Reducing length of stay and improving quality of care by implementation of informatics system and care bundle in the intensive care unit
Rev. invest. clín
; 72(1): 25-31, Jan.-Feb. 2020. tab, graf
Article
em En
| LILACS
| ID: biblio-1251831
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT 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.Palavras-chave
Texto completo:
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Índice:
LILACS
Assunto principal:
Qualidade da Assistência à Saúde
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Sistemas de Informação Hospitalar
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Pacotes de Assistência ao Paciente
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Unidades de Terapia Intensiva
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Rev. invest. clín
Assunto da revista:
MEDICINA
Ano de publicação:
2020
Tipo de documento:
Article