Research shows 80% of patients will display signs of significant physiological deterioration in the 24 hours prior to a cardiac arrest. But those signs aren’t always easy to spot. Identifying deterioration has traditionally involved creating hard copy observations charts and making manual calculations to assess a patient’s condition – meaning it’s often missed.
In early 2016, there were 2.20 cardiac arrests for every 1,000 admissions at Basildon and Thurrock University Hospitals NHS Foundation Trust. That same year, the organisation introduced a suite of measures intended to improve detection of and response to patient deterioration. By October 2016, the rate had fallen to 1.26. It’s now as low as 0.46.
Among the measures credited with driving this change: Alcidion’s electronic observation system Patientrack, an electronic observations system. Nurses now enter vital signs data into a handheld device, Patientrack automatically creating observations charts – which can be accessed from anywhere in the hospital – and calculating early warning scores, a key indicator of a patient’s condition. The time it takes nurses to record observations has dropped by a minute since the system was introduced.
A range of assessments is now included within Patientrack at the trust, including VTE, nutrition scoring, fluid charts, stool charts, infection control monitoring and alcohol screening. The system is also being seen as central to the development of the Basildon Deteriorating Patient Pathway.
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Visit the Alcidion team at Digital Health Rewired on 4th March, Stand C34.
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