将重症监护病房可视化仪表板（i-Dashboard）集成作为促进多学科查房的平台：整群随机对照试验。
Integration of an Intensive Care Unit Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds: Cluster-Randomized Controlled Trial.
机构信息
Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
Department of Biochemistry and Molecular Biology, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
出版信息
J Med Internet Res. 2022 May 13;24(5):e35981. doi: 10.2196/35981.
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.
背景
多学科查房（MDRs）是一种在重症监护病房（ICU）中多学科提供者之间进行的有计划、以患者为中心的沟通机制。
目的
i-Dashboard 是一个定制开发的可视化仪表盘，支持（1）关键信息检索和重组，（2）时间序列数据，以及（3）在 MDRs 期间在大型触摸屏上显示。本研究旨在评估其性能，包括预查房数据收集效率、沟通准确性、信息交换和临床满意度，以及整合 i-Dashboard 作为促进 MDRs 的平台的临床效果。
方法
在一家大学医院的 2 个外科 ICU 中进行了一项集群随机对照试验。研究参与者包括所有多学科护理团队成员。通过直接观察和问卷调查，比较了 MDRs 期间 i-Dashboard 与既定电子病历（EMR）的性能和临床满意度。
结果
2021 年 4 月 26 日至 7 月 18 日，分别使用既定 EMR 和 i-Dashboard 进行了 78 次和 91 次 MDRs。在预查房数据收集方面，使用既定 EMR 和 i-Dashboard 的中位数时间分别为 10.4（IQR 9.1-11.8）和 4.6（IQR 3.5-5.8）分钟（P<.001）。在 MDRs 期间，i-Dashboard 中数据表示错误的频率明显低于既定 EMR（中位数 0，IQR 0-0）（P<.001）。此外，i-Dashboard 中有效建议的频率明显高于既定 EMR（P<.001）。问卷调查结果显示，参与者更喜欢在 MDRs 期间使用 i-Dashboard，因为这有助于制定护理计划和提高团队参与度。
结论
i-Dashboard 提高了数据收集的效率。在 MDRs 期间在大型触摸屏上显示 i-Dashboard 可能会提高沟通准确性、信息交换和临床满意度。i-Dashboard 的设计理念可能有助于开发更适用于 ICU MDRs 的可视化仪表盘。
试验注册
ClinicalTrials.gov NCT04845698；https://clinicaltrials.gov/ct2/show/NCT04845698.
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