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First published February 24, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M1992
Journal of the American Medical Informatics Association 2006;13(3):267-276
© 2006 American Medical Informatics Association


A more recent version of this article appeared on May 1, 2006
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Submitted on October 19, 2005
Accepted on February 2, 2006

A systematic review of the literature on multidisciplinary rounds to design information technology

Ayse P. Gurses PhD1* and Yan Xiao PhD1

Affiliation of the authors: 1 Department of Anesthesiology and Program in Trauma, University of Maryland School of Medicine, Baltimore, MD

* To whom correspondence should be addressed.

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 ephemerally.




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Qual Saf Health CareHome page
A P Gurses, K L Seidl, V Vaidya, G Bochicchio, A D Harris, J Hebden, and Y Xiao
Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections
Qual. Saf. Health Care, October 1, 2008; 17(5): 351 - 359.
[Abstract] [Full Text] [PDF]




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