The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit

2013 ◽  
Vol 82 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Eric Levesque ◽  
Emir Hoti ◽  
Sofia de La Serna ◽  
Houssam Habouchi ◽  
Philippe Ichai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Financial Impact ◽  
Care Information

scholarly journals Impact of an Intensive Care Information System on the Length of Stay of Surgical Intensive Care Unit Patients: Observational Study (Preprint)

2019 ◽  
Author(s):  
Camille Havel ◽  
Jean Selim ◽  
Emmanuel Besnier ◽  
Philippe Gouin ◽  
Benoit Veber ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Observational Study ◽  
Severity Score ◽  
University Hospital ◽  
X Rays ◽  
Icu Mortality ◽  
Care Information

BACKGROUND The implementation of computerized monitoring and prescription systems in intensive care has proven to be reliable in reducing the rate of medical error and increasing patient care time. They also showed a benefit in reducing the length of stay in the intensive care unit (ICU). However, this benefit has been poorly studied, with conflicting results. OBJECTIVE This study aimed to show the impact of computerization on the length of stay in ICUs. METHODS This was a before-after retrospective observational study. All patients admitted in the surgical ICU at the Rouen University Hospital were included, from June 1, 2015, to June 1, 2016, for the before period and from August 1, 2016, to August 1, 2017, for the after period. The data were extracted from the hospitalization report and included the following: epidemiological data (age, sex, weight, height, and body mass index), reason for ICU admission, severity score at admission, length of stay and mortality in ICU, mortality in hospital, use of life support during the stay, and ICU readmission during the same hospital stay. The consumption of antibiotics, biological analyses, and the number of chest x-rays during the stay were also analyzed. RESULTS A total of 1600 patients were included: 839 in the before period and 761 in the after period. Only the severity score Simplified Acute Physiology Score II was significantly higher in the postcomputerization period (38 [SD 20] vs 40 [SD 21]; P<.05). There was no significant difference in terms of length of stay in ICU, mortality, or readmission during the stay. There was a significant increase in the volume of prescribed biological analyses (5416 [5192-5956] biological exams prescribed in the period before Intellispace Critical Care and Anesthesia [ICCA] vs 6374 [6013-6986] biological exams prescribed in the period after ICCA; P=.002), with an increase in the total cost of biological analyses, to the detriment of hematological and biochemical blood tests. There was also a trend toward reduction in the average number of chest x-rays, but this was not significant (0.55 [SD 0.39] chest x-rays per day per patient before computerization vs 0.51 [SD 0.37] chest x-rays per day per patient after computerization; P=.05). On the other hand, there was a decrease in antibiotic prescribing in terms of cost per patient after the implementation of computerization (€149.50 [$164 USD] per patient before computerization vs €105.40 [$155 USD] per patient after computerization). CONCLUSIONS Implementation of an intensive care information system at the Rouen University Hospital in June 2016 did not have an impact on reducing the length of stay.

scholarly journals Impact of an Intensive Care Information System on the Length of Stay of Surgical Intensive Care Unit Patients: Observational Study

10.2196/14501 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e14501
Author(s):  
Camille Havel ◽  
Jean Selim ◽  
Emmanuel Besnier ◽  
Philippe Gouin ◽  
Benoit Veber ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Observational Study ◽  
Severity Score ◽  
University Hospital ◽  
X Rays ◽  
Icu Mortality ◽  
Care Information

Background The implementation of computerized monitoring and prescription systems in intensive care has proven to be reliable in reducing the rate of medical error and increasing patient care time. They also showed a benefit in reducing the length of stay in the intensive care unit (ICU). However, this benefit has been poorly studied, with conflicting results. Objective This study aimed to show the impact of computerization on the length of stay in ICUs. Methods This was a before-after retrospective observational study. All patients admitted in the surgical ICU at the Rouen University Hospital were included, from June 1, 2015, to June 1, 2016, for the before period and from August 1, 2016, to August 1, 2017, for the after period. The data were extracted from the hospitalization report and included the following: epidemiological data (age, sex, weight, height, and body mass index), reason for ICU admission, severity score at admission, length of stay and mortality in ICU, mortality in hospital, use of life support during the stay, and ICU readmission during the same hospital stay. The consumption of antibiotics, biological analyses, and the number of chest x-rays during the stay were also analyzed. Results A total of 1600 patients were included: 839 in the before period and 761 in the after period. Only the severity score Simplified Acute Physiology Score II was significantly higher in the postcomputerization period (38 [SD 20] vs 40 [SD 21]; P<.05). There was no significant difference in terms of length of stay in ICU, mortality, or readmission during the stay. There was a significant increase in the volume of prescribed biological analyses (5416 [5192-5956] biological exams prescribed in the period before Intellispace Critical Care and Anesthesia [ICCA] vs 6374 [6013-6986] biological exams prescribed in the period after ICCA; P=.002), with an increase in the total cost of biological analyses, to the detriment of hematological and biochemical blood tests. There was also a trend toward reduction in the average number of chest x-rays, but this was not significant (0.55 [SD 0.39] chest x-rays per day per patient before computerization vs 0.51 [SD 0.37] chest x-rays per day per patient after computerization; P=.05). On the other hand, there was a decrease in antibiotic prescribing in terms of cost per patient after the implementation of computerization (€149.50 [$164 USD] per patient before computerization vs €105.40 [$155 USD] per patient after computerization). Conclusions Implementation of an intensive care information system at the Rouen University Hospital in June 2016 did not have an impact on reducing the length of stay.

Diagnosis of Auditory Neuropathy Spectrum Disorder in the Neonatal Intensive Care Unit Population

2021 ◽  
pp. 019459982110298
Author(s):  
Chengetai Mahomva ◽  
Yi-Chun Carol Liu ◽  
Nikhila Raol ◽  
Samantha Anne
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Information ◽  
Neonatal Intensive Care ◽  
Health Information System ◽  
Auditory Neuropathy ◽  
Spectrum Disorder ◽  
Nicu Admission

Objective To determine the incidence of auditory neuropathy spectrum disorder (ANSD) and its risk factors among the neonatal intensive care unit (NICU) population from 2009 to 2018 in the Pediatric Health Information System database. Study Design Retrospective national database review. Setting Population-based study. Methods The Pediatric Health Information System database was queried to identify patients ≤18 years old with NICU admission and ANSD diagnosis. Patient demographics, jaundice diagnosis, use of mechanical ventilation, extracorporeal membrane oxygenation, furosemide, and/or aminoglycosides were extracted. Multivariable linear regression was used to assess trends in incidence. Chi-square analysis was used to assess differences between patients with and without ANSD. Logistic regression was used to assess factors associated with ANSD. Results From 2009 to 2018, there was an increase in (1) NICU admissions from 14,079 to 24,851 ( P < .001), (2) total ANSD diagnoses from 92 to 1847 ( P = .001), and (3) annual total number of patients with ANSD and NICU admission increased from 4 to 16 ( P = .005). There was strong correlation between the increases in total number of NICU admissions and total ANSD diagnoses over time ( R = 0.76). The average ANSD incidence was 0.052% with no statistically significant change over 10 years. When compared with all NICU admissions, children with ANSD had a higher association with use of furosemide ( P < .001) and ventilator ( P < .001). Conclusion Despite a statistically significant increase in NICU admissions and total ANSD diagnosis, the incidence of ANSD in the NICU population has not increased from 2009 to 2018. Furosemide and mechanical ventilator use were associated with increased likelihood of ANSD.

The implementation of an Intensive Care Information System allows shortening the ICU length of stay

2014 ◽  
Vol 29 (2) ◽  
pp. 263-269 ◽  
Author(s):  
Eric Levesque ◽  
Emir Hoti ◽  
Daniel Azoulay ◽  
Philippe Ichai ◽  
Didier Samuel ◽  
...  
Keyword(s):  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Icu Length Of Stay ◽  
Care Information

Missed Surgical Intensive Care Unit Billing: Potential Financial Impact of 24/7 Faculty Presence

2009 ◽  
Vol 67 (1) ◽  
pp. 196-201 ◽  
Author(s):  
Kimberly M. Hendershot ◽  
John P. Bollins ◽  
Scott B. Armen ◽  
Yalaunda M. Thomas ◽  
Steven M. Steinberg ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Financial Impact ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Faculty Presence

scholarly journals Development and Deployment of an Intraoperative Clinical Summary Document: A Veterans Health Care Affairs Perspective

ACI Open ◽  
2020 ◽  
Vol 04 (01) ◽  
pp. e30-e34
Author(s):  
Seshadri C. Mudumbai ◽  
Troy Tanaka ◽  
Edward R. Mariano
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
The United States ◽  
Tertiary Hospital ◽  
Postanesthesia Care Unit ◽  
Veterans Health ◽  
Oral Feedback ◽  
Episodes Of Care ◽  
Care Information ◽  
Intensive Care Unit Nurses

Abstract Background Clinical summary documents that abstract details of episodes of care are essential to Advancing Care Information requirements for electronic health records. Few examples exist for intraoperative clinical summary documents (ICSD). Methods We describe the development and deployment of an ICSD at a tertiary hospital within the United States. Development included identification of needs of key stakeholders, evaluation of current clinical and data workflows, iterative development of prototypes with primary stakeholders, i.e., anesthesiologists and evaluation of prototypes with test patients. We deployed the ICSD over 6-months with tracking of (1) usage (number and types of end users and surgery types) and (2) written and oral feedback. Results Current workflows involved accessing a 10 to 40 page document presenting all surgery details with review described as burdensome. The ICSD prototype was a separate one-page summary optimized for viewing on a monitor or paper. The document had four sections: (1) administrative data, allergies, and precautions; (2) medications, infusions, and fluid intake and output; (3) airway assessments and a graphical presentation of hemodynamic trends (blood pressure), and (4) standardized text for events (hypotension) occurring intraoperatively. During the 6-month deployment, postanesthesia care unit and intensive care unit nurses were most prominent users followed by anesthesiologists. While overall well received, our pilot users reported challenges for readability, font size, and the lack of customization. Conclusion While the ICSD was designed for anesthesiologists, postanesthesia care unit and intensive care unit nurses were the most frequent users. Future development will involve customization for different stakeholders.

Sign in / Sign up

Export Citation Format

Share Document