eCART

We recently reviewed several clinical deterioration tools, Epic DI, Rothman Index, NEWS, MEWS, and eCART as we've been on a search for over a decade looking for a tool that actually works. We looked at all adult, inpatients encounters across YNHHS (so over 360k encounters) over a 5 year period and found eCART outperformed the others by a wide margin. Just published our results! Early Warning Scores With and Without Artificial Intelligence | Clinical Decision Support | JAMA Network Open | JAMA Network (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2824885). We are on to studying how eCART performs against Epic Sepsis Model 1 (and eventually 2). eCART been universally adopted and only "fires" on 0-2 patients/unit/day on average. Compared to hundreds of alerts a week previously with Epic DI. eCART has been live for multiple months, and it's a game changer to laser focus on the small # of patients who are at risk of clinical deterioration from sepsis or anything else.

20 years ago today, Alexian Brothers launched our nurse led rapid response team. I am incredibly proud of the team and their relentless efforts to improve pt outcomes. Truly believe it has been one of the most impactful interventions ever developed. Then along came eCART, an AI driven tool that identifies at risk patients. The result of combining these two systems has lowered our predictable cardiac arrests substantially. With almost 63,000 patients contacts logged over 20 years, not only have we prevented cardiac arrests, but have also reduced preventable transfers to ICU, provided nursing education, and implemented numerous performance improvement projects. I would like to thank our administration for their support as well as Dr. Edelson for her exceptional product and of course my deepest gratitude goes out to the hardest working rapid responders out there. Well done!

AgileMD and the eCART platform is helping us reduce mortality and improve care to our patients in real time 24/7. Great team!