文章基本信息

标题：The STELAR ICU: Leveraging Electronic Health Record Data to Foster Research and Optimize Patient Care
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作者：Christopher M. Horvat ; Srinivasan Suresh ; Robert S. B. Clark 等
期刊名称：Informatics
电子版ISSN：2227-9709
出版年度：2018
卷号：5
期号：3
页码：37-41
DOI：10.3390/informatics5030037
出版社：MDPI Publishing
摘要：Electronic health records (EHR) combined with robust data collection systems can be used to simultaneously drive research and performance improvement initiatives. Our Smart, Transformative, EHR-based Approaches to Revolutionizing the Intensive Care Unit (STELAR ICU) consists of a framework of five best practices that make optimal use of objective data to guide clinicians caring for the sickest patients in our quaternary center. Our strategy has relied on an accessible data infrastructure, standardizing without protocolizing care, using technology to increase patient contact and time spent at the bedside, continuously re-evaluating performance in real-time, and acknowledging uncertainty by using electronic data to provide probabilistic weight to clinical decision-making. These strategies blur the lines between research and quality improvement, with the aim of achieving truly stellar patient outcomes.
关键词：learning health system; electronic health records; performance improvement; standardization; guidelines; pediatric critical care learning health system ; electronic health records ; performance improvement ; standardization ; guidelines ; pediatric critical care