Technology with Right Activation Parameters and Good Clinical Response: SAVE LIVES
Care Process & Redesign
Technology
Workforce Transformation
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2020
To reduce cardiac arrest rates by 25% (from 1.2 to <0.9 per 1,000 hospital admissions) by implementing automated EMR-based. Technology-driven automation improved clinical safety, reduced cardiac arrests, and enhanced patient care.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Technology, Workforce Transformation, Care Process ＆ Redesign, Digital Health, Data Management, Data Analytics, Digitalisation, Automation, Digital Platforms, Job Redesign, Multi-Disciplinary, Access To Care, Waiting Time, Workflow Redesign, Value Based Care, Safe Care
About this Content
Aims
To reduce cardiac arrest rates by 25% (from 1.2 to <0.9 per 1,000 hospital admissions) by implementing automated EMR-based alerts for peri-arrest patients.
Background
NTFGH experienced delays in recognizing deteriorating patients, leading to high cardiac arrest rates (1.2-1.64/1,000 admissions). Manual activation of Code Blue teams caused human errors and preventable deaths.
Methods
Implemented EMR-integrated Peri-Arrest Criteria (PACCA) to automate alerts for Code Blue activation. Conducted staff training, roadshows, and system maintenance to ensure sustainability.
Results
Cardiac arrest rates reduced by 25% (from 1.2 to 0.8 per 1,000 admissions). Survival rates improved to 70% (vs. 20% baseline). No Serious Reportable Events (SREs). Sustained outcomes with consistent monitoring.
Conclusion
Technology-driven automation improved clinical safety, reduced cardiac arrests, and enhanced patient care. Sustained outcomes demonstrated scalability.
Lessons Learnt
Multidisciplinary collaboration and non-clinical staff involvement were key. Automation reduced human error and saved time for frontline nurses.
Additional Information
Recognized for impact; project reduced cardiac arrests and saved lives through EMR-triggered activation.
Keywords
Automation, IT & Robotics, Workforce Transformation, Peri-Arrest Criteria, EMR Alerts, Cardiac Arrest, Quality Improvement, Patient Safety
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Healthcare Administrators, Cardiology, Intensive Care Medicine, Respiratory Therapy |
Project Lead(s) | Faheem Ahmed Khan |
Project Member(s) | Tan Chee Keat |
Connect with this contributor!
Dr Faheem Ahmed Khan - Faheem_Ahmed_Khan@nuhs.edu.sg
Project Attachment
35_NTFGH_NHIP_2020_Tech_w_Right_Activation_Para_SAVE_LIVES_combine.pdf