In Germany, each year more than two million patients are treated in an intensive care unit (ICU) and over 400,000 of these patients receive mechanical ventilation. This can lead to lasting ventilator dependency and may result in long-term functional, cognitive and mental impairments. Together, these damages are bundled to n the Post-Intensive Care Syndrome (PICS). To counteract this, the relevant German medical associations have developed evidence-based quality indicators (QIs), however the application has been not comprehensive so far. The central goal of ERIC is to strengthen the adherence and use of QIs to avoid long-term consequences such as PICS and to promote the optimal exploitation of patient’s rehabilitation potential. This will be achieved through telemedical networking of participating intensive care units in the Berlin-Brandenburg area as well as competence-based development concepts for increasing their quality and personnel ability for local and regional case care. A platform is used to record, prepare and evaluate the QIs and to carry out daily teleconsultations (intra-sectoral modification). After the inpatient stay, patients receive a Case-Care Management to ensure their transition to the optimal care structure and to avoid long-term impairments (inter-sectoral modification). ERIC is one of the first projects financed by the 2016 established Innovation Fund of the Federal Joint Committee. The project was considered as evidence-based and regionally implementable. It is funded with a total amount of 6.8 million Euros from 2017 until 2020. In case of success and according to the results of an independent evaluation, ERIC might be implemented as a nationwide standard in treatment in the future.
Weiss B, Marschall U, Busse R, Mansmann U, Caumanns J, Rosseau S, Seeling M, Spies C (2017): ERIC – Enhanced Recovery after Intensive Care. In: Amelung VE, Eble S, Hildebrandt H, Knieps F, Lägel R, Ozegowski S, Schlenker R-U, Sjuts R (Hrsg.) Innovationsfonds: Impulse für das deutsche Gesundheitssystem. Berlin: MWV, S. 176-183
Charité – Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care