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.
Lobdell KW. The Value of Multidisciplinary Rounds. Arch Intern Med. 2010;170(13):1169-1177. doi:10.1001/archinternmed.2010.214