Health Records; User-Computer Interface; Intensive Care Units; Patient Care Team; Teaching Rounds

Outcome Measures

Primary Outcomes (2)

• Time spent on pre-round data gathering (minutes)

  Pre-round data gathering for multi-disciplinary rounds in ICUs is usually time-consuming. i-Dashboard, the team-designed display tool that facilitates retrieval of crucial clinical information from electronic medical records, is available on every computer screen in the ICU. We aim to evaluate whether i-Dashboard might help reduce time spent on pre-round data gathering for each patient evaluated during multi-disciplinary ICU rounds.

  3 hours

• Communication accuracy during multi-disciplinary ICU rounds (number of data misrepresentation)

  Communication during multi-disciplinary ICU rounds relies primarily on handwritten notes. Based on the literature review, data misrepresentation commonly occurs during ICU rounds, and thus communication accuracy is highly questionable. i-Dashboard, the team-designed display tool, is designed to post the information on a 55-inch screen. We aim to evaluate whether i-Dashboard might help improve communication accuracy during multi-disciplinary ICU rounds.

  3 hours

Secondary Outcomes (2)

• Enhancement of care quality and patient safety during multi-disciplinary ICU rounds (number of recommendations from multi-disciplinary team members)

  3 hours

• Healthcare provider satisfaction (questionnaire)

  3 months

Study Arms (2)

With i-Dashboard

EXPERIMENTAL

Multi-disciplinary rounds are conducted with the assistance of i-Dashboard.

Device: i-Dashboard

Without i-Dashboard

NO INTERVENTION

Multi-disciplinary rounds are conducted without the assistance of i-Dashboard. The team members collect data using standard electronic medical records.

Interventions

i-Dashboard DEVICE

i-Dashboard is a team-designed, patient-centered electronic medical record viewer, which retrieves data from multiple databases and provides a quick representation of essential metrics for each patient.

With i-Dashboard

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients admitted into the two surgical intensive care units for more than 7 days

You may not qualify if:

• None

Sponsors & Collaborators

• National Cheng-Kung University Hospital: lead

Study Sites (1)

National Cheng Kung University Hospital

Tainan, Taiwan, R.o.c, 704, Taiwan

Location

Related Publications (4)

• Pickering BW, Dong Y, Ahmed A, Giri J, Kilickaya O, Gupta A, Gajic O, Herasevich V. The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial. Int J Med Inform. 2015 May;84(5):299-307. doi: 10.1016/j.ijmedinf.2015.01.017. Epub 2015 Jan 31.

  PMID: 25683227 BACKGROUND

• Artis KA, Dyer E, Mohan V, Gold JA. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017 Feb;45(2):179-186. doi: 10.1097/CCM.0000000000002060.

  PMID: 27655323 BACKGROUND

• Khairat SS, Dukkipati A, Lauria HA, Bice T, Travers D, Carson SS. The Impact of Visualization Dashboards on Quality of Care and Clinician Satisfaction: Integrative Literature Review. JMIR Hum Factors. 2018 May 31;5(2):e22. doi: 10.2196/humanfactors.9328.

  PMID: 29853440 BACKGROUND

• Lai CH, Li KW, Hu FW, Su PF, Hsu IL, Huang MH, Huang YT, Liu PY, Shen MR. Integration of an Intensive Care Unit Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds: Cluster-Randomized Controlled Trial. J Med Internet Res. 2022 May 13;24(5):e35981. doi: 10.2196/35981.

  PMID: 35560107 DERIVED

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Chao-Han Lai, MD, PhD

  National Cheng-Kung University Hospital

  PRINCIPAL INVESTIGATOR

• Meng-Ru Shen, MD, PhD

  National Cheng-Kung University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD

Model Details: A cluster randomized trial was conducted in two surgical intensive care units (ICUs) of the hospital. For each two-week period of the trial, participating ICUs (cluster) were assigned to multi-disciplinary rounds with i-Dashboard (intervention) or without i-Dashboard (control). In other words, the two ICUs were randomly assigned to multi-disciplinary rounds with i-Dashboard during the first two weeks, without i-Dashboard during the second two weeks, and with i-Dashboard during the third two weeks or vice versa.

Study Record Dates

• First Submitted: April 11, 2021
• First Posted: April 15, 2021
• Study Start: April 26, 2021
• Primary Completion: July 18, 2021
• Study Completion: July 18, 2021
• Last Updated: September 1, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)