Challenges With Continuous Pulse Oximetry Monitoring and Wireless Clinician Notification Systems After Surgery:
Prathiba Harsha1,2, James E Paul2, Matthew A Chong3
1Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
JMIR Medical Informatics
|October 30, 2019
Summary
Implementing electronic Health (eHealth) patient monitoring in surgical wards shows promise for improving outcomes. However, challenges like workflow disruption and technical issues hinder adoption, requiring careful planning for successful integration.
Area of Science:
- Healthcare Informatics
- Clinical Engineering
- Patient Monitoring Systems
Background:
- Electronic Health (eHealth) interventions can enhance healthcare efficiency and patient outcomes.
- The VIGILANCE study assessed continuous vital sign monitoring with alerts for postsurgical patients.
- This report details challenges in implementing wireless monitoring in hospital settings.
Purpose of the Study:
- Identify deployment issues of the VIGILANCE eHealth intervention.
- Evaluate the impact of these issues on intervention adoption.
Main Methods:
- Documented implementation issues via case report forms, alarm event forms, and nursing questionnaires.
- Utilized a clinical adoption framework to organize and evaluate identified issues.
- Data collated by research and nursing personnel for analysis.
Main Results:
- Identified issues across people, organization, implementation, standards, and funding.
- Key challenges included nursing workflow changes, false alarms, network connectivity, and monitor malfunctions.
- These issues negatively impacted service quality, accessibility, care effectiveness, and productivity, reducing clinical adoption.
Conclusions:
- eHealth patient monitoring in surgical wards can improve outcomes.
- Successful implementation requires engaging nurses, robust wireless infrastructure, and user-friendly devices.
- Proper planning is crucial to maximize the benefits of eHealth monitoring.
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