{"id":268,"date":"2016-09-16T16:40:05","date_gmt":"2016-09-16T16:40:05","guid":{"rendered":"http:\/\/a3.caaat.pro\/?p=268"},"modified":"2022-02-03T15:10:30","modified_gmt":"2022-02-03T15:10:30","slug":"how-brigham-and-womens-mayo-clinic-and-more-are-bringing-the-icu-into-the-21st-century","status":"publish","type":"post","link":"https:\/\/ambientclinical.com\/2016\/09\/16\/how-brigham-and-womens-mayo-clinic-and-more-are-bringing-the-icu-into-the-21st-century\/","title":{"rendered":"How Brigham and Women\u2019s, Mayo Clinic, and more are bringing the ICU into the 21st century"},"content":{"rendered":"
A handful of providers in cities across the country are implementing innovative plans to bring the ICU into the 21st century, Usha Lee McFarling writes for STAT News.ICUs in the United States see six million patients annually, but a recent study published in Critical Care found ICU care has not substantively changed since the field launched in the 1960s. ICUs are \u201cno different than [they were] 50 years ago,\u201d said Peter Pronovost, a critical care physician at Johns Hopkins Hospital. \u201cThere are stacks and stacks of machines with wires sticking out of them. It\u2019s chaos.\u201d<\/p>\n

According to McFarling, one of the biggest problems is that the medical devices integral to patient care aren\u2019t designed to work together. Instead of monitoring patients harmoniously, the ventilators, pumps, and other medical devices \u201call try to outdo each other by beeping ever louder,\u201d McFarling writes, which contributes to alarm fatigue.<\/p>\n

Building the hospital of the future
\nYet \u201cwhen physicians see the amount of math involved [in optimizing the ICU], they just scatter to the hills,\u201d said Marie Csete, head of the Huntington Medical Research Institutes. Modern ICUs are full of machines generating data: Just one patient can generate about 2,000 data points a day, meaning important information can easily be lost in the sea.<\/p>\n

Chasing the \u2018smart ICU,\u2019 hospitals generate innovative solutions<\/p>\n

Despite the challenges, some hospitals are finding new ways to ensure providers see critical information. At Brigham and Women\u2019s Hospital, the ICU team is piloting a microblogging platform that enables all members of the care team to see messages relating to a patient. The goal is to promote better communication and reduce errors.<\/p>\n

Meanwhile, Pronovost at Johns Hopkins Hospital is trying to create a \u201csmart ICU\u201d where, ideally, all the devices in the unit will be networked and monitored on an ongoing basis, curbing the number of alarms and easing nurses\u2019 workload so they can spend more time with patients. Other upgrades include sensors on beds and compression devices.<\/p>\n

And at the Mayo Clinic, Brian Pickering, a critical care physician, helped develop software that aims to cut down on some of the data overload in EHRs. The software, called AWARE, highlights the most important information a provider needs by organ system.<\/p>\n

Meanwhile, third-party vendors are creating add-ons for EHRs, including one, EMERGE, that extracts data from patient records and alerts physicians if a treatment plan could harm a patient.<\/p>\n

The University of California-San Francisco\u2018s ICU is similarly testing new technology: Patients can now use bedside tablets to share photos and personal information with providers, a move that developers hope will help providers treat patients as people rather than data.<\/p>\n

Read Original Article<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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