AlertLink. Todd Bechtel

Transcription

1 AlertLink Todd Bechtel

2 The Cerner Approach Right Information Right Audience Right Time

3 Cerner CareAware 3

4 CareAware Device Connectivity Alarms, Discretes & Waveforms* 50+ Certification Partners 1,000+ Devices Supported* 100,000+ Beds Connected *Alarm and waveform data supported by device capabilities 4

5 CareAware AlertLink Reporting of Primary Alarms Filter Assign & Route Notify Escalation / Redirection 5

6 CareAware Connect Calls: VOIP or cellular plan based on role Secure text messaging, Group Messaging Access to directory with flexible searches by role Shift-based assignments with patient & location context on shared device Alarms from medical devices, nurse call systems, and the EHR are delivered with patient context Secure Text, Voice, Directory and Alerting 6

7 Alarm Management Engagement The Cerner Alarm Management Engagement is designed to help quantify the alarm environment and identify opportunities for improvement. The following slides demonstrate several Alarm Management Engagements delivered by Cerner clinicians 8

8 What is my overall Alarm Volume? 1 Facility, all units 9

9 Which units are driving my volume? 10

10 Which Alarms are Bad Actor(s)? M/S 4 East Tachy by Bed 11

11 Intervention - Leads Discovery Policy review Unit observations Data review Actions Changed Lead Vendors Stopped purchasing in bulk packaging Stored leads in smaller quantities on the floor Emphasized lead policy 12

12 Bed Count Average Daily Alarms per Bed Intervention Leads Results Tachy Asystole BedCount AveragePerBed 13

13 Intervention - Daily Monitor Adjusted Now that we re able to read information and use it daily, I think it s improved patient care dramatically we re going to take that data and bring it down to the specific room, to the specific hour, to the specific patient, so we can monitor those alerts that are coming through. Kevin Smith, BSN, RN at NCH Healthcare System 14

14 Intervention Apnea Alarms ED Nurses were reporting too many Apnea alarms The setting for ER4 and ER7 were set to alarm apnea after a cessation of 10 breaths, while all other rooms in the ED were set to 20 breaths. After working closely with Philips and resetting the software on these monitors, we reduced the number of times apnea alarmed in the Emergency Department by 70%. Vicki Brock, BSN, RN, EMT at Nash Healthcare Monitors set to policy 15

15 AlertLink Todd Bechtel