Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Implementation of a Digitally Enabled Care Pathway (Part 1): Impact on Clinical Outcomes and Associated Health Care Costs

Alistair Connell, Rosalind Raine, Peter Martin, Estela Capelas Barbosa, Stephen Morris, Claire Nightingale, Omid Sadeghi‐Alavijeh, Dominic King, Alan Karthikesalingam, Cían Hughes, Trevor Back, Kareem Ayoub, Mustafa Suleyman, Gareth Jones, Jennifer Cross, Sarah Stanley, Mary Emerson, Charles Merrick, Geraint Rees, Hugh Montgomery, Christopher Laing

Journal of Medical Internet Research · 2019

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Summary

BACKGROUND: The development of acute kidney injury (AKI) in hospitalized patients is associated with adverse outcomes and increased health care costs. Simple automated e-alerts indicating its presence do not appear to improve outcomes, perhaps because of a lack of explicitly defined integration with a clinical response. OBJECTIVE: We sought to test this hypothesis by evaluating the impact of a digitally enabled intervention on clinical outcomes and health care costs associated with AKI in hospitalized patients. METHODS: We developed a care pathway comprising automated AKI detection, mobile clinician notification, in-app triage, and a protocolized specialist clinical response. We evaluated its impact by comparing data from pre- and postimplementation phases (May 2016 to January 2017 and May

Source type
Peer-reviewed study
DOI
10.2196/13147
Catalogue ID
BFmokjo2bz-ha378r
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