Vender Safety Case Study

Three of the telecommunication giants have stepped into wireless healthcare management arena in efforts to provide advanced medical care through new digital delivery systems. Verizon, AT&T and Sprint have created partnerships with health care monitoring vendors to provide in home services to

This reading discusses the use of wireless alerts pagers in a Surgical Intensive Care Unit and how it affects both work practices and information flows through a qualitative study. From the research that exists, we can see that pagers are successful communication tools because of the mobility and immediacy they provide. Interviews were completed with physicians and pharmacist who used the pagers and nurses who did not use the pager about how it impacted their work. In addition to collecting data this way, the researchers also compiled observational data from watching the device be used in regular practice. The study noted that

As consumers utilize smartphones, tablets, and other devices for other functions like social media and email, they are starting to look at these features to assist them with their healthcare. Mobile body area network devices will be a growing trend in the coming years as a way to get patients engaged in their healthcare and also to give providers routine updates on the status of patients with chronic conditions. As DeGaspari (2014) indicates, these devices can lead to improved functionality for other devices used in hospitals, such as sensors for monitoring patients that might get up and wander or be a fall risk. Telemedicine will continue to grow as payers, providers, and patients all start to realize the mutual benefits that can be

This system has proven success in working with hospitals of this size. The hospital already utilizes many pieces of patient equipment which have platforms which interface easily with the Cerner®. This will allow the nursing, pharmacy, physician and respiratory care staff to pull patient care data from the devices into the on line documentation forms. Cerner® is certified for meaningful use.

The newest infant protection technologies work with Wi-Fi networks to provide campus wide, real-time information on an infant's location and status, while connecting to platforms and devices that already exist within staff and patient processes. These include medical record Platforms, nurse call systems and such mobile devices as smartphones

Clinical alarm systems in acute and critical care health care settings are an assistive way to maintain communication between the client and the nurse. Awareness and comprehension of health devices is crucial to provide nurses with appropriate strategies for critical or non critical interventions that can lead to sentinel events. The ECRI, a nonprofit institute, has identified alarm hazards as the “Top Ten Health Technology Hazards” for 2014. (cite) In 2013 The Joint Commission published a Sentinel Event Alert proposing a National Safety Goal to focus on alarm safety (cite). This topic is pertinent information to be recognized and set as an achievable action in improving patient safety.

Cerner integrates patient information throughout all of the departments within a hospital setting. This program also has the ability to expand into other health care facilities within a community, such as long term care, hospice, and home health (Cerner, 2015). Cerner offers community hospitals solutions in their “Software as a Service” model. Cerner will host the software program, provide upgrades, and monitor performance to ensure stability. This will allow community hospitals to have a predictable cost for the software (Cerner, 2015). Another advantage of this system is the “Smart Room”. Wireless devices such as infusion pumps, and vital sign monitoring devices can access the system. This allows for instant documentation of this information into a patient chart and will alert if abnormalities are noted. Bar code scanners and carts are available as well. These items improve patient safety (Cerner, 2015). Cerner is capable of CPOE, electronic prescription transmitting, and has the ability to capture data and immunization statuses to meet reporting regulations.

- Risk to patients if the alarm signal is not attended to or if it malfunctions

Alarm fatigue is out of control, and patients are being harmed, if not killed. Alarm fatigue is a disturbing subject in healthcare and primarily in the acute care setting in all institutions. In the acute care setting, alarm fatigue is the constant barrage of noise consisting of an excessive amount of information being communicated by medical devices such as blood pressure, intravenous pumps, and electrocardiogram machines. Alarm fatigue is a nationwide concern and the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience database received 566 details of patient deaths related to medical device alarms between 2005 and 2008 (Bai et al., 2014). Deaths are normally attributed to the physiological or chronic health of the individual, not alarm fatigue. In 2010, an analysis exposed 73 alarm-related deaths with 33 directly linked to physiologic monitors (Cvach, 2013). Routinely alarms are intended to warn the clinician to situations that deviate from what is conceived as ‘normal’ for the patient, not a stressful, irritating barrage of noise.

Alarm fatigue was brought into the spotlight in recent years because of adverse patient outcomes. These sentinel events triggered the Joint Commission to make alarm safety a goal in 2014, and mandating policies and procedures to be in place by 2016 for better monitoring and observance of alarms. I decided to highlight this topic since a large part of a critical care nurse’s daily routine is silencing alarms for monitors, pumps, ventilators, beds and call lights. In my personal experience inappropriately set parameters for monitors can lead to sensory overload for staff, patients and families leading to a less than desirable work and care environment. In most cases false alarms can be minimized with simple interventions, alerting staff to real situations requiring intervention.

In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare

Medical devices are another emerging cyber risk for CVS, particularly because many new devices connect to the internet. Medical device security does not end with the manufacturer, it is a shared responsibility between many partners that must find a balance between device operability and security. Interoperability is an important component to medical devices for CVS because it can yield savings by reducing adverse outcomes, redundant testing, and time spent assessing and entering patient information.

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

These features benefit the nurse for a better way to manage and patient data without using a paper chart. Correspondingly, Meditech provides a worklist too. So, nurses that use this system can also follow, keep track, and document to maintaining a record of information of the patient under their care (Medical Information Technology, Inc, 2017). Nevertheless, both systems provide real‐time updates of patient information and allow nurses to receive icon‐based notifications of new information and tasks. Apparently, with the NIS nurses will excel in quality of care to their patients.

While software selection criteria were not in scope for this effort, it does warrant discussion on the overall availability of specialty software for the medical industry on iOS, Android and Windows platforms. Currently, most of the “MCA’s” or Medical Clinical Assistant platforms operate in a Windows-only environment, as do most of the key medical records and billing platforms in the medical field. The cost of custom software development to build a mobile solution is far beyond the budget of most local hospitals and not an endeavor to be undertaken lightly.