Session ID: 
209

A Business and Clinical Case for Continuous Surveillance

10:00am - 11:00am Thursday, February 14
Orlando - Orange County Convention Center
W206A

Description

Increased utilization of patient-controlled analgesia (PCA) and pro re nata (PRN) opioids for post-operative pain management poses significant risk of respiratory depression, particularly in patients diagnosed with or at risk for obstructive or central sleep apnea. Current practices for monitoring opioid-induced patients are neither adequate nor comprehensive. The speakers will analyze the results of two studies on the use of continuous capnography monitoring in a medical-surgical unit at a multi-hospital health system in order to detect adverse clinical events while also mitigating artifacts related to patient movement, suspect measurements and other medical device-generated alarm signals. Combining analysis with real-time data at the point of collection creates a powerful tool for prediction and clinical decision support and has implications for achieving real-time healthcare capabilities enterprise-wide.

Learning Objectives: 

  • Identify the perioperative care technical, clinical, and workflow challenges associated with monitoring patients for respiratory depression
  • Analyze the use of continuous capnography monitoring to detect potential signs of respiratory depression while differentiating non-actionable from actionable alarm signals, understanding the impact on clinical alarm fatigue
  • Assess the creation and use of multivariate alarm signals using real-time data to generate more clinically actionable alarm signals
  • Recognize the strategies, technologies and workflow processes required for continuous patient monitoring and remote patient surveillance in a general care floor setting
  • Identify opportunities and challenges associated with scaling continuous patient monitoring and surveillance across the enterprise

Speaker(s): 

Chief, Department of Anesthesiology,
Virtua Memorial Hospital
Chief Analytics Officer,
Bernoulli

Audience: 

CIO, CTO
CNIO/CNO
IT Professional

Level: 

Intermediate