This report consists of two separate studies on the use of continuous capnography monitoring conducted in an effort to improve patient safety at Virtua Health System. The desire for improved patient safety is motivating continuous monitoring and improved surveillance in clinical areas not traditionally equipped for such monitoring. We explored the use of remote monitoring of capnography, using enterprise middleware, in patients recovering from surgery in a medical-surgical unit. Continuous monitoring traditionally has been used in higher-acuity settings, such as intensive care units. Patients diagnosed or suspected to have obstructive or central sleep apnea may benefit from the increased surveillance afforded by continuous monitoring. Pain management in this cohort of patients, recovering from bariatric, joint replacement, or other major surgery, often involves administration of opioids (e.g., hydromorphone, morphine sulfate), which are known to increase risk of respiratory depression. Continuous monitoring of these patients increases the likelihood of detecting adverse clinical events. Our goal was to implement continuous monitoring in order to identify alarm conditions caused by adverse clinical events requiring intervention (e.g., opioid-induced respiratory depression) and artifacts related to patient movement, suspect measurements, or other medical device–generated alarm signals.
This author has yet to write their bio.Meanwhile lets just say that we are proud Fran contributed a whooping 20 entries.
Entries by Fran
John Zaleski, PhD, CAP, CPHIMS, Chief Analytics Officer of Bernoulli, the real-time leader in patient safety, is featured in the May/June cover story of RT Magazine, “Patient Monitoring and Alarm Fatigue.” The article notes that alarm fatigue continues to remain a significant patient safety threat and details how clinicians can mitigate this problem. Zaleski says […]
Bernoulli will be exhibiting at the AAMI Conference and Expo. Bernoulli will be exhibiting at the AAMI Conference and Expo. The conference is in Austin, Texas from June 9th to 12th; Bernoulli will be in booth # 1226. The conference has long been well known as the place where innovation, connection, and advancement in medical […]
Bernoulli, the real-time leader in patient safety, has published a new case study detailing its successful efforts to bring medical device integration to Virtua, one of New Jersey’s largest non-profit, multi-hospital health systems. Utilizing Bernoulli’s standards-based, open architecture Bernoulli One™ system enabled Virtua to bring medical device integration and connectivity across a complex healthcare ecosystem […]
Bernoulli, the leader in real-time solutions for patient safety, will be exhibiting at Booth 715 at the 19th Annual NPSF Patient Safety Congress, May 17-19, 2017, at the Renaissance Orlando at SeaWorld hotel, Orlando, FL. Bernoulli will be highlighting its capabilities in real-time data, medical device integration and patient safety solutions, as well as its […]