• Yang Kai-Hsuan, Wei-Fong Kao, Lin Yen-Kuang, Wang Pei-Ling, Huang Tsung-Jen, Kang Yi-No, Chen Ray-Jade, and Chao Chun-Chieh.
• Department of Emergency Medicine, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
• Rev Invest Clin. 2020 Jan 1; 72 (1): 25-31.

BackgroundClinical situations in intensive care units (ICUs) change rapidly, and many factors may prolong the length of stay (LOS) of patients.ObjectivesThe objectives of the study were to examine the effects of implementing an electronic-ICU (e-ICU) and an informatics system in an ICU on the LOS of patients and quality of care.MethodsWe evaluated the implementation of a technology electronic dashboard-ICU (TED-ICU) system to upload automatically physiological information and clinical data within the critical care unit for providing real-time information to the care team. Furthermore, TED-ICU software automatically performed Sequential Organ Failure Assessment (SOFA) every 48 h. If a patient's SOFA score decreased by more than 2 points, there was an automatic reminder for transferring patients to the general ward. We prospectively collected data for this study from the ICU before and after implementing the e-ICU.ResultsIn total, 2248 patients were admitted to our ICU during the study period (1147 and 1101 patients before and after TED-ICU implementation, respectively). Demographic characteristics and in-hospital mortality rates did not differ significantly between the two groups, and the LOS decreased from 7.26 to 5.53 days (p < 0.01).ConclusionImplementing an informatics system (TED-ICU) and care bundle in ICUs can reduce the LOS.Copyright: © 2019 Permanyer.

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