ArticleCritical care medicine2017
Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record.
Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04845698 (Application of i-Dashboard for Multi-disciplinary Rounds in Surgical Intensive Care Units), which is not on this map. Cited by 14 papers.
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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.
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.
Application of i-Dashboard for Multi-disciplinary Rounds in Surgical Intensive Care Units
Who cites it
14 citing papers in PubMed.
- An AIoT enabled system for optimizing data retrieval in the intensive care unit evaluated in a randomized crossover pilot trial.Scientific reports · 2025Trial
- Integration of an Intensive Care Unit Visualization Dashboard (i-Dashboard) as a Platform to Facilitate Multidisciplinary Rounds: Cluster-Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- The Growing Use of Copy-Paste and Its Impact on Creation and Propagation of Documentation Errors.CHEST pulmonary · 2026Article
- Assessment of Electronic Clinical Monitoring Systems in the Pediatric Intensive Care Unit: Prospective Concordance Study.JMIR formative research · 2026Article
- Feasibility of Tailoring Artificial Intelligence-Assisted Ambient Scribes for Intensive Care Unit Rounds: Algorithm Development and Validation.JMIR medical informatics · 2026Article
- An Approach to Intensive Care Unit Rounds Utilizing 5, 10, and 15-Minute Strategies.ATS scholar · 2024Article
- Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources-Based Inpatient Rounding List.Applied clinical informatics · 2022Article
- Impact of Patient Census and Admission Mortality on Pediatric Intensive Care Unit Attending Electronic Health Record Activity: A Preliminary Study.Applied clinical informatics · 2020Article
- Inpatient Communication Networks: Leveraging Secure Text-Messaging Platforms to Gain Insight into Inpatient Communication Systems.Applied clinical informatics · 2019Article
- Measuring the rate of manual transcription error in outpatient point-of-care testing.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Data Omission by Physician Trainees on ICU Rounds.Critical care medicine · 2019Observational
- Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues.Critical care medicine · 2018Article
- Usage Pattern Differences and Similarities of Mobile Electronic Medical Records Among Health Care Providers.JMIR mHealth and uHealth · 2017Article
- ICU Rounds: "What We've Got Here Is Failure to Communicate".Critical care medicine · 2017Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesAccurately communicating patient data during daily ICU rounds is critically important since data provide the basis for clinical decision making. Despite its importance, high fidelity data communication during interprofessional ICU rounds is assumed, yet unproven. We created a robust but simple methodology to measure the prevalence of inaccurately communicated (misrepresented) data and to characterize data communication failures by type. We also assessed how commonly the rounding team detected data misrepresentation and whether data communication was impacted by environmental, human, and workflow factors.
designDirect observation of verbalized laboratory data during daily ICU rounds compared with data within the electronic health record and on presenters' paper prerounding notes.
settingTwenty-six-bed academic medical ICU with a well-established electronic health record. SUBJECTS: ICU rounds presenter (medical student or resident physician), interprofessional rounding team.
interventionsNone. MEASUREMENTS AND MAIN
resultsDuring 301 observed patient presentations including 4,945 audited laboratory results, presenters used a paper prerounding tool for 94.3% of presentations but tools contained only 78% of available electronic health record laboratory data. Ninty-six percent of patient presentations included at least one laboratory misrepresentation (mean, 6.3 per patient) and 38.9% of all audited laboratory data were inaccurately communicated. Most misrepresentation events were omissions. Only 7.8% of all laboratory misrepresentations were detected.
conclusionDespite a structured interprofessional rounding script and a well-established electronic health record, clinician laboratory data retrieval and communication during ICU rounds at our institution was poor, prone to omissions and inaccuracies, yet largely unrecognized by the rounding team. This highlights an important patient safety issue that is likely widely prevalent, yet underrecognized.
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Registered trials
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.