Digitized ICU

From fragmented data to integrated clinical decisions in the ICU
Profile of the healthcare environment
  • Center that provides healthcare to a population of about 280,000 people.
  • ICU that treats about 1,300 critically ill patients a year.
  • A highly complex clinical environment with a high demand for care.
Main Challenges
  • Fragmented clinical information, coming from multiple medical devices.
  • Difficulty in providing a longitudinal view of the patient's condition.
  • Limitations to exploiting data for advanced clinical research purposes.

Key Results
  • Automatic integration of critical patient vital signs.
  • Increased ability to anticipate, identify and prevent relevant clinical events
  • Promotion of advanced clinical research in intensive care.

“Better Care helps us every day to look beyond medical devices connected to the patient and to transform data into important clinical decisions.”
Dra. Silvia Cano
Head of the Intensive Care Service
Sant Joan de Déu Hospital - Althaia Foundation, Manresa (Barcelona)

The context

The San Juan de Dios Hospital Fundació Althaia provides healthcare to about 280,000 patients in central Catalonia. Every year, it records approximately 33,000 hospital admissions and, specifically, the Intensive Care Unit (ICU) manages 1,300 critically ill patients distributed over 20 beds.

The challenge

As in any other hospital environment, here the clinical situation of the critically ill patient can change in a matter of minutes, so decision-making must be based on accurate, continuous and reliable information. However, the context of this ICU made it necessary a system capable of recomposing the clinical data puzzle generated by heterogeneous medical devices and turn them into useful information for daily care practice.

The Solution

Since 2014, the Hospital Sant Joan de Déu Fundació Althaia has relied on Better Care solutions such as strategic technological ally for the ICU.

The cornerstone of the project is BC Link®, an interoperability platform that allows the automatic collection, unification and structuring of all vital signs and clinical data generated by critical patients.

Thanks to BC Link®, data from monitors, ventilators and infusion pumps are automatically integrated into the hospital's computer systems. Its technological capabilities guarantee the quality, consistency and traceability of clinical information, so that all records are documented in a precise and structured way, no need for manual input.

Based on this unified database, solutions such as BC Mview®, BC Workstation® and BC Tracker® allow intensive care professionals at the Hospital San Juan de Dios Fundació Althaia to have a continuous monitoring and visualization of the critical patient's condition.

The clinical value

The advanced visualization capability of this data has meant a qualitative change in clinical practice in the ICU of the San Juan de Dios Hospital Fundació Althaia.

Today, these professionals can:

  • Analyze the evolution of patients with mechanical ventilation.
  • Retrospectively identify and review critical hemodynamic events
  • Detect relevant clinical patterns and changes that previously went unnoticed.

Specifically, BC Link® allows retrospective analysis of thousands of respiratory cycles, making it easier to detect and study asynchronies between the patient and the ventilator.

Impact on clinical research and innovation

The availability of high-resolution data has opened the door to new lines of clinical research, especially in the field of critically ventilated patients.

This has contributed to a paradigm shift in critical patient care, reinforcing The role of data as a central axis of clinical improvement, patient safety and healthcare innovation.

Conclusion

Better Care solutions allow intensive care physicians at the Hospital San Juan de Dios Fundació Althaia to look beyond connected devices, transform data into clinical knowledge and turn it into decisions that improve diagnosis, treatment and patient safety.

“We use BC Workstation® to identify clinical events that would never have been detectable with the naked eye — and even measure them. These findings have inspired new research projects that have led to a paradigm shift in the intensive care of mechanically ventilated patients.”
Dra. Montse Batlle
Assistant doctor at Intensive Care Department
Sant Joan de Déu Hospital - Althaia Foundation, Manresa (Barcelona)

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