SMARTT Critical Care Pathways V1
Research type
Research Study
Full title
SMARTT Critical Care Pathways - (Safe, Machine Assisted, Real Time\nTransfer) An artificial intelligence based decision support tool to enable safer\nand more timely critical care transfer
IRAS ID
297886
Contact name
Christopher P Bourdeaux
Contact email
Sponsor organisation
University Hospitals Bristol & weston NHS Foundation Trust
Duration of Study in the UK
3 years, 0 months, 1 days
Research summary
Intensive care doctors make hundreds of difficult decisions every day. Deciding if someone can leave the intensive care unit (ICU) is one of these. Around a quarter of patients stay in ICU for too long or not long enough. If patients stay too long, they have a poor experience and have a longer length of stay in hospital. Delayed ICU discharge also denies the bed for other patients causing delays to the admission of emergency patients or the cancellation of planned surgery. If patients leave ICU too soon, they are at risk of early deterioration on the ward and readmission to ICU. \n\nMonitors, machines and blood tests produce thousands of pieces of information about each patient and this data is collected digitally as part of routine care. In this research we will develop artificial intelligence technology that takes this information and works out when patients are ready to be discharged. \n\nThe tool will assist doctors and nurses to make safer and more efficient decisions about discharge from ICU. \n\nAlongside the development of the artificial intelligence system, we will develop a user interface by asking clinical staff how they would use such technology as part of their normal working day in a series of workshops. This will ensure that the system we develop is useful and used in routine practice. We will also demonstrate that this technology can be deployed in a second hospital.\n\nWe will not be deploying the tool into clinical practice as part of this research. That will be the subject of a further application in the future when we have developed the tool further.\nThe SMARTT Critical Care Pathways Project 5 work packages.\nWP1) Governance\nWP2) Core algorithm development\nWP3) Back-end development and infrastructure\nWP4) User centric design\nWP5) Evaluation\nThis application covers the work undertaken in (WP2) and(WP4).\n
REC name
Wales REC 4
REC reference
21/WA/0340
Date of REC Opinion
28 Oct 2021
REC opinion
Further Information Favourable Opinion