The Optimized Use of a Contact-Free Continuous Monitoring System on Clinical Outcomes During COVID-19.
Objectives: The purpose of this study was to examine the impact of a contact-free continuous monitoring system on clinical outcomes including unplanned intensive care unit (ICU) transfer (primary), length of stay (LOS), code blue, and mortality. A secondary aim was to evaluate the return on investme...
| Publicado en: | Journal of Patient Safety Vol. 21; no. 2; pp. 106 - 111 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183114298&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183114298 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15498417 1WYD jtl: Journal of Patient Safety issn: 15498417 maglogo: N pubinfo: dt: Mar2025 vid: 21 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 183114298 183114298 183114298 10.1097/PTS.0000000000001298 183114298 ppf: 106 ppct: 5 formats: tig: atl: The Optimized Use of a Contact-Free Continuous Monitoring System on Clinical Outcomes During COVID-19. aug: au: Kim, Alice Dykes, Patricia C. Scully, Darren Wolski, Paula Franz, Calvin Lipsitz, Stuart Lowenthal, Graham Wien, Matthew Bates, David W. affil: Center for Patient Safety, Research, and Practice, Department of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts sug: subj: Monitoring, Physiologic Methods Technology Utilization Implementation Science Outcomes (Health Care) COVID-19 Pandemic Intensive Care Units Transfer, Discharge Length of Stay Mortality Systems Implementation Human New England Female Male Adult Middle Age Aged Interrupted Time Series Analysis Workflow Electronic Health Records Scales Cost Benefit Analysis Patient Safety Sociodemographic Factors Logistic Regression Power Analysis Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Objectives: The purpose of this study was to examine the impact of a contact-free continuous monitoring system on clinical outcomes including unplanned intensive care unit (ICU) transfer (primary), length of stay (LOS), code blue, and mortality. A secondary aim was to evaluate the return on investment associated with implementing the contact-free continuous monitoring program during the COVID public health emergency. Methods: An interrupted time series evaluation was conducted to examine the association between the use of contact-free continuous monitoring and clinical outcomes. A cost-benefit analysis was planned to evaluate the return on investment. Results: Use of contact-free continuous monitoring was not significantly associated with unplanned ICU transfers, deaths, ICU LOS, and or rapid response team calls. However, there were significant increases in code blue events (P = 0.02) and mean hospital LOS (P = 0.01) in the postimplementation period when compared with the preimplementation period. Due to the lack of improvement, costs were calculated but a cost-benefit analysis was not conducted. Conclusions: Contact-free continuous monitoring bed use during the COVID-19 public health emergency was not associated with improvements in clinical outcomes, although there was substantial confounding. Future studies should include large randomized controlled trials to control for factors not under direct experimental control including unit staffing, staff turnover, and differences in the patient population related to surges in the COVID-19 pandemic. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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