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At a 200-bed suburban hospital, affiliated with an academic center, patient safety and quality care are paramount. Over the past 60 days, remarkable progress has been made in reducing unplanned ICU admissions and implementing a virtual rapid response process, demonstrating a commitment to improving patient outcomes through innovation and dedicated teamwork. Unplanned ICU Admissions: Significant Reductions Unplanned ICU admissions, a key indicator of a hospital's ability to manage patient deterioration, have significantly decreased over the past two months.  June 2024 vs June 2023: Unplanned ICU admissions decreased by 29% July 2024 vs July 2023: Unplanned ICU admissions decreased by 53% This improvement is attributed to proactive measures and the strategic use of data analytics for root cause analysis, facilitating the rapid identification and resolution of underlying issues. Virtual Rapid Response Process: Enhancing Patient Safety Introduced in May 2024, the virtual Rapid Response Team (RRT) process has been instrumental in these improvements. The virtual RRT (Rapid Response Team) process incorporates multiple crucial steps and technological integrations to ensure timely interventions and seamless communication among healthcare providers: Decisio Alerts: These alerts notify the team when a patient's National Early Warning Score (NEWS) reaches a critical level, enabling prioritization of care without overwhelming the team. Note: Initial settings for NEWS were...

Rapid Response Teams (RRTs) do much more than just respond to emergencies; they play a multifaceted role in enhancing both patient care and hospital operations. They are not merely a safety net for the hospital; they act as the glue that holds the hospital together. Their effectiveness is significantly enhanced when supported by technology. Hospitals that have implemented an RRT and incorporated clinical software into their workflow have seen numerous benefits. We have previously discussed some of these advantages, such as improved patient outcomes, enhanced communication among clinical teams, and increased efficiency in emergency response. However, there are additional challenges, such as clinician burnout and staffing gaps, that can be addressed with the integration of virtual nursing. Virtual Nursing: A Game Changer for Hospital Efficiency Virtual nursing helps address these common challenges while offering numerous benefits to both clinicians and patients. In order to maximize these benefits and enhance the efficiency of these remote teams, it is crucial to integrate technology into clinical workflows. Let’s delve into some of these benefits in greater detail… Patient Care Enhanced Monitoring and Consultations:  Further improve patient care by providing real-time remote monitoring and facilitating immediate expert consultations. Protocol Compliance:  Oversee compliance with protocols such as CAUTI and CLABSI...

Central Line-Associated Bloodstream Infections (CLABSIs) pose a significant financial burden on hospitals, leading to increased hospital stays, additional medical treatments, and higher use of healthcare resources. Each CLABSI case can cost hospitals between $22,000 to $100,000, depending on the severity and interventions required. Additionally, hospitals may face penalties from insurance companies and reduced reimbursements from Medicare and Medicaid due to high infection rates. These financial strains emphasize the importance of investing in preventive measures and staff training to reduce CLABSI incidence. The Finanical Impact of CLABSI A detailed study conducted at a tertiary-care academic medical center found that CLABSI significantly increased hospital costs and mortality risk. The study revealed that adjusted variable costs for CLABSI patients were approximately $32,000 higher than for those without CLABSI (in 2010 US dollars). Moreover, CLABSI was associated with a 2.27-fold increased risk of in-hospital mortality after adjusting for illness severity and other healthcare-associated infections. These findings highlight the substantial financial burden and elevated mortality risk linked to CLABSI in both ICU and non-ICU settings. Antibiotic Resistance The issue is further complicated by antibiotic resistance. Antibiotic-resistant pathogens in CLABSI cases complicate treatment, leading to longer hospital stays, increased healthcare costs, and higher mortality rates. These infections require more complex...

Catheter-associated urinary tract infections (CAUTIs) significantly strain hospital finances, incurring direct treatment costs and broader economic implications. The Agency for Healthcare Research and Quality (AHRQ) reports that each CAUTI case costs around $13,793 due to extended hospital stays and additional treatments.1 HealthLeaders Media adds that CAUTIs nationally cost about $1.7 billion, underscoring the economic incentive for hospitals to enhance infection control and monitoring to reduce these expenses.3 The substantial cost associated with CAUTIs highlights the broader economic incentives for hospitals to invest in infection control protocols and monitoring practices to reduce the incidence of these costly infections. Clinically, CAUTIs pose serious challenges, increasing patient morbidity and complicating treatment. UroToday notes that these infections heighten risks of severe complications like bacteremia and sepsis.4 Research in the Journal of Antimicrobial Stewardship and Healthcare Epidemiology shows CAUTIs often have higher antibiotic resistance, further complicating treatment and extending hospital stays by 2-4 days, straining resources and emphasizing the need for strict infection control.2,5 Addressing CAUTIs requires a multidisciplinary approach, emphasizing the elimination of unnecessary catheters and timely removal protocols led by nurses, as highlighted by the Agency for Healthcare Research and Quality and the American Nurses Association.6,7 Additionally, comprehensive nurse-driven catheter management practices ensure proper maintenance...

Rapid Response Teams (RRTs) are specialized groups in hospital settings designed to provide immediate care to patients showing signs of significant clinical deterioration. These teams play an important role in the hospital - act quickly to intervene early. The main goal of this virtual nursing model is to identify and treat patients at an early stage of unanticipated clinical decline to prevent the need for emergency or unplanned transfer to intensive care. Role and Importance of RRTs in Hospital Settings Rapid Response Team’s typically respond to patients after being notified by bedside care teams who observe a patient's condition worsening. Criteria for activating an RRT vary by institution but generally include changes in vital signs, level of consciousness, or other clinical indicators. Upon arrival, the team assesses the patient, administers immediate interventions, and decides on the best course of action: further monitoring, additional treatment, or transferring the patient from acute care to a higher level of care. Incorporating Decisio's Clinical Decision Support (CDS) into RRT Workflow By incorporating the use of Decisio’s Clinical Decision Support (CDS) solution into the existing workflow, this model significantly outperforms the traditional methods of activating the Rapid Response Team. The use of clinical decision support software provides...