HP and Lucile Packard Children’s Hospital Develop Digital Patient-safety Dashboard to Improve Patient Care
PALO ALTO, Calif. – HP andLucile Packard Children’s Hospital at Stanford today announced anew real-time patient status system that prompted a change in carein one out of three patients during a trial period.
The Patient-CenteredDashboard uses data from electronic medical records to betterrepresent patient status, replacing the handwritten whiteboardscurrently found in many hospital nursing units. The dashboard alsoimproves compliance and is designed to be usable in other hospitalsin the United States and around the world.
Once the traditionalwhiteboard was replaced by an electronic interface, PackardChildren’s Hospital staff worked with researchers from HP Labs, the company’s centralresearch arm, to use the immense amount of data available inside apatient’s electronic chart. They developed a system to turn lightson the dashboard to red, yellow or green, signifying the level ofurgency with which attention is needed from medical staff to helpprevent certain life-threatening complications in the intensivecare unit.
“Electronic medical recordsare data-rich but information-poor,” said Dr. Natalie Pageler,clinical assistant professor of pediatrics at Stanford UniversitySchool of Medicine and project manager for the Patient-CenteredDashboard at Lucile Packard Children’s Hospital. “This pilot is afirst step in translating the tremendous volumes of data we nowhave available in a hospital’s electronic medical record systeminto practical information that can guide clinical decision makingat the bedside of every patient.”
The dashboard system helpsto prevent human error in medical settings; these errors can leadto complications and significantly increase the risk of mortalityor the duration of a hospital stay. By reviewing the dashboardduring daily rounds, physicians and nurses were alerted tonecessary and potentially life-saving procedures, including:
- Ordering the removal of a central venous catheter that is atrisk of infection
- Changing from intravenous to oral medication
- Decreasing the use of unnecessary laboratory testing
- Using only necessary sedatives
- Taking measures to prevent pressure ulcers (bed sores)
- Changing the amount a patient’s head is elevated to preventventilator-acquired pneumonia
- Identifying overdue procedures that place the patient at riskof infection
In May, HP and Packard Children’s Hospital announced a socialinnovation collaboration that highlighted joint research projects,such as the Patient-Centered Dashboard. The organizations have beencollaborating on research around patient safety for more than twoyears.
As part of the company’s global social innovation program, HP aims to enrich society byusing the breadth and scale of its technology to drive structural,systemic improvements in health access and delivery.
“By getting betterinformation into the hands of caregivers, technology has thepotential not only to improve lives, but also to save them,” saidJaap Suermondt, director, Healthcare Research, HP Labs, HP.“Through our collaboration with Packard Children’s Hospital, wewere able to develop a technology solution that finds and combinesinformation at risk of being overlooked deep inside electronicmedical records, and bring it to the eyes of the entire care team,ultimately allowing them to make critical decisions and helpprevent complications.”
Dr. Pageler, Dr. Suermondtand Dr. Chris Longhurst, chief medical information officer atLucile Packard Children’s Hospital, will be presenting thePatient-Centered Dashboard and the research results at AMIA’s 35th Annual Symposium onBiomedical and Health Informatics in Washington, D.C., on Oct.26.
About LucilePackard Children’s Hospital at Stanford
Celebrating its 20thanniversary in 2011, Lucile Packard Children’s Hospital isannually ranked as one of the nation’s best pediatric hospitals byU.S. News & World Report, and is the only San Francisco BayArea children’s hospital with programs ranked in the U.S. News TopTen. The 311-bed hospital is devoted to the care of children andexpectant mothers, and provides pediatric and obstetric medical andsurgical services in association with the Stanford UniversitySchool of Medicine. Packard Children’s offers patients locally,regionally, and nationally a full range of health care programs andservices, from preventive and routine care to the diagnosis andtreatment of serious illness and injury. For more information,visit www.lpch.org.
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