Dynamic Alarm Systems for Hospitals (D.A.S.H.)

Author(s):  
Jasmine M. Greer ◽  
Kendall J. Burdick ◽  
Arman R. Chowdhury ◽  
Joseph J. Schlesinger

Hospital alarms today indicate urgent clinical need, but they are seldom “true.” False alarms are contributing to the ever-increasing issue of alarm fatigue, or desensitization, among doctors and nurses. Alarm fatigue is a high-priority health care concern because of its potential to compromise health care quality and inflict harm on patients. To address this concern, we have engineered Dynamic Alarm Systems for Hospitals (D.A.S.H.), a dynamic alarm system that self-regulates alarm loudness based on the environmental noise level and incorporates differentiable and learnable alarms. D.A.S.H., with its ability to adapt to environmental noise and encode nuanced physiological information, may improve patient safety and attenuate clinician alarm fatigue.

2010 ◽  
Vol 3 (1) ◽  
pp. 36-42
Author(s):  
Juli C. Maxworthy

The health care quality and patient safety movement has evolved rapidly during the past 10 years largely as a result of the Institute of Medicine (IOM) report, “To Err is Human.” Patient safety teams are using a collaborative model to improve patient outcomes. Diffusion of improvement-oriented innovations is a major challenge facing health care. Utilizing a tool to measure innovativeness, a 39-hospital patient safety collaborative was evaluated for their “Innovativeness Quotient.” Findings showed that 75.5% of the members of the collaborative who completed the survey were innovators/early adopters compared to 16% as described for the general population. The application and implications of this project are described.


2021 ◽  
Vol 8 ◽  
pp. 237437352199960
Author(s):  
Kramer J Wahlberg ◽  
Maria Burnett ◽  
Preetika Muthukrishnan ◽  
Kate Purcell ◽  
Allen B Repp ◽  
...  

Patient experience is a core component of the Institute for Healthcare Improvement Triple Aim for health care improvement. Although resident physicians must meet quality improvement (QI) competencies prior to graduation, QI training during residency may not adequately prepare residents to improve patient and family experience. We describe an active learning QI curriculum engaging 3 Patient and Family Advisors as partners alongside 15 resident physicians. This partnership proved to be a meaningful experience for both groups, with the development of mutual respect and insight into the contributions that patients and families bring to solving problems in health care quality.


2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.


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