Discordant Care as a Computable Phenotype: Real-Time Detection of Routine Protocol Completion Without Cognitive Patient Engagement Predicts Hospital Mortality in the ICU"

2026-02-26 intensive care and critical care medicine Title + abstract only

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BackgroundQuality measurement in intensive care emphasizes task completion--whether assessments were documented and protocols followed. Electronic health record (EHR) systems capture these signals in real time, yet current metrics cannot distinguish task completion from cognitive clinical engagement. A prior analysis demonstrated that omission of orientation assessment predicted a 4.29-fold increase in hospital mortality among low-acuity ICU patients [1]. Whether combining this marker with routi...

Discordant Care as a Computable Phenotype: Real-Time Detection of Routine Protocol Completion Without Cognitive Patient Engagement Predicts Hospital Mortality in the ICU"

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