patient safety concerns

ECRI: Top 10 Patient Safety Concerns for Healthcare Organizations

The ECRI Institute released its latest report, 2017 Top 10 Patient Safety Concerns for Healthcare Organizations. The report’s goal is to help hospitals and health systems decide where to focus patient safety initiatives.

We encourage you to read the the entire ECRI on the Top 10 Patient Safety Concerns, but wanted to highlight a few key areas.

Information Management in EHRs (#1)

“Healthcare organizations must approach health IT safety holistically. …Strategies include ensuring that users understand the system’s capabilities and potential problems [and] encouraging users to report concerns and investigating those concerns.”

Quality and reporting in many hospitals and health systems rely on individual recollections after an incident, which can be inaccurate or incomplete. The appropriate technology can provide healthcare organization with objective data to assess any incident and make measurable, team-focused improvements to the reporting and resolution process.

Patient Safety Resource: Case study—Achieving Clinical Clarity from Ventilator Overload. The Hospital for Special Care was able to achieve real-time surveillance of more than 100 patients on ventilation support. In addition, the hospital was able to use collected data for reporting to its audit committee, which monitors ventilator management performance and identifies potential areas of need.

Unrecognized Patient Deterioration (#2)

“Organizations can develop condition-specific protocols for an organized and speedy response and analyze work systems and processes to identify and address barriers.”

Several alarm techniques and strategies exist for identifying at-risk patients, including smart alarms. These allow for the analysis of the alarm signals themselves, but also the high-fidelity physiological data associated with them, including time trends, in-depth alarm sensitivity and statistical and predictive analysis.

Patient Safety Resource: White paper—Clinical Alarm Management & Reduction: Eliminating alarm proliferation in hospitals and health systems. This white paper outlines the current state of clinical alarm management, demonstrate how to establish a baseline of a hospital’s alarms, and explores innovative alarm reduction strategies to promote more efficient workflow, increase patient safety, and put hospitals on the path toward real-time patient monitoring and intervention.

Implementation and Use of Clinical Decision Support (#3)

“On an ongoing basis, organizations should monitor the effectiveness and appropriateness of CDS alerts, evaluate the impact on workflow, and review staff response to alerts. The tool should be redesigned as necessary.”

The truth is that the overwhelming majority of alarms endured by nurses, respiratory therapists and other caregivers have nothing to do with a patient’s medical condition. However, the fatigue and desensitization that results from caregivers responding to hundreds—or even thousands—of alarms every day is a clear and documented threat to patient safety. Technology can help get alarms under control—but it is not enough. Clinical and IT leadership, including nurses, respiratory therapists, biomedical engineers and information technology staff, must come together to develop the policies and standards necessary to bring meaning and action back to clinical alarms.

Patient Safety Resource: Article—“Why it’s time for an immediate hospital alarm intervention” by Jeanne Venella, DNP, MS, RN, CEN, CPEN, Chief Nursing Officer, Bernoulli. Published May 2016 in DOTMed.

Opioid Administration and Monitoring in Acute Care (#7)

“Organizations may wish to evaluate and address work system and process factors that may contribute to opioid administration errors. For certain patients, capnography or minute ventilation monitoring can supplement nurse monitoring.”

Both patient-managed and staff-administered pain medication are necessary for the patient’s well-being in the hospital. However, their use presents real risk of overdosing and death, especially for patients with complex chronic conditions and co-morbidities. Continuous monitoring can help improve patient safety while keeping the patient comfortable, but careful implementation is necessary to avoid a negative impact on the staff and environment the patient depends on for care.

Patient Safety Resource: Article—“Achieving Real-Time Respiratory Depression Surveillance of Post-Surgical Patients” by Jeanne Venella, DNP, MS, RN, CEN, CPEN, Chief Nursing Officer, and John Zaleski, PhD, CAP, CPHIMS, Executive Vice President and Chief Informatics Officer, Bernoulli. Published Feb. 8, 2017 in PSQH.

Inadequate Organization Systems or Processes to Improve Safety and Quality (#10)

“Proactive strategies can be used to examine processes, identify what can go wrong, and make the process less vulnerable to error before mistakes can occur. Strong preventive strategies, such as standardization and automation, should be explored.”

Technology plays a critical role in patient safety, but it is one piece of a larger solution. Achieving measurable progress in patient safety requires that hospitals identify and support internal champions in all relevant departments including, nurses, respiratory therapists, biomedical engineers, and information technology staff. These interdisciplinary experts must come together to assess the current state of patient safety environment—by unit and facility—including reviewing current protocols; identifying and developing targets for improvement; and evaluating appropriate interventions, policies, and standards. Without the input and expertise from hospital leadership, any patient safety solution will fall short of institutional goals and may put full adoption at risk.

Patient Safety Resource: Webinar—“The Threat of Alarm Fatigue on Patient Safety.”

Final Thoughts

Bernoulli is dedicated to providing clinicians with the technology-enabled capabilities necessary for improving patient safety in real-time. Our commitment to interoperability and vendor-neutral, open architecture both with regards to device connectivity and delivery of data and analytics to other systems of record enables hospitals and health systems to benchmark measureable, sustained improvements to patient safety.

As always, be sure to review our Resource Center to access real-world case studies, white papers, thought leadership and published papers and articles that will help your team make informed decisions about investing in enterprise-wide medical device connectivity, alarm reduction, patient safety analytics—all based on continuous, real-time data.

Follow us on LinkedIn and Twitter for additional news, tools and resources.

HSC case study

Alarm Management Software Boosts Nurse Response Time

HealthData Management article: How alarm management software boosts nurse response time

HealthData Management’s Joseph Goedert talked with The Hospital for Special Care’s respiratory practice manager, Connie Dills, on the benefits of alarm management software.

In the article Ms. Dills’ states that with the installation of Bernoulli One™ software The Hospital for Special Care’s  “response time is excellent,… When an actionable alarm goes off, the response time is within 10 to 20 seconds.”

“…Alerts are displayed at workstations, on laptops and pagers, on an LED board and via an audible overhead speaker. With the new software, the hospital has seen an 80 percent reduction in the number of alarms for which an immediate response is needed…”

To read the HealthData Management article,  “How alarm management software boosts nurse response time”, click here.

To read The Hospital for Special Care’s case study on Achieving Clinical Clarity from Ventilator Overload click here.

Inside the HSC case study the results show that:

  • Bernoulli One™ at HSC enabled real-time
    surveillance of more than 100 ventilated patients.
  • Using Bernoulli’s alarm management capabilities, HSC has reduced the number of ventilator alarms by an estimated 80%.
  • HSC is able to leverage the system to produce detailed reports after any alarm incident, as well as support research and benchmarking studies going forward.
  • Bernoulli allows HSC staff to automate manual processes, reducing the risk of transcription errors and giving clinicians more time for direct patient care.
  • HSC has achieved full compliance with the Joint
    Commission NPSG on alarm management, using the Bernoulli platform.

For more information on how Bernoulli can help your medical facility deliver better patient care click here or call(800) 337-9936.



See How Spok and Bernoulli Collaborate on Real-Time Data Delivery at HIMSS17

Bernoulli, the leader in real-time solutions for patient safety, and Spok Inc., the global leader in healthcare communications, will be showing HIMSS17 attendees how the companies’ combined capabilities help clinical staff leverage advanced routing and escalation capabilities with unique smart alarms and real-time patient data to deliver actionable alarms that support better clinical decision-making, speed response times, reduce alarm fatigue, and improve patient satisfaction.

Take Action

  1. Visit Spok booth 2671 or visit Bernoulli and Spok at the HIMSS17 Interoperability Showcase (Booth 9000, Hall F)
  2. Learn how Bernoulli and Spok work together to reduce alarm fatigue for staff, improve patient safety, and meet The Joint Commission NPSG.06.01.01 requirements for clinical alarm safety
  3. Engage on social media with Spok (Twitter/LinkedIn) and Bernoulli (Twitter/LinkedIn)
  4. Add Bernoulli to your HIMSS17 agenda
  5. Download Spok Bernoulli Alarm Fatigue pdf


About Bernoulli
Bernoulli is the leader in real-time solutions for patient safety, with more than 1,200 installed, operational systems. Bernoulli One™ is the market’s only real-time, connected healthcare platform that combines comprehensive and vendor-neutral medical device integration with powerful middleware, clinical surveillance, telemedicine/virtual ICU, advanced alarm management, predictive analytics and robust distribution capabilities into ONE solution that empowers clinicians with tools to drive better patient safety, clinical outcomes, patient experience, and provider workflow. Visit our Resource Center to download case studies, white papers and articles.


Media Contact:

Matt Schlossberg
Amendola Communications

In new PSQH paper, Bernoulli explores active monitoring of patients at risk for respiratory depression

Bernoulli Chief Nursing Officer Jeanne Venella, DNP, MS, RN, CEN, CPEN, and Chief Analytics Officer John Zaleski, PhD, CAP, CPHIMS, have published a new paper in PSQH on the unique challenges of—and innovative strategies for—alarm management and real-time data delivery in the care and management of patients at risk for respiratory depression.

The authors’ write, “The challenges associated with reducing respiratory events are significant and many, including the financial implications of adding costly monitoring devices and full-time, direct-care staff. Further, improvements to monitoring are clearly necessary.”

Venella and Zaleski explore potential technological, workflow and business solutions to this emerging patient safety issue. Read the article here.

Be sure to also follow Bernoulli on LinkedIn and Twitter for the latest news and updates.

Bernoulli Demonstrates Real-Time Patient Data and Waveform Delivery with Voalte and Connexall at HIMSS17

Bernoulli will join Voalte and Connexall for a unique integration demonstration delivering alerts paired with real-time patient data and waveforms to smartphones. The demonstration will be held at Booth 673 at the 2017 Annual HIMSS Conference & Exhibition (HIMSS17) in Orlando next week. Click here for more details.