- There are approximately 6,000 intensivists in the US who care for 5 million patients admitted annually to ICUs, however only 37% of ICU patients receive intensivist care. - ICU doctors and nurses are overwhelmed with large patient loads and constant monitoring of multiple patients, leading to increased risk of errors from "alarm fatigue" and over-reliance on screens instead of direct patient care. - The ICU environment is not always conducive to treating patients with dignity and respect due to high patient volumes and limited staff resources.

3. 6,000
Practicing
Intensivists
5 million patients
admitted to ICUs
37 percent of ICU
patients receive
intensivist care

4. “We have alarm fatigue. We’ve become
numb to the noise and start to block
them out,” said Rhonda Wyskiel, a former ICU
nurse at Johns Hopkins Hospital
“We’re creating a generation of doctors
who look at screens instead of patients.”
Marie Csete, an anesthesiologist and critical care
specialist who now heads the Huntington Medical
Research Institutes in Pasadena, Calif
“Point. Click. Point. Click. Point. Click.
Back and forth,” Dr. Brian Pickering
anesthesiologist and critical care physician at
Mayo Clinic in Rochester, Minn. “That may
work if you’ve only got one patient. But
I’ve got 24 in the ICU, and any one of them
could be in crisis at any minute.”
“The ICU environment is not set up to
treat people with respect and dignity.”
Schell-Chaple, an ICU nurse at the University of
California, San Francisco Medical Center

5. 5 million
Patient
80% Return Home

7. In a modern ICU, a single
patient can generate 2,000
data points per day, said Dr.
Brian Pickering

11. Public Health
Databases
Hospital DB
Useful Form
Disaggregated
data into useful
information
Filter
NIH ,
PHE,
AIHW,
etc.
ICU bedHospital Entry Form
Patient’s
health
information
Useful display
of historical
and real time
patient info
Vital
s
Symptoms
& Test
Results
Treatmen
t
Received

12. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize

13. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize
Patient Notes

14. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Patient Notes

15. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Last 24 Hours
Last 7 Days
Historical
Visualize

16. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Heart Rate
Respiration Rate
SBP
DBP
O2 Sat
Patient Notes

17. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Visualize
Heart Rate
Respiration Rate
SBP
DBP
O2 Sat
Patient Notes

18. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Heart Rate
Respiration Rate
Visualize
O2 Sat
SBP
DBP
Patient Notes

19. 0
20
40
60
80
100
120
140
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR 02 Sat
Min: 56
Mean: 77
Max: 100
Min: 12
Mean: 16
Max: 26
Min: 91%
Mean: 95%
Max: 100%
Live Status:
HR: 100
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%

20. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Vitals
Treatment
Received
Symptoms & Test
Results
Summary by Date & Time By Vital Sign
Heart Rate
Respiration Rate
Visualize
O2 Sat
SBP
DBP
Patient Notes

21. Patient Name: __________________
Patient #: ______________________
Hospital Admission Date: ______________
ICU Admission Date: __________________
Patient Notes
Vitals
Treatment
Received
Symptoms & Test
Results
Visualize

25. “Hospitals are finally having a eureka moment”
Steve, Bahaa, Andrew in support of Kiani

26. Thank you
Dr Buchanan
Dr Degeorgio
Dr Loparo
Dr Drummond
Mr David Sylvan
Dr Alan Dowling

27. ScienceDaily
(https://www.sciencedaily.com/releases/2005/03/050309150321.h
tm)
Statnews
(https://www.statnews.com/2016/09/07/hospital-icu-modernize/)
Boston Globe
(http://www.bostonglobe.com/metro/2016/03/13/new-focus-
making-icus-more-humane/A60jXTprSFktOkWXn11IgK/story.html)
References

28. 0
20
40
60
80
100
120
140
160
180
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24 HOUR PATIENT VITAL SIGNS
HR RR SBP DBP
Min: 86
Mean: 120
Max: 170
Min: 56
Mean: 77
Max: 126
Min: 52
Mean: 72
Max: 92
Min: 12
Mean: 16
Max: 26
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%

29. 0
20
40
60
80
100
120
140
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR
Min: 56
Mean: 77
Max: 126
Min: 12
Mean: 16
Max: 26
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%

30. 0
20
40
60
80
100
120
140
160
180
12:00 AM 4:48 AM 9:36 AM 2:24 PM 7:12 PM 12:00 AM 4:48 AM 9:36 AM 2:24 PM
24-HOUR PATIENT VITAL SIGNS
HR RR SBP DBP 02 Sat
Min: 86
Mean: 120
Max: 170
Min: 56
Mean: 77
Max: 126
Min: 52
Mean: 72
Max: 92
Min: 12
Mean: 16
Max: 26
Min: 91%
Mean: 95%
Max: 100%
Live Status:
HR: 55
RR: 16
SBP: 120
DBP: 70
02 Sat: 99%