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Patients in the ICU are
incredibly vulnerable and errors or missed steps can be deadly.
[SOUND] For each patient there are up to 200 steps that need to
happen every single day for safe,
high quality care in the ICU.
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Hi, my name is Cindy, I'm gonna be your husband's nurse today.
>> Is he okay?
>> He did very well after his aneurism repair.
We have him all set up and ready for you to visit.
Let me take you to his room.
>> Thank you.
>> Hi, James.
How you doing, sweetie?
I'm right here by your side.
You did a good job.
Is he okay with all of these?
>> He is.
He's on a machine called a ventilator.
This is gonna help him with his breathing.
He also has a large IV in where we're giving him IV medication
or any IV fluids that he might need.
While he's a patient here in the ICU,
we'll be monitoring him for any complications.
You might have.
We're using a new system to track that.
Let me show you.
[SOUND] >> Okay.
>> So this is called a harms monitor.
This is gonna help your husband's care team
keep track of any potential harms he might be at risk for
while he's a patient in our ICU.
For instance, that your husband's on a ventilator,
he has a breathing tube.
That puts him at risk for ventilator associated harm.
This system will help keep track of all the therapies he should
receive to prevent that complication from occurring
while he's a patient in our ICU.
It's also something the family can look at as well.
>> A lot of the old processes for
keeping track of potential harms were done manually.
Requiring clinicians to remember the status of
hundreds of things all that once.
We have for
the first time invited front line caregivers and engineers
to collaborate in the design of a system that makes care safer.
One example is the use of sensors to track steps of care
and make sure none are missed.
Mister Anderson the system let me know I needed to raise
the head of your bed a bit,
I think the x-ray tech maybe left it down.
There you go,
this will help prevent you from getting any lung infections.
Lana will be coming with me tomorrow.
>> Never been in an ICU before.
I'm a little overwhelmed by all this.
Daddy it's me, everything is going to be alright
>> How is he today?
>> He had a good night, he did very well.
This new computer system has a lot for families as well,
you can use this tablet to learn about items in his room,
to request a meeting of his care team can ask a question.
You can even put some pictures on here.
Most importantly, you can let us know your dad's like
when he's not in the hospital.
His likes, his dislikes, his hobbies.
>> Oh, this is amazing.
Mom, look at this.
Another thing that a lot of families like in our unit,
you can help participate in his care if you're interested.
This has a family involvement menu.
It has a variety of activities that you can help with.
Everything from fluffing his pillows to helping with his
exercises.
You can read a little bit about what each activity consists of
and sign up for anything that you're interested in, okay?
>> Okay.
>> We will use the system to communicate with and
engage patients and families in many new ways.
Too often, care is not consistent with patient wishes.
>> Why is his goals indicator yellow?
>> I don't know, let's check it out.
Turns out that their goals are different than ours.
I wanna see the rest of his profile.
Let's go talk with him and see what we can do.
>> Okay.
[SOUND] Hi Mrs. Anderson.
Hi I'm Dr. Rolmeck and I believe you've already met Dr.
Halp from surgery.
[SOUND] So we just wanted to talk to you about your husbands
goals with his hospitalization.
We use the goals of care section on the harms monitor to make
sure that our care is consistent with what his wishes are.
>> I answered that question on the tablet, and
before his surgery.
He said that he wanted to just live comfortably for
the rest of his life.
Will he be able to do that?
>> He's a young man, he had a good operation.
He's starting to get better already.
I actually saw on the tablet that he likes to ride his bike
and spend a lot of his time outdoors.
I think he will be able to get back to doing both
of those things.
I think he could even probably get back to going to work if he.
If you wanted to.
>> And we need to ask you for
your help because he's gonna need physical therapy and
rehabilitation to get back to his regular life.
>> Why certainly?
>> Good morning, sir, I'm John from respiratory therapy,
how are you.
Good.
[SOUND] Fantastic.
I'm here to do a little breathing test,
see if we're ready to get that tube out, okay?
You just relax and breathe normal for me.
Great.
[SOUND] Good morning everyone.
>> Good morning. >> Good morning.
>> How you feeling today Mr. Anderson?
>> Much better today.
>> I think today we're going to start you with some activities
and exercises.
>> Oh.
Oh great I'd like to try some exercises.
But I still feel pretty weak, I'm not sure how strong I'll be.
>> Don't worry about that, we have a variety of activities
to help you with your strength and energy.
We have physical therapists who can come to help you with
your walking and we have some games for you to play.
>> And this tablet lets us sign up so
that we can help you with your exercises too!
>> You wanna get started?
Excuse me, nurse.
>> Yes? >> How far did I walk yesterday?
>> You went about ten feet.
>> Let's try for 30 today.
>> Okay!
I think you can do it.
All right, you ready?
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>> We hope to create an ICU where all of the technologies
and people work together to deliver care that is higher
quality, safer, and more respectful and dignified.
He's doing really well today.
He's going to be transferred to regular 4.
>> Outstanding.
I have a granddaughter I need to get home to play with.
>> Soon enough. You'll be home soon enough.
>> Oh, you're doing a great job sweetie.
>> By working across disciplines in new ways,
we are moving further faster.
We invite you to join us on our mission to eliminate preventable
harm optimize patient outcomes and experience, and
reduce waste in healthcare.
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