Integrating intensive care unit (ICU) surveillance into an ICU clinical care electronic system

hospital_infection_coverby J.S. ReillyJ. McCoubreyS. ColeA. KhanB. Cook

Extract taken from the Journal of Hospital Infection

The intensive care unit (ICU) is the specialty with the highest prevalence of healthcare-associated infection (HCAI) in European hospitals and therefore a priority for surveillance of HCAI. Whereas surveillance is an essential part of an effective infection prevention and control (IPC) programme, all too often it consumes too much clinician and IPC team time, limiting the time available for quality improvement. The case for electronic surveillance is made in the literature from several countries on this basis. These studies indicate that electronic surveillance can improve validity, reduce time spent on surveillance, and provide opportunities for improvement in clinical decision-making and IPC action arising from surveillance.

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Critical Care Bulletin: December 2014


The latest Critical Care bulletin published by the Staff Library Service, East Cheshire NHS Trust is available here.  Topics listed below.

Critical Care Blog published



The September edition of the Critical Care blog produced by The Staff Library is now available.

Banks, DS: Journal of the Intensive Care Society: October 2011

Citation: Journal of the Intensive Care Society, October 2011, vol./is. 12/4(289-292), 1751-1437 (October 2011)

Author(s): Banks D.S.

Abstract: Acute kidney injury in the intensive care unit (ICU) requiring renal replacement therapy (RRT) is common and mortality is high. The dose delivered is important and is usually inadequate. Evidence for dose is quoted as clearance, but RRT is usually prescribed as pump flow rates. Accurately delivering an evidence-based dose to a patient is difficult because of inefficiencies of RRT, the complexity of its mathematics and poor understanding. Inadequate dose can result from inadequate prescribing, which should be by ideal body weight and possibly by indication. Inadequate delivery of a prescription can occur because the delivered dose depends not only on the dialysate and ultrafiltrate pump flow rates, but also blood flow rate, predilution inefficiency, fluid removal rate and downtime. To investigate the feasibility of using a web-based calculator to make prescribing by clearance easy and to predict and compensate for these factors, a web page with a RRT calculator using JavaScript was used. Data were collected from 19 treatments before the introduction of the calculator and 20 after. Results showed that dose delivery was significantly improved (p<0.001). There was an improvement in prescribing an evidence-based dose which did not reach statistical significance (p=0.056) but the standard deviation was significantly smaller, indicating more rational prescribing. The calculator significantly improved prescribing and delivery of RRT in our ICU. The Intensive Care Society 2011.

Publication Type: Journal: Article

Source: EMBASE