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Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use

Overview of attention for article published in World journal of critical care medicine, January 2016
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Title
Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use
Published in
World journal of critical care medicine, January 2016
DOI 10.5492/wjccm.v5.i2.165
Pubmed ID
Authors

Mikhail A Dziadzko, Charat Thongprayoon, Adil Ahmed, Ing C Tiong, Man Li, Daniel R Brown, Brian W Pickering, Vitaly Herasevich

Abstract

To examine the feasibility and validity of electronic generation of quality metrics in the intensive care unit (ICU). This minimal risk observational study was performed at an academic tertiary hospital. The Critical Care Independent Multidisciplinary Program at Mayo Clinic identified and defined 11 key quality metrics. These metrics were automatically calculated using ICU DataMart, a near-real time copy of all ICU electronic medical record (EMR) data. The automatic report was compared with data from a comprehensive EMR review by a trained investigator. Data was collected for 93 randomly selected patients admitted to the ICU during April 2012 (10% of admitted adult population). This study was approved by the Mayo Clinic Institution Review Board. All types of variables needed for metric calculations were found to be available for manual and electronic abstraction, except information for availability of free beds for patient-specific time-frames. There was 100% agreement between electronic and manual data abstraction for ICU admission source, admission service, and discharge disposition. The agreement between electronic and manual data abstraction of the time of ICU admission and discharge were 99% and 89%. The time of hospital admission and discharge were similar for both the electronically and manually abstracted datasets. The specificity of the electronically-generated report was 93% and 94% for invasive and non-invasive ventilation use in the ICU. One false-positive result for each type of ventilation was present. The specificity for ICU and in-hospital mortality was 100%. Sensitivity was 100% for all metrics. Our study demonstrates excellent accuracy of electronically-generated key ICU quality metrics. This validates the feasibility of automatic metric generation.

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Mendeley readers

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Geographical breakdown

Country Count As %
United States 1 5%
Unknown 19 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 25%
Researcher 4 20%
Other 3 15%
Student > Postgraduate 2 10%
Professor > Associate Professor 2 10%
Other 2 10%
Unknown 2 10%
Readers by discipline Count As %
Medicine and Dentistry 14 70%
Computer Science 1 5%
Agricultural and Biological Sciences 1 5%
Social Sciences 1 5%
Nursing and Health Professions 1 5%
Other 1 5%
Unknown 1 5%