A Novel Method of Optimizing Patient and Family Centered Care in the ICU: Family presence on ICU rounds.

Background: Patient and family centered care permeates critical care where there are often multiple teams involved in management. A method of facilitating information sharing to support shared decision-making is essential in appropriately rendering care. This study sought to determine whether incorporating family members on rounds in the ICU improves patient and family knowledge, and whether doing so improves team time management and satisfaction with the process. Methods: A nonrandomized, comparative before and after trial of incorporating family members on rounds (July-December 2009 vs January-July 2010) in a single quarternary center's Surgical ICU assessed: 1) family member knowledge, 2) nurse and physician satisfaction with the intervention, 3) frequency and timing of family meetings, and 4) physician workflow. Results: ICU demographics and utilization was similar between time frames. PRE (n=412 family; 49 nurse) and POST (n=427 family; 47 nurse) surveys were coupled with PRE (n=5) and POST (n=6) physician informal feedback. Family knowledge of the clinical course and plans increased from 146/412 (35.4%) to 374/427 (87.6%; P

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