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Design and Implementation of the Intensive Care Unit Quality Management Registry: Monitoring Quality and Cost of an Adult Intensive Care Unit in a Greek State Hospital

Kosmidis, Dimitrios MSc, RN; Koutsouki, Sotiria MSc, RN; Lampiri, Klairi MD; Nagy, Eva Ottilia MD; Papaioannou, Vasilios MD, PhD; Pneumatikos, Ioannis MD, PhD; Anastassopoulos, George PhD

CIN: Computers, Informatics, Nursing: November 2017 - Volume 35 - Issue 11 - p 582–589
doi: 10.1097/CIN.0000000000000366
Features

Intensive care electronic registries have been instrumental in quality measurement, improvement, and assurance of intensive care. In this article, the development and pilot implementation of the Intensive Care Unit Quality Management Registry are described, with a particular focus on monitoring the quality and operational cost in an adult ICU at a northern Greek state hospital. A relational database was developed for a hospital ICU so that qualitative and financial data are recorded for further analysis needed for planning quality care improvement and enhanced efficiency. Key features of this database registry were low development cost, user friendliness, maximum data security, and interoperability in existing hospital information systems. The database included patient demographics, nursing and medical parameters, and quality and performance indicators as established in many national registries worldwide. Cost recording was based on a mixed approach: at patient level (“bottom-up” method) and at department level (“top-down” method). During the pilot phase of the database operation, regular monitoring of quality and cost data revealed several fields of quality excellence, while indicating room for improvement for others. Parallel recording and trending of multiple parameters showed that the database can be utilized for optimum ICU quality and cost management and also for further research purposes by nurses, physicians, and administrators.

Author Affiliations: General Hospital of Kavala (Mr Kosmidis, Ms Koutsouki, and Drs Lampiri and Nagy); Democritus University of Thrace, Intensive Care Unit, Alexandroupolis University Hospital (Drs Papaioannou and Pneumatikos); and Medical Informatics Laboratory, Democritus University of Thrace, Alexandroupolis (Dr Anastassopoulos), Greece.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Dimitrios Kosmidis, MSc, RN, General Hospital of Kavala, St Sillas, P.C. 65500 Kavala, Greece (kosmidis_gr@yahoo.gr).

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