CHICAGO, May 12, 2017 /PRNewswire/ --
Two leading physicians presented today new evidence supporting continuous monitoring of general care patients, at the 13th International Conference on Rapid Response Systems and Medical Emergency Teams (ISRRS) held at the Hyatt Regency Chicago.
Dr. Frank J. Overdyk, Chairman of the AAMI Foundation's National Coalition to Promote Continuous Monitoring of Patients on Opioids, outlined the critical role continuous monitoring plays in early detection of clinical deterioration on general floors. He highlighted proven strategies for successful implementation and cited key clinical and financial evidence for continuous monitoring, including reduced patient length of stay and fewer ICU days for patients transferred from EarlySense-equipped medical/surgical floors.
"A significant percentage of in-hospital unplanned mortality is preventable, and early detection of clinical deterioration coupled with timely intervention helps prevent cardiac arrests and death," said Dr. Overdyk. "Hospitals that have implemented continuous monitoring have successfully reduced complications leading to cardiopulmonary arrest. It is clear that continuous monitoring is poised to become a standard of patient care, and ongoing dialogue regarding effective implementation strategies and best practices will further propel the global adoption of this standard."
ISRRS, the largest international conference supporting rapid response systems across the globe, brought together clinicians and researchers from around the world to explore frontiers in rapid response, earlier detection of clinical deterioration, and using patient monitoring as a clinical support tool.
Dr. Eyal Zimlichman, Chief Medical Officer of Israel's Sheba Medical Center, discussed emerging non-invasive monitoring technologies, presenting aggregated statistics from two U.S. hospitals that have used the EarlySense system to monitor approximately 10,000 patients. The data provides new insight regarding normal ranges of respiration rate and heart rate on general care floors, as well as maximal values, depending on age and comorbidities.
"Contact-free continuous monitoring provides an opportunity for clinical teams to intervene in a timely manner, but must be implemented properly to avoid alarm fatigue," said Dr. Zimlichman. "Our findings point to the appropriate threshold settings to minimize alert fatigue on general care floors. Vitals statistics provided by continuous monitoring can significantly improve management of an alerting system, by incorporating demographic-dependent thresholds and trends."
Approximately 2% of patients on general care floors, totaling about 240,000 patients per year, are admitted to ICUs or unexpectedly die[i] . Given that these unplanned events are typically preceded by hemodynamic antecedents in the 4-8 hour window prior to the event, early intervention can prevent such adverse events and patient deterioration. Dr. Zimlichman discussed several examples of successful continuous monitoring programs and lessons learned regarding workflow, involvement of multi-disciplinary project teams, and staff education and buy-in.
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EarlySense provides contact-free, continuous monitoring solutions for the medical and consumer digital health markets. EarlySense's patented sensor and advanced algorithms monitor and analyze cardiac, respiratory and motion parameters. Used in hospitals and healthcare facilities worldwide, EarlySense assists clinicians in early detection of patient deterioration, helping to prevent adverse events, including code blues, preventable ICU transfers, patient falls and pressure ulcers.
LIVE by EarlySense is the first home health and sleep monitor powered by medically-proven, contact-free, continuous monitoring technology. The company's OEM technology is also at the core of wellness and sleep products marketed by international partners including Samsung, Beurer and iFit. EarlySense was founded in 2004 and has offices in Waltham, MA, and Ramat Gan, Israel.
i. Thierry Boulain et al. Patients Hospitalized in General Wards via the Emergency Department: Early Identification of Predisposing Factors for Death or Unexpected Intensive Care Unit Admission-A Historical Prospective. Emerg Med Int. 2014; 2014: 203747.