TY - JOUR
T1 - Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients
AU - Verrillo, Sue Carol
AU - Cvach, Maria
AU - Hudson, Krysia Warren
AU - Winters, Bradford D.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - BACKGROUND: Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status. LOCAL PROBLEM: Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit. METHODS: Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Data on the same outcomes were collected during the 12-week project. INTERVENTION: This project compared outcomes between the current standard of eVSC and the proposed standard of continuous vital sign monitoring (cVSM). RESULTS: Using cVSM demonstrated a statistically significant 27% decrease in the complication rate, and a clinically significant decrease in transfers to an intensive care unit and failure-to-rescue (FTR) events rate. CONCLUSIONS: cVSM demonstrated detection of early signs of patient deterioration to prevent FTR.
AB - BACKGROUND: Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status. LOCAL PROBLEM: Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit. METHODS: Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Data on the same outcomes were collected during the 12-week project. INTERVENTION: This project compared outcomes between the current standard of eVSC and the proposed standard of continuous vital sign monitoring (cVSM). RESULTS: Using cVSM demonstrated a statistically significant 27% decrease in the complication rate, and a clinically significant decrease in transfers to an intensive care unit and failure-to-rescue (FTR) events rate. CONCLUSIONS: cVSM demonstrated detection of early signs of patient deterioration to prevent FTR.
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U2 - 10.1097/NCQ.0000000000000350
DO - 10.1097/NCQ.0000000000000350
M3 - Article
C2 - 30095509
AN - SCOPUS:85061967821
SN - 1057-3631
VL - 34
SP - 107
EP - 113
JO - Journal of nursing care quality
JF - Journal of nursing care quality
IS - 2
ER -