Abstract
Electronic health records (EHR) combined with robust data collection systems can be used to simultaneously drive research and performance improvement initiatives. Our Smart, Transformative, EHR-based Approaches to Revolutionizing the Intensive Care Unit (STELAR ICU) consists of a framework of five best practices that make optimal use of objective data to guide clinicians caring for the sickest patients in our quaternary center. Our strategy has relied on an accessible data infrastructure, standardizing without protocolizing care, using technology to increase patient contact and time spent at the bedside, continuously re-evaluating performance in real-time, and acknowledging uncertainty by using electronic data to provide probabilistic weight to clinical decision-making. These strategies blur the lines between research and quality improvement, with the aim of achieving truly stellar patient outcomes.
Subject
Computer Networks and Communications,Human-Computer Interaction,Communication
Reference12 articles.
1. The Learning Healthcare System: Workshop Summary,2007
2. Presenting Predictors and Temporal Trends of Treatment-Related Outcomes in Diabetic Ketoacidosishttps://onlinelibrary.wiley.com/doi/abs/10.1111/pedi.12663
3. Adverse Effects of Computers during Bedside Rounds in a Critical Care Unithttps://jamanetwork.com/journals/jamasurgery/fullarticle/2688232