Electronic health records (EHR) combined with robust data collection systems can be\nused to simultaneously drive research and performance improvement initiatives. Our Smart,\nTransformative, EHR-based Approaches to Revolutionizing the Intensive Care Unit (STELAR ICU)\nconsists of a framework of five best practices that make optimal use of objective data to guide\nclinicians caring for the sickest patients in our quaternary center. Our strategy has relied on an\naccessible data infrastructure, standardizing without protocolizing care, using technology to increase\npatient contact and time spent at the bedside, continuously re-evaluating performance in real-time,\nand acknowledging uncertainty by using electronic data to provide probabilistic weight to clinical\ndecision-making. These strategies blur the lines between research and quality improvement, with the\naim of achieving truly stellar patient outcomes.
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