Poke-R - Using Analytics to Reduce Patient

James P. McGlothlin, Evan Crawford, Jesse Wyatt, Carlos Samayoa, Yana Vaks, Brenda Bruneau, Merrick Lopez, Anthony Moretti, Michele Wilson, James Pappas

Abstract

Major events and surgeries are not the only sources of trauma during a hospital encounter. Many small, less invasive events such as shots, line placements, blood draws, and imaging studies happen throughout a patient’s hospital stay. Many of these less traumatic events have the potential to negatively impact patient outcomes by increasing the risk of hospital-acquired infections through skin invasions and exposure to organisms, reducing the patient experience by causing pain and frustration, increasing cost and causing other complications. The goal of this project is to reduce such events when they are not clinically required. This is an analytics project so this goal is facilitated by making accurate and meaningful information available to the appropriate personnel. This includes timely information to clinicians so they can alter treatment, and retrospective trend analysis to enable and track performance improvement and identify opportunities for additional process improvement.

References

  1. Alharfi, I., Stewart T., Helali, I., Daoud, H., Fraser, D, 2014. Infection rates, fevers and associated factors in pediatric severe traumatic brain injury. In Journal of Neurotrauma.
  2. Bateman, J., Lacroix, Boven, K., Forbes, P., Barton, et al, 2008. Anemia, Blood Loss, and Blood Transfusions in North American Children in the Intensive Care Unit". In American Journal of Respiratory and Critical Care Medicine.
  3. Salisbury, A.C., Reid, K.J., Alexander, K.P., Masoudi, F.A., Lai, S.M., Chan, P.S., Bach, R.G., Wang, T.Y., Spertus, J.A. and Kosiborod, M., 2011. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Archives of internal medicine, 171(18), pp.1646-1653.
  4. Foster, C.B. and Sabella, C., 2011. Health care-associated infections in children. JAMA, 305(14), pp.1480-1481.
  5. CT Radiation in Kids: How Much of a Risk, Really? Medscape. 2014.
  6. Grissinger, M., 2011. Capping intravenous tubing and disinfecting intravenous ports reduce risks of infection. In Pharmacy and Therapeutics.
  7. McVoy, M., Shandler, A, 2013. Anemia, Bleeding, and Blood Transfusion in the Intensive Care Unit: Causes, Risks, Costs, and New Strategies. In Am J Crit Care.
  8. Ridout R., 2014. Prevent Pain and Organisms from sKin and catheter Entry (POKE): Getting to the Why of Care [Internet]. Harvard Business School Open Forum: Dixie Regional Medical Center. Available from: https://openforum.hbs.org/challenge/hbs-hms-healthacceleration-challenge/innovations/prevent-pain-andorganisms-from-skin-and-catheter-entry-poke-gettingto-the-why-of-care.
  9. Slovis, T., 2002. CT and Computed Radiography: The Pictures Are Great, But Is the Radiation Dose Greater Than Required?. In American Journal of Roentgenology.
  10. Brenner D., 2002. Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. In Pediatric Radiology.
  11. Axt-Adam, P., van der Wouden, P., van der Does, E., 1993. Influencing Behavior of Physicians Ordering Laboratory Tests: A Literature Study. In Medical Care.
  12. Sengupta, A., Lehmann, C., Diener-West, M., Perl, T., Milstone, A., 2010. Catheter Duration and Risk of CLA-BSI in Neonates With PICCs. In Pediatrics.
  13. Kelly, M., Conway, M., Wirth, K., Potter-Bynoe, G., Billett, A.L. and Sandora, T.J., 2011. Moving CLABSI prevention beyond the intensive care unit: risk factors in pediatric oncology patients. In Infection Control & Hospital Epidemiology, 32(11), pp.1079-1085.
  14. Sherwood, G., Adams-McNeill,, J., Starck, P., Nieto, B., Thompson, C.. 2000. Qualitative assessment of hospitalized patients' satisfaction with pain management. Research in Nursing Health.
  15. Stein, J., Murphy, D., Payne, C., Clark, D., Bronstein, W., Tong, D., Castle, B., Shapiro, S, 2013. A Remedy for Fragmented Hospital Care. In Harvard Business Review.
  16. Atchison, J., Wachendorfb, J., Haddockb, D., Mysiwb, S., Gribbleb, M., & Corriganb, J. 1993. Hyponatremiaassociated cognitive impairment in traumatic brain injury. Brain Injury.
  17. Algaze, C. et al., 2016. Use of a Checklist and Clinical Decision Support Tool Reduces Laboratory Use and Improves Cost. In Pediatrics.
  18. Bae, J.. 2015. Value-based medicine: concepts and application. In Epidemiology and Health..
  19. Cooke, M., 2010, Cost Consciousness in Patient Care - What Is Medical Education's Responsibility?. In New England Journal of Medicine.
  20. Porter, M., 2010. What Is Value in Health Care?. In New England Journal of Medicine.
  21. Weinberger, S., 2011. Providing High-Value, CostConscious Care: A Critical Seventh General Competency for Physicians. In Annals of Internal Medicine.
  22. Schuh, S., Parkin, P., et al., 1989, High-Versus Low-Dose, Frequently Administered, Nebulized Albuterol in Children With Severe, Acute Asthma. In Pediatrics.
  23. Brenner, D.J., 2010. Should we be concerned about the rapid increase in CT usage?. Reviews on environmental health, 25(1), pp.63-68.
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Paper Citation


in Harvard Style

McGlothlin J., Crawford E., Wyatt J., Samayoa C., Vaks Y., Bruneau B., Lopez M., Moretti A., Wilson M. and Pappas J. (2017). Poke-R - Using Analytics to Reduce Patient . In Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017) ISBN 978-989-758-213-4, pages 362-369. DOI: 10.5220/0006174603620369


in Bibtex Style

@conference{healthinf17,
author={James P. McGlothlin and Evan Crawford and Jesse Wyatt and Carlos Samayoa and Yana Vaks and Brenda Bruneau and Merrick Lopez and Anthony Moretti and Michele Wilson and James Pappas},
title={Poke-R - Using Analytics to Reduce Patient},
booktitle={Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017)},
year={2017},
pages={362-369},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006174603620369},
isbn={978-989-758-213-4},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017)
TI - Poke-R - Using Analytics to Reduce Patient
SN - 978-989-758-213-4
AU - McGlothlin J.
AU - Crawford E.
AU - Wyatt J.
AU - Samayoa C.
AU - Vaks Y.
AU - Bruneau B.
AU - Lopez M.
AU - Moretti A.
AU - Wilson M.
AU - Pappas J.
PY - 2017
SP - 362
EP - 369
DO - 10.5220/0006174603620369