Showing posts with label Patient Falls. Show all posts
Showing posts with label Patient Falls. Show all posts

Sunday, August 5, 2012

Sphere3® announces partnership with Stryker

Sphere3®, the industry leader in medical device alarm and alert analytics, has partnered with Stryker to provide a next generation bed-related compliance and safety alarm management tool.  Stryker’s new iBed Wireless system uses state-of-the-art sensory and communication technology to provide real-time smart bed data about patient position and bed configuration to enable determination of bed compliance with hospital safety standards and safety risk conditions.  The iBed Wireless system also produces and alarms wirelessly for notification of potential patient falls.  Additionally, data about siderail position, bed exit, brake, bed height, and more will be visually displayed and combined with other medical alarm and alert data to provide better insight into the patient's safety and other aspects of their stay.

“We are excited to partner with Stryker beds.  It's powerful for our clients as they build a non-filtered view of the patients stay through their movement, request patterns, and physiological alarms.  Stryker beds produce data and combined with our analytics tool it's amazing to see the picture of the patient stay.”  CEO, Kourtney Govro.

Tuesday, December 27, 2011

Let's just say mistakes were made......

It was a great Christmas holiday with my family this year.  There in front of me were all of the things I love – my kids, my husband, my parents, and mom’s famous hand decorated sugar cookies…..to say I “indulged” may be a bit of an understatement.    Sugar cookies are like a gateway drug.  They lead to fudge which leads to chocolate chip pecan pie and so on until I am like a desperate junkie looking for an IV drip of sugar.   So, when I hoped on the scale (for the first time in 2 weeks) I realized the inevitable……Let’s just say mistakes were made this holiday season.   

No worries, I know what it takes to lose – I have gone through the process before.  It’s simple  and only sort of about the ”what and how” – it’s mostly about the focus.  Paying attention and being aware of what goes in my mouth then monitoring with a scale. 

Isn’t that the truth with all improvement projects.  Haven’t most hospitals been through a number of processes improvements that have gotten them back on the straight and narrow.  Which makes me always wonder – do they really need a consultants?  I was recently in a hospital that had a “No Pass Zone” which simply means if the call light above the door is on – go in.    I have seen others like “KISS” and “Hello My name is “ the list could go on.  These aren’t bad things – it’s always good to look at things differently.   And don’t get me wrong consultants often know a very niche technology or methodology or have walked through programs so many times that their value is they are a lot like weight watchers – tell you what you already know but encouraging you to implement and holding you accountable for the implementation. 

I know this is funny coming from a consultant, but I am a business owner who is always evaluating what is needed in the market.    What the market has told me – don’t tell me what to do – give me the tools so I can do what I already know how to do.  So, in 2012 our goal is to remove the complexity of the “niche” for the hospital and put the tool in their hand that allows them to stay accountable (or to get back on the wagon).   

Our latest addition which releases in January is On-Call Fall™ a new module for Aperum.  We are automating something that was once our service.   On-Call Fall was born out of a manual process we would do for a hospital to clearly document the Root Cause Analysis for each incident at the hospital.  It immediately draws a very clear picture of the activity on the unit, patient room, and caregivers assigned patients.  In an easy to use and understand way.  Our initial feedback from a Quality Director “This used to take me days and now can be done in minutes”     

All of this to say – there are sugar cookies on everyone’s path.  Most of the time we know how to fix it but it takes time and energy.  If the scale is not readily available the morning after the holiday season then how will we know we have fallen off the wagon.  
As for me and my 5 extra pounds – it’s time to get focused so I can be down to my end of KC Slimdown weight by HIMSS. 

Wednesday, September 7, 2011

A Coloring Page for Root Cause Analysis

The other day #2 boy brought home a coloring sheet from church.  I asked him to tell me about his picture.  He went into a wonderful description of the story of David and Goliath.   Goliath was colored blue similar to a giant smurf and David was wearing a green skirt.  He had added grass, bushes, and even some small animals.  His hands flew through the air describing his well colored picture and telling me in detail that Golliath blue from him blueberry pancakes and why David was “late to the party”.  As he talked, I began to focus in on the upper corner of his paper to the small gray airplane.  “What is that?” I asked.  Tucker’s eyes lit up and he replied “That’s the fighter pilot backing up David in case he missed.”

It's interesting when we begin see the outline of a picture and think we have the whole story.    

As I have been reviewing RCA’s from different hospitals and researching the rebuild of the incident – I find it interesting that many hospitals do not build the picture from data that is very representative of what is occurring in the room.   Many times this is simply that they do not know that the data is available or that they have systems in place that the data is locked inside and not accessible. 

I was working with a hospital on a fall analysis - extracting data to begin to layout the outline of a picture of what happened surrounding the patient fall.   The patient requests and responses are a lot like a blank coloring sheet.  The outline is your basic patient request data and based on the patterns it began to paint a picture.  The physiological alarm data, the medication data, and other bits and pieces began to color in the outlines to give a full view of what was occurring in that patient’s room.   Did the patient have a critical telemetry alarm?  Who received it? What were they doing?

Another interesting piece of the puzzle is communications between caregivers.  I was having a conversation with Voalte’s Trey Laudedale about the value of the Text Message.   As I was thinking about this blog it occurred to me – the text messages are the hand drawn fighter jet in the picture.  Sometimes the outlines and the information we are looking for does not create the whole picture. Sometimes the picture needs to have more data then what we would normally consider to complete it.  

So here is my tip for an RCA
·         Review the Patient Requests from the Nurse Call and Response of the Caregivers
·         Review the Physiological alarm data that was sent to the Caregivers
·         Review the text messages between clinicians

Remember data is always available if you are careful to set up your technology correctly.