medRxivJClub
Implementing an EHR-Integrated Quality and Safety Dashboard to Improve Inpatient Safety: Clinical Usage and Preliminary Outcomes
medRxiv · · Preprint · Open access
Pimentel, Plombon + 7 more
Abstract ↗AI summary
The abstract is read at the publisher; the summary is JClub's.
An EHR-integrated quality and safety dashboard in three general medicine units at a 171-bed community teaching hospital reduced CLABSI per 100 patient-days (aOR 0.47, 95% CI 0.37–0.60).
- Why it matters: Evidence remains limited on whether workflow-integrated quality and safety dashboards improve inpatient safety beyond process changes.
- What they did: In a pre-to-post interrupted time series study of 9,023 adult hospitalizations across seven-month pre- and post-implementation periods, investigators assessed adverse events, hospital-acquired conditions, safety process adherence, and dashboard utilization.
- The result: Overall hospitalizations with at least one adverse event were similar pre (23.15%) and post (22.97%), while exploratory analyses showed decreased post-discharge venous thromboembolism (aOR 0.66, p=0.01) and hospital-acquired pressure injury (aOR 0.69, p=0.05).
The findingWhy it mattersWhat they didThe result
- Open access