Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance
Joint Authors
Herasevich, Vitaly
Lan, Haitao
Thongprayoon, Charat
Ahmed, Adil
Sampathkumar, Priya
O’Horo, John C.
Gajic, Ognjen
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Ventilator-associated events (VAEs) are associated with increased risk of poor outcomes, including death.
Bundle practices including thromboembolism prophylaxis, stress ulcer prophylaxis, oral care, and daily sedation breaks and spontaneous breathing trials aim to reduce rates of VAEs and are endorsed as quality metrics in the intensive care units.
We sought to create electronic search algorithms (digital signatures) to evaluate compliance with ventilator bundle components as the first step in a larger project evaluating the ventilator bundle effect on VAE.
We developed digital signatures of bundle compliance using a retrospective cohort of 542 ICU patients from 2010 for derivation and validation and testing of signature accuracy from a cohort of random 100 patients from 2012.
Accuracy was evaluated against manual chart review.
Overall, digital signatures performed well, with median sensitivity of 100% (range, 94.4%–100%) and median specificity of 100% (range, 100%–99.8%).
Automated ascertainment from electronic medical records accurately assesses ventilator bundle compliance and can be used for quality reporting and research in VAE.
American Psychological Association (APA)
Lan, Haitao& Thongprayoon, Charat& Ahmed, Adil& Herasevich, Vitaly& Sampathkumar, Priya& Gajic, Ognjen…[et al.]. 2015. Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance. BioMed Research International،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1055321
Modern Language Association (MLA)
Lan, Haitao…[et al.]. Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance. BioMed Research International No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1055321
American Medical Association (AMA)
Lan, Haitao& Thongprayoon, Charat& Ahmed, Adil& Herasevich, Vitaly& Sampathkumar, Priya& Gajic, Ognjen…[et al.]. Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1055321
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055321