The CONCERN Study:

Communicating Narrative Concerns Entered by RNs

The aim of this project is to design and evaluate a SMARTapp on FHIR used across two large academic medical centers that exposes to physicians and nurses our predictive data source from nursing documentation to increase care team situational awareness of at risk patients to decrease preventable adverse outcomes.

  1. Analytics of existing nursing documentation for determining thresholds for the SMARTapp
  2. Integrating the SMARTapp into EHR systems
  3. Evaluating the SMARTapp on early detection of risky patients for in-hospital mortality, length of stay, cardiac arrest, unanticipated transfers to the ICU, and 30-day hospital readmission rates

Methods: data mining, natural language processing, factorial design surveys, simulation testing, and outcomes evaluation.

Funding provided by:

National Institute of Nursing Research (NINR)

Grant #: 1R01NR016941-01 Communicating Narrative Concerns Entered by RNs (CONCERN): Clinical Decision Support Communication for Risky Patient States

CRICO, The Risk Management Foundation of the Harvard Medical Institutions Inc.

Project Title: Clinical Deterioration Interventions: Same Patterns, Different Outcomes of ICU Survival and Acute Care Mortality