Development and Implementation of a Digital Tool for Fluid Balance Management in Hospitalized Pediatric Patients:...

Area of Science:

• Pediatric critical care medicine
• Health informatics
• Clinical engineering

Background:

• Accurate fluid balance management is critical for pediatric patient safety, especially in intensive care.
• Traditional paper-based documentation presents limitations in real-time data tracking and analysis.
• Existing systems may lack integration capabilities, hindering comprehensive patient data review.

Purpose of the Study:

• To develop and implement a digital tool for real-time fluid balance management in a pediatric hospital.
• To overcome the limitations associated with paper-based fluid balance documentation.
• To enhance patient safety through improved data accuracy and accessibility.

Main Methods:

• Development and implementation of a digital fluid balance management system.
• Structured recording and visualization of fluid inputs and outputs.
• Integration of medication and laboratory data.
• Interoperability with electronic health records using HL7® FHIR® standard.

Main Results:

• Successful implementation of a digital tool for real-time fluid balance management.
• Enabled structured data recording, visualization, and integration of diverse clinical data.
• Ensured data traceability and security through interoperability.
• Facilitated the generation of clinical alerts for fluid balance management.

Conclusions:

• Digitalization of fluid balance management improves data accuracy and accessibility in pediatric intensive care.
• Interoperability with electronic health records enhances data integration and patient safety.
• The developed system provides a robust solution for real-time fluid balance monitoring and alerting.