SPOTLIGHT ON PATIENT SAFETY PRODUCTS BD


The BD HealthSight platform for enterprise medica- tion management combines connective technologies, analytics and expert services that close gaps across BD medication management solutions, such as BD Pyxis dis- pensing and BD Alaris infusion solutions. By connecting these systems—with each other and with the EMR—there is opportunity for improved visibility and accuracy through- out the medication management process. In an effort to reduce medication errors and alerts, SCL Health implemented BD Alaris EMR interoperability and achieved an 86 percent reduction in manual keystrokes on the pump, 39 percent decrease in total monthly pump alerts, and 41 percent decrease in infusions requiring reprogramming.


ivWatch The ivWatch Model 400 uses light to monitor a patient’s subcutaneous tissue continuously while measuring any changes in the optical properties of the tissue. During an infiltration, fluid accumulates in subcutaneous tissue, causing a significant change in the light scattering. The ivWatch Model 400 recognizes these changes in the reflected light, first providing a YELLOW CHECK IV notification indicating the possibility of an infiltra- tion. If the infusion continues and the signal continues to drop further below the threshold, a RED CHECK IV notification will appear on the monitor, indicating a probable infiltration. The signal processing algorithm used to issue the YELLOW and RED CHECK IV notifications is optimized to maximize sensitivity and specificity for infiltration events, while minimizing the number of false alarms from other events such as patient motion.


Jackson Medical


GloShield is a single-use safety device that reduces the risk of OR fires and burns attributed to fiber-optic light cables in an intuitive way. It functions by connecting to the distal (scope) end of the light cable during the entirety of the surgical procedure. When a scope needs to be attached to the light cable, instead of disconnecting GloShield completely, the user simply flexes GloShield out of the way and connects the scope normally. Upon scope disconnection, when an OR is most at risk, GloShield automatically rebounds to shield the environment from the light cable, eliminating the interaction


between the heat/ignition source and the fuel (drapes).


Noble International Noble International’s injection trainers simulate the look, feel and functionality of actual injection devices and incorporate features and advancements that provide real-time feedback to patients—a number of which include audible clicks, haptic/visual cues and con- nected “smart” technologies. Designed to optimize the on-boarding process, this real-time feedback allows patients to have an interac- tive, step-by-step experience as they learn and provides a means for instilling cognitive and motor learning, all while allowing the user to train multiple times. Studies suggest 40 percent to 80 percent of information provided by clinicians is forgotten immediately. When used properly, training devices can lead to a 55 percent reduction in user errors and have been shown to be more effective than using only traditional print and digital patient education materials.


Provation Provation Order Sets with Order Set Advisor has four main components. The Management Application enables order set owner/builders to import, edit, manage, compare and report. The Web Review Tool allows clinicians and subject matter experts (SMEs) to review, invite, collaborate, approve and make requests. The Order Set Advisor automatically analyzes existing order sets against latest evidence, identifies


content gaps, makes update recommendations to SMEs and the informatics team. The Web Print Application is a web-based library of approved order sets that serves as an EHR down-time solution for clinicians.


22 August 2018 • HEALTHCARE PURCHASING NEWS • hpnonline.com


OPERATING ROOM


communication gaps and errors, and requir- ing the clinical teams to spend a significant amount of time reconciling information between systems.”


Will it get better?


Earlier this year, the Agency for Healthcare Research and Quality (AHRQ) delivered more hopeful news. Facilities that imple- mented CMS initiatives designed to curb adverse drug events and injuries from falls, helped prevent an estimated 8,000 deaths between 2014 and 2016. It also saved $2.9 billion in healthcare spending.8 AHRQ also launched a new committee earlier this year comprised of several ex- perts from healthcare, policy, regulatory, and advocacy communities to develop a national blueprint to reduce patient harms. The new National Steering Committee for Patient Safety is an effort that stems from a 2017 Call to Action issued by the National Patient Safety Foundation (NPSF). “We recognize and appreciate hospitals’ ongoing efforts to prevent Never Events – and to adopt policies aimed at ap- propriate responses when a serious, reportable event occurs; but policies are only part of the solution,” said Jeffrey Brady, MD,


Jeffrey Brady


MPH., Director, Center for Quality Improve- ment and Patient Safety, AHRQ. “In order to actually improve care, hospitals also need the tools to help clinicians and staff imple- ment those policies. For example, AHRQ’s CANDOR Toolkit was developed to support timely, thorough, and just responses to unex- pected episodes of patient harm. Prevention is the ultimate goal, but it’s also important to respond appropriately when patient safety events do occur.”


The news is promising and should serve to inspire greater efforts to implement and maintain strong patient safety policies across the nation. Meanwhile, many organizations are committed to patient safety protocols and to removing the barriers that prevent accurate, honest reporting of adverse events. “Over the past several years, The Joint Commission has noted an increase in self- reports of sentinel events as organizations are more willing to review incidents with our team in an effort to improve patient safety and quality of care,” said Shine. “Harnessing technology to reduce adverse events, increasing awareness of human fac- tors in medical errors and building a culture focused on patient safety are steps highly reliable organizations are taking to improve quality of care.” HPN


Visit www.hpnonline.com/terror-of-medical- errors/ for references.


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