This document describes an ICU scoring system developed at AIIMS to calculate the severity of disease and prognosis of ICU patients. It discusses the different types of ICU scores including APACHE, SOFA, and SAPS. It outlines how the system works, including vital entry, lab modules, and homepage. The roles of nurses in providing training and data entry are highlighted. Benefits include easy assessment, performance comparison, and graphical data representation. Challenges in implementation centered around computer training for nurses. Compliance is reported as 100% in the neuro ICU.

1. ICU SCORING SYSTEM
PRESENTED BY
MR. NAVID IQBAL ,Dr Deepak Agarwal
NURSE INFORMATICS SPECIALIST
JPNATC, AIIMS

2. INTRODUCTION
 ICU Scoring system started at April
2012.
 It was developed by JPNATC itself.
 It is calculates score the severity of
disease and the prognosis of patients in
ICU.
 It is used by doctors & ICU Nurses.

3. HOW TO USE ICU SCORING
SYSTEM

4. VITAL ENTRY SYSTEM

5. LAB MODULE

7. HOME PAGE

8. Types of ICU scoring
 APACHE SCORE :-Acute Physiology And Chronic
Health Evaluation
 SOFA SCORE :-Sequential Organ failure
Assessment Score.
 SPA SCORE :-Simplified Acute Physiology Score
• APACHE SCORE :-Acute Physiology And Chronic
Health Evaluation
• SOFA SCORE :-Sequential Organ failure Assessment
Score.
• SPA SCORE :-Simplified Acute Physiology Score

9. APACHE Score
 Acute Physiologic and Chronic Health
Evaluation (APACHE) II system- APACHE II
was designed to provide a morbidity score for
a patient.
 It is useful to decide what kind of treatment or
medicine is given.

10. SAP Score
 Simplified Acute Physiologic Score - SAPS
was designed to provide a predicted
mortality, that does not reflect the expected
mortality for a particular patient, but is good for
benchmarking.
 In a rather simple way, it makes it possible to
provide a single number that describes the
morbidity of a number of patients.

11. SOFA Score
 Sequential organ failure Assessment Score
- SOFA was designed to provide a
simple, daily score that indicates how the
status of patient evolves over time

12. ROLE OF NIS
 Provide training to nursing staff and lab staff.
 To promote the staff for vital entry.
 To detect software problem and inform to
software programmer .

13. BENIFITS
 Easy to use.
 Easy to assess severity of patient.
 Easy to assess ICU performance .
 It shows data in graphical format.
 It is helpful for clinical
decision, research, and comparing the
quality of patient care across ICUs.

14. CHALLENGES
 One of the biggest challenges faced in the
implementation of this software was to train
the nurses on how to use computers and also
to make them familiar and confident in
implementing the software.

15. COMPLIANCE
 There is 100% compliance in neuro ICU.

17. Conclusion
 Automatic calculation of these scores
(apache, saps, sofa) can dramatically reduce
the workload on doctors and nurses.
 Nurses can the major helps by entering the
most of the variables so that continues
calculation is possible of the ICU patients.

18. THANK
YOU