EHR and ICU Quality Improvement: Some Successes
Health information technology, and specifically the EHR, is increasingly viewed as a means to provide more coordinated, patient-centred care. However, few studies consider the impact of EHRs on quality of care in the intensive care unit (ICU) setting.
Roopa Kohli-Seth, MD, Mount Sinai School of Medicine, New York, NY, and colleagues conducted a retrospective chart review to record quality indicators for patients admitted to the SICU between January 2009 and December 2013 (3,742 patients). Data was segregated between patients admitted to the SICU two years before (January 2009 to December 2010) and two years after (January 2012 to December 2013) EHR implementation. Data from the 12-month period of transition to EHR was excluded (January 2011 to December 2011).
The investigators collected data on length of stay, mortality, CLABSI rates, Clostridium difficile (C. diff) colitis rates, readmission rates, and number of coded diagnoses. After EHR implementation, the rate of CLABSI per 1,000 catheter days was 85 percent lower, and overall SICU mortality was 28 percent lower. EHR implementation also resulted in a significant increase in the average number of coded diagnoses from 17.8 to 20.8.
However, the results showed no significant impact on length of stay, C. difficile colitis rates, or readmission rates after adoption of the EHR system.
"After EHR implementation, there was no significant difference in multiple key quality of care indicators in the SICU. There were significant reductions in CLABSI rates and SICU mortality. Ongoing quality improvement endeavours may explain the changes in CLABSI and mortality, but these trends invite further study of the possible impact of EHRs on quality of care in the ICU," the authors conclude.
Mark J. Rosen, MD, Master FCCP, CHEST Medical Director, said."Considering the large investment into EHRs and the high cost associated with ICU care, it's important to develop EHRs that improve ICU quality of care." Dr. Rosen is not part of the research team that conducted the study.
Further results will be shared during CHEST Annual Meeting 2015, held 24-28 October in Montréal, Canada.
Source: American College of Chest Physicians
Image credit: Flickr.com
Published on : Thu, 22 Oct 2015
Not yet available in the U.S. or Canada Lactate, Hemoglobin, Hematocrit, Glucose, and Ketone for early patient assessment and treatment Fingerstick capillary sample, no blood draws Results as fast as 6 seconds Laboratory-quality...
NovaPort cannulas are designed specially to meet the needs of extracorporeal heart and lung support circuits and perioperative perfusion in minimally invasive heart surgery. All blood-contact surfaces of the NovaPort cannulas are coated with the bio-...
ExThera’s proprietary Seraph 100 Microbind Affinity Blood Filter (Seraph 100) is a first-of-its kind, CE Marked, technology designed to reduce bloodborne pathogens during bloodstream infections. Validated in preclinical studies and in a clinical trial...
Features SV 300 is a state-of-the-art ventilator that’s simple to configure, easy to operate and versatile in use. It equips with extensive ventilation modes that can treats pediatric and adult patients with all acuity levels at ICUs and Intermediate...
Taking Lab Productivity to the Next Level Ortho’s full portfolio provides a scalable solution that drives integration across your lab and network. One Connection, Complete Control Ortho’s enhanced middleware solution that allows you...