Multicenter Evaluation of an Interoperable System for Automated Guideline Adherence Monitoring in ICUs
The guideline adherence monitoring system was successfully applied in multiple hospitals, demonstrating higher accuracy and efficiency compared with human review. Limitations of the system included dependence on consistent and structured documentation, as inconsistencies significantly complicate adherence monitoring. As the system is designed to support any guideline in the digital format used here, it provides a scalable solution for automated quality management in critical care.
Authors
- Klaus Hahnenkamp (ORCID: https://orcid.org/0000-0003-2905-0362)
- Fridtjof Schiefenhövel (ORCID: https://orcid.org/0000-0002-1612-9357)
- Patrick Meybohm (ORCID: https://orcid.org/0000-0002-2666-8696)
- Markus Heim (ORCID: https://orcid.org/0000-0001-6754-2494)
- Ludwig Christian Hinske (ORCID: https://orcid.org/0000-0001-7273-5899)
- Claudia Spies (ORCID: https://orcid.org/0000-0002-1062-0495)
- Carlo Jurth (ORCID: https://orcid.org/0000-0002-0890-312X)
- Gerhard Schneider (ORCID: https://orcid.org/0000-0002-4903-0118)
- Saya Speidel
- Igor Abramovich (ORCID: https://orcid.org/0000-0002-1760-6223)
- Martin Boeker (ORCID: https://orcid.org/0000-0003-2972-2042)
- Gregor Lichtner (ORCID: https://orcid.org/0000-0002-5890-1958)
- Axel R. Heller (ORCID: https://orcid.org/0000-0001-6144-3874)
- Martin A. Feig
- Dana Kleimeier
- Sebastian Gibb (ORCID: https://orcid.org/0000-0001-7406-4443)
- Peter Kranke (ORCID: https://orcid.org/0000-0001-5324-981X)
- Felix Balzer (ORCID: https://orcid.org/0000-0003-1575-2056)
- Mathias Kaspar (ORCID: https://orcid.org/0000-0002-6722-766X)
- Matthias Löhr (ORCID: https://orcid.org/0000-0002-7647-198X)
- Thomas Bienert (ORCID: https://orcid.org/0000-0002-3775-8320)
- Philipp W. Simon (ORCID: https://orcid.org/0000-0001-6978-6062)
- Falk von Dincklage (ORCID: https://orcid.org/0000-0002-1543-4544)
- Ingrid Martin (ORCID: https://orcid.org/0000-0001-8009-1368)
- Lisa Vasiljewa
- Jürgen Brugger
- Dagmar Waltemath (ORCID: https://orcid.org/0000-0002-5886-5563)
- Anja Sindel
- Laurenz Mehringer
- Bora Gashi (ORCID: https://orcid.org/0009-0000-9872-352X)
Institutions
- University of Augsburg (DE)
- University of California, San Francisco (US)
- Universitätsmedizin Greifswald (DE)
- University Hospital Augsburg (DE)
- TUM Klinikum (DE)
- Humboldt-Universität zu Berlin (DE)
- Universitätsklinikum Würzburg (DE)
- Artificial Intelligence in Medicine (Canada) (CA)
Publication Details
- Journal
- Critical Care Medicine
- Published
- 2025-11-25
- DOI
- https://doi.org/10.1097/ccm.0000000000006961
- Primary Topic
- Electronic Health Records Systems
- Type
- article
- Field-Weighted Citation Impact
- 0.00