Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?

Natalia Olchanski, Mikhail A. Dziadzko, Ing C. Tiong, Craig E. Daniels, Steve G. Peters, John C. O’Horo, Michelle Ng Gong

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish (US)
Article number171
JournalJournal of Medical Systems
Volume41
Issue number11
DOIs
StatePublished - Nov 1 2017

Fingerprint

Data Display
Intensive care units
Intensive Care Units
Length of Stay
Patient Acuity
Demography
Hospital Charges
Electronic medical equipment
Mortality
Electronic Health Records
Health care
Critical Illness
Patient Care
Odds Ratio
Health
Confidence Intervals
Delivery of Health Care
Costs and Cost Analysis
Population
Costs

Keywords

  • EMR
  • ICU
  • Quality

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Information Systems
  • Health Informatics
  • Health Information Management

Cite this

Olchanski, N., Dziadzko, M. A., Tiong, I. C., Daniels, C. E., Peters, S. G., O’Horo, J. C., & Gong, M. N. (2017). Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives? Journal of Medical Systems, 41(11), [171]. https://doi.org/10.1007/s10916-017-0810-8

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 journalArticle

Olchanski, N, Dziadzko, MA, Tiong, IC, Daniels, CE, Peters, SG, O’Horo, JC & Gong, MN 2017, 'Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?', Journal of Medical Systems, vol. 41, no. 11, 171. https://doi.org/10.1007/s10916-017-0810-8
Olchanski N, Dziadzko MA, Tiong IC, Daniels CE, Peters SG, O’Horo JC et al. Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives? Journal of Medical Systems. 2017 Nov 1;41(11). 171. https://doi.org/10.1007/s10916-017-0810-8
Olchanski, Natalia ; Dziadzko, Mikhail A. ; Tiong, Ing C. ; Daniels, Craig E. ; Peters, Steve G. ; O’Horo, John C. ; Gong, Michelle Ng. / Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?. In: Journal of Medical Systems. 2017 ; Vol. 41, No. 11.
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