title: Assessing the quality of interdisciplinary rounds in the intensive care unit.
abstract: OBJECTIVE
  Interdisciplinary rounds (IDRs) in the intensive care unit (ICU) are increasingly recommended to support quality improvement, but uncertainty exists about assessing the quality of IDRs. We developed, tested, and applied an instrument to assess the quality of IDRs in ICUs.
  
  
  METHODS
  Delphi rounds were done to analyze videotaped patient presentations and elaborated together with previous literature search. The IDR Assessment Scale was developed, statistically tested, and applied to 98 videotaped patient presentations during 22 IDRs in 3 ICUs for adults in 2 hospitals in Groningen, The Netherlands.
  
  
  RESULTS
  The IDR Assessment Scale had 19 quality indicators, subdivided in 2 domains: "patient plan of care" and "process." Indicators were "essential" or "supportive." The interrater reliability of 9 videotaped patient presentations among at least 3 raters was satisfactory (κ = 0.85). The overall item score correlations between 3 raters were excellent (r = 0.80-0.94). Internal consistency in 98 videotaped patient presentations was acceptable (α = .78). Application to IDRs demonstrated that indicators could be unambiguously rated.
  
  
  CONCLUSIONS
  The quality of IDRs in the ICU can be reliably assessed for patient plan of care and process with the IDR Assessment Scale.
authors: Directorate Medical Affairs, Quality and Safety, University Medical Center Groningen, Groningen, The Netherlands. e.c.m.ten.have@umcg.nl
authors: Elsbeth C M
authors: EC
authors: Ten Have
authors: Mariet
authors: M
authors: Hagedoorn
authors: Nicole D
authors: ND
authors: Holman
authors: Raoul E
authors: RE
authors: Nap
authors: Robbert
authors: R
authors: Sanderman
authors: Jaap E
authors: JE
authors: Tulleken
mesh_terms: D003422:Critical Care / Q000592:standards*; D003697:Delphi Technique; D005163:Factor Analysis, Statistical; D006801:Humans; D007362:Intensive Care Units; D009426:Netherlands; D010347:Patient Care Planning; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care; D015203:Reproducibility of Results; D056164:Teaching Rounds / Q000592:standards*; D014743:Videotape Recording
keywords: Critical care; Interdisciplinary communication; Process assessment; Quality indicators; Videotape recording