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Icu Failure

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The purpose of the eICU is to:
- Accurately monitor and enhance care delivery to the ICU patients remotely
- Reduce the time from when the problem is identified till some action is taken over it
- Help bring better results, reduction in costs and smaller stays
- 10 percent of inpatient beds nationwide are allocated to ICUs, the percentage is higher in tertiary-care centers.
- The highest acuity is for the ICU patients. The mortality rate of the ICU patients exceeds 10 percent, and their daily costs are four times higher as compared to those of other inpatients.
- They experience more incidents of medical errors (1.7 per patient per day), and because of their inherent instability, they have greater chance to get harmed from suboptimal care.
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The Institute of Medicine (IOM) published a report in 2000 that estimated there were around 100,000 deaths each year in American hospitals from medical errors. IOM results were mostly based on errors of comission. In ICUs, the errors of omission are much larger as compared to the errors of commission. The number of patients dying becomes even higher if these errors are included. The follow-up report by IOM in 2001, provided a direction towards the need for making the basic changes in the health care delivery. The most important message from the new report was that the results will improve only if the new technology and methods of care are introduced in the healthcare…show more content…
Together, the two systems were devised to establish a means to extend intensivist expertise to a greater number of ICU patients and potentially maximize both effectiveness and efficiency of critical care treatment.

The eICU program comprises of a suite of information technology tools that monitor and support the remote team and the on-site team.
The core information system collects data from various sources and reorganizes it to optimize data presentation and facilitate physician work flow.
Computer-based algorithms provide patient-specific assistance.
An early warning system that provides timely alerts designed to ensure that appropriate actions are initiated as soon as problems begin to develop.
Four key applications have been developed to achieve these goals.
First application is called eCareManager which is a physician-focused ICU electronic medical record and tool set for executing routine tasks like monitoring, note and order writing, care planning, and
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