2.50
Hdl Handle:
http://hdl.handle.net/10755/157096
Category:
Abstract
Type:
Presentation
Title:
A Nursing Intervention Database: An eICU Outcome Tool
Author(s):
Dimartino, Joseph; Ortlip, Paul; Fortino, Margaret
Author Details:
Joseph Dimartino, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA, email: joeydimartino@yahoo.com; Paul Ortlip; Margaret Fortino
Abstract:
PURPOSE: Penn e-lert eICU, the critical care telemedicine program for the University of Pennsylvania Health System was charged with demonstrating how program interventions affected patient outcomes. A review of the program intervention database revealed that most interventions were documented by eICU physicians. An analysis exposed that the documentation was based on a model of medical diagnoses. This presentation will discuss the development of a nursing intervention data base that provides the quantity and perhaps more importantly the quality of interventions being done via telemedicine. The eICU nurse plays a significant role in evaluating and assessing patients and affecting the patientÆs outcome. Description: Through the development of an intervention database, the eICU nurse can breakdown each intervention with what was the clinical trigger for involvement and an assessment of the issue. The intervention is then broken-down further to clinical changes and patient safety concerns. A strategy for documenting the interventions to finer details makes querying the information easier, therefore providing the department with the ability to better track certain interventions and outcomes. The eICU nurse then identifies which action needs further follow up, either by the eICU nurse or if the eICU physician should become involved. The nurse then documents what the patient's outcome was and whether or not further follow is needed. EVALUATION: Prior to the development of this database the eICU nursing staff did not have the proper resources to document their interventions adequately and efficiently without taking them away from monitoring the patients for an extended period of time. Since the inception of the access intervention database, there has been a large increase in documented interventions allowing for the nurse and the hospital to keep track of the important role the eICU nurse plays in successful patient outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Nursing Intervention Database: An eICU Outcome Toolen_GB
dc.contributor.authorDimartino, Josephen_GB
dc.contributor.authorOrtlip, Paulen_GB
dc.contributor.authorFortino, Margareten_GB
dc.author.detailsJoseph Dimartino, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA, email: joeydimartino@yahoo.com; Paul Ortlip; Margaret Fortinoen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157096-
dc.description.abstractPURPOSE: Penn e-lert eICU, the critical care telemedicine program for the University of Pennsylvania Health System was charged with demonstrating how program interventions affected patient outcomes. A review of the program intervention database revealed that most interventions were documented by eICU physicians. An analysis exposed that the documentation was based on a model of medical diagnoses. This presentation will discuss the development of a nursing intervention data base that provides the quantity and perhaps more importantly the quality of interventions being done via telemedicine. The eICU nurse plays a significant role in evaluating and assessing patients and affecting the patientÆs outcome. Description: Through the development of an intervention database, the eICU nurse can breakdown each intervention with what was the clinical trigger for involvement and an assessment of the issue. The intervention is then broken-down further to clinical changes and patient safety concerns. A strategy for documenting the interventions to finer details makes querying the information easier, therefore providing the department with the ability to better track certain interventions and outcomes. The eICU nurse then identifies which action needs further follow up, either by the eICU nurse or if the eICU physician should become involved. The nurse then documents what the patient's outcome was and whether or not further follow is needed. EVALUATION: Prior to the development of this database the eICU nursing staff did not have the proper resources to document their interventions adequately and efficiently without taking them away from monitoring the patients for an extended period of time. Since the inception of the access intervention database, there has been a large increase in documented interventions allowing for the nurse and the hospital to keep track of the important role the eICU nurse plays in successful patient outcomes.en_GB
dc.date.available2011-10-26T19:25:02Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:25:02Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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