Research Article

Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit

Table 1

Definitions of the 10 essential quality indicators of the checklist*.

Patient plan of care

(1) Main problem discussed (0.917)
Verbal identification of the (provisional) main problem, according to patient’s response to treatment, or same as indication(s) for admission to the ICU
(2) Diagnostic plan discussed (0.897)
To discuss specific activities (laboratory tests, computed tomography scans, radiographs, or consults with other consultants) for the purpose of determining diagnosis or excluding specific problems or complications
(3) Provisional goal formulated (0.897)
What must be done to get this patient to the next level of care or discharged from the ICU?
(4) Long-term therapeutic items (>16 h) discussed (0.797)
(5) Patient greatest risk discussed (0.668)
The risk of a widespread or serious complication that can occur because of factors associated with the patient, therapy, or stay in the ICU, or same as indication(s) for admission of patient to the ICU

Process

(6) Expectations made clear by consultants (0.762)
Consultant gives explanation, advice, or justification of specific therapeutic issues related to the patient
(7) Input of junior physicians encouraged (0.710)
Junior physicians have an opportunity to speak
(8) Input of nurses encouraged (0.732)
Nurses have an opportunity to speak
(9) Summary given (0.867)
Overview of patient’s treatment plan is given: diagnoses, goals, therapy, priority, and identification of responsible providers when appropriate, the summary includes diagnostic plan
(10) It is clear who is responsible for performing tasks (0.710)
Core duties for team members are discussed tasks are cross-checked to ensure a shared understanding

Descriptions of each quality indicator were outlined in a manual for users. ICU: intensive care unit. Numbers in parentheses were the results of a confirmative factor analysis that found all factor loadings of 10 essential quality indicators on 1 domain.