Identifying-the-continuous-vital-sign-alarm-patterns
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Identifying-the-continuous-vital-sign-alarm-patterns
Identifying-the-continuous-vital-sign-alarm-patterns
1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternsudy submitted)Principal InvestigatorCo-InvestigatorSue Carol Verrillo. DNP. RN. CRRN Assistant Professor Johns Hopkins School of Nursing 525 North Wolfe Street. Rm 453 Baltimore. MD 21205 0.(410)614-2418 E. syerrill ^jhmi.eduBradford D. Winters. Ph.D.. M.D.. FCCM Associate Professor Anesthesiology a Identifying-the-continuous-vital-sign-alarm-patternsnd Critical Care Medicine Surgery- Division Director. Critical Care Medicine Co-Director. Surgical Intensive Care Unit Core Faculty Armstrong InstitutIdentifying-the-continuous-vital-sign-alarm-patterns
e for Patient Safety. Quality Johns Hopkins Hospital 1800 Orleans Street Baltimore. MD 21287 0.(410)955-9080 E. bwintersfi jhmi.eduAbstractPurpose and1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternsy the vital sign alarm pattern for a pulmonary embolism (PE), an occult gastrointestinal bleed (GIB) and early systemic inflammatory response syndrome (SIRS) to prevent failure to rescue deaths. The second aim is collect outcome data for the incidence of complications, based on the top ten Maryland Identifying-the-continuous-vital-sign-alarm-patternsHospital Acquired Conditions (MHACs). number of RRT calls, number of transfers to an ICU and number of failure to rescue deaths. Rationale/SignificancIdentifying-the-continuous-vital-sign-alarm-patterns
e: It has been reported in HeahhGrades that one out of every ten patients currently dies from either a PE DVT. pneumonia, sepsis, shock cardiac arrest1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternsgn alarm patterns could be used in a decision support tool to prevent costly complications, such as a PE. Theoretical Framework: The Knowledge to Action Framework (Tetroe. Graham. 2009). The cyclic process provides nursing with the tools to identify- the problem, assesss the barriers, implement an i Identifying-the-continuous-vital-sign-alarm-patternsntervention and monitor its use for sustainability. Study variables will include (1). identifying the consistently true vital sign alarm pattern for aIdentifying-the-continuous-vital-sign-alarm-patterns
PE. an occult GIB and SIRS and (2). collecting the incidence of unit-based complication rate (per 1000 patient day's), number of Rapid Response Team 1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternssign/Setting/Sample/Methods and Implications for Practice: This research study will be a prospective, pretestpost-test design of two independent samples at the Johns Hopkins Hospital. Zayed 11 East, a 32-bed Ortho Ortho-Spine. Trauma Unit. Since cVSM is the standard of care, all patients admitted to Identifying-the-continuous-vital-sign-alarm-patterns the general ward will be connected to the continuous vital sign monitor, as indicated in the admission orders. Permission to treat forms signed durinIdentifying-the-continuous-vital-sign-alarm-patterns
g the admission process will be the patient consenting process to obtain standard of care vital signs through the Sotera ViSi continuous vital sign mo1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternscomplications, and be clinically correlated with lab values, radiographic results and physiologic assessments to see if the alarm pattern is congruent with the patient’s physiologic presentation. Using high fidelity vital signs alarm pattern recognition will empower staff and advanced practice traum Identifying-the-continuous-vital-sign-alarm-patternsa nurses to save lives through moving the paradigm from retrospectively treating life threatening complications to predicting the imminent occurrenceIdentifying-the-continuous-vital-sign-alarm-patterns
of these complications thus saving lives, resources and millions of dollars.1Purpose and Specific AimsPurpose: According to Bansal et al (2009), patie1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patterns. sepsis and multi-organ system failure. The in-patient Ortho Ortho-Spine. Trauma Unit at the Johns Hopkins Hospital is a Level 1 Trauma Unit, and in FYI 8. of the 879 inpatients. 61% were gunshot wounds. 4% were stabbings and 17% were personal injury due to falls. The healthcare team has one to twe Identifying-the-continuous-vital-sign-alarm-patternslve hours to treat and stabilize the patient to prevent sudden death.Vital sign data on an ortho ortho-spine trauma general ward is what the healthcarIdentifying-the-continuous-vital-sign-alarm-patterns
e team depends on to know what the patient’s hemodynamic status is in real-time. Having the highest fidelity data with the ability to trend the data a1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patterns that a complication is beginning to develop.The money from this grant would be used toward funding the Consultants who have the logarithms and relational database to analyze, on a very high level, the raw, de-identified vital sign data to identify the vital sign alarm patterns. These identified pat Identifying-the-continuous-vital-sign-alarm-patternsterns would be correlated in real time with the patient's physiologic assessments, including lab values and radiographic results. The money would alsoIdentifying-the-continuous-vital-sign-alarm-patterns
go toward funding biostatistical support for data analysis. Time is of the essence when treating trauma patients, therefore identifying occult hemorr1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patterns) pilot, conducted from December 11,2015 - March 8, 2016. to determine if the anecdotal alarm patterns for PE. occult GIB and SIRS are consistent with what the prospective data is presenting.Strategy 1.1: Trend the alarm patterns over the current study time period of March 11. 2019 - March 11. 2020 Identifying-the-continuous-vital-sign-alarm-patternsto see if the pattern consistently holds true for each of the three potentially lethal complications.Strategy 1.2: Vital signs will be uploaded from EIdentifying-the-continuous-vital-sign-alarm-patterns
PIC into Sotera ViSi Mobile® AWS® Cloud. Sotera will send the de-identified vital signs to the Independent Contractor, who will download the deidentif1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patterns of change to identify the true and consistent alarm patient for a PE. occult GIB and SIRS.Strategy 1.3: Collect patient outcome measures of overall complication rate (Based on MHACs), number of RRT calls, number of transfers to an ICU and the failure to rescue death rateAim 2Distribute the Sotera V Identifying-the-continuous-vital-sign-alarm-patternsiSi Mobile® patient satisfaction survey to each patient on the day of discharge.Strategy 2.1: Retrospectively use the Sotera patient satisfaction scorIdentifying-the-continuous-vital-sign-alarm-patterns
es from the pilot study-done from December 11. 2015 - March 8. 2016 as baseline data (Verrillo, Cvach. Hudson.Winters. 2018). We will validate the sur1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternss and ask the patient if they would complete the survey. which will be Likert scale questions and will have a final comment free text box. Since discharges can happen 24/7. each completed survey will be placed into a manila envelope, scaled and addressed to the Pl.A tile holder will be placed in the Identifying-the-continuous-vital-sign-alarm-patterns back of the Central Nurses* Station, next to the R\T) to collectcompleted patient satisfaction surveys.Strategy 2.3: Use biostatistics support servicIdentifying-the-continuous-vital-sign-alarm-patterns
es to analyze the patient satisfaction dataAim 3:Distribute the Sotera ViSi Mobile® staff satisfaction survey to each staff member, at the 6 week mark1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternsres from the pilot studydone from December 11. 2015 - March 8. 2016 as baseline data. We will validate the surveyin this prospective population.Strategy 3.2: Surveys will be sent to each staff member electronically through the Qualities®System. Demographics, and separate topics such as the functiona Identifying-the-continuous-vital-sign-alarm-patternslity, effectiveness, ease of use and safety will be asked through a Likert scale. Employees will be given 1 week to complete the survey.Strategy 3.3:Identifying-the-continuous-vital-sign-alarm-patterns
Use biostatistical support services to analyze the staff satisfaction dataSignificance to Trauma Nursing/ Framework/ Review of LiteratureSignificanceD1‘identifying the continuous vital sign alarm patterns for three potentially lethal complications in general ward patients." (JHM IRBOO188931 full stu Identifying-the-continuous-vital-sign-alarm-patternsata), these numbers were consistent throughout the fiscal year, with seasonal adjustments. Continuous vital sign monitoring has the potential to transform trauma nursing practice decision-milking by replacing static, episodic manual data with high fidelity continuous data that is dynamic and availab Identifying-the-continuous-vital-sign-alarm-patternsle through the electronic medical record. Vital sign alarms can be trended through a Remote Viewing Device (RVD) for up to 72 continuous hours. AccordIdentifying-the-continuous-vital-sign-alarm-patterns
ing to the results of the Casey-Fink survey (given to all new graduates who arc hfred al Johns Hopkins Hospital throughout their first year Nurse ResiGọi ngay
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