Quality improvement of interdisciplinary rounds by leadership training based on essential quality indicators of the Interdisciplinary Rounds Assessment Scale

Abstract

The leadership training improved the quality of the IDRs performed in the ICUs. This may improve quality and safety of patient care.

Well performed interdisciplinary rounds as a strategy to increase quality of care in the intensive care unit

“…Results of 99 patient discussions after training of leading skills training, guided and measured with the ten essential quality indicators, showed that this intervention was abletoimprovequalityofperformed IDRs in the ICUs. Furthermore, the sustained effect of the intervention, as measured at six weeks after the training, suggested that the training was still effective and useful for daily practice 8 .…”

“…Development of the IDR Assessment Scale, including the gold standard and a survey, was a starting point of several performance improvements for IDRs in multiple studies [6][7][8] . In this review, we discuss the application of these tools, and the potential for performance improvements in IDRs in general ICUs.…”

“…The ten essential quality indicators of the IDR Assessment Scale were usedtore-measuretheefficacyofthe intervention 7,8 . Re-measurement included nine videotaped and analysed IDRs (total 99 patient discussions) lead by the (fellow) intensivists who received the intervention (leadership) training.…”

“…For this reason, IDRs in the ICUs are endorsed by the Society of Critical Care Medicine 5 . An IDR is a patientfocused communication system aimed to agree to, understand and execute the appropriate plan of care for the patient by specialists from different disciplines [6][7][8] . IDRs reflect the main processes within the ICU, such as the continuity of care, information transfer, teaching obligations and effective communication and planning within the team 9,10 .…”

Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients

“…Another important finding of this study is that after implementation of morbidity and mortality conferences a change in organizational culture occurred over time: team-satisfaction-oriented culture took a leading role, whereas people-security oriented culture dramatically decreased. Ten Have et al [74] performed a nonrandomized study to assess whether leadership training could improve the quality of interdisciplinary rounds in four ICUs for adults in the Netherlands. The intervention consisted of a 1-day training session in a simulation environment and feedback sessions of videotaped behavior in the workplace.…”