PATIENT SAFETY
the hospital, the Mindray module simply unplugs from the side of the monitor and can be used as a transport monitor. It can then be ‘plugged’ into the host monitor at the bedside, at the new location. There are no cumbersome leads to disconnect and reconnect, or clean between patients, and the patient is continuously monitored – ensuring seamless data and patient safety at all times.
Head of nursing, Cheryl Riotto, commented: “From a nursing perspective, transporting patients is no longer a headache and there is no interruption in the patient data. This helps to reduce anxiety for the nursing staff – having robust patient monitoring is the backbone of safe patient transfer. This, along with NEWS2, will make a big difference to the nursing team.” This functionality will also deliver efficiencies for Royal Papworth, as Gorman explains: “On average, we transfer 11 patients per day from the ICU back to the ward and each of these transfers takes a minimum of half an hour. If you can achieve small time savings for each of these transfers, by not having to connect and reconnect the monitoring, these efficiency savings can quickly add up. The flow of patient data directly from the monitor and into the EPR, also means there is no need for manual input into another system, and there is no need to bleep the outreach sister when you have a deteriorating patient – the whole process is automated.”
NEWS2: meeting national standards with Mindray
The ability to automate the calculation of NEWS2 using the new monitors is a key advantage from the Trust’s perspective. NEWS2, the latest version of the National Early Warning Score (NEWS), is a new national requirement for the NHS. Supported by the Royal College of Physicians, the protocol aims to save lives by standardising the assessment and response to patient deterioration. While many hospitals calculate this early warning score on paper, Royal Papworth has been able to automate the process, using the BeneVision monitors – helping to eliminate human errors and speed up detection of patient deterioration. “Mindray has taken the installation to the next level, by programming NEWS2 into the monitoring equipment and transmitting observations directly into our Electronic Patient Records via the eGateway – this is a huge advantage,” said Royal Papworth’s chief nursing information officer and EPR manager, Eamonn Gorman. However, NEWS2 was originally developed to detect deterioration in the general patient population and, as a specialist heart and lung hospital, Royal Papworth’s cohort of patients have a very different physiology. Mindray was able to refine the NEWS2 display, without altering the score, to enable Royal Papworth’s clinical teams to add and view additional parameters that are important to the hospital, including:
Eamonn Gorman, Royal Papworth’s chief nursing information officer and EPR manager
Emesis (sickness) Pain score Inspired oxygen
Mindray has also enabled integration with a third-party’s mobile alarming system, so that a team of senior clinical staff can be alerted and respond in the event of patient deterioration, providing a ‘safety net’ for nurses caring for patients in the single, ensuite rooms. In the event that a patient’s early warning score crosses a NEWS2 threshold, an alert is triggered via the mobile phone devices carried by the hospital’s equivalent of a clinical outreach team.
Further efficiency savings
The ability to perform 12-lead ECGs with the Mindray monitoring system has also created efficiencies for Royal Papworth. Previously this process would involved finding an ECG cart, printing the ECG onto paper, taking it to a doctor to get it signed, scanning it, then putting it into a file. With the Mindray monitor, caregivers can perform a 12-lead ECG at the bedside, using the wall mounted Mindray monitors and the system will automatically send it to a file share. “This frees up nursing time and makes the process much more efficient,” Gorman added. “The results can be viewed and saved without leaving the bedside, creating a huge time saving for clinical staff and making the process much safer.”
Reducing errors
Gorman noted that the monitoring system is also improving the quality of data being captured. Previous audits have shown that calculating early warning scores on paper results in a high degree of error – the majority of charts will show inaccuracies when undertaken manually, according to Gorman’s own findings. The hospital can now be confident in the accuracy of the observations, but the automated system also helps guide the caregivers to make correct decisions in the event of an escalation. “Each time you perform a set of
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