Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) (Missouri)

Project Details - Ongoing

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Summary:

Most patients undergo elective surgery to cure a condition or improve quality of life; however, an estimated 1 to 5 percent of surgical patients die within 1 month of the operation. Furthermore, 10 to 20 percent of surgical patients experience major complications such as heart attacks, unremitting pain, infections, and blood clots in the weeks to months following their procedures. Some of this morbidity and mortality may be preventable through early identification of risk factors and better communication regarding risk mitigation.

The goal of this project is to develop and evaluate an air traffic control-like command center for operating rooms (ORs). The ACTFAST (Anesthesiology Control Tower: Feedback Alerts to Supplement Treatments) study will apply data mining and machine learning to forecast adverse patient outcomes using data from the perioperative electronic medical record and real-time physiological data. Detected events will trigger an alert on a clinical dashboard that indicates the real-time status of all ORs in the operating suite. The Anesthesiology Control Tower (ACT) will track and deliver alerts to anesthesiologists’ personal communication devices and enable expert clinicians located outside the OR to provide attending anesthesiologists with real-time decision support. The ACT will be tested in a randomized controlled trial.

The specific aims of this project are as follows:

  • Develop, refine, and validate forecasting algorithms for adverse outcomes. 
  • Assess the usability of an ACT for the operating suite. 
  • Assess whether the ACT improves clinician compliance with standards of care and surrogate measures of patient outcomes. 

This is the first randomized controlled trial of an ACT for the OR. ACTFAST has the potential to inform the utility of incorporating decision support technology in perioperative care.

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