DIGI TAL HEALTH
clinicians to be more responsive to side- effects, such as arrhythmia or bradycardia, through timely alerts. Ultimately, a complete sepsis suite of tools, such as this, allows clinicians to stay calm and confident while facing complex scenarios – assisting with life-saving procedures.
Identifying patients at risk of falls The connectivity of medical devices, com- bined with intelligent decision-making tools, can also help with other aspects of patient safety. Orthostatic hypotension (OH) is a major contributor to falls in hospitals, yet only 16% of hospitals measure for OH with orthostatic blood pressure (BP) readings. Mindray’s VS9 patient monitor enables clinicians to easily capture the orthostatic BP of their patients, recording both sitting and standing measurements before displaying a simple OH results indicator.
“Previously, without this connected technology, a clinician would either have to make a written note of the readings and perform the calculations manually, or read the screen of a monitor and input the data into the EPR manually. “This can lead to human errors and is much more time consuming. However, this clinical app guides the clinician through competing this assessment. It gives a result and prompts escalation of care, right there and then, as well as automatically capturing the data into the EPR,” comments Mendonca.
The future
Mendonca believes that intelligent systems, to guide and improve clinical decision making, will become an increasing feature of healthcare delivery. “We have lots of clinical assistive apps and solutions to identify patient
deterioration, such as early warning scores, but the direction we are travelling in is to identify subtle changes in the patient’s condition at a much earlier stage before the patient actually starts to deteriorate. This is the holy grail. We are making this a reality with all of these data points and the use of artificial intelligence.
“Early warning scores are typically
performed every four hours and a patient may be identified when they have a score of 7 and need to be moved to continuous monitoring. We need to capture changes much earlier before they become very unwell. Early intervention saves lives,” he comments. Clinicians need to be able to make quick decisions based on all of the available data. In the future, it will be important to provide ways to consolidate this data into one interface. “The goal is to not just provide clinicians with the data they need to deliver optimum care, but to also have systems that have the
Case study: providing mobile monitoring for UHDB
In September 2020, University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) embarked on a patient monitoring standardisation project with Mindray. As part of the project, the Trust wanted to future-proof its systems through the M-Connect total connectivity solution, including the MobileViewer and CMS Viewer systems. The Trust was looking for a solution which allowed caregivers to see live monitor data away from the traditional nurse’s station. Some of the challenges that needed to be overcome included: implementing mobile technology to multiple devices, changing dedicated local networks to accept new infrastructure, and setting up user access to restrict departments’ view to only their patients. By combining MobileViewer for their
iPads with the CMS Viewer application for their PCs, the Trust has created a flexible monitoring system in a range of acuity settings. In rooms where all monitors can be heard, but not always seen due to screening or room design, having iPads that can display bedside monitoring allows for total visibility and peace of mind. This level of surveillance is further boosted in some departments with the inclusion of central monitoring stations to give caregivers complete flexibility when observing patients at any point in their workflow.
“Being able to access bedside monitoring from our iPads has been useful for departments across the Trust. The single room areas of our hospitals particularly like the way that
it to the CMS Viewer and Mobile Viewer systems. Caregivers watching their patients on Mobile Viewer can see medium and high priority alarms, while Mobile Viewer and CMS Viewer display all monitoring information from the connected monitors. The system allows users at any connected PC to view events and produce reports, including case reports and 12- lead ECG readings.
all their patients are now instantly visible. With MobileViewer and CMS Viewer we’ve created a more flexible central monitoring system that is suited to our own environment and workflow,” comments Russel Turner, equipment library senior trainer & specialist, University Hospitals of Derby and Burton NHS. Used initially in Royal Derby Hospital’s
Coronary Care Unit (CCU) to provide complete visibility of patient data, where each patient has their own room, MobileViewer is now used in several departments – each with access to only the patients in their own department. CMS Viewer further expands the capabilities of a traditional central monitoring system. By installing the application to their existing screens, users can see one-way feeds from all connected monitors in the hospital, providing a cost-effective alternative to a fixed central station. The CMS Server collects all data from connected bedside monitors and distributes
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Caregivers can now see patient monitoring data from across the hospital, while on the move, which has helped to improve the patient experience – staff can spend more time observing or speaking with patients at the bedside without losing sight of other patients. Changes in patient status are more visible, supporting faster, more informed responses.
By largely ‘de-centralising’ monitoring
in certain departments, the Trust has made patient monitoring data more accessible than ever for clinicians. The increase in surveillance capabilities offers greater peace of mind for patients and hospital staff. In the future, consultants may be able to print reports and view patient data from home through the Trust’s VPN and Mindray’s CMS Viewer, while Mobile Viewer can currently support up to 500 mobile devices, fusing data from 600 beds to allow for plenty of expansion. By supporting an increase in patient safety without compromising the integrity of patient data, Mindray and UHDB have created a scalable system that can safely future-proof the patient monitoring in Royal Derby and Burton hospitals.
JANUARY 2023
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