Original Research Article
Year: 2022 | Month: February | Volume: 12 | Issue: 2 | Pages: 8-15
DOI: https://doi.org/10.52403/ijhsr.20220202
Benefits and Barriers of ICU Daily Round; Perspective of Intensivists: Cross-Sectional Study
Ahmed F. Mady1,2, Ahmed Elalfy1, Mostafa Y. Elawadi1, Emad I. Sawaby1, Sayed S. Ahmad1, Ihab A. Nassar1, Ayman S. Abo-khoud1, Mostafa S. Mahmoud1, Hamdy M. Abdulgawwad1, Hamdy M. Rashid1, Hany A. Asaker1, Waleed T. Aletreby1, Khalid Y. Eldar1, Mohammed Abdulazim1, Mostafa M. Selem1, Kriz L. Odchigue1
1Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
2Anesthesia Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Corresponding Author: Waleed T. Aletreby
ABSTRACT
Daily ICU round has become the standard of care in the intensive care unit. It has varying structures and designs across ICUs world-wide.
Aim: Cross-sectional study to explore the perspective of ICU physicians regarding the daily round.
Method: Online survey including questions in four domains, namely, physicians’ gain, patients’ gain, barriers to the round, and suggestions for improvement.
Results: Perceived physicians’ gains in order were: role clarity (73%), newly obtained knowledge (61%), medico-legal protection (45%), and communication with other disciplines (30%). As for patients’ gain, the perceived benefits were: making intervention decisions (97%), objectives of management (81%), better patients’ outcomes (55%), and a tool to respond to patients’ conditions (15%). Barriers to the round were lack of standardization and input from other disciplines, long duration and interruptions. The physicians suggested a standardized structured tool for the round as a method of improvement.
Conclusion: ICU physicians’ main perceived personal gain from the daily ICU round is a formulated plan of management, for patients’ gain is decision making, as a barrier is the lack of standardization, and suggest its standardization for improvement.
Key words: ICU physicians, ICU daily round, Intensivists, intensive care unit