Technology


and infection clusters, allowing for early intervention.


l Up-to-the-minute data and alerts via mobile devices.


While still in its infancy, the integration of vital sign monitors with early warning scores, electronic patient record systems, and unified clinical care communication systems is already showing some results. For example, Maimonides Medical Centre, a 700-bed hospital in New York, did just that using an integrated technological approach to patient deterioration. In the first year, they achieved a 30% reduction in “failure to rescue” patients (the failure to prevent a clinically important deterioration, such as death or permanent disability, from a complication of an underlying illness or a complication of medical care).24


Conclusion


While the drive for healthcare systems to make better use of digital technology had already started to take centre stage before COVID-19, the pandemic exacerbated existing challenges, as well as creating new ones, and as a result has driven unprecedented change in the way healthcare services are delivered.25


Medical


devices are being enhanced and integrated into connected environments through interoperable common platforms, and viable solutions are starting to provide seamless patient management and delivery of care, with the potential to tackle some of the many challenges in healthcare today. Connected care – and its realisation – calls for collective action, where industry and healthcare providers jointly understand the healthcare workflow and make connected care an integral part of the clinical workflow. What was once a vision of connected care in the acute hospital care setting is now not very far from becoming a reality.


References 1 https://www.rbccm.com/en/gib/healthcare/ episode/the_healthcare_data_explosion Accessed 1 22 March 2023


2 Marco D. Huesch, MBBS, PhD and Timothy J. Mosher, MD. Using It or Losing It? The Case for Data Scientists Inside Health Care. NEJM Catalyst, 2017.


3 da Silva Ramos FJ, Figueira Salluh JI, Data- driven management for intensive care units. ICU Management & Practice, Volume 19 - Issue 1, 2019.


4 https://www.fiercehealthcare.com/tech/82- healthcare-organizations-have-experienced- iot-focused-cyber-attacksurvey-finds Accessed 22 March 2023


50 www.clinicalservicesjournal.com I June 2023


5 Eastwood, Brian. Patients key to making sense of medical data. Ideas Made to Matter. MIT Sloan School of Management. Mar 1, 2016.


6 The State of Healthcare IoT Device Security 2022, A Cynerio Research Report.


7 Acutely ill adults in hospital: recognising and responding to deterioration, NICE Clinical guideline [CG50].


8 Smith GB, Recio-Saucedo A, Griffiths P. The measurement frequency and completeness of vital signs in general hospital wards: An evidence free zone? Int J Nurs Stud. 2017 Sep;74:A1-A4.


9 https://www.bbc.com/news/health-62267282 Accessed 22 March 2023


10 Redfern OC, Griffiths P, Maruotti A, Recio Saucedo A, Smith GB; Missed Care Study Group. The association between nurse staffing levels and the timeliness of vital signs monitoring: a retrospective observational study in the UK. BMJ Open. 2019 Sep 27;9(9):e032157.


11 Meccariello M, Perkins D, Quigley LG, Rock A, Qiu J. Vital Time Savings. Evaluating the use of an automated vital signs documentation system on a medical/surgical unit. JHIM 2010;24:46–51.


12 NICE Medtech innovation briefing. National Early Warning Score systems that alert to deteriorating adult patients in hospital. 18 February 2020.


13 Releasing Nursing Time with Connected Vitals: Imperial College Healthcare NHS Trust Case Study


14 Introducing bedside vital signs devices at Imperial College Healthcare NHS Trust, 4 March 2019. https://www.england.nhs.uk/ atlas_case_study/introducing-bedside-vital- signs-devices-at-imperial-college-healthcare- nhstrust/Accessed 22 March 2023


CSJ


15 Blythe R, Parsons R, White NM, Cook D, McPhail S. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. BMJ Qual Saf. 2022 Oct;31(10):725-734.


16 Manojlovich M, Krein SL. We don’t talk about communication: why technology alone cannot save clinically deteriorating patients. BMJ Qual Saf. 2022 Jul 22:bmjqs-2022-014798.


17 Burke C, Conway Y. Factors that influence hospital nurses’ escalation of patient care in response to their early warning score: A qualitative evidence synthesis. J Clin Nurs. 2022 Mar 25.


18 Foley C, Dowling M. How do nurses use the early warning score in their practice? A case study from an acute medical unit. J Clin Nurs. 2019 Apr;28(7-8):1183-1192.


19 Gartner Research. What are Clinical Communication and Collaboration Systems? https://www.gartner.com/reviews/market/


About the author


Stephen Russell is associate director for market development in Baxter Europe’s Integrated Care Solutions group, where he leads evidence generation and strategy. He has over 20 years of experience in developing and communicating clinical and economic value propositions for healthcare professionals, providers, and payers in the field of medical devices and hospital products. His current focus is on connected care and unified clinical care communications.


clinical-communication-and-collaboration. Accessed 22 March 2023.


20 Exhibit 99.2, Tender Offer Statement, Vocera Communications, Stryker Corporation, 20 https://www.sec.gov/Archives/ edgar/data/310764/000119312522003677/ d276744dex992.htm. Accessed 22 March 2023.


21 Precedence Research. Clinical Communication & Collaboration Market. https://www. precedenceresearch.com/clinical- communication-and-collaboration-market. Accessed 22 March 2023.


22 Leveraging Real-Time Clinical Communication to Improve Healthcare. Whitepaper March 09, 2022. https://www.cdw.com/content/cdw/en/ articles/digitalworkspace/leveraging-real-time- clinical-communication-to-improvehealthcare. html Accessed 22 March 2023


23 Hoyle EF. Using clinical surveillance software to support effective infection prevention and control for managing COVID-19. Br J Nurs. 2023 Jan 26;32(2):52-56. https://www. britishjournalofnursing.com/content/focus/ usingclinical-surveillance-software-to-support- effective-infection-prevention-and-control-for- managing-covid-19


24 Zeidenberg, J. Hospital’s early warning system dramatically lowers post-op mortality. Canadian Healthcare Technology. June/July 2017.


25 Hutchings R. The impact of COVID-19 on the use of digital technology in the NHS. Nuffield Trust. August 2020.


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