Learning healthcare systems are a new and evolving way of integrating data and technology into daily practice in health care.1 Defined by the National Academy of Medicine (Washington, D.C.), a learning healthcare system is a system where “science, informatics, incentives, and culture are aligned for continuous improvement and innovation, with best practices seamlessly embedded in the delivery process, [with] patients and families active participants in all elements, and new knowledge captured as an integral by-product of the delivery experience.”2 They are uniquely flexible environments that center around a community of stakeholders generating, analyzing, and applying new clinical knowledge into day-to-day practice.1 These learning health communities are comprised of not just providers and researchers, but also health system administration, patients, and other staff.1 Within this broader ecosystem, a learning healthcare system undergoes a continuous cycle of generating and applying near real-time data into clinical practice.1,...
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April 2024
Building Learning Healthcare Systems for Critical Care Medicine
Vijay Krishnamoorthy, M.D., M.P.H., Ph.D.;
Vijay Krishnamoorthy, M.D., M.P.H., Ph.D.
1Department of Anesthesiology, Division of Critical Care Medicine; Critical Care and Perioperative Population Health Research Program, Department of Anesthesiology; and Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
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Ronald Harris, M.M.C.i.;
Ronald Harris, M.M.C.i.
2Duke University School of Medicine, Durham, North Carolina.
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Ananda M. Chowdhury, M.D., M.M.C.i.;
Ananda M. Chowdhury, M.D., M.M.C.i.
3Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina.
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Armando Bedoya, M.D., M.M.C.i.;
Armando Bedoya, M.D., M.M.C.i.
4Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina.
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Raquel Bartz, M.D., M.M.C.i.;
Raquel Bartz, M.D., M.M.C.i.
5Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts.
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Karthik Raghunathan, M.D., M.P.H.
Karthik Raghunathan, M.D., M.P.H.
6Department of Anesthesiology, Division of Critical Care Medicine; Critical Care and Perioperative Population Health Research Program, Department of Anesthesiology; and Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
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Deborah J. Culley, M.D., served as the Handling Editor for this article.
Submitted for publication March 8, 2023. Accepted for publication November 14, 2023. Published online first on February 12, 2024.
Address correspondence to Dr. Krishnamoorthy: Anesthesiology and Population Health Sciences, Duke University Hospital, 2301 Erwin Road, Durham, North Carolina 27710. vijay.krishnamoorthy@duke.edu
Anesthesiology April 2024, Vol. 140, 817–823.
Citation
Vijay Krishnamoorthy, Ronald Harris, Ananda M. Chowdhury, Armando Bedoya, Raquel Bartz, Karthik Raghunathan; Building Learning Healthcare Systems for Critical Care Medicine. Anesthesiology 2024; 140:817–823 doi: https://doi.org/10.1097/ALN.0000000000004847
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