TY - JOUR
T1 - A Systematic Review of the Literature on Multidisciplinary Rounds to Design Information Technology
AU - Gurses, Ayse P.
AU - Xiao, Yan
N1 - Funding Information:
This work was funded by the National Science Foundation (IIS-0325087 and 0534646) and the Agency for Healthcare Research and Quality (HS11562).
PY - 2006/5
Y1 - 2006/5
N2 - Multidisciplinary rounds (MDR) have become important mechanisms for communication and coordination of care. To guide design of tools supporting MDR, we reviewed the literature published from 1990 to 2005 about MDR on information tools used, information needs, impact of information tools, and evaluation measures. Fifty-one papers met inclusion criteria and were included. In addition to patient-centric information tools (e.g., medical chart) and decision-support tools (e.g., clinical pathway), process-oriented tools (e.g., rounding list) were reported to help with information organization and communication. Information tools were shown to improve situation awareness of multidisciplinary care providers, efficiency of MDR, and length of stay. Communication through MDR may be improved by process-oriented information tools that help information organization, communication, and work management, which could be achieved through automatic extraction from clinical information systems, displays and printouts in condensed forms, at-a-glance representations of the care unit, and storing work-process information temporarily.
AB - Multidisciplinary rounds (MDR) have become important mechanisms for communication and coordination of care. To guide design of tools supporting MDR, we reviewed the literature published from 1990 to 2005 about MDR on information tools used, information needs, impact of information tools, and evaluation measures. Fifty-one papers met inclusion criteria and were included. In addition to patient-centric information tools (e.g., medical chart) and decision-support tools (e.g., clinical pathway), process-oriented tools (e.g., rounding list) were reported to help with information organization and communication. Information tools were shown to improve situation awareness of multidisciplinary care providers, efficiency of MDR, and length of stay. Communication through MDR may be improved by process-oriented information tools that help information organization, communication, and work management, which could be achieved through automatic extraction from clinical information systems, displays and printouts in condensed forms, at-a-glance representations of the care unit, and storing work-process information temporarily.
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U2 - 10.1197/jamia.M1992
DO - 10.1197/jamia.M1992
M3 - Article
C2 - 16501176
AN - SCOPUS:33646086243
SN - 1067-5027
VL - 13
SP - 267
EP - 276
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 3
ER -