{
  "abstract": "Background: Multidisciplinary rounds are essential for high-quality intensive care but are frequently hindered by inconsistent team participation and logistical inefficiencies. We evaluated the associated impact of implementing a standardized multidisciplinary rounding checklist and real-time paging system on multidisciplinary team attendance, rounding efficiency, and selected clinical outcomes in the ICU. Methods: A retrospective, observational pre- and post-intervention cohort study featuring a concurrent control group was conducted at a tertiary care hospital. The study included 331 adults admitted to the medical ICU (MICU) and neurovascular critical care unit (NCCU; control). The intervention combined a standardized rounding checklist incorporating the ICU Liberation (ABCDEF) bundle and FAST HUGS BID mnemonic with a real-time paging notification system to alert team members of round start times and locations. The primary outcome was change in multidisciplinary team participation at the start and end of rounds; secondary outcomes included rounding time per patient and exploratory care-process outcomes. Results: Multidisciplinary participation at the start and conclusion of rounds significantly improved for both the MICU advanced practice provider (APP) team (p = 0.003 and p = 0.002, respectively) and the resident team (p = 0.006 and p < 0.001, respectively), while attendance in the NCCU group remained unchanged. Median rounding time per patient decreased by 20.8% (13.0 to 10.3 min, p < 0.001). In a survivor-only sensitivity analysis, the streamlined workflow decreased the median time to physical and occupational therapy consultations from 4 to 2 days (p ≤ 0.002). Invasive device stewardship significantly improved; central venous catheter utilization decreased from 58.0% to 25.0% (p < 0.001), and arterial line utilization fell from 55.0% to 26.5% (p < 0.001), with median arterial catheter duration decreasing from 5 to 3 days (p = 0.001). Conclusions: Implementing low-cost, reliable workflow standardization tools was associated with significantly improved multidisciplinary participation and shorter rounding time per patient. Favorable changes in selected care-process measures were also observed, although patient-level clinical outcomes should be interpreted as exploratory and future studies are warranted.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Pharmacy, Bronson Methodist Hospital, Kalamazoo, MI 49007, USA.",
    "Department of Pharmacy, Eskenazi Health, Indianapolis, IN 46202, USA.",
    "Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Natalie C Washburn"
    },
    {
      "affs": [
        1
      ],
      "name": "Todd A Walroth"
    },
    {
      "affs": [
        2
      ],
      "name": "Arghyadeep Ganguly",
      "orcid": "0000-0002-0078-658X"
    },
    {
      "affs": [
        0
      ],
      "name": "Thomas Blostica"
    },
    {
      "affs": [
        2
      ],
      "name": "Akram Alnounou",
      "orcid": "0009-0002-5657-1139"
    },
    {
      "affs": [
        2
      ],
      "name": "Chelsea Zambrano",
      "orcid": "0009-0007-3101-4797"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/12p27mvab72fe.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15197437",
  "fulltext_url": "https://europepmc.org/articles/PMC13665707",
  "id": "12p27mvab72fe",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://europepmc.org/article/MED/42881898",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3600|Interprofessional Education and Collaboration"
    ]
  ],
  "openalex": "W7214187811",
  "pdf_url": "https://europepmc.org/articles/PMC13665707?pdf=render",
  "pmcid": "PMC13665707",
  "pmid": "42881898",
  "published": "2026-09-24",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/12p27mvab72fe.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:16Z",
      "native_id": "MED:42881898",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42881898"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Implementation of a Multidisciplinary Rounding Tool in a Medical Intensive Care Unit and Its Association with Rounding Efficiency and Multidisciplinary Collaboration.",
  "title_text": "Implementation of a Multidisciplinary Rounding Tool in a Medical Intensive Care Unit and Its Association with Rounding Efficiency and Multidisciplinary Collaboration.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:16Z",
  "url": "https://research.draconitic.com/paper/12p27mvab72fe",
  "venue": "Journal of clinical medicine",
  "versions": []
}