RT Journal
A1 Lobdell KW
T1 THe value of multidisciplinary rounds
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD July 12
VO 170
IS 13
SP 1169
OP 1177
DO 10.1001/archinternmed.2010.214
UL http://dx.doi.org/10.1001/archinternmed.2010.214
AB 
The US health care system faces serious challenges in delivering value to patients and payers. Kim et al1 provide us with a valuable investigation reinforcing the importance of competence, collaboration, and communication in the intensive care unit (ICU) through multidisciplinary rounds. Specifically, they dissect the contributions of intensivists and multidisciplinary care and demonstrate a marked reduction in risk-adjusted mortality (12%-22%) associated with both. On initial inspection, this is “common sense,” but as we know, common sense is not so common, particularly when trying to change cultures and reallocate resources in complex systems.