Setting the vision: applied patient-reported outcomes and smart, connected digital healthcare systems to improve patient-centered outcomes prediction in critical illness.

Published

Journal Article (Review)

Prediction models in critical illness are generally limited to short-term mortality and uncommonly include patient-centered outcomes. Current outcome prediction tools are also insensitive to individual context or evolution in healthcare practice, potentially limiting their value over time. Improved prognostication of patient-centered outcomes in critical illness could enhance decision-making quality in the ICU.Patient-reported outcomes have emerged as precise methodological measures of patient-centered variables and have been successfully employed using diverse platforms and technologies, enhancing the value of research in critical illness survivorship and in direct patient care. The learning health system is an emerging ideal characterized by integration of multiple data sources into a smart and interconnected health information technology infrastructure with the goal of rapidly optimizing patient care. We propose a vision of a smart, interconnected learning health system with integrated electronic patient-reported outcomes to optimize patient-centered care, including critical care outcome prediction.A learning health system infrastructure integrating electronic patient-reported outcomes may aid in the management of critical illness-associated conditions and yield tools to improve prognostication of patient-centered outcomes in critical illness.

Full Text

Duke Authors

Cited Authors

  • Wysham, NG; Abernethy, AP; Cox, CE

Published Date

  • October 2014

Published In

Volume / Issue

  • 20 / 5

Start / End Page

  • 566 - 572

PubMed ID

  • 25159475

Pubmed Central ID

  • 25159475

Electronic International Standard Serial Number (EISSN)

  • 1531-7072

International Standard Serial Number (ISSN)

  • 1070-5295

Digital Object Identifier (DOI)

  • 10.1097/MCC.0000000000000139

Language

  • eng