Dissecting Multidisciplinary Cardiac Surgery Rounds
| Autor: | Marcelo Cardarelli, Jennifer Jarin, Yan Xiao, Dyana Conway, Vinay Vaidya |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Cost-Benefit Analysis 030204 cardiovascular system & hematology Intensive Care Units Pediatric 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans 030212 general & internal medicine Teaching Rounds Child Intensive care medicine Referral and Consultation Patient Care Team Pediatric intensive care unit Academic Medical Centers Medical Errors Cost–benefit analysis Health professionals business.industry Rounding Internship and Residency Length of Stay Thoracic Surgical Procedures medicine.disease Confidence interval 3. Good health Cardiac surgery Time and Motion Studies Baltimore Interdisciplinary Communication Surgery Medical emergency Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 88:809-813 |
| ISSN: | 0003-4975 |
| Popis: | Background Multidisciplinary rounds in the critical care environment have demonstrated increased communication, a reduction in medical errors, a shorter hospital stay, and consequently, economic savings. We attempt to assess the cost of this intervention, and to review the time utilization of professionals participating in the process. Methods We analyzed video-recorded weekly multidisciplinary teaching rounds on cardiac patients in a pediatric intensive care unit (n = 22). Rounding time was categorized as presentation or discussion and was measured in minutes. The cost of a round was calculated by multiplying the hourly salary of all healthcare professionals present by the time spent rounding and measured in US dollars. Results Median rounding time per patient was 15 minutes (range, 5 to 29). Patient presentation took between 2 and 8 minutes (median 4), or 26% of the rounding time. Time needed for discussion, including teaching and planning, varied between 2 and 25 minutes (median 10.5). Median number of participants was 13.5 (range, 11 and 16). Mean cost in salaries per patient rounded was $140.87 (95% confidence interval: $106.80 to $174.90). Conclusions Multidisciplinary rounds are a low-cost medical intervention with proven benefits. Available tools and rounding cultural changes should be adopted to shorten data retrieval and presentation time to the benefit of discussion and teaching. Current billing requirements for rounding multidisciplinary teams do not reflect the realities of their time use. |
| Databáze: | OpenAIRE |
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