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Catching critical events: Is your team prepared?

February 2015

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The problem

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Do your nursing teams have the clinical support they need to help prevent critical events?

• Up to 98,000 patient deaths per year in the U.S.1

• Three systemic issues that contribute to these events1:

– Failure to recognize a patient’s deteriorating condition

– Failure to plan

– Failure to communicate

Adverse events are estimated to affect 17% of hospitalized patients1

1. Gould, Dawn RN, MSN, CNS. “Promoting Patient Safety: The Rapid Response Team.” The Permanente Journal. Summer 2007.

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Consider this: Physiological decline begins 6 to 8 hours before an event1

Do your clinical processes detect patient deterioration early enough?

1. Rutherford P, Lee B, Greiner A. Transforming Care at the Bedside. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2004.

2. Jones, G Barbara MSN, Med, RN-BC, ACNS-BC. “AJN, American Journal of Nursing.” Volume 113, Number 8. Pages 36-44. August 2013.

3. “Early Warning Scoring System Proactively Identifies Patients at Risk of Deterioration, Leading to Fewer Cardiopulmonary Emergencies and Deaths.” Agency for Healthcare Research and Quality. November 2013.

As many as 80 percent of hospitalized patients exhibit abnormal physiological parameters up to 24 hours before an ICU admission3

Do your processes allow for measurements to be taken consistently? Vital signs and oxygen saturation levels are strong indicators of impending critical events that could lead to2:

• Cardiopulmonary arrest

• Unplanned ICU admission

• Unexpected death

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• In one analysis, more than 33% of the patients meeting a single vital sign criterion experienced a critical event1

• Among the patients who met two or more criteria, 75% experienced a critical event1

The subtle warning signs signifying a major event are often missed— potentially leading to a transfer to the ICU or death

Do your bedside teams consistently catch the subtle signs that can lead to a critical event?

1. Jones, G Barbara MSN, Med, RN-BC, ACNS-BC. “AJN, American Journal of Nursing.” Volume 113, Number 8. Pages 36-44. August 2013.

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Better decision support

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To make a decision, you need to have accumulated facts that support one choice over another1

When the wrong decision is made, Princeton Researchers found it might have more to do with the information than the brain’s decision making process1

If your staff does not have access to the right information at the right time, how can they make the right decision at the right time?

Decision making

1. Zandonella, Catherine. “Bad decisions arise from faulty information, not faulty brain circuits.” Princeton University. April 2013.

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Preventing ICU transfers and readmissions

When it comes down to a nurse’s decision to activate the Rapid Response Team (RRT) as a result of patient deterioration, EWS systems are the single most significant predictor of nurses' referral behavior1.

1. Rattray, J.E., Lauder, W., Ludwick, R., Johnstone, C., Zeller, R., Winchell, J., Myers, E., Smith, A., 2011. Indicators of acute deterioration in adult patients nursed in acute wards: a factorial survey. Journal of Clinical Nursing 20 (5e6), 723e732.

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33% of respondentsin an HIMSS Media survey reported using Early Warning systems for clinical decision support to meet healthcare reform initiatives.1

Have you also considered automated EWS as a way to help meet these initiatives?

1. “The New Healthcare Enterprise.” HIMSS Media. 2013. http://www.usa.philips.com/b-dam/b2bhc/us/whitepapers/connected-care/the-new-healthcare-enterprise.pdf

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Automated Early Warning Scoring can help clinicians identify subtle signs of patient deterioration, which can help address costly ICU readmissions from the general floor.

Decision excellence in the moment

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IntelliVue Guardian Solution is an automated Early Warning Scoring system that updates your current EMR in near-real time and assigns a score to each patient, aiding in early recognition.

It can empower your staff to make the right decisions about care … fast

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Learn more about how early warning scoring can help lead to decision excellence. Request a meeting today at philips.com/decisionexcellence

IntelliVue Guardian helps bedside teams assist and support

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