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Editor's Correspondence
July 12, 2010

The Value of Multidisciplinary Rounds

Author Affiliations

Author Affiliation: Sanger Heart and Vascular Institute, Charlotte, North Carolina.

Arch Intern Med. 2010;170(13):1169-1177. doi:10.1001/archinternmed.2010.214

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.

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