Clinical experience - 2 Pages

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Catalogue excerpts

THE CONTINUOUS SUPERVISION IN GENERAL WARDS PILOT CLINICAL EXPERIENCE INTRODUCTION The enhancement of the patient security and the reduction of unexpected deaths in General Wards constitute an important concern. One of the axes is the reinforcement of the high-risk patients supervision by ongoing education of the nursing staff and the introduction of efficient detection technologies. This pilot clinical experience, for a period of 3 months, consisted of the equipement in LOm of 7 services in a Regional Hospital Centre of 425 beds : The solution developped, the Life Observer mobile® (LOm), detects the presence or absence of movement and reports to the nursing staff a potential dangerous situation linked to a forbidden bed exit or due to an absence of patient’s movement in the bed. Brain Surgery Cardiology Geriatric Heart Surgery Orthopaedic Surgery Pulomnology Temporary hospitalisation RESULTS In order to easily show results, we defined a reference unit which is the patient-day. This unit corresponds to a patient who has profited from a LOm supervision during approximatively 12 consecutive hours. For every participating services, , 77 patients-day have been identified for 1.000 hours of use. FALSE ALARMS PROMISE < 1 false alarm/200 hours RESULT 2 false alarms/1.000 hours During the clinical experience, the LOm triggered an alarm in 25% of the using cases (true positive). This result means that one patient supervised out of four experienced a dangerous or potentially dangerous situation revealed by the LOm. The LOm is contributing to the reduction of complications linked to forbidden bed exits by alterting early the nursing staff. The result shows a false alarms rate of 2/1.000 hours of use. The LOm has been developed while taking care of a low false alarms rate. The clinical experience confirms this promise with only two false alarms recorded. Furthermore, those alarms happened when the LOm was placed above the recommended height. INTERVENTION RATE PROMISE 20% of intervention

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INTERVENTIONS CASES 54 interventions have been identify in total for 1.000 hours of use. Several interventions concerned the same patient, for example a patient woke up four times the same night and has been put back in the bed by the nurse each time. Regarding the 77 patients-day, there are 19 different patients for which we recorded at least one intervention, so 1 patient out of 4. The diagram hereunder shows the intervention distribution into 3 categories : Vital intervention : allow to avoid the patient unexpected death. 1 Critical intervention: allow to avoid morbid consequences for the patient. Precautionary...

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