Redesigning Intensive Care Unit Workflows: A Learning Health System Approach to Improving Care Delivery
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1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Colorado School of Medicine, Academic Office 1, 12631 East 17th Avenue, Mailstop B178, Aurora, CO, USA.
Abstract:
Critical care leaders are increasingly asked to improve outcomes, reduce burden, and implement evidence-based care in complex, highly interdependent clinical environments. Meeting this challenge requires redesigning the workflows through which care is delivered, not simply measuring outcomes or adding new tools. This article presents a learning health system model that integrates sociotechnical systems thinking, quality improvement, health services research, and informatics to support workflow redesign. Multidimensional workflow signals inform the Diagnose, Redesign, Implement, Verify, Evolve (DRIVE) cycle to make care delivery more reliable, less burdensome, and better aligned with outcomes that matter to patients.
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