Introduction: Interdisciplinary huddles in the ICU are an excellent way to convey information and address patient care issues at a systems level. The preexisting structure in our medical ICU was a single piece of paper placed in a binder after completion, making it difficult to update, reference, or use for research purposes. We converted our huddle to a digital format and updated the data collected. Methods: The first step was speaking to all stakeholders to obtain feedback regarding data to be collected, ideal attendants, and manner of data collection. Stakeholders included the ICU director, nurse managers, attending physicians, and QI specialist. These same stakeholders, as well as nurses and housestaff, had opportunities throughout development and rollout of the huddle to provide additional feedback. Once the initial draft of the huddle was agreed upon, Redcap was chosen as the digital platform to provide a safe location for PHI and facilitate data analysis for future initiatives. The first use of the digital huddle was supervised by the huddle creator as well as the unit director. A QR code was posted for ease of access. Reminder emails were sent to attendings to ensure they were updated on the process. Results: Development to roll out was approximately 4 months (12/24 to 4/25). Adjustments were made based on stakeholder feedback at least monthly. The components of the huddle are: Staffing (attendings, fellows, charge RNs), Census (outliers, appropriate for transfer), Respiratory (SBT, PT/OT, awaiting trach, LTACH), Family (meeting held, meeting needed, pall care needed), and Issues (good catch, pharmacy, unplanned extubation, unexpected death, safety concern). As of 7/17/25, the huddle has been completed 59 times indicating 85% compliance (69 workdays, not required on weekends). The most recent update is a list of PT/OT appropriate patients is sent to the lead physical therapist to ensure they are seen promptly. Conclusions: The medical ICU morning huddle was successfully digitized and updated to best serve our patients and staff. Redcap has proven a user friendly data entry method, allowing frequent revision and easy access for analysis. The next steps for this project are integrating EMR data to provide additional detail, and expanding attendance to include social work and palliative care.
Douglas et al. (Sun,) studied this question.