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Current evidence shows that coordination between different care team disciplines to screen and conduct weaning trials can improve patient outcomes, but they are largely performed manually and on a set schedule, translating into many missed opportunities to improve those very outcomes.
Simultaneously, alerts are sent to the respiratory therapist [RT] and registered nurse [RN], who then coordinate weaning of both the ventilator and sedative medications collaboratively. The system also provides real-time insight into the status of patients for both clinicians and ICU administration assessing patient flow. Additionally, it can evaluate for missed opportunities in order to identify operational processes for optimization.
A pilot study showed that the system reduced significantly time on mechanical ventilation and ICU length of stay. It is now implemented across the UPHS.
Implementation of an automated screening system such as the ABCDE app addresses failures in timing and coordination between care team members and provides data-driven insights into ICU operations that current solutions do not address.