SCCM Resource Library-Late-Breaking Studies Affecting Patient Outcomes I

Video Transcription

Video Summary

Joanna Klopotowsky spoke about a study published in The Lancet investigating the effect of tailored computerized decision support alerts in ICUs to manage high-risk drug combinations. High alert override rates can cause alert fatigue, reducing attention to alerts. The study, involving nine ICUs in the Netherlands, aimed to improve alert specificity, leading to better monitoring and reduced risky drug combinations. They used drug administrations, not prescriptions, to refine alerts based on clinically relevant drug interactions for ICUs, finding a 12-14% reduction in high-risk drug combinations.<br /><br />Dr. Katherine Ryman discussed her research on the impact of a nurse's co-patient illness severity on ICU patient mortality. Data from 24 ICUs revealed that when a co-patient required intensive care measures, the index patient's risk of death increased. This emphasizes the importance of patient pairings in nurse assignments.<br /><br />Dr. Kimberly Mills shared findings from a pilot trial on stress ulcer prophylaxis (SUP) in infants with congenital heart disease, conducted across various ICUs. The study found withholding SUP safe, with no significant upper GI bleeds, suggesting further research to determine the necessity of SUP in infants.<br /><br />Lastly, Dr. Julianne Barr presented the successful implementation of the ABCDEF bundle across the Dignity Health System, showing reduced ICU stay, duration of mechanical ventilation, and ICU length of stay in mechanically ventilated patients, demonstrating improved care and cost-effectiveness with partial bundle compliance.

Asset Caption

One-Hour Concurrent Session | Late-Breaking Studies Affecting Patient Outcomes I

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

ICU

decision support alerts

drug combinations

alert fatigue

nurse assignments

stress ulcer prophylaxis

congenital heart disease

ABCDEF bundle

mechanical ventilation

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