@article{3564,
  author = {Susanna J. Shaw and Brian Jacobs and David C. Stockwell and Craig Futterman and Michael C. Spaeder},
  title = {Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures.},
  abstract = {<p><b>BACKGROUND: </b>Patient daily goal sheets have been shown to improve compliance with hospital policies but might not represent the dynamic nature of care delivery in the pediatric ICU (PICU) setting. A study was conducted at Children's National Health System (Washington, DC) to determine the effect of a visible, unitwide, real-time dashboard on timeliness of compliance with quality and safety measures.</p><p><b>METHODS: </b>An automated electronic health record (EHR)- querying tool was created to assess compliance with a PICU Safety Bundle. Querying of the EHR for compliance and updating of the dashboard automatically occurred every five minutes. A real-time visual display showed data on presence of consent for treatment, restraint orders, presence of urinary catheters, deep venous thrombosis (DVT) prophylaxis, Braden Q score, and medication reconciliation. Baseline compliance and duration of noncompliance was established during three time periods: the first, before activation of the dashboard; the second, at one month following activation of the dashboard; and the third, at three months after activation.</p><p><b>RESULTS: </b>A total of 450 patients were included in the analysis. Between the first and third time periods, the median time from PICU admission to obtaining treatment consent decreased by 49%, from 393 to 202 minutes (p=.05). The number of patients with urinary catheters in place>96 hours decreased from 16 (32%) in Period 1 to 11 (19%) for Periods 2 and 3 combined (p=.01). Completion of medication reconciliation improved from 80% in the first time period to 93% and 92%, respectively, in the subsequent two periods (p=.002). There was no difference between the three periods in presence of restraint orders, DVT prophylaxis, or development or worsening of pressure ulcers.</p><p><b>CONCLUSIONS: </b>A unitwide dashboard can increase awareness for potential interventions, affecting patient safety in the PICU in a dynamic manner.</p>},
  year = {2015},
  journal = {Jt Comm J Qual Patient Saf},
  volume = {41},
  pages = {414-420},
  month = {09/2015},
  issn = {1553-7250},
  language = {eng},
}