Who are the Central Communicators in the ICU?
David Shoham, PhD, associate professor in the Department of Public Health Sciences of Loyola University Chicago Stritch School of Medicine, and colleagues published their study in the American Burn Association's Journal of Burn Care & Research. Shoham explained that the pattern of who talks to whom dictates the centre or core of a communication system. "Being 'central' means these team members tie the team together and reduce the distance that information needs to travel between team members. This study showed we cannot presuppose doctors and nurses are the only important players healthcare settings."
The study, in a level 1 burn ICU, documented interactions with occupational therapists, respiratory therapists, medical students and housekeeping staff as well as care by physicians, nurses, social workers, dietitians and medical students. Clinical team members reported the frequency (0 to 3+ times) of discussion about patient care issues with every other coworker during a 24-hour period. The researchers then calculated the proportion of clinical team members completing the questionnaire, created a map (sociogram) of the network, identified central positions, and searched for weak points. A total of 69 coworkers were listed by 48 clinical team members (70% completion rate). There were 626 connections (arcs) present (density = 13.3%).
Shoham believes that comparing social network communication in patient health could lead to better patient outcomes. He emphasises that effective clinical care teams have high degrees of shared cognition. By contrast, those teams that work in silos are not as effective and present barriers to optimal patient care. The study will be used to guide subsequent data collection from this and other clinical teams to correlate team structural features with clinical process outcomes and patient safety. He is interested in conducting additional studies to compare communication networks in other intensive care units as well as non-intensive care units.
Image source: freeimages.com
Published on : Mon, 5 Jan 2015
Print as PDF
The iLA Membrane Ventilator is an extrapulmonary ventilation system which is used primarily to remove carbon dioxide. The heart pumps blood through it as it does through a natural organ. The gas exchange takes place via a plasma-tight, heparin-coated...
The HAMILTON-C3 ventilator is a modular high-end ventilation solution for all patient groups. Offering a number of unique features, the HAMILTON-C3 is one of the first ventilators featuring the “Ventilation Autopilot” INTELLiVENT-ASV®. The HAMILTON-C3’s...
Get an complete overview of your POCT setup - from one dashboard Your point-of-care-testing setup probably involves many different types of devices from various manufacturers. Radiometer's AQURE point-of-care management system can give you an overview...
The technical and clinical reference standard for all B·R·A·H·M·S PCT assays. All clinical cut-offs and algorithms were developed based on B·R·A·H·M·S PCT sensitive KRYPTOR. Homogeneous immunoassay for the quantitative d