Use of computerized ICU documentation to capture ICU core measures

Wahl, Wendy L.; Talsma, Akke Neel; Dawson, Carrie; Dickinson, Sharon; Pennington, Kori; Wilson, Donna M.; Arbabi, Saman; Taheri, Paul A.

doi:10.1016/j.surg.2006.06.017

Cited by 25 publications

(16 citation statements)

References 7 publications

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“…The heterogeneous sample included articles not described due to limited space in this article; 74–110 however, they are included in the reference list. We were not able to compare and contrast and provide a definitive list of those strategies that should always be considered.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice

Medves

Godfrey

Turner

et al. 2010

International Journal of Evidence-Based Healthcare

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Section: Resultsmentioning

confidence: 99%

Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice

Medves

Godfrey

Turner

et al. 2010

International Journal of Evidence-Based Healthcare

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“…The workgroup used evidence-based recommendations to identify pertinent information for inclusion in the PU Daily, in particular review of the literature pertaining to predictors of PU's in acute care, ICU's, demographic characteristics, and use of treatments such as use of nutrition to prevent the development of PU's. The PU Daily was developed using a similar technological approach as described in O'Reilly [5] and Wahl [6]. The available clinical data systems (EMR, clinical warehouse) provided a list of all patients who were admitted to a specific unit and clinical data about patient risk and health status.…”

Section: Development Of Pu Dailymentioning

confidence: 99%

“…The daily report ("PU Daily") uses EMR data to provide a current and pertinent overview of patient risk factors and pressure ulcer status. O'Reilly [5] and Wahl [6] used a daily electronic feedback system which incorporated components of patient specific clinical data organized to provide timely feedback to providers with favorable results. The O'Reilly [5] intervention greatly contributed to timely delivery of prophylactic antibiotics by anesthesiologists.…”

Section: Introductionmentioning

confidence: 99%

“…The O'Reilly [5] intervention greatly contributed to timely delivery of prophylactic antibiotics by anesthesiologists. Wahl [6] reported that patient specific feedback from an EMR based report to reduce ventilator associated pneumonia (VAP) was readily implemented. These studies demonstrate that topic specific clinical decision support applications provide actionable information for clinicians and subsequently impact patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Pressure Ulcer Prevention Clinical Decision Report for Bedside Nurses in Acute Care Hospitals

Talsma¹,

Tschannen²,

Guo³

et al. 2011

Appl Clin Inform

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SummaryBackground: Hospital stays for patients with pressure ulcers (PU) increased nearly 80% from 1992 to 2006. Most PU's developed during an admission, often despite preventive efforts from clinical staff. Data from Electronic medical records (EMR's) were used to prepare daily patient risk factor and PU information for nurses to help prevent PU development and exacerbations. Objectives: The objectives of this study were to determine whether: 1) dissemination of an automated daily report with patient risk and current status of pressure ulcers ("PU Daily") helps prevent the development of pressure ulcers, and 2) using the PU Daily information impacts the severity of pressure ulcers that develop in an acute care setting. Methods: A pre-post study with four control units was designed to determine the impact of the PU Daily in intensive care units (ICU) in a large medical center. The control units included ICU's using the same EMR and similar complexity of cases with a high risk of developing a PU. The pre-post study took place over a six month period (March -August 2009). Results: A total of 6,735 cases were included in the study. The intervention unit showed a significant decrease (p = 0.004) in PU's at post-evaluation; none of the four comparison units showed a decrease at the p<0.05 level. The intervention led to a significant reduction in the total number of PU's documented (p <0.000) and the number of Stage II PU's (p = 0.046). Conclusion:The intervention with the PU Daily showed a significant decrease in the total PU's and severity of PU's and allowed for implementation of interventions that help prevent the development of PU's. As EMR's become more widely available, this intervention showed a reduction in PU's. Future studies should further develop this intervention and include multiple institutions and patient populations.

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“…However, compliance with infection control protocols often wanes over time and can be influenced significantly by staffing levels in the ICU [95,96]. Wahl et al have shown that a computerized flow sheet employed in the ICU could improve compliance with care measures involved in the prevention of VAP, as well as other protocols [97].…”

Section: Prevention Protocolsmentioning

confidence: 99%

Prevention of Nosocomial Pneumonia in the Intensive Care Unit: Beyond the Use of Bundles

Kollef

2011

Surgical Infections

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Background: The occurrence of nosocomial pneumonia (NP) in the hospital setting is especially problematic, as it is associated with a greater risk of in-hospital death, longer stays on mechanical ventilation and in the intensive care unit (ICU), more need for tracheostomy, and significantly higher medical care costs. Methods: Review of the pertinent English-language literature. Results: The adverse effect of NP on healthcare outcomes has increased pressure on clinicians and hospital systems to prevent this infection. This brief review provides an overview of the current approaches to the prevention of NP, focusing primarily on ventilator-associated pneumonia (VAP). Conclusion: Clinicians working in ICUs should consider the following recommendations: (1) Develop a VAP prevention bundle based on evidence-based guidelines; (2) monitor the rates of VAP prior to and during implementation of the program; (3) make adjustments according to VAP occurrence; and (4) integrate VAP prevention with other quality improvement programs.

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Use of computerized ICU documentation to capture ICU core measures

Cited by 25 publications

References 7 publications

Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice

Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice

Evaluation of the Pressure Ulcer Prevention Clinical Decision Report for Bedside Nurses in Acute Care Hospitals

Prevention of Nosocomial Pneumonia in the Intensive Care Unit: Beyond the Use of Bundles

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