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Open AccessCommunication

The STELAR ICU: Leveraging Electronic Health Record Data to Foster Research and Optimize Patient Care

1
Department of Critical Care Medicine, University of Pittsburgh School of Medicine/UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA
2
Division of Pediatric Health Informatics, University of Pittsburgh School of Medicine/UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA 15224, USA
3
Department of Pediatrics, University of Pittsburgh School of Medicine/UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA 15224, USA
*
Author to whom correspondence should be addressed.
Informatics 2018, 5(3), 37; https://doi.org/10.3390/informatics5030037
Received: 31 July 2018 / Revised: 31 August 2018 / Accepted: 6 September 2018 / Published: 7 September 2018
(This article belongs to the Special Issue Data-Driven Healthcare Research)
Electronic health records (EHR) combined with robust data collection systems can be used to simultaneously drive research and performance improvement initiatives. Our Smart, Transformative, EHR-based Approaches to Revolutionizing the Intensive Care Unit (STELAR ICU) consists of a framework of five best practices that make optimal use of objective data to guide clinicians caring for the sickest patients in our quaternary center. Our strategy has relied on an accessible data infrastructure, standardizing without protocolizing care, using technology to increase patient contact and time spent at the bedside, continuously re-evaluating performance in real-time, and acknowledging uncertainty by using electronic data to provide probabilistic weight to clinical decision-making. These strategies blur the lines between research and quality improvement, with the aim of achieving truly stellar patient outcomes. View Full-Text
Keywords: learning health system; electronic health records; performance improvement; standardization; guidelines; pediatric critical care learning health system; electronic health records; performance improvement; standardization; guidelines; pediatric critical care
MDPI and ACS Style

Horvat, C.M.; Suresh, S.; Clark, R.S.B. The STELAR ICU: Leveraging Electronic Health Record Data to Foster Research and Optimize Patient Care. Informatics 2018, 5, 37.

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