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Published: 18 November 2021

Masimo Patient SafetyNet™ Remote Monitoring and Supplemental Alarm System Improves Nursing Workflow and Reduces Nursing Workloads

Masimo (NASDAQ: MASI) today announced that University Hospitals (UH) of Cleveland is using Masimo Patient SafetyNet™, a remote monitoring and supplemental alarm system, to combat nurse burnout by improving workflows and reducing workloads. As the COVID-19 pandemic continues to strain healthcare infrastructure around the world, hospitals are dealing with higher than usual rates of nurse turnover. Patient SafetyNet offers a technological approach to supporting nursing workflows, as both UH’s experience and clinical evidence have shown.

During the pandemic, more than 80% of hospitals have reported an increase in nurse turnover¹. In a survey of more than 20,000 nurses conducted in 2020, 18% intended to resign, 50% responded that work was negatively impacting their health, and 47% reported that insufficient staffing contributed to their desire to leave the profession². Nurse staffing shortages have been associated with both increased costs and, crucially, decreased patient safety: A survey of 138 facilities covering more than 120,000 nurses found that the average cost of turnover ranged from $37,400 to $58,400 per nurse³. And an observational, retrospective study of almost 200,000 patients across 43 hospital units found a significant association between increased patient mortality and nurse staffing below target levels⁴.

In a newly released testimonial, available here, UH – one of the largest health systems in Ohio – shows how their experience with continuous remote monitoring using Patient SafetyNet is positively impacting their nursing practices and the quality of care nurses are able to provide while improving efficiency and staff satisfaction. Within three weeks of implementing Patient SafetyNet, for example, UH found that the average time between obtaining a patient's vital signs at the point of care and documenting them in the electronic medical record (EMR) had decreased from more than 60 minutes to less than 5 minutes, resulting in a time savings of one FTE per shift.

UH first implemented Patient SafetyNet in 2016 following an incident in which an unnoticed, rapid deterioration in a patient's condition resulted in emergency resuscitation and ICU transfer. Jenna Zarack, a nurse at UH's Geauga Medical Center, said that Patient SafetyNet is "a great way to protect patients; it's a great way to protect nurses, and for nurses to be able to help their patients in a fast, immediate response, so we don’t get to a code, we don’t get to a rapid response situation." Sara Knowles, MSN, Clinical Nurse Specialist at UH, added, "The technology allows us to have eyes on our patients 24/7, which has proven especially valuable during our nursing shortage and the global pandemic."

When asked why UH is now planning to expand use of Patient SafetyNet – which is already in use in 8 med-surg units across 5 UH hospitals – Michelle Hereford, UH’s Chief Nursing Executive, explained, "We've found that Patient SafetyNet's continuous surveillance monitoring and automation capabilities help lower the burden on nurses and support them in providing quality care for every patient and catching potential patient deterioration before it's too late. Coupled with the improvements we've seen in efficiency, staff confidence, and staff satisfaction since installing the system, expanding use of Patient SafetyNet is frankly a no-brainer."

In addition to the experiences of Patient SafetyNet users like UH, there is significant clinical evidence for the efficiency and workflow benefits the centralized surveillance monitoring system offers, such as:

• In a recent study published in the Journal of PeriAnesthesia Nursing researchers evaluated the utility and impact of Patient SafetyNet by surveying nurses before and after implementation and found that use of the system decreased the number of physical assessments, resulting in a reduction in nursing workload, and also recommended the use of continuous respiratory rate and oxygen saturation monitoring (which was implemented as part of the system) after general anesthesia, for patients’ safety⁵.
• In a study conducted at Dartmouth-Hitchcock Medical Center, researchers investigated the impact of Patient SafetyNet on clinical workflow, and found a significant decrease in the time required to obtain and record vital signs (with mean assessment time dropping from 179 seconds to 129 seconds, saving an average of 3 hours a day in a 36-bed unit). They also found a significantly higher rate of patient data being accurately filled out in electronic medical records (EMRs), and an overall "very high" staff satisfaction rate with the system. The researchers concluded, "The enhanced monitoring system received high staff satisfaction ratings and significantly improved key clinical elements related to early recognition of changes in patient state, including reducing average vital signs data collection time by 28%, increasing patient monitoring time (rate ratio 1.22), and availability and accuracy of patient information."⁶

Patient SafetyNet, powered by the Masimo Hospital Automation™ platform, displays real-time information from connected Masimo and third-party devices at central stations and on remote smart devices using Replica™, helping clinicians keep track of up to 200 patients per view station at a time. In addition, the system allows actionable alarms and alerts to be sent directly to clinicians, regardless of their location. Automatic escalation is provided for unattended alarms, helping to facilitate better awareness when patients need assistance. In addition to the workflow and workload reductions it offers, use of Patient SafetyNet for continuous remote supplemental monitoring with Masimo SET® pulse oximetry has been shown to have a significant impact on patient outcomes. For example, in multiple studies conducted over ten years at Dartmouth-Hitchcock, researchers found dramatic reductions in rapid response rescue events, ICU transfers, and zero deaths or preventable brain damage due to opioids in monitored patients^7-10.

In addition to its powerful connectivity and automation features, which drive improvements for patients and nurses alike, Patient SafetyNet also offers powerful, integrated data aggregation and reporting software, Iris® Analytics. Designed to transform patient data into actionable information on hospital performance, floor protocol, and individual patient progress, Iris Analytics allows users to analyze past alarm events, notifications, and much more, to gain insight into their institution's performance – and model improvements to support the reduction of nuisance alarms and thus improve workflows. Based on analysis of even just one to two weeks of past alarm event data, the Limit Analysis Report helps clinicians simulate alarm scenarios using theoretical alarm thresholds and delays, providing key data to help them evaluate and refine their alarm strategies to better meet their needs.

UH Chief Clinical Transformation Officer, Peter Pronovost, MD, commented, "Masimo Patient SafetyNet has been a valuable component in advancing our Zero Harm initiative within the University Hospitals system. It's allowed us to increase the efficiency of our caregivers, reduce clinical errors, and help us focus on the timely delivery of compassionate care to our patients. It has also been a critical monitoring partner during the pandemic, when the condition of our COVID patients can dramatically change."

Joe Kiani, Founder and CEO of Masimo, said, "As the pandemic continues, hospitals and other healthcare facilities are coming up against resource limitations across the board – from equipment, supplies, and beds to doctors and administrative staff – but the shortage of qualified nurses, due to burnout, may be the most significant challenge of all. Masimo has spent more than 25 years improving monitoring and automation technologies designed not only to improve patient outcomes and reduce the cost of care, but to make it easier for nurses to do their jobs effectively and efficiently. We hope that more and more institutions, like University Hospitals, will have the opportunity to experience the benefits that Patient SafetyNet can provide for patients and staff alike."

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References

1. https://www.incrediblehealth.com/blog/study-covid-19-anniversary-nurse-impact/
2. https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/year-one-covid-19-impact-assessment-survey/
3. https://rnbsnonline.unm.edu/articles/high-cost-of-nurse-turnover.aspx
4. Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M. Nurse staffing and inpatient hospital mortality. N Engl J Med. 2011 Mar 17;364(11):1037-45. doi: 10.1056/NEJMsa1001025. PMID: 21410372.
5. Ishikawa M, Sakamoto A. Patient SafetyNet for the Evaluation of Postoperative Respiratory Status by Nurses: A Presurvey and Postsurvey Study. J PeriAnesth Nursing. DOI: https://doi.org/10.1016/j.jopan.2020.03.005.
6. McGrath S, Perreard I, Garland M, Converse K, and Mackenzie T. Improving patient safety and clinician workflow in the general care setting with enhanced surveillance monitoring. J Biomed Health Infor. DOI 10.1109/JBHI.2018.2834863.
7. Taenzer A et al. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study. Anesthesiology. 2010:112(2):282-287.
8. Taenzer A et al. Postoperative Monitoring – The Dartmouth Experience. Anesthesia Patient Safety Foundation Newsletter. Spring-Summer 2012.
9. McGrath S et al. Surveillance Monitoring Management for General Care Units: Strategy, Design, and Implementation. The Joint Commission Journal on Quality and Patient Safety. 2016 Jul;42(7):293-302.
10. McGrath S et al. Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity. J Patient Saf. 2020 14 Mar. DOI: 10.1097/PTS.0000000000000696.
11. Published clinical studies on pulse oximetry and the benefits of Masimo SET® can be found on our website at https://www.masimo.com. Comparative studies include independent and objective studies which are comprised of abstracts presented at scientific meetings and peer-reviewed journal articles.

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Published: 20 October 2021

University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) is using mobile monitoring technology from Mindray to support its caregivers in two of its hospitals.

Mindray’s Mobile Viewer application was trialled and installed in Royal Derby and Queen’s Burton hospitals earlier this year, for use with the Trust’s iPads. All connected patient monitoring data is captured by Mindray’s central monitoring system (CMS) server, then distributed to Mobile Viewer on over 20 iPads, with the capacity for 400 more. Mobile Viewer allows users to see patient observations and mid/high priority alarms information.

The Trust also chose to install CMS Viewer, allowing authorised users to securely view the monitoring screen of any patient on the connected hospital network, as well as to print and review events.

The project aimed to futureproof the hospitals’ monitoring systems with a solution that allowed caregivers to see live monitor data away from the traditional nurse’s station. Mainly used in the Coronary Care Unit, Children’s Critical Care Unit and Theatre Recovery, caregivers across the trust have seen the benefits of the mobile system.

Russel Turner, Equipment Library senior trainer & specialist at UHDB NHS Foundation Trust said:
“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 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.”

With live data and event reviews more accessible than ever, changes in patient status are more visible, supporting faster, more informed responses for a safer patient environment. Patient data is kept safe through secure authorisation, allowing each department to only see their own patients.

By choosing virtual solutions, the trust will benefit in future from simple scalability and a low dependence on physical infrastructure. Russel Turner said:
“The Trust already has plans to expand the system to more departments and include clinical engineering for faster diagnosis of technical issues. We’re not tied to physical workstations anymore. In future consultants may be able to print reports and view patient data from home through the trust’s VPN and Mindray’s CMS Viewer.”

By supporting an increase in patient safety without compromising the integrity of patient data, Mindray and UDHB have created a scalable system that can safely futureproof the patient monitoring in the University Hospitals of Derby and Burton.

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Published: 07 October 2021

The Welsh Rugby Union (WRU) has partnered with charity and Mindray distributor, Calon Hearts to ensure defibrillators are installed free of charge by the WRU at every club this season.

The partnership now means that over 300 clubs across the country will benefit from Mindray’s C Series automated external defibrillators (AEDs).

“There are not enough defibrillators in Wales or trained people to give victims the best chance of survival during those first few critical minutes and so we are extremely grateful to the WRU for their support of this initiative,” said Calon Hearts Defibrillators and Screening Wales director Sharon Owen.

“We hope the defibrillators never have to be used, but if they are used many lives in Wales will be saved as a consequence.”

The defibrillators have a zero second charge time and feature 360J biphasic technology in line with Resuscitation Council UK guidelines. With tailored rescue instructions based on the users’ competence, CPR guidance and fast boot up speed, the AEDs are ideal for community usage.

“When someone suffers a cardiac arrest, their chances of survival drop by up to 14% for every minute that passes, so a speedy response is crucial. Early defibrillation – within four to five minutes – gives the best possible chance of survival,” Sharon added.

“With access to more defibrillators at rugby clubs throughout the country, Calon Hearts can help our partners in the emergency services to improve chances of survival and protect our communities.”

Calon Hearts will provide the defibrillator, manage its installation and provide training to relevant volunteers at clubs on use and maintenance of the equipment.

The Calon Hearts charity raises funds across Wales in rural communities, workplaces and schools with the aim of ensuring defibrillators are as commonplace as fire extinguishers in Wales. As a registered charity, Calon Hearts are able to provide defibrillators to their clients at reduced prices. Medical device developer Mindray supplied the charity with the C Series defibrillators in a partnership earlier this year, as the devices met the charity’s requirements.

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Published: 06 August 2021

Hamburg, July 28, 2021 – seca is the first supplier of medical scales and measuring systems to enable user authentication using Imprivata. With the joint interface solution, the two companies support the standardization of different authentication processes in hospitals, simplify workflows and relieve nursing staff.

Medical scales are among the most represented and frequented MedTech products in hospitals. This is because precise knowledge of the parameters of size and weight is of great importance in everyday hospital life – for example, for the dosage of medications or anesthetics. At the same time, recording and documenting these parameters are simple but time-consuming and thus costly routine tasks that tie up valuable personnel resources. This is where integration solutions from seca come in: user and patient are identified by barcode directly on the device and the measurement results are sent to the EMR.

Common interface standardizes authentication processes

The more digitization advances in everyday hospital life, the more touchpoints nursing staff will have to authenticate themselves via proximity readers, barcode or fingerprint scanners, keyboards and palm scanners. In the future, facilities working with Imprivata Medical Device Access and seca's integration solutions will benefit from a unified authentication process: the common interface enables fast and secure user and patient authentication prior to each seca measurement and weighing process using existing Imprivata credentials. This eliminates the need for different logon procedures for different devices such as computers, medical scales or vital sign monitors. Clinic staff is relieved, patient safety and efficiency
increase.

"The goal of our collaboration was to further simplify and accelerate the workflow of integrating medical scale and measurement systems," said Dr. Richard Mietz, Team Manager Integration Solutions Int. at seca. "With Imprivata, we have a partner at our side who is an expert in the field of identity and access management and has many years of experience in this area. Our customers and patients alike will benefit from our cooperation and we are very happy about this partnership.”

Daniel Johnston MRes, RN, Clinical Workflow Specialist at Imprivata commented; “Our partnership and joint solution will enable an even faster and more efficient workflow for clinicians and care givers, while maintaining security and auditability. Clinicians will be able to access devices swiftly with a tap of their badge, allowing their focus to be on the patient and not the IT system.”

For more information on Imprivata and seca's integration solutions, visit us at HIMSS at booth 1632 or go to https://www.imprivata.com/and https://www.seca.com/en_gb/products/emr-integration.html.