SlideShare uma empresa Scribd logo
1 de 30
6,000
Practicing
Intensivists
5 million patients
admitted to ICUs
37 percent of ICU
patients receive
intensivist care
“We have alarm fatigue. We’ve become
numb to the noise and start to block
them out,” said Rhonda Wyskiel, a former ICU
nurse at Johns Hopkins Hospital
“We’re creating a generation of doctors
who look at screens instead of patients.”
Marie Csete, an anesthesiologist and critical care
specialist who now heads the Huntington Medical
Research Institutes in Pasadena, Calif
“Point. Click. Point. Click. Point. Click.
Back and forth,” Dr. Brian Pickering
anesthesiologist and critical care physician at
Mayo Clinic in Rochester, Minn. “That may
work if you’ve only got one patient. But
I’ve got 24 in the ICU, and any one of them
could be in crisis at any minute.”
“The ICU environment is not set up to
treat people with respect and dignity.”
Schell-Chaple, an ICU nurse at the University of
California, San Francisco Medical Center
5 million
Patient
80% Return Home
In a modern ICU, a single
patient can generate 2,000
data points per day, said Dr.
Brian Pickering
Public Health
Databases
Hospital DB
Useful Form
Disaggregated
data into useful
information
Filter
NIH ,
PHE,
AIHW,
etc.
ICU bedHospital Entry Form
Patient’s
health
information
Useful display
of historical
and real time
patient info
Vital
s
Symptoms
& Test
Results
Treatmen
t
Received
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize
Patient Notes
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Patient Notes
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Last 24 Hours
Last 7 Days
Historical
Visualize
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Heart Rate
Respiration Rate
SBP
DBP
O2 Sat
Patient Notes
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Heart Rate
Respiration Rate
SBP
DBP
O2 Sat
Patient Notes
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Heart Rate
Respiration Rate
Visualize
O2 Sat
SBP
DBP
Patient Notes
0
20
40
60
80
100
120
140
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR 02 Sat
Min: 56
Mean: 77
Max: 100
Min: 12
Mean: 16
Max: 26
Min: 91%
Mean: 95%
Max: 100%
Live Status:
HR: 100
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Heart Rate
Respiration Rate
Visualize
O2 Sat
SBP
DBP
Patient Notes
Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize
“Hospitals are finally having a eureka moment”
Steve, Bahaa, Andrew in support of Kiani
Thank you
Dr Buchanan
Dr Degeorgio
Dr Loparo
Dr Drummond
Mr David Sylvan
Dr Alan Dowling
ScienceDaily
(https://www.sciencedaily.com/releases/2005/03/050309150321.h
tm)
Statnews
(https://www.statnews.com/2016/09/07/hospital-icu-modernize/)
Boston Globe
(http://www.bostonglobe.com/metro/2016/03/13/new-focus-
making-icus-more-humane/A60jXTprSFktOkWXn11IgK/story.html)
References
0
20
40
60
80
100
120
140
160
180
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24 HOUR PATIENT VITAL SIGNS
HR RR SBP DBP
Min: 86
Mean: 120
Max: 170
Min: 56
Mean: 77
Max: 126
Min: 52
Mean: 72
Max: 92
Min: 12
Mean: 16
Max: 26
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%
0
20
40
60
80
100
120
140
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR
Min: 56
Mean: 77
Max: 126
Min: 12
Mean: 16
Max: 26
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%
0
20
40
60
80
100
120
140
160
180
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR SBP DBP 02 Sat
Min: 86
Mean: 120
Max: 170
Min: 56
Mean: 77
Max: 126
Min: 52
Mean: 72
Max: 92
Min: 12
Mean: 16
Max: 26
Min: 91%
Mean: 95%
Max: 100%
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%

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Intensive Care Unit - Visualization on ICU monitors

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  • 3. 6,000 Practicing Intensivists 5 million patients admitted to ICUs 37 percent of ICU patients receive intensivist care
  • 4. “We have alarm fatigue. We’ve become numb to the noise and start to block them out,” said Rhonda Wyskiel, a former ICU nurse at Johns Hopkins Hospital “We’re creating a generation of doctors who look at screens instead of patients.” Marie Csete, an anesthesiologist and critical care specialist who now heads the Huntington Medical Research Institutes in Pasadena, Calif “Point. Click. Point. Click. Point. Click. Back and forth,” Dr. Brian Pickering anesthesiologist and critical care physician at Mayo Clinic in Rochester, Minn. “That may work if you’ve only got one patient. But I’ve got 24 in the ICU, and any one of them could be in crisis at any minute.” “The ICU environment is not set up to treat people with respect and dignity.” Schell-Chaple, an ICU nurse at the University of California, San Francisco Medical Center
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  • 7. In a modern ICU, a single patient can generate 2,000 data points per day, said Dr. Brian Pickering
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  • 11. Public Health Databases Hospital DB Useful Form Disaggregated data into useful information Filter NIH , PHE, AIHW, etc. ICU bedHospital Entry Form Patient’s health information Useful display of historical and real time patient info Vital s Symptoms & Test Results Treatmen t Received
  • 12. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Patient Notes Vitals Treatment Received Symptoms & Test Results Visualize
  • 13. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Visualize Patient Notes
  • 14. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Visualize Patient Notes
  • 15. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Patient Notes Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Last 24 Hours Last 7 Days Historical Visualize
  • 16. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Visualize Heart Rate Respiration Rate SBP DBP O2 Sat Patient Notes
  • 17. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Visualize Heart Rate Respiration Rate SBP DBP O2 Sat Patient Notes
  • 18. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Heart Rate Respiration Rate Visualize O2 Sat SBP DBP Patient Notes
  • 19. 0 20 40 60 80 100 120 140 12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM 24-HOUR PATIENT VITAL SIGNS HR RR 02 Sat Min: 56 Mean: 77 Max: 100 Min: 12 Mean: 16 Max: 26 Min: 91% Mean: 95% Max: 100% Live Status: HR: 100 RR: 16 SBP: 120 DBP: 70 02 Sat: 99%
  • 20. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Vitals Treatment Received Symptoms & Test Results Summary by Date & Time By Vital Sign Heart Rate Respiration Rate Visualize O2 Sat SBP DBP Patient Notes
  • 21. Patient Name: __________________ Patient #: ______________________ Hospital Admission Date: ______________ ICU Admission Date: __________________ Patient Notes Vitals Treatment Received Symptoms & Test Results Visualize
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  • 25. “Hospitals are finally having a eureka moment” Steve, Bahaa, Andrew in support of Kiani
  • 26. Thank you Dr Buchanan Dr Degeorgio Dr Loparo Dr Drummond Mr David Sylvan Dr Alan Dowling
  • 28. 0 20 40 60 80 100 120 140 160 180 12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM 24 HOUR PATIENT VITAL SIGNS HR RR SBP DBP Min: 86 Mean: 120 Max: 170 Min: 56 Mean: 77 Max: 126 Min: 52 Mean: 72 Max: 92 Min: 12 Mean: 16 Max: 26 Live Status: HR: 55 RR: 16 SBP: 120 DBP: 70 02 Sat: 99%
  • 29. 0 20 40 60 80 100 120 140 12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM 24-HOUR PATIENT VITAL SIGNS HR RR Min: 56 Mean: 77 Max: 126 Min: 12 Mean: 16 Max: 26 Live Status: HR: 55 RR: 16 SBP: 120 DBP: 70 02 Sat: 99%
  • 30. 0 20 40 60 80 100 120 140 160 180 12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM 24-HOUR PATIENT VITAL SIGNS HR RR SBP DBP 02 Sat Min: 86 Mean: 120 Max: 170 Min: 56 Mean: 77 Max: 126 Min: 52 Mean: 72 Max: 92 Min: 12 Mean: 16 Max: 26 Min: 91% Mean: 95% Max: 100% Live Status: HR: 55 RR: 16 SBP: 120 DBP: 70 02 Sat: 99%