Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients.
Adult
Clinical Deterioration
Failure to Rescue, Health Care
/ statistics & numerical data
Female
Humans
Inpatients
Longitudinal Studies
Monitoring, Physiologic
/ methods
Nursing Staff, Hospital
/ statistics & numerical data
Postoperative Complications
Quality Improvement
Retrospective Studies
Vital Signs
/ physiology
Journal
Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672
Informations de publication
Date de publication:
Historique:
pubmed:
11
8
2018
medline:
15
3
2019
entrez:
11
8
2018
Statut:
ppublish
Résumé
Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status. Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit. Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Data on the same outcomes were collected during the 12-week project. This project compared outcomes between the current standard of eVSC and the proposed standard of continuous vital sign monitoring (cVSM). Using cVSM demonstrated a statistically significant 27% decrease in the complication rate, and a clinically significant decrease in transfers to an intensive care unit and failure-to-rescue (FTR) events rate. cVSM demonstrated detection of early signs of patient deterioration to prevent FTR.
Sections du résumé
BACKGROUND
BACKGROUND
Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status.
LOCAL PROBLEM
OBJECTIVE
Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit.
METHODS
METHODS
Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Data on the same outcomes were collected during the 12-week project.
INTERVENTION
METHODS
This project compared outcomes between the current standard of eVSC and the proposed standard of continuous vital sign monitoring (cVSM).
RESULTS
RESULTS
Using cVSM demonstrated a statistically significant 27% decrease in the complication rate, and a clinically significant decrease in transfers to an intensive care unit and failure-to-rescue (FTR) events rate.
CONCLUSIONS
CONCLUSIONS
cVSM demonstrated detection of early signs of patient deterioration to prevent FTR.
Identifiants
pubmed: 30095509
doi: 10.1097/NCQ.0000000000000350
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM