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Lucile Packard Children's Hospital
It is every parent's nightmare: a child is seriously ill; a young life hangs in the balance. Worse though would be if the hospital professionals caring for the child—the people we trust—were to make one simple, fatal mistake.
The awful fact is that many patients die each year as a result of preventable medical slip-ups. A landmark report by the US Institute of Medicine (1999) attributed to human error as many as 98,000 deaths in US hospitals annually.
One of the biggest challenges for hospital staff is the quantity of data generated during normal patient care.
These incredibly busy people are working in stressful situations and must monitor, absorb, process, and act on vast amounts of highly complex information—vital signs, bodily functions, medications, reports from different specialists, and much more. Electronic medical records are ""data rich but information poor,"" says Natalie Pageler, MD, clinical assistant professor of pediatrics at Stanford University School of Medicine, CA, USA, and project manager of a unique initiative between HP and Lucile Packard Children's Hospital at Stanford.
To make effective use of the endless patient data stream, this world-class non-profit children's hospital is innovating to save lives by tapping into research in analytics from HP Labs. The Lucile Packard Children's Hospital is piloting an electronic Patient-Centered Dashboard in its Pediatric Intensive Care Unit that effectively replaces and greatly extends the traditional whiteboard (with hand-written patient names, room numbers, responsible staff names, etc). The dashboard was developed as part of a collaborative effort between physicians at Packard Children’s and technologists in the Services Research Lab of HP Lab.
The electronic dashboard presents all patient data and is predictive of patient needs. This means busy hospital personnel get all the information they require from one central location, including at-a-glance alerts (with red, yellow, and green urgency-level lights) to help prevent life-threatening complications.
To date, the pilot program indicates that the Patient-Centered Dashboard prompts a change in care in one out of three young patients every day. Examples include reminding staff of overdue care, e.g. to replace or remove equipment that might otherwise cause infection, to alter the type or quantity of medication, and to raise the head of the bed to prevent children on ventilators from developing pneumonia.
As Jaap Suermondt, director of healthcare research at HP Labs says, ""Through our collaboration with the Lucile Packard Children's Hospital, we have been able to develop a technology solution that finds and combines information at risk of being overlooked deep inside electronic medical records, and brings it to the eyes of the entire care team, ultimately allowing them to make critical decisions and prevent complications.""
In May, 2011, HP and Packard Children's announced a Global Social Innovation partnership that highlighted joint research projects, such as the Patient-Safety Dashboard. The organizations have been collaborating on research around patient safety for over two years.
"As part of our global social innovation program, we aim to enrich society by using the breadth and scale of technology to drive structural, systemic improvements in health access and delivery," says Gabi Zedlmayer, Vice President Sustainability & Social Innovation. "This project has been designed as a replicable solution that can be expanded to other hospitals in the United States and around the world to help save lives."