Developing a patient event-based analytical framework to track and identify variation in clinical and operational processes and the impact on patient outcome Royal Berkshire Hospitals NHS Trust

Traditionally, health care data is analysed in silos, using composites of data or aggregating data. This means opportunities are missed to analyse contextual performance data at a granular level that can provide greater insight into clinical and operational processes and the resulting impact on patient outcomes.

This project will involve developing an innovative, patient-centric and ward event-based analytical framework to help track and identify variation in processes/events and the impact of this on patient outcomes. The framework will combine mathematical calculations and advanced data visualization tools.

The analytical framework will enable a deeper understanding of the interaction between clinical and operational processes and patient characteristics, helping to better understand how the interactions and variations across these impact on patient outcomes. This in turn will support better decision making and improved service design.

The project will focus specifically on the pressure ulcer pathway and will look at the clinical processes and events designed to identify and manage patients who are at risk of developing pressure ulcers. The analytical framework will process data from the trust’s electronic patient record to assess how variation in patient characteristics and compliance with clinical processes, such 12-hour patient repositioning, could have an impact on patient outcomes such as a diagnosis of a pressure ulcer and increased length of stay.

While the project will focus on the pressure ulcer pathway, the team expects that the framework will enable wider clinical audits and pathway reviews to become more intelligence driven, with an increased opportunity to effectively identify outliers.

Contact

For more information about this project, please contact Eghosa Bazuaye, Associate Director of Informatics, Royal Berkshire Hospitals NHS Trust.