Evidence map›Paper›PMID 26700860›Full record

ArticlePloS one2015

A Survey of Rounding Practices in Canadian Adult Intensive Care Units.

Jessalyn K Holodinsky, Marilynne A Hebert, David A Zygun, Romain Rigal, Simon Berthelot, Deborah J Cook, Henry T Stelfox

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Structure and concept of ICU rounds: the VIS-ITS survey.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022
    Article
  6. Patient Care Rounds in the Intensive Care Unit During COVID-19.Joint Commission journal on quality and patient safety · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Jessalyn K HolodinskyDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Marilynne A HebertDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
David A ZygunDivision of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Romain RigalCentre De Recherche, l'Université de Montréal, Montréal, Québec, Canada.
Simon BerthelotDépartement de Médecine d'Urgence, CHU de Québec, Québec City, Québec, Canada.
Deborah J CookFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Henry T StelfoxDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
University of Calgary · CAAlberta Health Services · CACentre hospitalier universitaire de Québec · CAMcMaster University · CAUniversité de Montréal · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe rounding practices in Canadian adult Intensive Care Units (ICU) and identify opportunities for improvement.

designMixed methods design. Cross sectional survey of Canadian Adult ICUs (n = 180) with purposefully sampled follow-up interviews (n = 7). MEASUREMENTS AND MAIN

resultsMedical directors representing 111 ICUs (62%) participated in the survey. Rounding practices varied across ICUs with the majority reporting the use of interprofessional rounds (81%) that employed an open (94%) and collaborative (86%) approach, occurred at the patient's bedside (82%), and started at a standard time (79%) and standard location (56%). Most participants reported that patients (83%) and family members (67%) were welcome to attend rounds. Approximately half of ICUs (48%) used tools to facilitate rounds. Interruptions during rounds were reported to be common (i.e., ≥ 1 interruption for ≥ 50% of patients) in 46% of ICUs. Four themes were identified from qualitative analysis of participant responses to open-ended survey questions and interviews: multidisciplinarity, patient and family involvement, factors influencing productivity, and teaching and learning.

conclusionsThere is considerable variation in current rounding practices in Canadian medical/surgical ICUs. Opportunities exist to improve ICU rounds including ensuring the engagement of essential participants, clearly defining participant roles, establishing a standardized approach to the rounding process, minimizing interruptions, modifying the role of teaching, utilizing a structured rounding tool, and developing a metric for measuring rounding quality.

Indexed as

AdultCanadaCross-Sectional StudiesHumansIntensive Care UnitsPatient Care TeamTeaching Rounds

Identifiers

PMID26700860
PMCPMC4689549
OpenAlexW2199943253

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.