PATIENT SAFETY
observations, the screen outlines whether any escalation is required, based on the early warning score, and prompts are fed back to the caregiver advising them on what actions need to be taken,” Gorman explained. “This is helping to reinforce the learning around NEWS2, already undertaken through our workshops. In addition, as the technology has the ‘feel’ of an Apple device, it is intuitive and simple to set up. When you are moving into a new hospital, using lots of new technologies, it is reassuring to know that the one bedrock of patient safety – the monitoring system – is really easy to use.”
Monitoring during complex surgery
Mindray’s solutions have also been installed in the most critical areas of the hospital, including the theatres – where the complexity of surgery demands the highest levels of patient monitoring. The solution provided includes the iView function – a modular PC that integrates with the monitor, allowing connection to any hospital informatics system – such as PACS and pathology results. This patient data can then be displayed on the Mindray monitor for easy viewing and visibility.
A vital aspect of the project at Royal
Papworth has involved tailoring the visual presentation of vital information to support complex cardio thoracic surgery. Royal Papworth undertakes some of the most challenging and innovative procedures in the UK, so the need to quickly gain an
If you can achieve small time savings for each of these transfers, efficiency savings can quickly
add up. Eamonn Gorman, chief nursing officer and EPR manager, Royal Papworth Hospital NHS Foundation Trust
understanding of the patient’s status with clear monitoring data is vital – there can be no ambiguity in terms of graphical presentation. “We have worked to develop a slick and sensible configuration, and the support we received was exemplary,” commented consultant anaesthetist, Dr Florian Falter. He explained that the ‘impressive’ resolution of the screen is extremely valuable in theatres – particularly when the team is working on a challenging case: “If you have a complex case with lots of arterial lines, the colour options can help avoid confusion when it comes to visualisation. The clarity of the monitor helps your grasp of the situation. This is particularly important when there is a need
to act fast and the team is under pressure. “The monitor is more than just a device that produces colourful graphics, however. Cardiac monitoring is very complex, and we have to deal with many different facets at the same time – whether it is coagulation, the patient, the heart, the bypass machine, or the surgeon. My vision is for a monitor that becomes an information hub; whereby, at the touch of a button, you can change what you see on the screen.”
Connectivity and interoperability
Interoperability between Royal Papworth’s new monitoring and its hospital information systems is allowing clinicians to use patient data more intelligently, to inform clinical decisions, enhance clinical efficiency and improve patient outcomes. These integrations include: Lorenzo – main electronic patient record system
Metavision – clinical information system for ICU
M-ighty – e-observations, NEWS2 and alerting system
12-lead ECG PDF to Lorenzo Serial output to Liva Nova heart-lung perfusion system
GE Aisys CS2 anaesthetic machine with waveforms.
The flexibility of the solution is made possible by the BeneLink Interfacing Module. By becoming a ‘data hub’, BeneLink has
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