Case Study: Continuous Monitoring of Patient Vital Signs to Reduce ‘Failure-to-Rescue’ Events

2017 ◽  
Vol 51 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Phyllis J. Miller
Keyword(s):  
Continuous Monitoring ◽  
Vital Signs ◽  
Failure To Rescue

Review: Continuous Monitoring to Detect Failure to Rescue in Adult Postoperative Inpatients

2018 ◽  
Vol 52 (4) ◽  
pp. 281-287 ◽  
Author(s):  
Sue Carol Verrillo ◽  
Bradford D. Winters
Keyword(s):  
Vital Sign ◽  
Sleep Disordered Breathing ◽  
Continuous Monitoring ◽  
Vital Signs ◽  
Clinical Deterioration ◽  
Failure To Rescue ◽  
Contributing Factors ◽  
Unexpected Death ◽  
Practice Model ◽  
Preventable Complication

Abstract Failure to rescue, or the unexpected death of a patient due to a preventable complication, is a nationally documented problem with numerous and multifaceted contributing factors. These factors include the frequency and method of collecting vital sign data, response to abnormal vital signs, and delays in the escalation of care for general ward patients who are showing signs of clinical deterioration. Patients' clinical deterioration can be complicated by concurrent secondary factors, including opioid abuse/dependence, being uninsured, or having sleep-disordered breathing. Using the Johns Hopkins Nursing Evidence-Based Practice Model, this integrative review synthesizes 43 research and nonresearch sources of evidence. Published between 2001 and 2017, these sources of evidence focus on failure to rescue, the multifaceted contributing factors to failure to rescue, and how continuous vital sign monitoring could ameliorate failure to rescue and its causes. Recommendations from the sources of evidence have been divided into system, structural, or technological categories.

Values that Matter

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Merlijn SMITS ◽  
Bas BREDIE ◽  
Harry Van Goor ◽  
Peter-Paul VERBEEK
Keyword(s):  
Mediation Analysis ◽  
Continuous Monitoring ◽  
Philosophy Of Technology ◽  
Vital Signs ◽  
Value Sensitive Design ◽  
Design Practice ◽  
Mediation Theory ◽  
Hospitalised Patients ◽  
Current Value

Philosophy of technology could bring new insights when applied to design practice. This paper brings together mediation theory and design for values. We present a new design for values methodology: Values that Matter. Via the four phases; explore, conceptualise, anticipate and test, VtM allows for anticipating value dynamics. It starts with the assumption that value expression and definition arise in the interplay between users and technology. An extensive mediation analysis then helps to provide insight in and allows for anticipation on potential effects of technology on users and value dynamics, something that current value sensitive design approaches cannot deliver. Those insights are tested with involved actors to bring about best values by design. VtM has been applied to the case study of ViSi Mobile, a medical device developed for continuous monitoring of vital signs in hospitalised patients. A redesign was proposed that better empowers these patients.

scholarly journals Indications of admitting patients in internal ICU and the rate of mortality in Emam Khomeini hospital in 2013

2019 ◽  
Vol 6 (6) ◽  
pp. 2335
Author(s):  
Hasan Ghobadi ◽  
Shahram Habibzadeh ◽  
Bita Shahbazzadegan ◽  
Mohsen Mirzanezhadasl ◽  
Mahsa Kamranimoghaddam
Keyword(s):  
Mortality Rate ◽  
Continuous Monitoring ◽  
Good Condition ◽  
Vital Signs ◽  
The Public ◽  
Special Services ◽  
Disease Prognosis ◽  
Significant Difference ◽  
The Mean ◽  
End Stage

Background: ICU is the costly part of the hospital that has functional approach for patients who have reversible conditions so it needs mechanical ventilation and other special services. Some patients are not really in need of special care only the continuous monitoring of vital signs needs of the public sector. Patients with good condition or End-Stage were not candidate to admitting in ICU. The aim of this study was to evaluate indications of admitting patients in internal ICU and the rate of mortality in Emam Khomeini hospital in 2013.Methods: The study was conducted retrospectively evaluated the records of patients hospitalized in ICU and disease prognosis and treatment of disease and APACHE2 criteria was analyses.Results: The mean age of patients in the study was 61.05±19.81. Of 118 patients, 70 (59.3%) survived and 48 (40.7%) patients died. APACHE2 mean in the study was 21.46±7.5. GCS average was 9.83±4.27. There was correlation between mortality of patients and type of disease. In this study in APACHE2 score between 25-29 and >35 in mortality rate we are higher than standard average and in 10-14 and 20-24 we are lower than standard average.Conclusions: This study shows that GCS is not a good measure for the evaluation of patients hospitalized in internal ICU. In the present study, patients with higher APACHE2 score of 35 died. That show hospitalization that patient in ICU has no difference in the prognosis of them. As regards mortality rate in ICU patients in this study has no significant difference with predicted APACHE values, indications of ICU admition in Emam Khomeini hospital observed exactly.

scholarly journals Current Evidence for Continuous Vital Signs Monitoring by Wearable Wireless Devices in Hospitalized Adults: Systematic Review

10.2196/18636 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e18636 ◽  
Author(s):  
Jobbe P L Leenen ◽  
Crista Leerentveld ◽  
Joris D van Dijk ◽  
Henderik L van Westreenen ◽  
Lisette Schoonhoven ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Clinical Outcomes ◽  
Health Care Professionals ◽  
Continuous Monitoring ◽  
Vital Signs ◽  
Current Evidence ◽  
Cochrane Central Register ◽  
Wireless Devices

Background Continuous monitoring of vital signs by using wearable wireless devices may allow for timely detection of clinical deterioration in patients in general wards in comparison to detection by standard intermittent vital signs measurements. A large number of studies on many different wearable devices have been reported in recent years, but a systematic review is not yet available to date. Objective The aim of this study was to provide a systematic review for health care professionals regarding the current evidence about the validation, feasibility, clinical outcomes, and costs of wearable wireless devices for continuous monitoring of vital signs. Methods A systematic and comprehensive search was performed using PubMed/MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials from January 2009 to September 2019 for studies that evaluated wearable wireless devices for continuous monitoring of vital signs in adults. Outcomes were structured by validation, feasibility, clinical outcomes, and costs. Risk of bias was determined by using the Mixed Methods Appraisal Tool, quality assessment of diagnostic accuracy studies 2nd edition, or quality of health economic studies tool. Results In this review, 27 studies evaluating 13 different wearable wireless devices were included. These studies predominantly evaluated the validation or the feasibility outcomes of these devices. Only a few studies reported the clinical outcomes with these devices and they did not report a significantly better clinical outcome than the standard tools used for measuring vital signs. Cost outcomes were not reported in any study. The quality of the included studies was predominantly rated as low or moderate. Conclusions Wearable wireless continuous monitoring devices are mostly still in the clinical validation and feasibility testing phases. To date, there are no high quality large well-controlled studies of wearable wireless devices available that show a significant clinical benefit or cost-effectiveness. Such studies are needed to help health care professionals and administrators in their decision making regarding implementation of these devices on a large scale in clinical practice or in-home monitoring.

scholarly journals Radon monitoring in a historical building in Košice city, Slovakia – a case study

2021 ◽  
Vol 900 (1) ◽  
pp. 012040
Author(s):  
E Singovszká ◽  
A Eštoková ◽  
M Vertaľ
Keyword(s):  
Human Exposure ◽  
Continuous Monitoring ◽  
Building Materials ◽  
Indoor Radon ◽  
Research Topic ◽  
Relevant Research ◽  
Historical Building ◽  
Limit Value ◽  
Radon Monitoring

Abstract It is known that the highest contribution to the yearly radiation dose for the population derives from natural radioactivity. About 50% of that is estimated to be caused by exposure to radon (Rn) and its products. Human exposure to indoor Rn is currently considered a relevant research topic, because of the associated epidemiological aspects. This paper aimed at Rn concentration measurement in a selected building in Košice city, Slovakia. The continuous monitoring of indoor radon levels was performed over a period of 40 days. The measured concentrations ranged in a wide interval up to 92 Bq/m3. The WHO limit value of 100 Bq/m3 wasn´t exceeded. Analysing the possible sources, both contributions of radon from the building materials and radon from the soil was observed.

scholarly journals 3D ESTIMATION OF SLOW GROUND MOTION USING INSAR AND THE SLOPE ASPECT ASSUMPTION, A CASE STUDY: THE PUNCAK PASS LANDSLIDE, INDONESIA

2019 ◽  
Vol IV-2/W5 ◽  
pp. 623-630
Author(s):  
N. H. Isya ◽  
W. Niemeier ◽  
M. Gerke
Keyword(s):  
Continuous Monitoring ◽  
Nearest Neighbor ◽  
Primary Objective ◽  
Ground Movement ◽  
Slope Aspect ◽  
Main Body ◽  
Landslide Area ◽  
Phase Filter ◽  
Active Landslide

<p><strong>Abstract.</strong> The Indonesian Centre of Volcanology and Geological Hazard Mitigation classified the Ciloto district as one of the most landslide prone areas in Indonesia. Some evidence of ground movement and the landslide failures occurred in recent years. Thus, continuous monitoring is necessary for supporting the precautions of an upcoming landslide. This study applies Small Baselines - Slowly Decorrelated Phase Filter (SDPF) for InSAR processing both for the ascending and the descending data. The primary objective is to generate horizontal and vertical components of InSAR results from two different tracks and slope aspect information in order to retrieve a projection to the northward direction. We used the available Sentinel-1 SAR data from 2014 until 2018. Combination of two orbits is approached by the surface and the nearest-neighbor gridding method. The 3D components were examined at the Puncak Pass, Ciloto, an active landslide area. For the case study area, it appeared that soil materials transferred slowly from the top of main body landslide to the accumulated zone near to the buildings owned by a local resort. The cumulative 3D displacements for three years were computed for the depleted zone: it moved &amp;minus;47, 23, &amp;minus;10 mm for dU, dE and dN, respectively. Meanwhile, the accumulated zone was considered having the up-lift motion to maximum 43, &amp;minus;13, 7 mm, respectively.</p>

Low-power radio telemetry: the potential for remote patient monitoring

1996 ◽  
Vol 2 (4) ◽  
pp. 185-191 ◽  
Author(s):  
W G Scanlon ◽  
N E Evans ◽  
G C Crumley ◽  
Z M Mccreesh
Keyword(s):  
Patient Monitoring ◽  
Radio Telemetry ◽  
Vital Signs ◽  
Clinical Results ◽  
Full Duplex ◽  
Remote Patient Monitoring ◽  
Monitoring Equipment ◽  
Future Developments ◽  
Remote Patient

Radio-based signalling devices will play an important role in future generations of remote patient monitoring equipment, both at home and in hospital. Ultimately, it will be possible to sample vital signs from patients, whatever their location and without them necessarily being aware that a measurement is being taken. This paper reviews current methods for the transmission by radio of physiological parameters over ranges of 0.3, 3 and 30 m, and describes the radiofrequency hardware required and the carrier frequencies commonly used. Future developments, including full duplex systems and the use of more advanced modulation schemes, are described. The paper concludes with a case study of a human temperature telemeter built to indicate ovulation. Clinical results clearly show the advantage to be had in adopting radio biotelemetry in this instance.

Importance of Continuous Monitoring: Case Study of Shallow CO2 Injection at the CSIRO in-situ Laboratory Site

2020 ◽  
Author(s):  
K. Tertyshnikov ◽  
L. Ricard ◽  
K. Michael ◽  
A. Avijegon ◽  
R. Pevzner
Keyword(s):  
Continuous Monitoring ◽  
Co2 Injection

Intelligent Bed Sheet Detects Respiratory Patterns

2018 ◽  
Vol 62 (1) ◽  
pp. 1177-1181 ◽  
Author(s):  
Laura Nicholson ◽  
Olivia Lin ◽  
Edward Shim
Keyword(s):  
Continuous Monitoring ◽  
Resource Constraints ◽  
New Technology ◽  
Vital Signs ◽  
The Body ◽  
Second Phase ◽  
Age In Place ◽  
Sensor Validation ◽  
Health Canada ◽  
Respiratory Conditions

A new technology using an intelligent bed sheet made of fabric sensors is described as a novel advancement that supports wireless and continuous monitoring of vital signs without requiring wire attachments to the body. The intelligent bed sheet developed by Studio 1 Labs Inc. (Studio 1 Labs), can be used to support three distinct groups: i) healthcare institutions with human resource constraints, ii) caregivers who provide care for seniors, infants and children at home, and iii) independent seniors who prefer to age in place. This article describes two complementary research phases using the intelligent bed sheet to detect heart rate, respiratory rate, and respiratory effort. The first phase explores sensor validation from the intelligent bed sheet with preset respiratory conditions from high technology mannequins. The second phase involves a use case with healthy young adults comparing between physiological signals from the bed sheet with standard nursing protocols of manual counts and a pulse oximeter approved by Health Canada.

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