Table 1. Observation and participant characteristics.
Chart review observations | N (%) |
---|---|
Total observations | 32 |
Unique patient charts reviewed | 31 |
Unique clinicians observed | 24 |
ICU team role | |
Attending physicians (10 unique) | 13 (41%) |
Fellows (7 unique) | 9 (28%) |
APP (7 unique) | 10 (31%) |
Shift | |
Day | 23 (72%) |
Night | 9 (28%) |
Preobservation ICU team census percent (of maximum) a | Mean (SD) |
Total | 68 (± 16) % |
Admitting patient syndrome/diagnosis b | |
Respiratory failure | 15 (48%) |
Renal failure | 7 (23%) |
Pneumonia | 5 (16%) |
Septic shock | 4 (13%) |
Altered mental status | 4 (13%) |
Hypotension NOS | 3 (10%) |
Heart failure | 3 (10%) |
GI bleeding | 3 (10%) |
Liver failure | 2 (6%) |
Hemorrhagic shock | 2 (6%) |
Arrhythmia | 2 (6%) |
Other | 13 (42%) |
APACHE IV score | Median (IQR) |
Total | 69 (57–79) |
Route of patient admission | |
Internal emergency department | 11 (35%) |
General hospital ward | 7 (23%) |
External emergency department transfer | 6 (19%) |
Outpatient clinic/procedure | 4 (13%) |
Outside hospital transfer | 3 (10%) |
Clinician demographics ( N = 24) | N (%) |
Years in clinical practice | |
Minimum | 1 |
Median (IQR) | 7.5 (4–13.5) |
Maximum | 34 |
Usual ICU practice ( N = 19 c ) | |
Medical | 16 (84%) |
Mixed medical/surgical | 3 (16%) |
Primary specialty | |
Pulmonary and critical care | 14 (58%) |
Critical care—internal medicine | 1 (4%) |
Critical care—anesthesiology | 2 (8%) |
APP training (critical care) | 7 (29%) |
Familiarity with existing EHR software ( N = 19 c ) | |
Beginner | 2 (11%) |
Intermediate | 7 (37%) |
Advanced | 10 (53%) |
Abbreviations: APACHE, Acute Physiology and Chronic Health Evaluation; APP, advanced practice provider; NOS, not otherwise specified; SD, standard deviation.
Provides an estimate of the workload burden at the time of the chart review.
More than one diagnosis permitted per unique patient ( N = 31), will not sum to 100%.
Not all clinician participants completed the demographic assessment.