Bleeding, Coma, Critical Illness, Respiratory Failure, Sepsis, Shock, Trauma
Conditions
Keywords
AWARE, Checklist, ICU, Outcome, Adults
Brief summary
In this multicenter project, we will introduce AWARE (electronic interface) Using a cloud-based technology . The goal of this project is to improve compliance with best practice through the use of a new acute care interface with built-in tools for error prevention, practice surveillance and reporting (ProCCESs AWARE - Patient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation).The goal of this project is to develop and test a novel acute care interface with built-in tools for error prevention, practice surveillance, decision support and reporting (ProCCESs AWARE - Patient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation). In preliminary studies, these novel informatics supports built on an advanced understanding of cognitive and organizational ergonomics, have significantly decreased the cognitive load of bedside providers and reduced medical errors. Using a cloud-based technology, AWARE will be uniformly available on either mobile or fixed computing devices and applied in a standardized manner in medical and surgical ICUs of five geographically diverse acute care hospitals predominantly serving Medicare and Medicaid patients. The impact of ProCCESs AWARE on processes of care and outcomes in study ICUs; expected to enroll more than 10,000 critically ill patients during the study period.
Interventions
OTHERPatient Centered Cloud-based Electronic System: Ambient Warning and Response Evaluation
Computer aided checklist and rounding tool implemented in the Intensive care unit environment
Sponsors
Centers for Medicare and Medicaid Services
Mayo Clinic
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For the Primary Objective, all critically ill adult patient admitted to an ICU participating in the study will be eligible.
Exclusion criteria
For the Primary Objective, all children younger than 18years of age will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to process of care | Participants will be followed for the duration of ICU stay, an expected average of 3 days | Adherence to best practice for daily intensive care rounds. Appropriate shock resuscitation Appropriate sepsis treatment Appropriate mechanical ventilation Appropriate peptic ulcer, deep vein thrombosis and infectious disease prophylaxis etc. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient outcomes | Hospital length of stay - 2 weeks | We will include, ICU length of stay, Hospital length of stay, ICU free days, standardized mortality ratio in ICU and Hospital, Ventilator free days. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Cost of patient care in ICU and Hospital | Hospital length of stay - 2 weeks | Cost of patient care in ICU and Hospital derived from medicare data |
Countries
United States
Outcome results
None listed