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11.1 - Leading the Daily Intensive Care Ward Round

from Section 11 - Professionalism, Patient Safety, Governance and Health Systems Management

Published online by Cambridge University Press:  27 July 2023

By
Julian Howard
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Insight into habitual barriers leads to an effective ward round.

  2. 2. The importance of location, which should be at the bedside, with the patient at the focus.

  3. 3. The importance of a structured approach, physical examination, checklists and goal setting.

  4. 4. The ward round should be multidisciplinary, promoting a culture of collaborative input, with all individual roles acknowledged and respected.

  5. 5. The ward round should be concluded by clarification of agreed goals for the day, defining individual responsibilities within the attending team and contemporaneous documentation.

Keywords

ward roundmultidisciplinarydocumentationstructured approachresponsibilities
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 739 - 743
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Lane, D, Ferri, M, Lemaire, J, Mclaughlin, K, Stelfox, H. A systematic review of evidence-informed practices for patient care rounds in the ICU. Crit Care Med 2013;41:2015–29.CrossRefGoogle ScholarPubMed
Leape, L, Cullen, D, Clapp, M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999;281:267–70.Google Scholar
Morrison, C, Jones, M, Blackwell, A, Vuylsteke, A. Electronic patient record use during ward rounds: a qualitative study of interaction between medical staff. Crit Care 2008;12:R148.CrossRefGoogle Scholar
Royal College of Physicians, Royal College of Nursing. 2012. Ward rounds in medicine –principles for best practice. www.colleaga.org/tools/ward-rounds-medicine-principles-best-practiceGoogle Scholar
Royal College of Physicians, Royal College of Nursing. 2021. Modern ward rounds. www.rcplondon.ac.uk/projects/outputs/modern-ward-roundsGoogle Scholar
Vincent, JL. Give your patient a fast hug (at least) once a day. Crit Care Med 2005;33:1225–9.CrossRefGoogle Scholar

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