Clinical Surveillance and Monitoring What’s the Difference?

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.

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“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.”

Director of Respiratory Care, 500+ bed, community health system, southeast United States
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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.

Respiratory Practice Manager, Hospital for Specialty Care (CT)
respiratory depression

Respiratory Depression Safety Surveillance

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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alarm surveillance

Alarm Surveillance

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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Ventilated Patient Surveillance

Ventilated Patient Surveillance

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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Remote ICU Surveillance

Remote Surveillance

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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1
Giuliano, Karen K. “Improving Patient Safety through the Use of Nursing Surveillance.” AAMI Horizons. Spring 2017, pp 34-43. PDF.