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現(xiàn)場急救治療現(xiàn)場急救治療通過信息化技術(shù)手段改變治療的方式通過信息化技術(shù)手段改變治療的方式 VISICU的歷史的歷史 ? Foundedin1998? TwoJohnsHopkinsIntensivists? LocatedinBaltimore’s“DigitalHarbor”? CustomerbaseeICU的醫(yī)院布局的醫(yī)院布局 eICU的優(yōu)勢的優(yōu)勢 “ 通過減少治療的復(fù)雜性,有效挽救病人的生命通過減少治療的復(fù)雜性,有效挽救病人的生命 ”Clinical ActionRealtime data eICU?“Reducing the interval from the time data is availableuntil the time it is used for decisionmaking drives significant and often unexpected improvements in care.” GaryYates,.VPofQualitySentaraHealthcareeICU的圖示,成本控制和質(zhì)量管理等議題的圖示,成本控制和質(zhì)量管理等議題 Distributed eICU174。 Coverage ModelCentral HospitalEast HospitalWest HospitalPhysician’s Home(Specialist)Physician’s Office(Specialist)eICU174。 FacilityTertiary Hospital CenterLAN Inter VPNKeySpecialist Care (Night)Specialist Care (Day)Routine eICU CareeICU Workstation? eCareManager 216。 The Source 216。 Smart AlertsTM216。 Smart ReportsTMeVantage174。 Technology Tools 監(jiān)測血壓、血氧、通氣等生命體征臨界值和趨勢控制病人的特殊處理化驗結(jié)果和用藥趨勢的分析和綜合因素數(shù)據(jù)收集邏輯推斷 eICU安全指標(biāo)安全指標(biāo) ICU的成本分析的成本分析 eLert? Emergency Button ICU的成本分析的成本分析 Value=Quality/CostICU Demand IncreasingSource: The Advisory Board High ICU CostsICU Outliers Outlier: ICU LOS 6 days%eICU174。 Solution Results*Critical Care Medicine 32:3138。202327%17%13%*SeverityAdjustedOutlier ReductionThe Targ