TY - JOUR
T1 - Improving rounding in critical care environments through management of interruptions
AU - Gupta, Ashish
AU - Sharda, Ramesh
AU - Dong, Yue
AU - Sharda, Rohit
AU - Asamoah, Daniel
AU - Pickering, Brian
N1 - Funding Information:
Ramesh Sharda is Director of the Institute for Research in Information Systems (IRIS), ConocoPhillips Chair of Management of Technology, and a Regents Professor of Management Science and Information Systems in the Spears School of Business at Oklahoma State University. He received his Ph.D. from the University of Wisconsin-Madison. His research has been published in major journals in management science and information systems including Management Science, Information Systems Research, Decision Support Systems, Interfaces, INFORMS Journal on Computing, Computers and Operations Research, and many others. He serves on the editorial boards of journals such as the INFORMS Journal on Computing, Decision Support Systems (Area Editor), Information Systems Frontiers, and OR/MS Today. His research interests are in decision support systems, especially neural network applications, and technologies for managing information overload. His team's work on forecasting box office revenue of movies has received a lot of press. Defense Ammunitions Center, NSF, the US Department of Education, Marketing Science Institute, and other organizations have funded his research. Ramesh is also a cofounder of a company that produces virtual trade fairs, iTradeFair.com .
PY - 2013/5
Y1 - 2013/5
N2 - Efficient and effective functioning of intensive care units (ICU) has a significant impact on the safety of patients who are critically sick, performance of care providers, utilization of clinical resources, and is essential for improving the overall healthcare delivery. This study focuses on developing a better understanding of ICU rounding process, which is a team-based activity and is routinely conducted with the objective of providing an error-free and customized treatment plan for each patient admitted to an ICU. However, rounding process is complex, ill-understood and marred by numerous inefficiencies. In this study, we develop process framework for ICU care delivery that integrates various pathophysiologic, care delivery and intervention processes. We do this by examining the rounding workflow of two major teaching hospitals in the US. One major issue for rounding process is interruptions. We suggest and test strategies for improving ICU rounding workflow by managing interruptions. This is accomplished through the development of simulation models to compare the relative merits of controlling interruptions in ICU with respect to overall rounding completion time. We found that as much as 39% time savings can be realized with alternate interruption control methods.
AB - Efficient and effective functioning of intensive care units (ICU) has a significant impact on the safety of patients who are critically sick, performance of care providers, utilization of clinical resources, and is essential for improving the overall healthcare delivery. This study focuses on developing a better understanding of ICU rounding process, which is a team-based activity and is routinely conducted with the objective of providing an error-free and customized treatment plan for each patient admitted to an ICU. However, rounding process is complex, ill-understood and marred by numerous inefficiencies. In this study, we develop process framework for ICU care delivery that integrates various pathophysiologic, care delivery and intervention processes. We do this by examining the rounding workflow of two major teaching hospitals in the US. One major issue for rounding process is interruptions. We suggest and test strategies for improving ICU rounding workflow by managing interruptions. This is accomplished through the development of simulation models to compare the relative merits of controlling interruptions in ICU with respect to overall rounding completion time. We found that as much as 39% time savings can be realized with alternate interruption control methods.
KW - Intensive care units
KW - Interruptions
KW - Process
KW - Rounding
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U2 - 10.1016/j.dss.2012.10.009
DO - 10.1016/j.dss.2012.10.009
M3 - Article
AN - SCOPUS:84878252834
SN - 0167-9236
VL - 55
SP - 516
EP - 527
JO - Decision Support Systems
JF - Decision Support Systems
IS - 2
ER -