‘Twas the Night Before Clinical Surveillance
Twas the Night Before Clinical Surveillance – a holiday poem adapted from the poem from: Clement Clarke Moore (1779 – 1863) by Mary Jahrsdoerfer, Ph.D., RN Bernoulli Healthcare
Twas the Night Before Clinical Surveillance – a holiday poem adapted from the poem from: Clement Clarke Moore (1779 – 1863) by Mary Jahrsdoerfer, Ph.D., RN Bernoulli Healthcare
several years into my career, I began to notice that these little moments were being consumed by other tasks. I wondered how I was actually spending my time each shift—and it soon became apparent that most of my time was spent interfacing with technology in ways that were not helping me be a better caregiver to my patients.
It’s easy to consider a new hardware or software solution and imagine its transformative potential. But a poorly implemented system that did not evaluate the impact to the clinical workflow can just as easily exacerbate inefficiencies and reduce the overall quality of patient care.
The successful implementation of real-time patient safety initiatives has long been a goal of health system leaders. Unfortunately, parsing alarms 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 identify signs of deterioration puts that achievement out of reach for many hospitals and health systems.
ECRI’s Top 10 Technology Hazards report for 2019 pertain to alarm settings on mechanical ventilators and multi-parameter physiologic monitors, respectively, that have led to patient harm, principally through the actions of missing clinically-actionable alarms due to inaccurate alarm sensitivity and specificity.
A nursing shift is among the most demanding and stressful of any hospital professional. Alarm inundation and unchecked proliferation only makes that job harder. Here’s how one nurse suggests tackling the problem.
The successful implementation of patient monitoring initiatives that improve patient safety has long been a goal of healthcare leaders across the country. Unfortunately, parsing notifications from individual medical devices, reliance on physical spot checks of patients, and the lack of rules-based analytics to assess a patient’s current condition in real-time or identify signs of deterioration puts that achievement out of reach for many hospitals and health systems.
Patient safety in the era of value-based care is increasingly defined as preventing adverse events before emergency interventions or costly escalations are required. However, most common monitoring practices are reactive, not proactive; meaning, interventions are often applied only after a patient has deteriorated.
Clinical decision support (CDS) and clinical surveillance are often used by clinicians as an interchangeable, catch-all category of human- and technology-based capabilities that allow for the observation of patients for the purposes of ensuring safety and optimal outcomes.1
On June 26th I will be joining Tim Gee at Medical Connectivity Consulting on a webinar to discuss continuous clinical surveillance. Since coming to Bernoulli about 18 months ago, I have developed a whole new perspective on how the landscape of various vendor solutions fit together.