Abstract
The aim of this study was to quantify the impact of ProCCESs AWARE, Ambient Clinical Analytics, Rochester, MN, a novel acute care electronic medical record interface, on a range of care process and patient health outcome metrics in intensive care units (ICUs). ProCCESs AWARE is a novel acute care EMR interface that contains built-in tools for error prevention, practice surveillance, decision support and reporting. We compared outcomes before and after AWARE implementation using a prospective cohort and a historical control. The study population included all critically ill adult patients (over 18 years old) admitted to four ICUs at Mayo Clinic, Rochester, MN, who stayed in hospital at least 24 h. The pre-AWARE cohort included 983 patients from 2010, and the post-AWARE cohort included 856 patients from 2014. We analyzed patient health outcomes, care process quality, and hospital charges. After adjusting for patient acuity and baseline demographics, overall in-hospital and ICU mortality odds ratios associated with AWARE intervention were 0.45 (95% confidence interval 0.30 to 0.70) and 0.38 (0.22, 0.66). ICU length of stay decreased by about 50%, hospital length of stay by 37%, and total charges for hospital stay by 30% in post AWARE cohort (by $43,745 after adjusting for patient acuity and demographics). Better organization of information in the ICU with systems like AWARE has the potential to improve important patient outcomes, such as mortality and length of stay, resulting in reductions in costs of care.
| Original language | English (US) |
|---|---|
| Article number | 171 |
| Journal | Journal of Medical Systems |
| Volume | 41 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2017 |
Fingerprint
Keywords
- EMR
- ICU
- Quality
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Information Systems
- Health Informatics
- Health Information Management
Cite this
Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives? / Olchanski, Natalia; Dziadzko, Mikhail A.; Tiong, Ing C.; Daniels, Craig E.; Peters, Steve G.; O’Horo, John C.; Gong, Michelle Ng.
In: Journal of Medical Systems, Vol. 41, No. 11, 171, 01.11.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?
AU - Olchanski, Natalia
AU - Dziadzko, Mikhail A.
AU - Tiong, Ing C.
AU - Daniels, Craig E.
AU - Peters, Steve G.
AU - O’Horo, John C.
AU - Gong, Michelle Ng
PY - 2017/11/1
Y1 - 2017/11/1
N2 - The aim of this study was to quantify the impact of ProCCESs AWARE, Ambient Clinical Analytics, Rochester, MN, a novel acute care electronic medical record interface, on a range of care process and patient health outcome metrics in intensive care units (ICUs). ProCCESs AWARE is a novel acute care EMR interface that contains built-in tools for error prevention, practice surveillance, decision support and reporting. We compared outcomes before and after AWARE implementation using a prospective cohort and a historical control. The study population included all critically ill adult patients (over 18 years old) admitted to four ICUs at Mayo Clinic, Rochester, MN, who stayed in hospital at least 24 h. The pre-AWARE cohort included 983 patients from 2010, and the post-AWARE cohort included 856 patients from 2014. We analyzed patient health outcomes, care process quality, and hospital charges. After adjusting for patient acuity and baseline demographics, overall in-hospital and ICU mortality odds ratios associated with AWARE intervention were 0.45 (95% confidence interval 0.30 to 0.70) and 0.38 (0.22, 0.66). ICU length of stay decreased by about 50%, hospital length of stay by 37%, and total charges for hospital stay by 30% in post AWARE cohort (by $43,745 after adjusting for patient acuity and demographics). Better organization of information in the ICU with systems like AWARE has the potential to improve important patient outcomes, such as mortality and length of stay, resulting in reductions in costs of care.
AB - The aim of this study was to quantify the impact of ProCCESs AWARE, Ambient Clinical Analytics, Rochester, MN, a novel acute care electronic medical record interface, on a range of care process and patient health outcome metrics in intensive care units (ICUs). ProCCESs AWARE is a novel acute care EMR interface that contains built-in tools for error prevention, practice surveillance, decision support and reporting. We compared outcomes before and after AWARE implementation using a prospective cohort and a historical control. The study population included all critically ill adult patients (over 18 years old) admitted to four ICUs at Mayo Clinic, Rochester, MN, who stayed in hospital at least 24 h. The pre-AWARE cohort included 983 patients from 2010, and the post-AWARE cohort included 856 patients from 2014. We analyzed patient health outcomes, care process quality, and hospital charges. After adjusting for patient acuity and baseline demographics, overall in-hospital and ICU mortality odds ratios associated with AWARE intervention were 0.45 (95% confidence interval 0.30 to 0.70) and 0.38 (0.22, 0.66). ICU length of stay decreased by about 50%, hospital length of stay by 37%, and total charges for hospital stay by 30% in post AWARE cohort (by $43,745 after adjusting for patient acuity and demographics). Better organization of information in the ICU with systems like AWARE has the potential to improve important patient outcomes, such as mortality and length of stay, resulting in reductions in costs of care.
KW - EMR
KW - ICU
KW - Quality
UR - http://www.scopus.com/inward/record.url?scp=85029635800&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029635800&partnerID=8YFLogxK
U2 - 10.1007/s10916-017-0810-8
DO - 10.1007/s10916-017-0810-8
M3 - Article
C2 - 28921446
AN - SCOPUS:85029635800
VL - 41
JO - Journal of Medical Systems
JF - Journal of Medical Systems
SN - 0148-5598
IS - 11
M1 - 171
ER -