Issue | Current Approach | BGE |
---|---|---|
Inefficient access to guideline content delays care | Requires accessing paper or electronic depository documents (time-consuming, inconsistent, and difficult) | Content is always present and highly visible on dedicated bedside device for immediate review |
Indirect or absent link between content and patient data interferes with fidelity to guidelines | Linking content to patient data requires active effort by providers through multi-step processes | Guideline content is automatically linked to the patient’s momentary condition |
Patient’s condition triggers alerts, but alerts are not linked to recommended care | Static guidelines: providers must identify alerts and link them to recommended care | Alerts automatically trigger content-based recommendations, which are displayed at the bedside alongside patient data |
Information overload | - Care team members individually merge data from bedside monitor, medical record, and guideline content. - Access to patient physiology trends is often difficult or not available. | - Data from relevant sources is merged and automatically linked to guideline-based content. - High-resolution trends of patient physiology are available to facilitate data review and decision-making |
No efficient method for ongoing evaluation of timeliness of therapy and fidelity to guidelines | - Clinical care is recorded in the medical record, which requires retrospective data collection (manual or semi-automated). - Timeliness of therapy is just an estimate. | - Automated data extraction for efficient audits of care - Tracks time-stamped team interventions and feedback |