AMDIS award winner Dr. Steve Arendt and his colleagues at Eisenhower Medical Center in Rancho Mirage, Calif., saw the number of cases of ventilator-acquired pneumonia drop to zero during the past year while caregivers for stroke patients attained better than 90% compliance with core stroke-care measures.
Part of the reason for their success, Arendt believes, is the implementation of a pilot program to test a system of computerized real-time “quality bundles” to help clinical staff monitor optimum patient care in real time.
The system reminds and prods them in simple, green, yellow and red color overlays whether they are meeting or missing quality-of-care targets.
For ventilator patients, the monitoring system looks over caregivers' shoulders about assessing a patient's readiness to be weaned off the ventilator, prevention of venous thromboembolism, ensuring that the patient's head is elevated and position is changed, and for stroke patients, the administration of anti-coagulation medications, use of statins to lower cholesterol, provision of stroke education information and assessments of rehabilitation potential.
The system was introduced about a year ago. Initially, its display was placed on the electronic health-record system used by caregivers, but it was moved about four months ago to its own free-standing, flat-screen monitors in the patient rooms in Eisenhower's intensive-care unit and neurology (stroke) unit.