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OPERATING ROOM


hazards rather than decrease them due to the constant potential for distraction.”


Bernoulli’s Respiratory Depression Safety Surveillance (RDSS) solution is designed to help reduce the problem. Launched in March, RDSS offers patented analytics with multi-variable thresholds that can be customized and measured continuously. “The key to addressing false alarms is correlating events that, when taken individually, may not be actionable, But in com- bination, may be,” said Zaleski. “The RDSS platform provides connectivity to a hospital’s existing fl eet of pulse oximeters and capnography from a wide range of vendors. It utilizes compre- hensive real-time data to provide active patient monitoring, eliminating the exclusive reliance on individual device alarms to inform clinicians regarding the patient’s condition. RDSS also integrates with mobile clinical communication tools to deliver the right alarms and alerts to the right caregiver at the right time.” Bernoulli recently col-


The Bernoulli Respiratory Depression


Surveillance System, displaying ventilator and cardiac waveforms.


order to determine which alarms to send to the nurse-call phone system brought the number of respiratory depression alerts down to 209—a 99 percent reduction,” said Zaleski. “More impor- tantly, the RDSS analytics alerted for every patient that experienced an ac-


and ETCO2


tual respiratory depression episode requiring intervention.” Todd Plesko, Vice President of Product Strategy, Vocera Com- munications, adds a slightly different perspective. “While alarm fatigue is a well-documented concern in health- care, perhaps even more critical is interruption fatigue,” Plesko said. “Interruption fatigue occurs when care team members are distracted by alarms, alerts, and notifi cations as well as text mes- sages, phone calls, overhead pages, etc. All of these distractions and interruptions add to clinicians’ already heavy cognitive load. In addition to taking time away from direct patient care, constant interruptions can cause critical alarms to actually be missed or ignored, causing a patient safety issue. “ The Vocera alarm management solution manages alerts, alarms


and notifi cations from more than 120 clinical systems, text mes- sages and voice calls from a single platform. Once the facility’s clinical protocols are programmed into the Vocera Platform, it begins to fi lter actionable vs. non-actionable events, prioritizing them and sending alerts only to the appointed or available clini- cian via his/her preferred communication device. “Clinicians can easily distinguish between alarms from mul- tiple sources and different priorities based on the audio and visual


Page 22


laborated with an East Coast hospital to conduct a study that is published in the Journal of Biomedical Instrumentation & Tech- nology. The outcomes were notable. “Passing multiple series of data through a multi-variable rules engine that moni- tored the values of HR, RR, SPO2


in


Contact-Free Continuous Monitoring Solutions Designed to Enhance


Patient Safety on Non-ICU General Care Floors


Alternative for Overuse of Telemetry with Non-Cardiac Lower Acuity Patients


No Leads on Patients n


n


Allowing patients complete freedom of movement


Minimizing excessive alarms due to leads falling off


Reduce Alarm Fatigue n


EarlySense produces only 2-3 alarms per nurse per shift


Early Detection of Patient Deterioration


“A telemetry unit has become the default location for patients that the physician feels are not sick enough to be in the ICU, but also feels are at risk, even though EKG monitoring has not been shown to be of benefit for non-arrhythmia disease. Patients in hospitals are sicker today, and should have continuous monitoring. EarlySense’s ability to monitor both RR and HR, and identify trends, makes it a superior tool for monitoring every medical-surgical patient.”


- Dr. Michael DeVita Director, Critical Care


Harlem Hospital, New York, NY


earlysense.com Visit www.ksrleads.com/?707hp-033


hpnonline.com • HEALTHCARE PURCHASING NEWS • July 2017 21


MKUS-538, Rev. 1


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