First item to be able to recognize a possible patient safety concern is data on the expected outcome of a person or group of patients. TeleICU organizations track data based on expected mortality for low risk and high risk patients.
In the current TeleICU model at patients’ APACHE 4 data is entered on all adult patients on a continual 24/7/365 manner. This data is then complied every 12 hours and reported out every quarter. The immediate access to the information has allowed our ICUs to call for Root Cause Analysis on low risk mortality patients.
In 2,777 patients were scored out of a possible 2,954 (94%) total patients in 5 hospitals across the TeleICU system. Patients excluded were those under the age of 18, and step down overflow patients. This continual scoring and retrospective review allowed our health system to follow Joint Commissions recommendations on reflection of a Low-Risk Hospital Mortality. Together all caregivers and administrators were able to seek to find concerns, conduct at non punitive root cause, interpret the data, and integrate findings to improve our system.
The TeleICU and ICU collaborative are working in synergy to stress the importance of establishing National Patient Safety Goals. The shared team is focusing our energies on addressing serious errors within health care organizations by identifying causes, trends, settings and outcomes. In addition to celebrating our 87 lives saved over expected, we examined our delivery model to reach for our goal of ZERO unavaoidable deaths.
Risk management and loss prevention are critical in today's fiscal environment, and must be coordinated with high quality of care, regulatory compliance and patient/customer. Use of the TeleICU and ongoing APACHE 4 data allows for economy of scale in expertise, resources and costs.
Elizabethann Cowboy, No Financial Disclosure Information; No Product/Research Disclosure Information