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

Verfasser / Beitragende:
[Eric Levesque, Emir Hoti, Daniel Azoulay, Philippe Ichai, Didier Samuel, Faouzi Saliba]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/2(2015-04-01), 263-269
Format:
Artikel (online)
ID: 605510504
LEADER caa a22 4500
001 605510504
003 CHVBK
005 20210128100646.0
007 cr unu---uuuuu
008 210128e20150401xx s 000 0 eng
024 7 0 |a 10.1007/s10877-014-9592-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10877-014-9592-4 
245 0 4 |a The implementation of an Intensive Care Information System allows shortening the ICU length of stay  |h [Elektronische Daten]  |c [Eric Levesque, Emir Hoti, Daniel Azoulay, Philippe Ichai, Didier Samuel, Faouzi Saliba] 
520 3 |a Intensive care information systems (ICIS) implemented in intensive care unit (ICU) were shown to improve patient safety, reduce medical errors and increase the time devolved by medical/nursing staff to patients care. Data on the real impact of ICIS on patient outcome are scarce. This study aimed to evaluate the effects of ICIS on the outcome of critically-ill patients. From January 2004 to August 2006, 1,397 patients admitted to our ICU were enrolled in this observational study. This period was divided in two phases: before the implementation of ICIS (BEFORE) and after implementation of ICIS (AFTER). We compared standard ICU patient's outcomes: mortality, length of stay in ICU, hospital stay, and the re-admission rate depending upon BEFORE and AFTER. Although patients admitted AFTER were more severely ill than those of BEFORE (SAPS II: 32.1±17.5 vs. 30.5±18.5, p=0.014, respectively), their ICU length of stay was significantly shorter (8.4±15.2 vs. 6.8±12.9days; p=0.048) while the re-admission rate and mortality rate were similar (4.4 vs. 4.2%; p=0.86, and 9.6 vs 11.2% p=0.35, respectively) in patients admitted AFTER. We observed that the implementation of ICIS allowed shortening of ICU length of stay without altering other patient outcomes. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Intensive care information systems  |2 nationallicence 
690 7 |a Intensive care unit  |2 nationallicence 
690 7 |a Outcome  |2 nationallicence 
690 7 |a Length of stay  |2 nationallicence 
690 7 |a Mortality  |2 nationallicence 
700 1 |a Levesque  |D Eric  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
700 1 |a Hoti  |D Emir  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
700 1 |a Azoulay  |D Daniel  |u HPB Unit, Hôpital Henri Mondor, AP-HP, Créteil, France  |4 aut 
700 1 |a Ichai  |D Philippe  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
700 1 |a Samuel  |D Didier  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
700 1 |a Saliba  |D Faouzi  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/2(2015-04-01), 263-269  |x 1387-1307  |q 29:2<263  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-014-9592-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-014-9592-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Levesque  |D Eric  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hoti  |D Emir  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Azoulay  |D Daniel  |u HPB Unit, Hôpital Henri Mondor, AP-HP, Créteil, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ichai  |D Philippe  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Samuel  |D Didier  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Saliba  |D Faouzi  |u Centre Hépato-Biliaire, Hôpital Paul Brousse, AP-HP, 12 Avenue Paul-Vaillant-Couturier, 94804, Villejuif, France  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/2(2015-04-01), 263-269  |x 1387-1307  |q 29:2<263  |1 2015  |2 29  |o 10877