Reducing Length of Stay and Improving Quality of Care by Implementation of Informatics System and Care Bundle in the Intensive Care Unit
Título del documento: Reducing Length of Stay and Improving Quality of Care by Implementation of Informatics System and Care Bundle in the Intensive Care Unit
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000454102
ISSN: 0034-8376
Autores: 1
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2
3
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4
5
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Instituciones: 1Taipei Medical University, Taipei Medical University Hospital, Taipei. Taiwán
2Taipei Medical University, Research Center of Biostatistics, Taipei. Taiwán
3Taipei Medical University Hospital, Department of Nursing, Taipei. Taiwán
4National Taiwan University, College of Public Health, Taipei. Taiwán
5Taipei Medical University Hospital, Department of Surgery, Taipei. Taiwán
Año:
Periodo: Ene-Feb
Volumen: 72
Número: 1
Paginación: 25-31
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado, descriptivo
Resumen en inglés Background: Clinical situations in intensive care units (ICUs) change rapidly, and many factors may prolong the length of stay (LOS) of patients. Objectives: The objectives of the study were to examine the effects of implementing an electronic-ICU (e-ICU) and an informatics system in an ICU on the LOS of patients and quality of care. Methods: We evaluated the implementation of a technology electronic dashboard-ICU (TED-ICU) system to upload automatically physiological information and clinical data within the critical care unit for providing real-time information to the care team. Furthermore, TED-ICU software automatically performed Sequential Organ Failure Assessment (SOFA) every 48 h. If a patient’s SOFA score decreased by more than 2 points, there was an automatic reminder for transferring patients to the general ward. We prospectively collected data for this study from the ICU before and after implementing the e-ICU. Results: In total, 2248 patients were admitted to our ICU during the study period (1147 and 1101 patients before and after TED-ICU implementation, respectively). Demographic characteristics and in-hospital mortality rates did not differ significantly between the two groups, and the LOS decreased from 7.26 to 5.53 days (p < 0.01). Conclusion: Implementing an informatics system (TED-ICU) and care bundle in ICUs can reduce the LOS
Disciplinas: Medicina
Palabras clave: Hospitales,
Unidad de cuidados intensivos,
Sistemas automatizados,
Calidad de la atención,
Falla orgánica secuencial
Keyword: Hospitals,
Intensive care unit (ICU),
Automated systems,
Quality of care,
Sequential organ failure
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