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Hospital Alerting Via Electronic Noticeboard (HAVEN)

Description: Deterioration in hospital patients frequently goes unrecognised, despite widespread introduction of vital sign based "early warning scores". All electronically recorded patient data including demographics, laboratoryresults and vital signs may better identify patients who will deteriorate. However, these different data classesare not integrated and displayed to support decision-making or to quantify a patient s risk. Consequently,patients deteriorate because they are not reliably identified to clinical teams equipped to deliver timely, oftenlife-saving treatments. A hospital-wide surveillance system using electronically-available patient data toprovide a continuously-updated risk index is required.We will identify records of inpatients who have experienced unchecked deterioration until they requireintensive care unit (ICU) admission and use their data to develop and validate risk-prediction algorithmsbased on all classes of patient data available within electronic records.We will use these algorithms to deliver a prototype hospital-wide system allowing clinicians to identify, rank,review and treat patients who without acute medical intervention will deteriorate and require ICU admission.Information will be optimally presented to support decision-making and ease of interpretation.If early recognition of deterioration reduced the ~40,000 UK ward patients admitted to ICU annually by only10% nearly £40m of ICU bed capacity would become available.
Amount: £905,300
Funding type: grant
Funder scheme: HICF
Start date: 2015-08-03
End date: 2019-10-31
Investigator: Peter Watkinson
Institution: University of Oxford
Subfield: Epidemiology
Field: Medicine
Funded outputs count: 12
Funder award ID: HICF-R9-524
OpenAlex ID: G618368934
2021 · Oliver C. Redfern, Marco A.F. Pimentel, et al. · Resuscitation
2021 · Marco A. F. Pimentel, Oliver C. Redfern, et al. · American Journal of Respiratory and Critical Care Medicine · 88
2021 · Jody Ede, Tatjana Petrinic, et al. · BMJ Open Quality · 39
2020 · Marco A.F. Pimentel, Oliver C. Redfern, et al. · Resuscitation · 74
2020 · Simarjot S. Dahella, James S. Briggs, et al. · BMC Medical Informatics and Decision Making · 9
2019 · Farah E. Shamout, Tingting Zhu, et al. · IEEE Journal of Biomedical and Health Informatics · 89
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