Shrink Time to Treatment!

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We are a team of engineers, technicians, designers, and health care people. We love technology and how it can help change the world. We believe in the future of health care.  We think it’s on the verge of some exciting transformations. And we want to participate in this revolution!

Our name suggests our intent: Quality Improvement. Our journey begins with the clinical challenge of Sepsis.  Sepsis is one of the most brutal killers in the world, and its effects are on the rise.

The Problem

According to the Mayo Clinic:

Sepsis is a potentially life-threatening complication of an infection. Sepsis occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail.

Recent research shows that sepsis:

  • is more common than heart attack
  • kills someone every 4 seconds, claiming more lives than any form of cancer
  • is the most expensive condition treated in U.S. hospitals (>$20B in 2011)

Solving the Problem

According to the World Sepsis Day campaign:

Only four hours after onset of sepsis the survival rate sinks dramatically. The best way to increase sepsis survival and quality of life after sepsis is to recognize the early signs of sepsis and start treatment immediately.

WorldSepsisDay_Survival Rates

Research shows how urgent time to treatment really is! (Courtesy of World Sepsis Day)

Every emergency department in the world aims to reduce the time taken to complete the steps along the sepsis pathway to established minimums…

In sepsis cases, the clock starts the moment a patient is flagged as a sepsis risk - at triage. That's Time Zero.

In sepsis cases, the clock starts the moment a patient is flagged as a sepsis risk – at triage. That’s Time Zero.

We at QiiQ want to help emergency staff reduce time for critical diagnosis and treatment steps to occur. To this end, we will exploit the best possible technologies at the lowest possible costs in order to design optimal solutions.

The QiiQ Solution

Goals:

  • Capture clinician-patient encounters on the pathway to sepsis treatment in REAL TIME
  • Report the critical time intervals along the treatment pathway in a location and manner that inspires REAL TIME engagement and improvement.

Key Elements:

  1. Equip patients flagged as possible sepsis with a Bluetooth beacon.
  2. Equip key ED staff with devices that will recognize proximity to patient beacon.  
  3. Prompt clinicians to tag these sepsis-related encounters with event labels.
  4. Automatically log these interventions in our database (in real time).
  5. Compile these events and present these performance results on dashboards prominent to clinical staff.

Benefits:

Minimally Distracting Entry – we recognize busy clinicians don’t need more distractions, so we’re designing this to make event logging simple and fast

Real Time Results – with appropriately stationed dashboards, you’ll know how you’re doing at a glance

Best Practices Driven – we’re building this solution around the Surviving Sepsis Campaign Guidelines

Global Measures – know how you’re doing on a local, regional, national, and global basis

Here is a preliminary system architecture for implementation and development with pilot partners:

sepsis_architecture_02

 

Dashboard Design

Everyone may want to see different views on performance data.  We want to work closely with administrators and clinicians to understand how best to first determine what data is most compelling, then how and where best to present it.

Here is a prototype concept for displaying real time data to administrators:

performance-charts-1

Call to Action

We are looking for 1 – 3 hospitals to work with in developing our solution. If you are:

  • motivated to improve performance in time-to-treatment of potential sepsis cases

You can contact us here.

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