Assessing the Team SA Instrument in Measuring the Effectiveness of Communication Across Disciplines During ICU Rounds

Assessing the Utility of the Team SA Instrument in Measuring the Effectiveness of Communication Across Disciplines During ICU Rounds

Assessing the utility of the Team SA instrument in measuring the effectiveness of communication across disciplines during ICU rounds.

Study Overview

• Status: Completed
• Conditions: Personal Communication

Detailed Description

Multidisciplinary rounds are events that occur daily in Intensive care units. During these events, practitioners from multiple disciplines meet at a pre-specified time to discuss current medical condition and plans of care. At the conclusion of these discussions, all practitioners are expected to understand the plan of care well enough to execute defined tasks, but also coordinate as circumstances change. In order to coordinate under changing circumstances practitioners must have a broader understanding of the current state of the patient and how likely certain deteriorations are. This synthetic understanding of patient risks across multi-provider groups has been described as anticipatory team situational awareness (Team SA). One instrument has been validated in the ICU as feasible and informative. This Team SA survey successfully identified that the time spent in "training" discussions improved Team SA across physician groups. The investigators' goal is to implement this survey across the investigators' medical ICU service to obtain a baseline estimate of how effective current communication patterns are for achieving concordant Team SA. If gaps in communication are encountered future interventions will be developed

• Study Type: Observational
• Enrollment (Actual): 240

Contacts and Locations

Study Locations

• United States
  • Ohio
    • Columbus, Ohio, United States, 43210
      • Davis Heart and Lung Research Institute 473 w. 12TH aVE

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 17 years to 70 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Daily census rosters of the MICU and 8ICU nursing units will be reviewed for occupancy. At 8am on survey days occupied beds will be tallied (up to 39 beds). Beds occupied by a non-MICU service patient and those with active DNR-CC orders will be excluded. From the remaining patients, ten bed numbers will be randomly selected for review. Randomization will be stratified by MICU service sub-unit (MICU 40, MICU 90, 8ICU). If fewer than ten patients are eligible on an assigned survey day, all patients in the ICU on that day will be surveyed.

Description

Inclusion Criteria:

• Nurses, primary clinicians (resident or NP) and Critical Care physicians (Staff or Fellow in Critical Care Medicine) will be approached for interview. All subjects will be approached individually and asked to participate outside of the presence of the other potential study subjects.

Exclusion Criteria:

• N/A

Study Plan

How is the study designed?

Design Details

• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
To determine if it is feasible to survey clinicians regarding their opinions about future risks for individual patients in the ICU setting To determine the range of team situational awareness exhibited by current ICU clinician teams	It is expected that a maximum of ten minutes will be required to complete the survey.

Collaborators and Investigators

• Sponsor: Naeem Ali, MD
• Investigators: Principal Investigator: Naeem Ali, MD, Ohio State University

Study record dates

Study Major Dates

• Study Start: July 1, 2012
• Primary Completion (Actual): July 1, 2013
• Study Completion (Actual): July 1, 2013

Study Registration Dates

• First Submitted: May 15, 2013
• First Submitted That Met QC Criteria: May 16, 2013
• First Posted (Estimate): May 17, 2013

Study Record Updates

• Last Update Posted (Estimate): September 16, 2014
• Last Update Submitted That Met QC Criteria: September 15, 2014
• Last Verified: July 1, 2013

More Information

Terms related to this study

• Other Study ID Numbers: 2012B0233