Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction Presented by: Bob Sarnecki, Chief Information Officer Chad Bohreer, Sr Systems Analyst Mike Biegen, Sr Systems Analyst
Jan 16, 2016
Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction
Presented by:
Bob Sarnecki, Chief Information OfficerChad Bohreer, Sr Systems AnalystMike Biegen, Sr Systems Analyst
Emergin Solutions for Healthcare
General
Inpatient
Outpatient
The only free-standing pediatric hospital in Arizona One of the 10 largest children’s hospitals in the United
States 128 employed physicians Located across multiple campuses
Phoenix, AZ (1919 E Thomas Rd) “Hospital within a hospital” (Banner Health, Good Samaritan
Hospital) $400M expansion underway
300 licensed beds; 137 critical care beds 100,000 sq ft 12,000 admissions; 56,000 ED visits
1 Ambulatory Care Center; 2 Urgent Care Centers under construction
80,000 sq ft 177,000 outpatient visits
About Phoenix Children’s Hospital
Emergin Solutions for Healthcare
Emergin Addressed a Tactical Need …
The original need: Replace our existing wireless messaging & paging software Had outgrown the software (…and the vendor) Licensing was inflexible (per device licensing
only) Limited to “traditional” paging devices only
Emergin promised … A move toward ubiquitous communication Improved logging & tracking Commitment toward ongoing development Short learning curve
Emergin Solutions for Healthcare
… And Addressed An IT Strategy
Component of PCH’s Service Oriented Architecture (SOA) initiative Device alerts coordinated through a single
solution Application systems can alert through Emergin Improve communications across applications
Event Management & Logging Eventual logging of all events in a single database Real-time event notification Standardization of alarms & events Reduce user management across systems Reduce maintenance across systems
Emergin Solutions for Healthcare
Translating to Business Need
Not just “replacing the paging system” Improving patient safety & satisfaction
Improved receipt & response to patient alarms Tools for the analysis of alarms Improving patient assignments & transfers Additional data for Root Cause Analysis
Controlling costs through technology Consistent function & hardware independence Leverage existing technology appropriate Interoperability between systems Service Oriented Architecture (SOA)
Emergin Solutions for Healthcare
Critical Success Factors
“Begin with the end in mind” Will become much more than a “paging
system”, but start with a success Understand event management before the
users do Communication was essential
Addressed through all possible venues Coordinated roll-out
Cultural & technical change Emergin users were not necessarily the
recipients “Branding” to make it “ours”
Emergin Solutions for Healthcare
Phase 1: Emergin By Itself
Develop materials Educate: Quick reference guides, user guides,
video Communicate: Presentations, Stat!, Status Reports
Drive through the Change Management process early on
Gradual transition of Hospital staff to PCH OnCall Identified early adopters for direct training
Manual Conversion: A chance to “Spring Clean” Identify unused pagers
Planning for Phase 2: McDowell NICU
Emergin Solutions for Healthcare
Phase 2: McDowell NICU
Emergin Solutions for Healthcare
Multiple visual & auditory alerts, all the time Monitors Pumps Nurse Call & Hall Lights Pagers And so on…
Constant stream of data, but little information
The burden to adapt to new systems is on them Even sign-on can be time-
consuming and error-prone
Nurses: The Amazing “Human Interface”
Emergin Solutions for Healthcare
When 4 Singles Equal A Grand Slam
Single device for Nursing (Vocera) Single sign-on across multiple systems
(Emergin) Vocera Philips Patient Monitoring Rauland-Borg Nurse Call System
Single data base for Event Management (Emergin)
Single solution across multiple campuses
Emergin Solutions for Healthcare
Getting There Has Challenges
Cross-functional teams to define events Vendors: Technical specialists, not “sales
support” Hospital: Nursing, IT, other departments
Allocate time for research & education It may have been done before, but has it been
done together? Develop hands-on, in-house competency
“Wars are won on battlefields, not in classrooms”
Today, many solutions are proprietary Select vendor partners carefully
Emergin Solutions for Healthcare
Emergin @ PCH: The Board Version
RAULAND NURSE CALL BOX PHILIPS PATIENT MONITORVOCERA
EMERGIN ENTERPRISE SERVICE BUS
Emergin Solutions for Healthcare
Emergin @ PCH: The Geek Version
Emergin Solutions for Healthcare
Emergin @ PCH: The Nursing Version
Emergin Solutions for Healthcare
Next Steps …
Additional deployments Zettler Sentinel Nurse Call system at the
Thomas Rd campus Integration with location-based services (RF
tracking) Expand Emergin
SOAP “toolbox” for developing our own integration
Integration with telephony? Integration with application-based tracking? Integration with competitor’s products
Responder NET & Tracer
Emergin Solutions for Healthcare
Making the Case for Patient Safety
Source: Healthcare Technology Foundation, Clinical Alarms Management, white paperSeptember, 2006.
Clinical Alarm Reports Involved in Patient Deaths Failure Analysis - Years 2002-2003
98
58
67
3
8
1
2
0 20 40 60 80 100 120
Device, unpredictable failure
Device, deterioration
Environment, external
Operator Error, education/training
Operator Error, distracted
Patient, active
Not Analyzable
Emergin Solutions for Healthcare
Dashboards Help You be Proactive
Total Alarms per Shift
Emergin Solutions for Healthcare
Dashboards Distribute Workloads
Emergin Solutions for Healthcare
For More Information
Bob Sarnecki
Phoenix Children’s Hospital
Chief Information Officer
(602) 546-2500
Emerginwww.emergin.com(866) EMERGIN