Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients. Issue 2 (April 2019)

• Record Type: Journal Article
• Authors: Verrillo, Sue Carol; Cvach, Maria; Hudson, Krysia Warren; Winters, Bradford D.
• Is Part Of: Journal of nursing care quality. Volume 34:Issue 2(2019)
• Publication Date: 2019-04
• Subjects: continuous vital sign monitoring -- episodic vital sign collection -- failure to rescue -- patient deterioration -- postoperative complications; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000350
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status. Local Problem: Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit. Methods: Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Data on the same outcomes were collected during the 12-week project. Intervention: This project compared outcomes between the current standard of eVSC and the proposed standard of continuous vital sign monitoring (cVSM). Results: Using cVSM demonstrated a statistically significant 27% decrease in the complication rate, and a clinically significant decrease in transfers to an intensive care unit and failure-to-rescue (FTR) events rate. Conclusions: cVSM demonstrated detection of early signs of patient deterioration to prevent FTR. Abstract : Supplemental Digital Content is Available in the Text.