
Clinician Satisfaction with Computer Decision Support in the Intensive Care Unit
Objective
This clinical study measures satisfaction with two decision support systems among staff in a burn intensive care unit: a commercial glycemic management system (EndoTool) and a home-grown system used to guide initial burn fluid resuscitation.
Setting
Largest (425-bed) U.S. military hospital, academic medical center and Level 1 trauma center.
Results
- Though the two decision support systems were used for different purposes, staff perceived the EndoTool glycemic management system more favorably than the home-grown fluid resuscitation system in four areas: (1) adequacy of training, (2) comfort with the system, (3) ease of use, and (4) trust in recommendations.
- To note, a prior study had demonstrated better glycemic control and fewer episodes of hypoglycemia with the EndoTool glycemic management system versus traditional paper-based protocols.
Conclusions
In spite of a general preference among staff for the EndoTool glycemic management system, neutral responses to the survey question regarding whether it results in greater time in target range or improvement in patient outcomes reflect a disconnect among staff with the findings of a prior study, which leads to a presumption that continual feedback related to the demonstrated benefits and successes of new technology is critical to ensuring staff trust, acceptance and overall satisfaction.
Authors
Elizabeth Mann, PhD, RN, CCRN, CCNS-BC; David Allen, MSN, RN, CCRN, CCNS-BC; Maria Serio-Melvin, MSN, RN, CCRN, CNS-BC; Steven Wolf, MD; Jose Salinas, PhD.
Source
Published in Dimensions of Critical Care Nursing, Volume 31, Issue 1, p31-36.
Year
2012
Tags
- Cost Savings
- Healthcare-Associated Infections
- Hospital-Acquired Conditions
- Hyperglycemia Reduction
- Hypoglycemia Reduction
- Length of Stay
- Surgical Site Infections
- Glucose Variability
- Mean Glucose Improvement
- Target Goal Attainment
- Time in Range
- Time on IV Insulin
- Time to Target
- Burn Injury
- Cardiac Surgery
- DKA/HHS Management
- Emergency Department
- Induced Hypothermia
- Intra-op Glucose Management
- Obstetrics/Labor & Delivery
- Pediatrics
- Residual Insulin Adjustment
- BG Check Compliance
- BG Test Reduction
- Nursing Satisfaction
- Protocol Adherence
- Provider Satisfaction
- Workflow Improvements