Clinical Information Systems

Based on new forms of analysis, we are able not only to avoid errors but also to monitor them and analyze their predisposing factors—including even data from other sources position sensors referred to patients and professionals, for example..

We assume that the intensivist must define the objectives, and that technical execution is the work of software engineers—this resulting in new relationships within our specialty. Ghassemi speaks of a new Learning Healthcare System. What until now was years of data input, with important effort on the part of the clinician, can now be replaced or complemented by the data of the CIS.

However, this great body of information cannot be addressed by means of the usual statistical models, and obliges us to speak of big data and predictive models..

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Important advances have clearly been made in data acquisition, integration and storage capacity, though we also must incorporate other developments in information technology, biomedical engineering, signal processing curves, images and algorithms for the diagnosis of events, that can only be compiled on a computerized basis.

In order to prevent things from becoming mere isolated events or anecdotes in the newspapers, critical care professionals must participate in the configuration of the CIS, in accordance with the care processes, with commitment to the checking of safety and quality data, and investigation of their true usefulness, reliability and correlation to the classical sources. All this will require adequate management of the change, overcoming resistances among professionals, and addressing the ethical and legal issues jointly with the administration—such steps already having been taken by the AQuAS in Catalonia, for example.

MB and RM state that they have no conflicts of interest.

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LB holds shares in BetterCare S. Please cite this article as: Previous article Next article. June - July Pages An opportunity to measure value, investigate and innovate from the real world. This item has received. Only in this way can we guarantee efficient, highly qualified and patient-centered work with improved outcomes.

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It would not be possible to obtain this information through manual data entry by the Intensive Care professionals. Researchers look for clues in the wealth of information from past cases. Wall Street Journal Updated June 25, Lean techniques to improve the flow of critically ill patients in a health region with its epicenter in the intensive care unit of a reference hospital. Med Intensiva, 40 , pp. Effect upon mortality of the extension to holidays and weekends of the ICU without walls project.

Innovation in the management of intensive care units: Implementation of a value-driven outcomes program to identify high variability in clinical costs and outcomes and association with reduced costs and improved quality. JAMA, , pp.

The role of clinical information systems in health care quality improvement.

From volume to value in health care. Med Intensiva, 35 , pp. Completeness, accuracy, and computability of National Quality Forum-specified eMeasures. J Am Med Inform Assoc, 22 , pp. Electronic implementation of a novel surveillance paradigm for ventilator-associated events. Automatic quality reports in the intensive care unit: Word J Crit Care Med, 5 , pp.

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Feasibility and utility of the use of real time random safety audits in adult ICU patients: Intensive Care Med, 41 , pp. Do we need to innovate in critical care practice?. Crit Care, 17 , pp. State of the art review: Crit Care, 19 , pp. Improve patient safety with advanced electronic medication management. See all your patients at a glance and effectively manage patient care.

System improvements deliver better performance, reduced latency and improved scalability. This is the first in what is planned to be a series of rollouts across AKH Celle and its partner hospital in Peine. After six months of production use in the pediatric resuscitation department, CHU Rennes sees the benefits of the MetaVision software package in terms of quality of care and patient follow-up, and has continued its deployment in the neonatal resuscitation unit. A center of excellence in the Brittany region, UHR has 4 sites and more than 1, beds.

The hospital treats half a million patients annually and remains a benchmark in health research, with over a thousand clinical studies in Rennes is the third hospital to have chosen MetaVision through a framework agreement with UniHA, a leading French public sector purchasing group. Centre Hospitalier Libourne 25 adult ICU beds already live and CHU de Poitiers 88 beds currently in implementation are the other two hospitals involved in the agreement: This means that some two hundred and fifty critical care beds across the three institutions will be using MetaVision.