Feasibility and Implementation of Multidisciplinary Rounds Using a Wellness Checklist in the Intensive Care Unit: A Prospective Quality Improvement Study

Feasibility and Implementation of Multidisciplinary Rounds Using a Wellness Checklist in the Intensive Care Unit: A Prospective Quality Improvement Study - Feasibility and Implementation of Multidisciplinary Rounds Using a Wellness Checklist in the Intensive Care Unit: A Prospective Quality Improvement Study

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

JPRN

Registry ID

JPRN-UMIN000061441

Enrollment

Registered

2026-06-15

Start date

2026-06-15

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Critically ill patients in the Intensive Care Unit (ICU)

Interventions

Multidisciplinary care rounds are conducted twice weekly (every Monday and Friday) for communicative critically ill patients in the ICU. A multidisciplinary team consisting of a physician, nurse, phar

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adult patients aged 18 years or older admitted to the ICU of St. Luke's International Hospital. 2. Patients deemed capable of communication (verbal or non-verbal). 3. Patients expected to remain in the ICU for 2 or more days.

Exclusion criteria

Exclusion criteria: 1. Patients under deep sedation (incapable of communication). 2. Patients undergoing emergency procedures or in critical deterioration at the time of rounds. 3. Patients who refuse participation. 4. Patients deemed inappropriate for inclusion by the principal investigator or sub-investigators.

Design outcomes

Primary

Measure	Time frame
Feasibility of the multidisciplinary care rounds, evaluated comprehensively by the following three a priori-defined success criteria: 1. Completion rate: Care rounds are completed for 70% or more of eligible patients. 2. Consent rate: Verbal consent is obtained from 60% or more of approached eligible patients. 3. Documentation completeness rate: 80% or more of applicable items on the wellness checklist are documented without missing data.	—

Measure

Time frame

Feasibility of the multidisciplinary care rounds, evaluated comprehensively by the following three a priori-defined success criteria: 1. Completion rate: Care rounds are completed for 70% or more of eligible patients. 2. Consent rate: Verbal consent is obtained from 60% or more of approached eligible patients. 3. Documentation completeness rate: 80% or more of applicable items on the wellness checklist are documented without missing data.

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Secondary

Measure	Time frame
1. Implementation rate of specialist-recommended interventions (proportion of recommendations by pharmacists and dietitians approved and executed by intensivists). 2. Number of preventive interventions performed. 3. Intervention success rate: proportion of identified discomforts for which interventions resulted in improvement or resolution as assessed by the next-day nurse. 4. Pre- and post-intervention changes in sleep quality (NRS-Sleep, 0-10), pain intensity (NRS, 0-10), and delirium prevalence (CAM-ICU positive rate). 5. Safety outcome: incidence of unexpected clinical deterioration or excessive fatigue-related worsening within 24 hours of the care rounds.	—

Measure

Time frame

1. Implementation rate of specialist-recommended interventions (proportion of recommendations by pharmacists and dietitians approved and executed by intensivists). 2. Number of preventive interventions performed. 3. Intervention success rate: proportion of identified discomforts for which interventions resulted in improvement or resolution as assessed by the next-day nurse. 4. Pre- and post-intervention changes in sleep quality (NRS-Sleep, 0-10), pain intensity (NRS, 0-10), and delirium prevalence (CAM-ICU positive rate). 5. Safety outcome: incidence of unexpected clinical deterioration or excessive fatigue-related worsening within 24 hours of the care rounds.

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Countries

Japan

Contacts

Public ContactShodai Shimano

St. Lukes International Hospital Department of Nursing

shoshima@luke.ac.jp03-3541-5151

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026