Free Essay

Clinical Context for Alarm Management

In: Computers and Technology

Submitted By brianmcalpine11
Words 482
Pages 2
The AAMI Foundation recently published a new white paper as part of its HTSI Safety Innovations series that explores alarm management strategies from a military perspective. According to Daniel McFarlane, Sc.D. of Lockheed Martin Advanced Technology Laboratories, the approaches being used across hospital settings continue to present similar challenges: ignored alarm signals because of fatigue, lengthy practitioner response rates to alarms, and provider confusion over which alarms are important.
“The lack of actionable intelligence from alarm signals makes it impossible for nurses to effectively triage their multitasking among multiple patients,” noted Dr. McFarlane. “Each alarm feature considers only local conditions on separate sensors on separate instruments for separate patients. The result is an overwhelming rate of alarm signals from multiple devices associated with multiple patients that do not carry the context of information needed for nurses to understand the signals relative to their responsibility to triage their efforts.”

There are 9 types of clinical context facilitated by an advanced alarm management platform that work together with advanced rules to reduce alarm fatigue and increase situational awareness:

1. Alarm Context: supplemental data delivered with an alarm or event notification; e.g. multiple data points including blood pressure, respiratory rate, and SpO2. 2. Patient Context: supplemental data about the patient derived from a real-time interface to ADT or an EMR. 3. Location Context: leverages RTLS or RFID to determine the availability of a person or equipment. 4. Proximity Context: locates the closest nurse capable of responding to an event. 5. Presence Context: refers to the status of a nurse’s communication device and whether the phone can receive a call or message. 6. Busy Context: advanced rules enable predetermined conditions to automatically set a nurse’s status to “not available; e.g. two life critical alarms are delivered to the same nurse over 5 minutes time. 7. Preference Context: enables nurses to determine how they would like to be notified of an event; e.g. a night nurse may opt for vibrate annunciation rather than an audible alarm to avoid disturbing a sleeping patient. 8. Cognitive Load Context: may be derived through the dynamic rules engine and its ability to accumulate the number and complexity of accepted tasks and assignments throughout a 12-hour shift, and determines the most appropriate clinician to allocate an alarm to. 9. Care Team Context: refers to when, as part of the response workflow and resulting communications, the alarm safety system can dynamically generate the list of care team members for each alarm or alarm class, and specific to each patient, which eliminates manual searching for the desired contact.

Hospitals must make a paradigm shift from single-use point of care solutions, to a more comprehensive enterprise approach designed to solve multiple pain points. An advanced alarm management platform unifies communications and actionable events across multiple departments by facilitating clinical integration and delivering context to foster situational awareness.

Similar Documents

Premium Essay

A Proposal to Research About Home Health Care Systems for Chronic Disease Management Based on Human Factors and Ergonomics (Hfe) Principles

...A Proposal to Research about Home Health Care Systems for Chronic Disease Management based on Human Factors and Ergonomics (HFE) Principles Introduction The time patients spend in clinical institutions has become significantly shorter. There was a shift from hospitalization to home health care for chronic diseases management in the U.S. einmid-1980s due to the employment growth (Carayon, 2011, p.743). According to the 2010 U.S. Bureau of Labor Statistics, the employment growth in hospitals is expected to be 10% while employment in smaller home health services is expected to grow at a rate of 46% (cited inCarayon, 2011, p.743). At the same time, chronic diseases, which can only be controlled but not cured at current level of medical research, are making greatly negative impacts on the society. About half of the adults in the U.S. suffer from at least one chronic illness such asdiabetes, asthma and a range of disabling neurological conditions (Haddad &Chetty, 2012, p. 285), and about 70% of the deaths in the U.S. can be account of chronic diseases (CDC, 2012).Because of the shortage medical staff at hospitals and clinics, and the long term care requirement of chronic disease patients, home health care is regardedas the best option to manage patients’ health. A home healthcare system typically consists of patients, medical contact centers and medical staff. Medical Contact Centers (MCCs) perform as the communication link between medical staff and patients with chronic...

Words: 4122 - Pages: 17

Free Essay

Organizational Systems-Task 2

...IHI, 2016).    An interprofessional team should be formed that should include all levels of the  organization who are knowledgeable about the process that was involved in the incident.  For  this RCA team members should include the LPN, RN, emergency department physician,  emergency department manager.  A member of the risk management and or the quality  improvement team should be on the team.  In many RCA it is also valuable to have a patient on  the team. Once this team is formed, members should agree to fill roles on the team.  These roles  include team leader, advisor, recorder and team members.  Once these roles are established the  team should identify what happened.  Team members should collect information about the event.  In collecting the information, it is important to conduct interviews and review medical records.  The team should describe the facts of the sentinel event.  The team should consider all causative  factors, hazards and errors.  In this scenario, several errors and hazards are present.  Errors in this  scenario were that the nurse failed to monitor the patient according to the hospital’s sedation  policy, an alarm was ignored and a patient was given multiple doses of a medication without  allowing proper time in between doses.  Some hazards in this scenario include the high census  and low staffing in the emergency...

Words: 1903 - Pages: 8

Premium Essay

High-Risk Family Assessment and Health Promotion Paper

...High-Risk Family Assessment and Health Promotion Paper Shova Rajbhandari NUR/542 April 23rd, 2012 Tracy Kramer MSN, RNC, FNP High-Risk Family Assessment and Health Promotion Paper For High risk family assessment: Intravenous Drug users (IDUs) family is chosen Common health issues /profile among members or families from this high-risk group: Drug abuse involves the regular taking of a deleterious or noxious quantity of any drug, prescribed or illicit over a period of time (Freidman, 2003). Those people who become severely drug dependent most often need specialized treatment in order to recover. A wide range of treatment is available through private sector and public sector. Recovery treatment centers usually incorporate the family into treatment plan, which makes it more effective in their treatment of the substance abuser. > HIV positive IDU and family members > IDU has a wide range of coinfections, coinfections, comorbidities and injecting related health issues. The common health problems in this IDU family are: • Infection with blood borne viruses, including hepatitis B, C and D (delta) leading to liver diseases • Bacterial infections: tuberculosis, bacterial pneumonia, • Alcohol dependence and alcohol-related liver disease • Poly substance dependence • Psychiatric comorbidity, including depression. • Deep venous thrombosis (DVT) • Local soft tissue and vascular injuries, including skin abscesses and...

Words: 1504 - Pages: 7

Premium Essay

Security Management

...TABLE OF CONTENTS A. Four Functions of Management 1 1. Planning 2 Planning Terminology 3 Vision 3 Mission 3 Objective 3 Goals 3 Strategic Planning 4 2. Organizing 4 Organizational Structure 5 Division of Labor 5 Delegation of Authority 6 Departmentation 7 Informal Structure 8 Leading 8 Staffing 9 Staffing Success – More than Luck 10 Starting with Self Assessment 10 Know yourself 11 Know your business 11 Know Advantage & Disadvantage of Employment 11 Directing 12 Motivation 13 Removing Barrier of Communications 13 Facilitating Communication 16 Controlling 17 B. Management Plan (Intro) 20 Security Management Plan 22 -oOo- Ils-pwu-2012 Principles of Organization & Management: Four Functions of Management Planning means looking ahead and chalking out future courses of action to be followed. It is a preparatory step. It is a systematic activity which determines when, how and who is going to perform a specific job. Planning is a detailed programme...

Words: 7522 - Pages: 31

Free Essay

Why Fingers Are Weird

...[pic] ICAK-USA Research The Following is a Compilation of Applied Kinesiology Research Papers Published in the Collected Papers of the International College of Applied Kinesiology for the year 2005-2006 -- Edited by Scott Cuthbert, D.C. Functional Systems Approach to Central Nervous System Evaluation Richard Belli, D.C., D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems...

Words: 29879 - Pages: 120

Premium Essay

Queeniam

...Philadelphia, PA Ellen Flannery-Schroeder, PhD, ABPP University of Rhode Island, Kingston Christian F. Mauro, PhD Scott N. Compton, PhD Duke University Medical Center Durham, NC This article elucidates the theoretical underpinnings of cognitive-behavior therapy (CBT) as applied to the treatment of anxiety disorders in children, focusing on social phobia, generalized anxiety disorder, and separation anxiety disorder. It reviews behavioral and cognitive theories that have influenced this approach. We argue that it is necessary to understand the essential components of this approach in the context of these theories in order to provide effective, clinically sensitive, and child-focused treatment. Components discussed include assessment, psychoeducation, affective education, self-instruction training, cognitive restructuring, problem solving, relaxation training, modeling, contingency management, and exposure procedures. Hypothesized key processes, such as the need to be experiential in treatment, are presented for consideration. Keywords: anxiety; children; cognitive behavior therapy; theory A nxiety disorders are among the most common mental health disorders in youth with / \ prevalence rates ranging from 12% to 20% (Achenbrach, Howell, McConaughy, & Stan. Z r \ . g e r , 1995; Velting, Setzer, & Albano, 2004). Left untreated, these disorders tend to have long-term effects on social and emotional development. Negative consequences associated with anxiety disorders in youth include...

Words: 9790 - Pages: 40

Free Essay

Too Far Ahead of the It Curve

...[pic] Too Far Ahead of the IT Curve? By John P Glaser Introduction Question: Peachtree Healthcare’s patchwork IT infrastructure is in critical condition. Should the CEO approve a shift to risky new technology or go with the time-tested monolithic system? Freshly showered and cooling down after their squash game, Max Berndt drank iced tea with his board chairman, Paul Lefler. Max, a thoracic surgeon by training, was the CEO of Peachtree Healthcare. He’d occupied the post for nearly 12 years. In that time the company had grown—mainly by mergers—from a single teaching hospital into a regional network of 11 large and midsize institutions, supported by ancillary clinics, physician practices, trauma centers, rehabilitation facilities, and nursing homes. Together, these entities had nearly 4,000 employed and affiliated physicians, who annually treated a million patients from throughout Georgia and beyond. The patients ranged in age from newborn to nonagenarian; represented all races, ethnicities, lifestyles, and economic conditions; and manifested every imaginable injury and disease. Many of them, over the course of a year, would be seen at more than one Peachtree Healthcare facility. Max’s marching orders were to ensure quality, consistency, and continuity of care across the entire network—and to deliver all that with the highest levels of efficacy, economy, and respect for patients and staff. Max, still sweating lightly, finished his tea and ordered more. He and Paul commiserated...

Words: 2894 - Pages: 12

Premium Essay

Research Information and Technology

...NICOLA BUTLER APRIL 2001 INTAKE MODULE NU1151 Violence and aggression WITH REGARDS TO A NURSING ISSUE OF YOUR CHOICE, DISCUSS THE RELEVANCE OF NURSING RESEARCH TO PRACTICE The nursing issue the author will be discussing with its relevance to nursing research in practice is violence and aggression. In order to understand the research in to the topic we must first define the word research. MaCleod Clark and Hockey cited in Smith and Hunt (1997) defined research as “an attempt to increase the body of knowledge, i.e. what is currently known about nursing by discovery of new facts and relationships trough a process of systematic enquiry.” Whereas others have defined research as “the acquisition of knowledge, which includes gaining information and illumination as well as translating it (research) directly into policy or practice” Department of Health (DOH) (1993) cited in Smith and Hunt (1997). Both definitions are linked by the fact that they are both trying to gain new facts and information to be able to change nursing practice for the better. Research in nursing has undergone many changes and developments over the years. It was Florence Nightingale who first started to research in order to improve the standard of nursing care given. “Her concepts have contributed to and are congruent with the present priorities of nursing research. Nightingale believed that the systematic collection and exploration of data were necessary for nursing”...

Words: 3324 - Pages: 14

Premium Essay

Dementia

...gradually robs people of their independence, dignity and loved ones. For the purpose of this assignment the author is going to use evidence based research to critically discuss the care of two couples who have lived together for a long time, because of the cruelty of Alzheimer’s disease they have been separated. For the purpose of confidentiality pseudonyms will be used in this assignment (National Midwifery Council, 2002). Jim Blake’s care will be discussed first followed by the care of his wife. An overview of Dementia will be explored first followed by Jim’s care. Analysis of risk assessment and management will be incorporated in the delivery of Jim and Mrs Blake’s care. Different psychosocial interventions will be applied in the care of the two couples. Throughout the assignment government directives will be used in support of these interventions. Lastly implications for clinical practice will be analysed prior to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia which...

Words: 4046 - Pages: 17

Premium Essay

Chronic Kidney Disease

...Central University of Technology, Bloemfontein Early detection and prevention of Chronic Kidney Disease Contents page Definition of key terms used in the assignment Abbreviations used in the assignment Introduction Chronic Kidney Disease, a condition characterised by a gradual loss of kidney function. CKD is often misdiagnosed owing to the lack of knowledge about the disease. With early detection and prevention of the progression of the disease CKD patients can still enjoy life to the fullest while they manage their disease, however if the healthcare professionals fail to identify the disease on time the patient can suffer dire consequences. Besides the financial implications associated with the disease, there are the emotional implications together with physical and psychological. This assignment seeks to explore such implications in an effort to highlight the importance of early detection and prevention of kidney disease, with the best interest of the patient at heart Background Normal kidney anatomy http://doctorstock.photoshelter.com/image/I000096SqkYwaLhE The bean-shaped kidneys lie in retroperitoneal position in the superior lumbar region. Extending approximately from T12 to L3, the kidneys receive some form of protection from the lower part of the rib cage (E.N. Marieb, K Hoehn, 2010) The kidneys functions can be divided into two, non-excretory functions and excretory functions. Under excretory we have Glomerular filtration, Tubule...

Words: 5191 - Pages: 21

Free Essay

Rttr1

...that determine variation in conduct which includes the result or possible result of sentinel events. (Cherry, B., & Jacob, S. 2014). In the scenario with Mr. B., who was admitted to the Emergency Department (ED) after a fall with left leg and hip pain and was given conscious sedation for a hip reduction that resulted in respiratory arrest and subsequently cardiac arrest. There were several causes of this sentinel event. Hazards include the understaffing of the department and the high census of the ED coupled with a high acuity patient that arrived during Mr. B.’s sedation. More staff on duty, including RN’s and MD’s, could have changed the outcome for Mr. B. Some of the errors that occurred are; staff members ignoring the monitor alarm, the patient was left alone while still in the recovery phase, no supplemental oxygen administered to Mr. B. prior to the sedation, and the ED Physician reviewed Mr. B.’s current medications only after he gave orders for fairly high doses of narcotics and benzodiazepines for an elderly man. Also, reversal medications and CPR was delayed when Mr. B. was found pulseless and apneic. B. Improvement Plan The Emergency Department’s conscious sedation policy would be the first improvement to reduce the likelihood of adverse events like this from happening again. Specifically, changes in administering supplemental oxygen before the beginning of sedation medications, assessing the patient’s home medications before ordering of sedation medications...

Words: 1919 - Pages: 8

Premium Essay

Professional Development Plan

...my areas of strength and weaknesses. The American Nurses Association (ANA) has developed standards of professional nursing practice for the nursing community to follow. Through the scope and standards of professional nursing practice, I have produced five year and ten year goals including an evaluation of those goals. Professional Development Plan Nurses must possess an understanding of the ethics of the nursing profession and the responsibilities imposed on the nurse’s professional practice. Nurses may, over time and because of a variety of reasons, lose sight of the professional conduct expected. There is a criteria of standards that the nursing professional is expected to follow. In the following context of my professional development plan, you will find the experiences I have had with such standards and what I feel are my strengths and weaknesses. I have created goals that I wish to seek for my nursing profession including my five and ten year time frames for such goals. Standards of Professional Practice Standard 7: Ethics The registered nurse practices ethically. This code is designed so that the nurse delivers care in a manner that preserves and protects healthcare consumer autonomy, dignity, rights, values, and beliefs. It is especially important that the nurse to takes appropriate action regarding instances of illegal, unethical, or inappropriate behavior that can endanger or jeopardize the best interests of the healthcare consumer...

Words: 4916 - Pages: 20

Free Essay

Too Far Ahead of the It

...www.hbrreprints.org HBR CASE STUDY AND COMMENTARY How should Peachtree try to fix its IT infrastructure problem? Four commentators offer expert advice. Too Far Ahead of the IT Curve? by John P Glaser . • Reprint R0707A Peachtree Healthcare’s patchwork IT infrastructure is in critical condition. Should the CEO approve a shift to risky new technology or go with the time-tested monolithic system? HBR CASE STUDY Too Far Ahead of the IT Curve? by John P Glaser . COPYRIGHT © 2007 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. Freshly showered and cooling down after their squash game, Max Berndt drank iced tea with his board chairman, Paul Lefler. Max, a thoracic surgeon by training, was the CEO of Peachtree Healthcare. He’d occupied the post for nearly 12 years. In that time the company had grown—mainly by mergers—from a single teaching hospital into a regional network of 11 large and midsize institutions, supported by ancillary clinics, physician practices, trauma centers, rehabilitation facilities, and nursing homes. Together, these entities had nearly 4,000 employed and affiliated physicians, who annually treated a million patients from throughout Georgia and beyond. The patients ranged in age from newborn to nonagenarian; represented all races, ethnicities, lifestyles, and economic conditions; and manifested every imaginable injury and disease. Many of them, over the course of a year, would be seen at more than one Peach- tree...

Words: 6104 - Pages: 25

Free Essay

Organizational Systems and Quality Leadership

...procedure. There were several factors that played a role which included high patient census, poor staffing, alarms dismissed by staff members, patient was left unmonitored, and no supplemental oxygen initated prior to the procedure. When the patient was pulseless no CPR was initiated until the code team arrived and critical interventions were delayed by the emergency room staff. The patients medication reconciliation or history weren’t reviewed by the emergency room physician. Tripple doses of intravenous valium and dilaudid were given without a lapse in time. The patient was elderly and on chronic oral opioid medications. “Normally these types of medications are administered with low doses and titrated per patient’s sedation level. Patient, monitoring or sedation level weren’t assessed between doses. This event is known as a sentinel event. In any situation that causes injury, or death a root cause analysis must be completed and reported to the Joint Commission. B. To implement a change in the conscious sedation procedure a team or committee needs to be established. All staff in the emergency room can become active participants by joining a committee or subcommittee. These main categories may include patient characteristics, task factors, individual staff members, team factors, work environment, and organizational management (IHI, 2014). A cause and effect, or wishbone graph can be constructed to clarify the error and process for...

Words: 4623 - Pages: 19

Premium Essay

E-Health

...Athens Information Technology Master in Management of Business, Innovation & Technology (MBIT) Management Information Systems E-Health in Greece compared to EU/US and the impact of Big Data in healthcare Prepared by: Athina Klaoudatou Christos Panagiotou Abstract The aim of this report is to describe the eHealth market. The focus is the Greek business landscape, current trends in the market, industry growth, drivers, and restraints, the technologies and the players in various aspects of the field. Data are presented about the evolution of the market and there are descriptions of what Greek companies offer. Moreover implementation measures are presented, along with progress achieved with respect to national and regional eHealth solutions in EU and EEA Member States. Table of Contents 1. The National Health System 1 1.1. Organizational structure 1 1.2. Some facts & figures 1 2. What is eHealth, definitions, areas of application, benefits 5 2.1. What is eHealth 5 2.2. Forms of eHealth 5 2.3. Benefits of eHealth 6 3. eHealth framework in European Union countries 7 3.1. eHealth Action Plan 2012 - 2020 7 3.2. eHealth in the European Countries 8 4. Application of eHealth practices 10 4.1. Electronic Health records (EHR) 10 4.1.1. Examples of current EHR use 10 4.1.2. Electronic Health Record in Greece 12 4.1.3. Summing up 14 4.2. Interoperability 15 4.2.1. Defining Interoperability in Healthcare Systems 15 4.2...

Words: 36524 - Pages: 147