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Beyond the Bedside: Decoding Patient Profiles for Smarter Virtual Patient Observation
Olawunmi Obisesan1, Heidi Tymkew, Radhika Gilmore
1Author Affiliations: Research and Outcomes Department, Missouri Baptist Hospital, St Louis, Missouri (Dr Obisesan); Interprofessional Practice, Education, Innovation and Research Department, Barnes-Jewish Hospital, St Louis, Missouri (Dr Tymkew); Virtual Patient Observation Program, Barnes-Jewish Hospital, St Louis, Missouri (Ms Gilmore); Interprofessional Practice, Education, Innovation and Research Department, Barnes-Jewish Hospital, St Louis, Missouri (Ms Brougham); and Surgical Services, Department of Patient Care Services, Barnes-Jewish Hospital, St Louis, Missouri (Ms Dodd).
Background:
Emerging evidence suggests that virtual patient observation (VPO) may help promote patient safety.
Purpose:
The purpose of this study was to examine and describe the demographic and clinical characteristics of patients who incurred VPO.
Methods:
A retrospective analysis was conducted. Differences in total VPO hours between groups were examined, followed by a hierarchical regression to investigate the effect of predictor variables on VPO utilization variance.
Results:
A total of 286 patient charts were reviewed. Mean VPO hours were higher in patients with an intensive care unit admission history. Adjusted for gender and history of dementia/Alzheimer's/memory impairment, the prediction of total VPO hours increased with the patient's intensive care unit admission history and overall hospital length of stay.
Conclusions:
Examining the prevalence and variability in the pattern of VPO utilization by specific patient characteristics is essential for identifying what patients could best benefit from this technology.
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