The design and clinical application of a multidisciplinary round electronic checklist in ICU
10.3760/cma.j.issn.1672-7088.2018.09.008
- VernacularTitle:ICU多学科床边查房信息化清单的设计及临床应用
- Author:
Xiangping CHEN
1
;
Yin LIANG
;
Yiyu ZHUANG
;
Feng GUO
;
Yueliang CHEN
;
Yinshan WU
;
Limin HUANG
;
Luoyang TU
Author Information
1. 浙江大学医学院附属邵逸夫医院重症医学科
- Keywords:
Intensive care units;
Computers;
Forms and records control;
Rounds
- From:
Chinese Journal of Practical Nursing
2018;34(9):672-676
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of a multidisciplinary round electronic checklist in ICU. Methods From October 2016 to September 2017,a total of 1 172 patients were provided with a multidisciplinary round electronic checklist. Another 886 patients with routine rounds between October 2015 to September 2016 were retrospectively analyzed. The duration of mechanical ventilation and ICU stay,the rate of nosocomial infection, the percentages of catheter days(central line catheter days,artificial airway days and urinary catheter days) and clinical staffs' satisfaction with the multidisciplinary collaboration were compared. Results The duration of mechanical ventilation and ICU stay in the intervention group were 1.42(0.68,3.63)days and 3.19(2.48,5.40)days respectively,in the control group were 2.16(1.40, 4.77) days and 4.14(3.46, 6.92) days respectively. The differences between two groups were statistically significant(t=2.084, 2.247, P <0.05). The application of a multidisciplinary round electronic checklist shortened the duration of mechanical ventilation and ICU stay. The percentages of catheter days and the rate of catheter-associated urinary tract infection were 0(0/6 269),60.34%(6 269/10 389)respectively,in the control group were 0.93‰(6/6 485),67.02%(6 485/9 676)respectively.The differences between two groups were statistically significant(χ2=96.187,Fisher's exact test=0.031,P<0.05).Besides,the level of multidisciplinary collaboration in ICU was greatly improved in the intervention group, 3.03 ± 0.11 vs. 4.13 ± 0.39 (t=24.587, P < 0.05). Conclusions A multidisciplinary round electronic checklist in ICU can improve the care quality and multidisciplinary collaboration.
