TY  - JOUR
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
PY  - 2022
DA  - 2022/5/13
TI  - Integration of an Intensive Care Unit Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds: Cluster-Randomized Controlled Trial
JO  - J Med Internet Res
SP  - e35981
VL  - 24
IS  - 5
KW  - Intensive care unit
KW  - multidisciplinary round
KW  - visualization dashboard
KW  - large screen
KW  - information management strategy
KW  - electronic health record
KW  - medical record
KW  - digital health
KW  - dashboard
KW  - i-Dashboard
KW  - electronic medical record
KW  - information exchange
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. Trial Registration: ClinicalTrials.gov NCT04845698; https://clinicaltrials.gov/ct2/show/NCT04845698 
SN  - 1438-8871
UR  - https://www.jmir.org/2022/5/e35981
UR  - https://doi.org/10.2196/35981
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35560107
DO  - 10.2196/35981
ID  - info:doi/10.2196/35981
ER  -