Supporting information management in ICU rounding a novel mobile system for managing patient-centered notes and action-items

Team rounds on patients in the hospital's intensive care unit (ICU) results in the generation of several paper-based and digital notes. Paper-based notes, although short-lived, act as translational artifacts that help organize and coordinate patient information and care. Maintaining double records of paper and digital notes can introduce several awareness and coordination problems such as contextually situating clinicians as to a patient's on-going care. Based on the design requirements derived from our fieldwork, we propose a new technology, PANI (Patient-centered Notes and Information Manager). PANI is a clinical tool that integrates the use of a mobile application, paper-based artifacts, and a wearable device (such as FitBit) in one system to support the management of notes and action-items that are generated throughout a typical ICU clinical shift. In this paper, we present the functional design of PANI and our preliminary findings of a participatory study that included 15 clinician participants.