Project IMPACT:Clinical Decision Support in Critical Care
Gordon D. Brown The Setting Leaders of the critical care unit at Western
Metropolitan Medical Center recommend to the executive staff to acquire access
to Project IMPACT, a database that contains descriptions of intensive care unit
(ICU) patients, their care, and outcomes. This recommendation is appropriate
for the institution? commitment to quality of patient care and is championed
by the director of the critical care unit, who holds a national leadership
position at the Society of Critical Care Medicine. The critical care unit?
physicians also support Project IMPACT and are similarly involved with the
Society of Critical Care Medicine, which developed the database for
Tri-Analytics (see www.trianalytics.com/programs_pi.html). Project IMPACT was
acquired by the Cerner Corporation as a strategy for collaborating with
physician groups. Other products of the company include the following: ·IMPACTessentialT, a registry
that includes data elements that describe patient demographics, admitting diagnoses,
condition and acuity, lengths of stay in ICU and hospital, and condition on
dis- charge ·IMPACTsepsisT, a registry for severe sepsis in ICUs The goal of
Project IMPACT is to provide a database for monitor- ing and reporting critical
care treatment and outcomes for subscribing institutions. The database provides
a centralized, efficient, and consistent means for collecting and analyzing
data on ICU patients. A better under- standing of these occurrences and the
performance of each center and physician will enable staff to evaluate
equipment and training, improve practices, and ultimately improve outcomes.
More efficient treatment of critical care patients is needed given that their
care represents 14 percent of acute care costs annually. Western takes the recommendation and subscribes to Project
IMPACT as a strategy to boost clinical quality. Subscription enables the
institution to access software that establishes data standards, checks for data
quality, and automatically prepares data for submission to the central
questions to answer
- Explain how the gap between developers and end users effects outcomes
- Explain how you would change the design of the Clinical Decision Support System to address the concerns of the clinicians in this case study
- The IMPACT database relies on critical care nurses to enter data into the system. An older nurse is struggling with inputting the data due to her advanced arthritis. What recommendations would you make to address the IMPACT user interface and ergonomics of the workplace to address the nurses·data entry issue?
- Design a new data input screen.
- Create a mock screen utilizing any of the Microsoft products
- Must be one to two double-spaced pages in length, excluding the title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.
- Must include a title page with the following:
- Title of paper
- Student? name
- Course name and number
- Instructor? name
- Date submitted
- Utilize a minimum of two scholarly sources, excluding the textbook.
- Must begin with an introductory paragraph and end with a conclusion