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Centralized Multipatient Dashboards' Impact on Intensive Care Unit Clinician Performance and Satisfaction: A Systematic Review.

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Title: Centralized Multipatient Dashboards' Impact on Intensive Care Unit Clinician Performance and Satisfaction: A Systematic Review.
Authors: Strechen I; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States., Herasevich S; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States., Barwise A; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, United States., Garcia-Mendez J; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States., Rovati L; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, United States.; Department of Emergency Medicine, University of Milano-Bicocca, School of Medicine and Surgery, Milan, Italy., Pickering B; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States., Diedrich D; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States., Herasevich V; Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota, United States.
Source: Applied clinical informatics [Appl Clin Inform] 2024 May; Vol. 15 (3), pp. 414-427. Date of Electronic Publication: 2024 Apr 04.
Publication Type: Journal Article; Systematic Review
Language: English
Journal Info: Publisher: Thieme Country of Publication: Germany NLM ID: 101537732 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1869-0327 (Electronic) Linking ISSN: 18690327 NLM ISO Abbreviation: Appl Clin Inform Subsets: MEDLINE
Imprint Name(s): Publication: 2018- : Stuttgart, Germany : Thieme
Original Publication: Hölderlinstr, Germany : Schattauer
MeSH Terms: Intensive Care Units* , Dashboard Systems*, Humans
Abstract: Competing Interests: None declared.
Background:  Intensive care unit (ICU) clinicians encounter frequent challenges with managing vast amounts of fragmented data while caring for multiple critically ill patients simultaneously. This may lead to increased provider cognitive load that may jeopardize patient safety.
Objectives:  This systematic review assesses the impact of centralized multipatient dashboards on ICU clinician performance, perceptions regarding the use of these tools, and patient outcomes.
Methods:  A literature search was conducted on February 9, 2023, using the EBSCO CINAHL, Cochrane Central Register of Controlled Trials, Embase, IEEE Xplore, MEDLINE, Scopus, and Web of Science Core Collection databases. Eligible studies that included ICU clinicians as participants and tested the effect of dashboards designed for use by multiple users to manage multiple patients on user performance and/or satisfaction compared with the standard practice. We narratively synthesized eligible studies following the SWiM (Synthesis Without Meta-analysis) guidelines. Studies were grouped based on dashboard type and outcomes assessed.
Results:  The search yielded a total of 2,407 studies. Five studies met inclusion criteria and were included. Among these, three studies evaluated interactive displays in the ICU, one study assessed two dashboards in the pediatric ICU (PICU), and one study examined centralized monitor in the PICU. Most studies reported several positive outcomes, including reductions in data gathering time before rounds, a decrease in misrepresentations during multidisciplinary rounds, improved daily documentation compliance, faster decision-making, and user satisfaction. One study did not report any significant association.
Conclusion:  The multipatient dashboards were associated with improved ICU clinician performance and were positively perceived in most of the included studies. The risk of bias was high, and the certainty of evidence was very low, due to inconsistencies, imprecision, indirectness in the outcome measure, and methodological limitations. Designing and evaluating multipatient tools using robust research methodologies is an important focus for future research.
(Thieme. All rights reserved.)
References: Appl Clin Inform. 2021 Mar;12(2):208-221. (PMID: 33853140)
BMJ. 2021 Mar 29;372:n71. (PMID: 33782057)
JMIR Form Res. 2021 Aug 4;5(8):e30862. (PMID: 34346904)
BMC Med Inform Decis Mak. 2017 Oct 2;17(1):142. (PMID: 28969627)
Appl Clin Inform. 2022 Oct;13(5):1207-1213. (PMID: 36577501)
Appl Clin Inform. 2022 Mar;13(2):339-354. (PMID: 35388447)
JMIR Med Educ. 2021 Mar 9;7(1):e25828. (PMID: 33687339)
J Clin Monit Comput. 2012 Dec;26(6):429-36. (PMID: 22588528)
Intensive Care Res. 2023 May 16;:1-7. (PMID: 37360311)
BMJ Open Qual. 2022 Dec;11(4):. (PMID: 36588306)
Int J Med Inform. 2017 Jan;97:98-108. (PMID: 27919400)
Crit Care Med. 2022 Aug 1;50(8):1198-1209. (PMID: 35412476)
J Med Internet Res. 2022 May 13;24(5):e35981. (PMID: 35560107)
PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: 19621072)
J Am Med Inform Assoc. 2010 Jul-Aug;17(4):416-24. (PMID: 20595309)
Crit Care Nurs Q. 2006 Oct-Dec;29(4):354-61. (PMID: 17063102)
Appl Clin Inform. 2018 Jan;9(1):37-45. (PMID: 29342478)
J Am Med Inform Assoc. 2019 May 1;26(5):479-489. (PMID: 30865769)
IEEE J Transl Eng Health Med. 2023 Jan 31;11:151-160. (PMID: 36816098)
IEEE Workshop Vis Anal Healthc. 2017 Oct;2017:47-54. (PMID: 31741726)
Pediatrics. 2014 Mar;133(3):e738-46. (PMID: 24567021)
Appl Clin Inform. 2010 Apr 28;1(2):116-31. (PMID: 23616831)
Appl Clin Inform. 2022 May;13(3):621-631. (PMID: 35675838)
Int J Med Inform. 2015 Feb;84(2):87-100. (PMID: 25453274)
Appl Clin Inform. 2019 Aug;10(4):563-569. (PMID: 31390667)
BMJ. 2016 Oct 12;355:i4919. (PMID: 27733354)
Cochrane Database Syst Rev. 2011 Aug 10;(8):MR000026. (PMID: 21833989)
J Crit Care. 2008 Jun;23(2):245-50. (PMID: 18538218)
Crit Care. 2022 Mar 22;26(1):75. (PMID: 35337366)
BMJ. 2019 Aug 28;366:l4898. (PMID: 31462531)
Int J Med Inform. 2023 Sep;177:105118. (PMID: 37295137)
Crit Care. 2012 Dec 12;16(2):220. (PMID: 22546172)
Dimens Crit Care Nurs. 2011 Jul-Aug;30(4):206-17. (PMID: 21654229)
Crit Care Explor. 2023 May 03;5(5):e0909. (PMID: 37151891)
J Patient Saf. 2022 Sep 1;18(6):e999-e1003. (PMID: 35985047)
Crit Care Med. 2023 Dec 1;51(12):1623-1637. (PMID: 37486188)
Arch Surg. 2009 Jul;144(7):656-62. (PMID: 19620546)
JMIR Hum Factors. 2018 May 31;5(2):e22. (PMID: 29853440)
BMJ. 2020 Jan 16;368:l6890. (PMID: 31948937)
Jt Comm J Qual Patient Saf. 2015 Sep;41(9):414-20. (PMID: 26289236)
Entry Date(s): Date Created: 20240404 Date Completed: 20240529 Latest Revision: 20250531
Update Code: 20250531
PubMed Central ID: PMC11136527
DOI: 10.1055/a-2299-7643
PMID: 38574763
Database: MEDLINE
Description
Abstract:Competing Interests: None declared.<br />Background:  Intensive care unit (ICU) clinicians encounter frequent challenges with managing vast amounts of fragmented data while caring for multiple critically ill patients simultaneously. This may lead to increased provider cognitive load that may jeopardize patient safety.<br />Objectives:  This systematic review assesses the impact of centralized multipatient dashboards on ICU clinician performance, perceptions regarding the use of these tools, and patient outcomes.<br />Methods:  A literature search was conducted on February 9, 2023, using the EBSCO CINAHL, Cochrane Central Register of Controlled Trials, Embase, IEEE Xplore, MEDLINE, Scopus, and Web of Science Core Collection databases. Eligible studies that included ICU clinicians as participants and tested the effect of dashboards designed for use by multiple users to manage multiple patients on user performance and/or satisfaction compared with the standard practice. We narratively synthesized eligible studies following the SWiM (Synthesis Without Meta-analysis) guidelines. Studies were grouped based on dashboard type and outcomes assessed.<br />Results:  The search yielded a total of 2,407 studies. Five studies met inclusion criteria and were included. Among these, three studies evaluated interactive displays in the ICU, one study assessed two dashboards in the pediatric ICU (PICU), and one study examined centralized monitor in the PICU. Most studies reported several positive outcomes, including reductions in data gathering time before rounds, a decrease in misrepresentations during multidisciplinary rounds, improved daily documentation compliance, faster decision-making, and user satisfaction. One study did not report any significant association.<br />Conclusion:  The multipatient dashboards were associated with improved ICU clinician performance and were positively perceived in most of the included studies. The risk of bias was high, and the certainty of evidence was very low, due to inconsistencies, imprecision, indirectness in the outcome measure, and methodological limitations. Designing and evaluating multipatient tools using robust research methodologies is an important focus for future research.<br /> (Thieme. All rights reserved.)
ISSN:1869-0327
DOI:10.1055/a-2299-7643