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Hospitalization Service - Automatic Early Warning System for Critical Illness

Kaohsiung Veterans General Hospital

Information
"The system is constructed by the Critical Care Center, Department of Internal Medicine, Department of Emergency, Department of Nursing, Information Management Office, Cardiovascular Center, and Quality Management Center jointly. The system database collects the blood pressure, heartbeat, body temperature, oxygen consumption, degree of blood-oxygen saturation and GCS. Based on the nursing information system, a series of developments and changes of patients will be presented on the medical information system to support the clinic decision making for the front health care workers. The system has won the 17th Golden Award and Creative Award of Healthcare Quality Improvement Campaign and the Sliver Award of Smart Healthcare of the Joint Commission of Taiwan, the 199th Excellence Award in Taiwan Convention on QC Circles, the 1st grade of thesis presentation in the annual conference of Society of Emergency & Critical Care Medicine, Taiwan, R.O.C., the 1st grade of thesis presentation in the annual conference of Taiwan Society of Emergency Medicine, Outstanding Award (Patient Safety) of health promotion creative project of Health Promotion Administration, Ministry of Health and Welfare, and Golden Award and Creative Award of Healthcare Quality Competition of the Joint Commission of Taiwan. "
Benefits

"Based on literature reviews, 70% of the unexpected in-hospital cardiac arrests (referred to as IHCA hereunder) presents some symptoms 6 to 8 hours before the time of cardiac arrest. The Automatic Early Warning System created and developed by the Hospital can detect the illness exacerbation early for in-time treatments supported by the health care workers to reduce the first aid requirements and the mortality of hospitalized patients. The system construction adopts the patient-oriented design on the improvement of system integrity, feasibility, compliance rate and other dimensions to achieve the interaction and feedbacks between human and system. The innovative polices are to introduce the complete National Early Warning System (NEWS) to the Hospital, to configure the warning signal for the one with the highest score which is 7 scores in total and higher than the scores in previous 3 times based on the NEWS indication, to support the continuous reminders in the Physician Management, Illness Progress Record and Hospitalization systems with indicators, to highlight the name of high-risk patients in the Clinic Nursing System, to provide the dynamic board of early warning system dedicated for wards, to design the screen savers of early warning system and to construct the warning monitoring team with the emergency and critical care physicians. The system successfully improve the 13 indicators, including the average monthly IHCA people, frequency and occurrence rate of hospitalized adults, the IHCA frequency and occurrence rate since 24:01 to 08:00, the IHCA frequency and occurrence rate since 12:01 on Saturday to 08:00 on Monday, the survival and discharge rates for IHCA patients which are recorded with Ventricular Fibrillation (VF) or Ventricular Tachycardia (VT) in the their first heart rate records, the survival rate 48 hours for patients after IHCA, the survival and discharge rates for IHCA patients, discharged rate of survival patients 48 hours after IHCA and the in

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