COReAPP Clinical Outcomes Registry

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Presentation transcript:

COReAPP Clinical Outcomes Registry Smart-phone COReAPP Clinical Outcomes Registry Specification: Functional Point of care input (smart-phone/mini-tablet) Capture outcomes (adverse events) Capture provider performance metrics Provide clinical decision support (CDS) Configurable menus/functions by admin Compliant error checking Postop note; documentation Efficient data entry minimize redundant data entry nested menus Independent of hospital IT/AIMS Provide pre-care clinical RISK ALERTS Technical Native iOS, Android*, Windows 8 WiFi or 3G/4G, Cloud based asynchronous/offline operation HIPAA/PHI compliant encryption SQL compatible DB and reports Bar code compatible M Jacques1 BS, X Fu1, PhD, FJ Overdyk2, MSEE, MD 1. Hofstra University Department of Computer Science 2. Hofstra North Shore-School of Medicine; North American Partners in Anesthesia * Current demo platform

COReAPP Smart-phone Outcomes/Adverse events* Risk Alerts: Difficult Airway AICD/Pacemaker PCI Stent PONV OSA BMI Aspiration Risk Clinical Decision Support: CardioVascular Cardiac Arrest (w CPR) ACS: Myocardial Ischemia req intervention ACS: Myocardial Infarction Dysrhythmia requiring intervention Discharge/Planning Case Cancelled Day of Surgery System Reasons Medical Reasons Patient Reasons Unplanned return to OR Unplanned Hospital Admission (and 23 hr stays) Unplanned ICU Admission Neurologic; Procedural Brain Injury CVA Hypoxemic brain Injury/Coma Other brain injury Spinal cord Event Epidural abscess following regional Epidural hematoma following regional Other spinal cord injury Visual Loss Peripheral Nerve Injury: in distribution of or absence of regional anesthesia Failed Regional Block as primary anesthetic Neurologic;Procedural Pneumothorax After perithoracic vascular or regional procedures Other Neurologic/Procedural Post-Dural Puncture Headache Vascular Access Event Wet tap Local anesthetic toxicity Infection after peripheral nerve block Excessive block requiring airway support Pharmacy/Blood Bank Malignant Hyperthermia Anaphylaxis Head/Neck Trauma Dental injury Corneal Abrasion Nondental Upper Airway Trauma Other Major Morbidity/Mortality Death SCIP Abx: Logistics; Printer *Anesthesia Business Group Criteria