In this article which was published in Healthcare Business Today, Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety) makes the case for continuous surveillance monitoring and real-time analytics.
The successful implementation of continuous surveillance monitoring may have substantial patient benefits. Unfortunately, analyzing notifications from individual medical devices, reliance on physical spot checks of patients, and the lack of rules-based advanced analytics to assess a patient’s current condition in real-time or to identify signs of deterioration is a goal that many hospitals and health systems still have not attained.
Leah Baron, MD, who is Chief of The Department of Anesthesiology at Virtua Memorial Hospital, recently spoke with the Physician-Patient Alliance for Health & Safety (PPAHS) in a clinical education podcast about the experience of Virtua Memorial Hospital in improving patient safety and reducing alarm fatigue.
Dr. Baron says that what began as a project to implement capnography monitoring to address opioid-induced respiratory depression quickly turned into a project to reduce nuisance alarms when monitoring resulted in too many false alarms:
Maria Cvach, DNP, RN, FAAN, who is director of policy management and integration for Johns Hopkins Health System, recently spoke with the Physician-Patient Alliance for Health & Safety (PPAHS) about the experience of John Hopkins Hospital in improving patient safety and reducing alarm fatigue.
Clinical Education Podcast Features Maria Cvach on Reducing Alarm Fatigue
In a clinical education podcast that was released on PPAHS’s YouTube Channel, Ms. Cvach discussed how John Hopkins Hospital was ahead of the curve in managing alarm fatigue, which became The Joint Commission proclaimed as a national patient safety goal in 2014. Johns Hopkins Hospital had formed an alarm management committee in 2006:
Michael Wong, JD (Founder/Executive Director, PPAHS) noted the work that ECRI has done to help improve patient safety and reduce alarm fatigue citing ECRI’s recent “Top 10 Health Technology Hazards for 2018:”
The safe use of health technology—from beds and stretchers to large, complex imaging systems—requires identifying possible sources of danger or difficulty with those technologies and taking steps to minimize the likelihood that adverse events will occur. This list will help healthcare facilities do that.
Number 4 on this list deals with how Missed Alarms May Result from Inappropriately Configured Secondary Notification Devices and Systems:
Mr. Welch is a Clinical Engineer with 17 yrs experience in hospitals and over 24 yrs as an executive in the medical device industry. His focus has been on applying technologies to improve patient safety through continuous surveillance monitoring. Mr. Welch has ten patents and articles in the field of wireless physiologic monitoring, surveillance systems and alarm management. He regularly contributes to the AAMI Foundation on alarm safety and is a voting member on a number of International Standards committees.
Early detection of physiologic deterioration is essential in improving patient safety in acute care hospital settings. Patients in non-ICU settings who are recovering from surgery or special procedures are especially vulnerable because of private or semi-private room settings prevents direct observation and nurse to patient ratios are often 1:6. Experts in Rapid Response Systems (RRS) have arrived at a consensus that strengthening early detection through continuous monitoring is essential in improving the effectiveness of RRS but only if such systems do not impose a burden on the clinical staff. The high incidence of nuisance alarms and cost are two of the major barriers preventing broader adoption of continuous monitoring on the general care floor.Continue reading “Advances in Alarm Management and Surveillance Monitoring”→
Surgery can be a scary thing for any patient. Whether it is a minor procedure or life-saving necessity, all types of surgical procedures come with some degree of risk. To help ease your fears, it is a natural reaction to want to learn about everything that is going to happen during the procedure. You probably want to find out exactly what you need to do beforehand, what type of procedure is planned, who will be performing it, what the recovery will be like and when will you be able to go home. While all of these concerns and questions are completely valid, an important aspect of the process is left out.
Did you know that the first few hours after a surgical procedure are often just as risky as the actual operation? Just because you make it out of the operating room does not necessarily mean that you are in the clear just yet. While that can be a terrifying thought to come to grips with, it is the reality. Continue reading “3 Questions to Ask About Post-Operative Care”→