scholarly journals A national system for monitoring intensive care unit demand and capacity: the Critical Health Resources Information System (CHRIS)

2021 ◽  
Author(s):  
David Pilcher ◽  
Nicholas R Coatsworth ◽  
Melissa Rosenow ◽  
Jason McClure
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Health Resources ◽  
National System ◽  
Unit Demand ◽  
Demand And Capacity

Diagnosis of Auditory Neuropathy Spectrum Disorder in the Neonatal Intensive Care Unit Population

2021 ◽  
pp. 019459982110298
Author(s):  
Chengetai Mahomva ◽  
Yi-Chun Carol Liu ◽  
Nikhila Raol ◽  
Samantha Anne
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Information ◽  
Neonatal Intensive Care ◽  
Health Information System ◽  
Auditory Neuropathy ◽  
Spectrum Disorder ◽  
Nicu Admission

Objective To determine the incidence of auditory neuropathy spectrum disorder (ANSD) and its risk factors among the neonatal intensive care unit (NICU) population from 2009 to 2018 in the Pediatric Health Information System database. Study Design Retrospective national database review. Setting Population-based study. Methods The Pediatric Health Information System database was queried to identify patients ≤18 years old with NICU admission and ANSD diagnosis. Patient demographics, jaundice diagnosis, use of mechanical ventilation, extracorporeal membrane oxygenation, furosemide, and/or aminoglycosides were extracted. Multivariable linear regression was used to assess trends in incidence. Chi-square analysis was used to assess differences between patients with and without ANSD. Logistic regression was used to assess factors associated with ANSD. Results From 2009 to 2018, there was an increase in (1) NICU admissions from 14,079 to 24,851 ( P < .001), (2) total ANSD diagnoses from 92 to 1847 ( P = .001), and (3) annual total number of patients with ANSD and NICU admission increased from 4 to 16 ( P = .005). There was strong correlation between the increases in total number of NICU admissions and total ANSD diagnoses over time ( R = 0.76). The average ANSD incidence was 0.052% with no statistically significant change over 10 years. When compared with all NICU admissions, children with ANSD had a higher association with use of furosemide ( P < .001) and ventilator ( P < .001). Conclusion Despite a statistically significant increase in NICU admissions and total ANSD diagnosis, the incidence of ANSD in the NICU population has not increased from 2009 to 2018. Furosemide and mechanical ventilator use were associated with increased likelihood of ANSD.

scholarly journals Intensive Care Unit Services Preparedness for the Pandemic: An Efficiency Analysis

2021 ◽  
Vol 14 ◽  
pp. 117863292110375
Author(s):  
Songul Cinaroglu
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Health Resources ◽  
Public Hospitals ◽  
Teaching Hospitals ◽  
Efficient Management ◽  
Study Results ◽  
Before And After ◽  
The Difference

Intensive care unit (ICU) services efficiency and the shortage of critical care professionals has been a challenge during pandemic. Thus, preparing ICUs is a prominent part of any pandemic response. The objective of this study is to examine the efficiencies of ICU services in Turkey right before the pandemic. Data were gathered from the Public Hospital Statistical Year Book for the year 2017. Analysis are presented at hospital level by comparing teaching and non-teaching hospitals. Bootstrapped data envelopment analysis procedure was used to gather more precise efficiency scores. Three analysis levels are incorporated into the study such as, all public hospitals (N = 100), teaching (N = 53), non-teaching hospitals (N = 47), and provinces that are providing high density of ICU services through the country (N = 54). Study results reveal that average efficiency scores of ICU services obtained from teaching hospitals (eff = 0.65) is higher than non-teaching (eff = 0.54) hospitals. After applying the bootstrapping techniques, efficiency scores are significantly improved and the difference between before and after bootstrapping results are statistically significant ( P < .05). Province based analysis indicates that, ICU services efficiencies are high for provinces located in southeast part of the country and highly populated places, such as İstanbul. Evidence-based operational design that considers the spatial distribution of health resources and effective planning of critical care professionals are critical for efficient management of intensive care. Study results will be helpful for health policy makers to deeply understand dynamics of critical care.

Utilising intensive care unit clinical information system to generate ICU outreach patient list

2020 ◽  
Vol 33 ◽  
pp. S22
Author(s):  
Cathy Haddock ◽  
Mason Johnstone ◽  
Sonya Trewren ◽  
Greg Nicholls ◽  
Brad Milsteed ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Clinical Information System ◽  
Clinical Information

The Impact of a Clinical Information System in an Intensive Care Unit

2007 ◽  
Vol 22 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Abele Donati ◽  
Vincenzo Gabbanelli ◽  
Simona Pantanetti ◽  
Paola Carletti ◽  
Tiziana Principi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Clinical Information System ◽  
Clinical Information ◽  
The Impact

Potential pediatric intensive care unit demand/capacity mismatch due to novel pH1N1 in Canada

2011 ◽  
Vol 12 (2) ◽  
pp. e51-e57 ◽  
Author(s):  
David Stiff ◽  
Anand Kumar ◽  
Niranjan Kissoon ◽  
Robert Fowler ◽  
Philippe Jouvet ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Unit Demand

scholarly journals Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

2021 ◽  
Vol 18 (21) ◽  
pp. 11128
Author(s):  
Hung-Hui Lee ◽  
Li-Ying Lin ◽  
Hsiu-Fen Yang ◽  
Yu-Yi Tang ◽  
Pei-Hern Wang
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Oral Hygiene ◽  
Medical Information ◽  
Medical Information System ◽  
Care Bundle ◽  
Control Group ◽  
Ventilator Associated Pneumonia ◽  
Care Bundles

Ventilator-associated pneumonia is a common hospital-acquired infection. It causes patients to stay longer in the hospital and increases medical costs. This study explores the effect of applying an automatic medical information system to implement five-item prevention care bundles on the prevention of ventilator-related pneumonia. This study was a retrospective cohort study. This study was conducted from October 2017 to February 2018 and collected data from the intensive care unit of a medical center in southern Taiwan from January 2013 to May 2016. The control group (enrolled from January 2013 to June 2014) received oral hygiene. The experimental group (enrolled from July 2014 to December 2015) received five-item ventilator-associated pneumonia prevention care bundles, which consisted of (1) elevation of the head of the bed to 30–45°; (2) daily oral care with 0.12−0.2% chlorhexidine twice daily; (3) daily assessment of readiness to extubate; (4) daily sedative interruption; and (5) emptying water from the respirator tube. Results showed the incidence of ventilator-associated pneumonia in the bundle group was significantly less than the oral hygiene group (p = 0.029). The factors that significantly affected the incidence of ventilator-associated pneumonia were ventilator-associated pneumonia care bundle, ventilator-days, and intensive care unit length of stay. A significant reduction in ventilator-associated pneumonia rate in the bundle group compared to the oral hygiene group (OR = 0.366, 95% CI = 0.159–0.840) was observed, with 63.4% effectiveness. Application of an automatic medical information system to implement bundle care can significantly reduce the incidence of ventilator-associated pneumonia.

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