The cluster randomized study was conducted in a 23-room operating suite at Long Island Jewish Medical Center in New Hyde Park, NY, part of the North Shore-LIJ Health System, using Arrowsight's remote video auditing technology. The study, conducted from August 1, 2013 to April 18, 2014, evaluated the impact of RVA with real-time provider feedback on surgical safety checklist compliance during sign-in, time-out and sign-out and case turnover times. Participants included surgeons, anesthesia providers, nurses and support staff. Operating rooms (ORs) were randomized to receive or not receive real-time feedback on surgical safety checklist compliance and efficiency metrics via display boards and text messages followed by a period where all 23 ORs received feedback.
Although compliance with the surgical safety checklist during operative procedures has been shown to reduce in-hospital mortality and complications, proper execution by the surgical team remains elusive. As described in today's BMJ Quality and Safety publication, by using RVA, sign-in, time-out and sign-out compliance rates increased from 25 percent, 16 percent and 32 percent during baseline phase to 91 percent, 95 percent and 84 percent for ORs during the all-feedback phase. In addition to driving significant patient safety improvements, RVA improved turnover times in between cases (i.e. efficiencies) by 14 percent for all scheduled cases and 20 percent for "fast" scheduled cases.
"Beginning in 2008, North Shore-LIJ became the nation's first health care provider to use video monitoring as part of our efforts to strengthen patient safety," said Michael Dowling, president and chief executive officer at North Shore-LIJ. "We are very pleased to be recognized by world-class medical journal, BMJ Quality and Safety, for using RVA to drive significant improvements in patient safety and efficiencies in the OR."
North Shore-LIJ Health System first used RVA by installing cameras in its medical and surgical ICUs to monitor for hand hygiene compliance. In a 2011 study published in Clinical Infectious Diseases, the hospital demonstrated that the use of Arrowsight's third-party RVA system rapidly improved and sustained hand hygiene rates to nearly 90 percent in less than four weeks. In 2013, there was a prominent recognition of this ground breaking study in a JAMA editorial entitled The Power of Video Recording Taking Quality to the Next Level.
"This study validates RVA technology as being able to significantly impact both surgical safety checklist compliance and OR efficiencies. It also demonstrates the importance of effective teamwork on improving patient safety," said John Di Capua, MD, study author, chair of anesthesiology at North Shore-LIJ and CEO of North American Partners in Anesthesia (NAPA).
"With the recent expansion of RVA technology throughout the North Shore-LIJ Health System for multiple uses, it is my hope that RVA continues to be a tool that helps the healthcare industry improve safety and productivity," said Adam Aronson, Arrowsight's CEO.
About North Shore-LIJ Health System, soon to be Northwell Health
The nation's 14th-largest health system, North Shore-LIJ delivers world-class clinical care throughout the New York metropolitan area, pioneering research at The Feinstein Institute for Medical Research, a visionary approach to medical education highlighted by the Hofstra North Shore-LIJ School of Medicine, and healthcare coverage to individuals, families and businesses through the CareConnect Insurance Co. Inc. North Shore-LIJ cares for people at every stage of life at 21 hospitals and about 450 outpatient physician practices throughout the region. North Shore-LIJ's owned hospitals and long-term care facilities house more than 6,600 beds, employ more than 15,000 nurses and have affiliations with nearly 13,600 physicians. With a workforce of more than 61,000, North Shore-LIJ is the largest private employer in New York State. For more information, go to www.northshorelij.com.
About North American Partners in Anesthesia
Founded in 1986, North American Partners in Anesthesia (NAPA) is the leading single specialty anesthesia management company in the United States. NAPA is comprised of the most respected clinical staff, providing thousands of patients with superior and attentive care. The company is known for partnering with hospitals and other health care facilities across the nation to provide anesthesia services and perioperative leadership that maximize operating room performance, enhance revenue, and demonstrate consistent patient and surgeon satisfaction ratings. For more information, please visit www.NAPAanesthesia.com.
About Arrowsight, Inc.
Arrowsight (www.arrowsight.com), a Web-based Application Services Provider, is the leading developer of remote video auditing services and software. Arrowsight has helped improve practices, compliance and employee morale in safety-sensitive industries, such as food processing, food services, manufacturing and health care. For more information, please visit www.arrowsight.com.
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SOURCE Arrowsight
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