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Abstract: Poster Presentations |

APPLICATION OF THE REVIEW OF SYSTEM (ROS) PROTOCOL IN THE ICU AND ITS EFFECT ON PATIENT OUTCOME AND LENGTH AND COST OF STAY FREE TO VIEW

Abdul Hamid Alraiyes; Khalid Alokla, MD; Motaz Baibars, MD; M.Chadi Alraies, MD
Author and Funding Information

Cleveland Clinic, Rocky River, OH


Chest


Chest. 2009;136(4_MeetingAbstracts):13S. doi:10.1378/chest.136.4_MeetingAbstracts.13S-b
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Abstract

PURPOSE:  The purpose of this study is to assess the impact of daily round checklist using Review of System (ROS) protocol in an open ICU system on patient's outcome plus length and cost of stay.

METHODS:  Over 4 months 81 patients with APACHE II score ≥ 20 were admitted to ICU and randomly distributed to three on-call groups per call schedule; the (ROS) protocol was applied on one ICU team while the other two teams did not use the (ROS); the three groups studied looking at APACHE II score at 24 hrs and 48 hrs, cost of the stay in the ICU and length of stay (LOS) in the ICU. ANOVA analysis used in order to compare the differences between the 3 groups in the APACHE II score at 24 vs. 48 hrs, the ICU cost and length of stay.

RESULTS:  Admissions to ICU with APACHE II score ≥ 20 were randomly distributed to the three groups of residents per the call schedule and the (ROS) protocol was used by one ICU team. the change in APACHE II score in 24 and 48 hours was statistically significant with P-value 0.005 comparing to other residents teams that did not utilize the ROS protocol. ANOVA analysis did not show a statistically significant reduction neither in cost nor length of stay.

CONCLUSION:  ROS checklist is a useful tool that improves outcome and reduce human errors in many industrial carriers such as aviation. We showed that Review of System (ROS) protocol is a tool that can organize orders on admission and daily round in open ICU system and improve sick patients’ outcome. This protocol may shorten the stay in the ICU and lower the cost of stay.

CLINICAL IMPLICATIONS:  Review Of System (ROS) Protocol is a tool that can organize orders on admission and daily round in ICU especially in open ICU system.

DISCLOSURE:  Abdul Hamid Alraiyes, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

12:45 PM - 2:00 PM


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