{"id":5849,"date":"2017-05-23T22:00:01","date_gmt":"2017-05-23T22:00:01","guid":{"rendered":"http:\/\/bernoullihealth.com\/?p=5849"},"modified":"2017-09-06T18:28:45","modified_gmt":"2017-09-06T18:28:45","slug":"bernoullis-john-zaleski-jeanne-venella-co-author-respiratory-depression-study-biomedical-instrumentation-technology","status":"publish","type":"post","link":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/bernoullis-john-zaleski-jeanne-venella-co-author-respiratory-depression-study-biomedical-instrumentation-technology\/","title":{"rendered":"Bernoulli\u2019s John Zaleski and Jeanne Venella co-author respiratory depression study in Biomedical Instrumentation & Technology"},"content":{"rendered":"

Bernoulli\u2019s John Zaleski and Jeanne Venella co-author respiratory depression study in Biomedical Instrumentation & Technology<\/h1>\n

\"Bernoulli\u2019sJohn Zaleski, PhD, CAP, CPHIMS, Chief Analytics Officer, and Jeanne Venella, DNP, MS, RN, CEN, CPEN, Chief Nursing Officer of Bernoulli, the real-time leader in patient safety, co-authored a study demonstrating the use of patented analytics, medical device connectivity and combinatorial alarms to provide remote centralized continuous monitoring of post-surgical patients at risk for opioid-induced respiratory depression (OIRD).<\/p>\n

The peer-reviewed study\u2014Continuous Surveillance of Sleep Apnea Patients in a Medical-Surgical Unit\u2014published in the May\/June 2017 issue of Biomedical Instrumentation & Technology<\/em>, consists of two separate studies on the use of continuous capnography monitoring at a medical-surgical unit at Virtua Health System in New Jersey.<\/p>\n

The study\u2019s results suggest that combinatorial alarm signals based on multi-parameter assessment reduced overall load better than individual-parameter sustained alarm signals and appeared to be more effective at identifying at-risk patients.<\/p>\n

Using only sustained alarms as the filter for notifications reduced alerts from 22,812 to 13,000. However, passing multiple series of data through a multi-variable rules engine that monitored the values of pulse (HR), oxygen saturation (SpO2<\/sub>), respiratory rate (RR), and end-tidal carbon dioxide (ETCO2<\/sub>) in order to determine which alarms to send to the nurse-call phone system further reduced alerts to just 209\u2014a 99% reduction.<\/p>\n

The solution<\/h1>\n

The solution leveraged in the study, Bernoulli\u2019s Respiratory Depression Safety Surveillance<\/a>, includes patented analytics with multi-variable thresholds\u2014adjustable by the care facility\u2014to identify clinically actionable events while significantly reducing the overall number of alarms communicated to remote and mobile clinicians, mitigating the risk of alarm fatigue.<\/p>\n

The study\u2019s other co-authors include Dana Supe, MD, MBA, DABSM; Leah Baron, MD; Tom Decker; and Kyle Parker of Virtua, and Kari Beaton, RN, and Sarah Williams, RT, of Bernoulli.<\/p>\n<\/div><\/section><\/div>\n

BI&T article \u201cContinuous Surveillance of Sleep Apnea Patients in a Medical-Surgical Unit\u201d is an example of the power of real-time data to impact patient safety and the quality of care overall.<\/strong><\/p>\n

Main article (PDF): \u00a0http:\/\/www.aami-bit.org\/doi\/pdf\/10.2345\/0899-8205-51.3.236<\/span><\/a><\/span><\/p>\n

Data Supplement (PDF): http:\/\/www.aami-bit.org\/doi\/suppl\/10.2345\/0899-8205-51.3.236\/suppl_file\/supe+et+al_datasuppl_final.pdf<\/span><\/a><\/span><\/p>\n<\/div><\/section>
\n

\"Frost<\/a><\/p>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

This report consists of two separate studies on the use of continuous capnography monitoring conducted in an effort to improve patient safety at Virtua Health System. The desire for improved patient safety is motivating continuous monitoring and improved surveillance in clinical areas not traditionally equipped for such monitoring. We explored the use of remote monitoring of capnography, using enterprise middleware, in patients recovering from surgery in a medical-surgical unit. Continuous monitoring traditionally has been used in higher-acuity settings, such as intensive care units. Patients diagnosed or suspected to have obstructive or central sleep apnea may benefit from the increased surveillance afforded by continuous monitoring. Pain management in this cohort of patients, recovering from bariatric, joint replacement, or other major surgery, often involves administration of opioids (e.g., hydromorphone, morphine sulfate), which are known to increase risk of respiratory depression. Continuous monitoring of these patients increases the likelihood of detecting adverse clinical events. Our goal was to implement continuous monitoring in order to identify alarm conditions caused by adverse clinical events requiring intervention (e.g., opioid-induced respiratory depression) and artifacts related to patient movement, suspect measurements, or other medical device\u2013generated alarm signals.<\/p>\n","protected":false},"author":2,"featured_media":6145,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[225,211,226,227,103],"_links":{"self":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5849"}],"collection":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/comments?post=5849"}],"version-history":[{"count":2,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5849\/revisions"}],"predecessor-version":[{"id":6181,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5849\/revisions\/6181"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/media\/6145"}],"wp:attachment":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/media?parent=5849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/categories?post=5849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/tags?post=5849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}