Early detection of patient deterioration and critical events saves lives. Capsule Surveillance continuously analyzes comprehensive medical device data to identify deterioration in patient condition and assists in reducing the risk of life-threatening events. Better patient outcomes improve HCAHPS scores, shorten hospital stays, and reduce costs.
Clinical surveillance, based on live, streaming data, serves as a friendly tap on the shoulder to facilitate proactive care by sending precise notifications to the caregiver, wherever the caregiver may be. Trusted by staff, these prompts alleviate alarm fatigue by notifying the caregiver of impending events, rather that reporting reactively to events that have already occurred. As Capsule Surveillance is intended to support the caregiver as an adjunct in the management and treatment of patients, Capsule Surveillance, notably, has achieved FDA Class II clearance for active patient monitoring.
In an article titled “Improving Patient Safety through the Use of Nursing Surveillance”, written by Karen K. Giuliano, RN, PhD, FAAN, published by AAMI Horizons, the differences between monitoring and clinical surveillance are evaluated. The article states, “Surveillance and monitoring each represent a distinct process in patient care. Monitoring involves observation, measurement, and recording of physiological parameters while surveillance is a systematic, goal-directed process based on early detection of signs of change, interpretation of clinical implications of such changes, and initiation of rapid, appropriate interventions.”
Employing a clinical example based on Early Warning Scoring System and deployment of rapid response teams, the article highlights the importance of surveillance in clinical workflow improvement and patient care. Giuliano writes that the “use of surveillance versus monitoring resulted in a mean reduction in rapid response deployment time of 291 minutes.” In using surveillance to deploy the rapid response team, a shorter median hospital length of stay of 4 days was documented.
“Soon after installation, Capsule Surveillance became just a part of our day-to-day operations. We’re able to safely monitor patients across the entire facility without the constant distraction and fatigue of responding to false alarms. Our nurses and respiratory therapists know it’s there and know it’s working. It’s really a testament to where we are with Capsule Surveillance. What we are seeing is that if a patient starts to degrade from a pulmonary standpoint, our clinical staff is able to respond and intervene much faster than before.”
Capsule Surveillance drastically improves a respiratory therapist’s (RT’s) efficiency as a patient care coordinator and improves their responsiveness to specific patient-related issues.
Opioid-induced respiratory depression (OIRD) is one of the most significant risks to patient safety. Left undetected, this condition can lead to anoxic brain injury or death. Capsule’s comprehensive medical device connectivity live, streaming data capture and advanced analytics helps clinicians identify potential sentinel events before they occur.
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Rather than focus only on alarm reduction, Capsule’s Alarm Surveillance solution applies multi-variate rules create clinically actionable alerts based on live, streaming data trends in the patient’s condition, while filtering out the spurious, technical alarms that contribute to alert fatigue. As a result, caregivers can reevaluate the device settings, reduce nuisance alarms and quiet their surroundings.
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Capsule’s integrated Ventilated Patient Surveillance Solution helps respiratory therapists observe all ventilated patients in the hospital from a remote location. A central surveillance module empowers caregivers to determine appropriate vent setting adjustments from a central display. More than improving workflows, better care for patients on ventilators can help to improve operational efficiencies such as reduced length of stay and costs.
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Capsule’s Remote Surveillance solution combines live streaming clinical surveillance with telemedicine. The system allows one intensivist to monitor patients across multiple, geographically dispersed ICUs using data collected from on-site medical devices and provides redundancy for nurses who are caring for multiple patients. The system processes multi-variate rules to correlate patient and device data, creating new early warning alarms to provide the ultimate patient protection.
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Capsule Surveillance: improving patient safety with streaming live data
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Device connectivity with the EHR and other downstream systems is only getting started. Devoting hospital resources to broaden the scope of medical device integration is well worth the investment.
An ongoing study shows that combination smart alerts derived from medical device data can help to identify clinically actionable events.