Year: 2018
Type: dissertation
Study design: Observational Study
Abstract: The objective of this study was to characterize workflow during multidisciplinary bedside rounds in a pediatric critical care unit. Time-motion data and attendance were collected through observation, and healthcare provider (HCP) perceptions were gathered through surveys. Over 65 hours of time-motion data was collected during 57 rounds. High patient acuity was related to longer encounter durations and high unit census was related to shorter encounter durations. Family interaction and a high level of multidisciplinary contribution was found to increase the encounter duration. HCP satisfaction with the current process was low; most clinicians reported often not being able to hear the discussion and not feeling free to share their opinion. The unit should determine which factors (e.g., efficiency, patient-centredness) are most valuable to the rounding process at what time, to inform the design of a system that is suited to the needs of the HCPs and the constraints of the environment.
Source: TSpace (University of Toronto)
Author: C Warren
Language: English
Field: Decision Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2922130524