Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study

Rev Bras Enferm. 2022 Sep 23;75(3):e20210934. doi: 10.1590/0034-7167-2021-0934. eCollection 2022.
[Article in English, Portuguese]

Abstract

Objectives: to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit.

Methods: a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection.

Results: after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety.

Conclusions: the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.

MeSH terms

  • Checklist
  • Critical Care / methods
  • Humans
  • Intensive Care Units
  • Pneumonia, Ventilator-Associated*
  • Teaching Rounds*