Abstracts of the 7th World Congress on Pediatric Critical Care
Background and aims: In the intensive care unit (ICU) the level of critical care is intense and the amount of documentation is enormous. Failure to document any aspects, may threaten the continuity of care, patient safety and safety of health team members. With new clinical information system (CIS) at the University Children’s Hospital Ljubljana, called Think!Med ClinicalTM, documenting became much easier job.
Aims: The healthcare e-documentation model can further contribute to patient data management in relation to medical devices connectivity. Due to barcode identification and management of medication lists ICU professionals avoid medication errors by drug prescribing and drug application. Gathering much more structured clinical data provides a platform for clinical decision support.
Methods: The proposed model is based on literature review and our clinical experiences with the e-documentation. Over 20 different medical devices were connected as a prototype in the ICU. The prototype was implemented and tested in clinical practice and critically evaluated.
Results: The implementation project was completed in record time and enabled the hospital to fulfill their goal of taking a major step towards paperless operations.
Conclusions: Due to the new e-documentation model, work organization and communication at the Paediatric ICU, which is part of the Department for Paediatric Surgery and Intensive Care, were completely changed. Information technology offers opportunities for data processing, decision-making and research. A new solution leads to improvement of patient documentation, enhancing the quality and effectiveness of the health care, increasing patient safety and time saving.