Excel Medical Blog

Why Reactive care is no longer working?  And Why Alarm management has had such a difficult time making a difference.

Healthcare has been a system that waits for a problem to arise before jumping into action. Even Physiological monitoring waits for the possibility of a signal outside of the norm to alert a care giver and – it is still wrong 98% of the time. 

What if we could anticipate a potential abnormal rhythm, cardiac arrest, respiratory compromise and intervene?

How do we lessen the likelihood of a sudden patient sentinel event?

The US spends over $3 Trillion annually on healthcare almost double that of every other developed nation. Despite those dollars spent US health outcomes fall far short. We are paying for a reactive approach to blaring alarms and creating frantic running.

We embraced technologies to help us improve outcomes. We have created hundreds of smart medical devices - producing an infinite amount of data and noise. With high levels of sensitivity and low specificity – noise without much meaning. Our hospitals are filled with higher acuities and an aging demographic. Our entire hospital looks like one big step-down unit. Patients who have begun to deteriorate often happens outside of the ICU and too frequently responders are not close to the bedside. How do we parse the incoming information, clinical data and disseminate it in an easy to digest way for clinicians that allows them to peer around the corner at patient deterioration before it is too late?  Not just run faster  perhaps turn Rapid Response teams to Response teams. Perhaps the KPI’s are not just alarm counts but outcomes, Decreased MET activations and transfers to higher acuity settings?

At Excel Medical we call this entire process “Alarm Management” – a way to tame the beast of alarm data and distribute meaningful clinical data across multiple clinical parameters on demand and see them in context and trended no matter where the clinician is – bedside or parking lot.

We can help you get ahead of the deteriorating patient – while you can still change their outcomes.

Of course, we ….

  • Help with reducing the dumb alarms
  • Help change default settings according to Best Practice
  • Help write monitoring policies according to evidence-based policies
  • Analyze your current state workflow in units of concern with our workflow specialists
  • Access your alarm data and help report out on it and distribute it to people and departments who need it to make staffing decisions, risk stratification or patient care decisions
  • Support the requirements for The Joint Commission standards NPSG 06.01.01 

…….We do more to make a real difference

We help Hospitals make the move from reactive to pro-active. We will benchmark against meaningful metrics that tell us patients are safer. You may call elements of this process alarm management; we call it making a real difference in patient safety. Give us a call or e-mail us.

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