Unmet need.
Vital sign deviations are associated with complications in hospitalized patients. Complications are frequent and preventable, but most hospitals only monitor patient vitals signs intermittently and are having difficulties adhering to monitoring protocols due to lack of resources.
Current manual monitoring practice doesn’t reveal clinical deterioration ⓘ
Reference
Nielsen et al. Review of Early Warning Score in preventing sudden critical illness and death.
Gerry et al. Early warning scores for detecting deterioration in adult hospital patients: systematic review and critical appraisal of methodology. BMJ 2020;369:m150.
McGaughey et al. Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.
Intermittent manual monitoring of vital signs (heart rate/pulse, respiratory rate, peripheral oxygen saturation, temperature, blood pressure). Manual monitoring is too infrequent to detect clinical deterioration. Manual data interpretation cannot capture trends and combination of several physiological parameters.
Manual observations are often missed or delayed: "On average, 17.1% of all observations across the study wards were classified as missed and 31.3% were delayed.’’ ⓘ
Reference
Redfern OC, Griffiths P, Maruotti A, m.fl.
The association between nurse staffing levels and the timeliness of vital signs monitoring: a retrospective observational study in the UK. BMJ Open British Medical Journal Publishing Group; 2019;9:e032157.
Complications are frequent, costly
– and preventable
Patients develop complications (adverse events). ⓘ
Reference
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med 2009;361:1368–75.
Of postoperative deaths occur in the general medical / surgical wards. ⓘ
Reference
Spence et all. CMAJ 2019
Of complications in hospitalized patients are potentially preventable. ⓘ
Reference
Baker, G. R., Norton, P. G., Flintoft, V., Blais, R., Brown, A., Cox, J., Etchells, E., Ghali, W. A., Hébert, P., Majumdar, S. R., O'Beirne, M., Palacios-Derflingher, L., Reid, R. J., Sheps, S., & Tamblyn, R. (2004).
The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 170(11), 1678–1686.
Days prolonged stay in the hospital after complications (serious adverse events). ⓘ
Reference
Lilian HF Hoonhout et al. SAEs cause 4 days prolonged stay in hospitals. Direct medical costs of adverse events in Dutch hospitals, BMC Health Services Research volume 9, Article number: 27 (2009)
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