IMPACT OF PROTOCOL WATCH ON COMPLIANCE WITH THE SURVIVING SEPSIS CAMPAIGN.
Purpose Clinical decision support systems are intended to improve patients' care and outcomes, particularly when such systems are present at the point of care. Protocol Watch was developed as a bedside clinical decision support system to improve clinicians' adherence to the Surviving Sepsis Campaign...
| Publicado en: | American Journal of Critical Care Vol. 20; no. 4; pp. 313 - 322 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
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American Association of Critical-Care Nurses
Jul2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104655013&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104655013 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jul2011 vid: 20 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 104655013 62538547 10.4037/ajcc2011421 NLM21724635 104655013 ppf: 313 ppct: 9 formats: fmt: @attributes: type: P tig: atl: IMPACT OF PROTOCOL WATCH ON COMPLIANCE WITH THE SURVIVING SEPSIS CAMPAIGN. aug: au: Giuliano, Karen K. Lecardo, Michele Staul, LuAnn affil: principal scientist at Philips Healthcare in Andover, Massachusetts. sug: subj: Protocols Professional Compliance Sepsis Prevention and Control Decision Support Systems, Clinical Human Pretest-Posttest Design Pilot Studies Connecticut Oregon Professional Compliance Evaluation Chi Square Test Descriptive Statistics Unpaired T-Tests Length of Stay APACHE (Acute Physiology and Chronic Health Evaluation) Clinical Assessment Tools Male Female Wilcoxon Rank Sum Test Nonparametric Statistics Univariate Statistics Decision Support Systems, Clinical Evaluation Middle Age Aged Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose Clinical decision support systems are intended to improve patients' care and outcomes, particularly when such systems are present at the point of care. Protocol Watch was developed as a bedside clinical decision support system to improve clinicians' adherence to the Surviving Sepsis Campaign guidelines. This pre/post-intervention pilot study was done to evaluate the effect of Protocol Watch on compliance with 5 guidelines from the Surviving Sepsis Campaign. Methods Preintervention data on rates and time to complete the resuscitation and management bundles from the Surviving Sepsis Campaign and time to administer antibiotics were collected from intensive care units at 2 large teaching hospitals in the United States. Training on the Protocol Watch application was then provided to clinical staff in the units, and Protocol Watch was installed at all critical care beds in both hospitals. Data were collected on rates and time to completion for 5 Surviving Sepsis Campaign guidelines after installation of Protocol Watch, and univariate analyses were done to evaluate the effect of Protocol Watch on compliance with the guidelines. Results Implementation of Protocol Watch was associated with significant improvements in compliance with the resuscitation bundle (P = .01) and decreased time to administer antibiotics (P = .006). No significant changes were achieved for compliance with the management bundle or time to complete the resuscitation or management bundles. Conclusions Clinical decision support systems such as Protocol Watch may improve adherence to the Surviving Sepsis Campaign guidelines, which potentially may contribute to reduced morbidity and mortality for critically ill patients with sepsis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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