Vital Signs Monitoring and Clinical Decision Support System for Early Detection of Deteriorating Patients

Auto-escalation of deteriorating patients using real-time vital signs monitoring in acute care settings

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12618001559202

Acronym

None

Enrollment

Registered

2018-09-18

Start date

2019-06-01

Completion date

2019-09-30

Last updated

2019-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We propose the development of a smart vital signs monitoring system for use by hospital staff. The information (blood pressure, heart rate, oxigen saturrration, and temperature) will be used to assess the patient’s state of wellness. The vital signs can be collected using wearable and wireless devices (vital signs devices) without interrupting the usual activities of the patients. Due to the availability of mobile phone technology among doctors and nurses, the alarms and other relevant information will be transmitted via a mobile phone to the clinicians. Impact of the proposed system will be measured as 1) time saved in the collection of routine observations, 2) reduced time taken for alerting a critical care outreach team through the automated presentation of the Early Warning Score (EWS), and 3) reduced hospital length of stay (LOS).

Interventions

We propose the development of a smart and remote monitoring and alarm system for use by hospital staff. The information (blood pressure, heart rate, pulse volume and temperature) will be collated and used to make assessment of the patients’ state of well-being. Wireless devices such as finger clip pulse oximeter, arm-cuff blood pressure, digital ear thermometer, 2-lead ECG monitor and mobile phone communication will be employed in the proposed system to provide a user friendly and accurate vitals monitoring. The vital sings can be collected using wearable and wireless devices without interrupting the usual activities of the patients. Due to the availability of mobile phone technology among doctors and nurses, the alarms and other important information will be transmitted via a mobile phone system to the nursing station and/or to the clinician.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Patients on General Medicine ward of North Shore Hospital (male and female).

Exclusion criteria

Exclusion of refusal of inform consent; Hodkinson AMT 7/10 or less (Hodkinson H. M., 1972), patients deemed unsuitable by medical or nursing staff, terminally ill patients and patients on any other monitoring device. Reference: Hodkinson H. M. (1972). EVALUATION OF A MENTAL TEST SCORE FOR ASSESSMENT OF MENTAL IMPAIRMENT IN THE ELDERLY. Age and Ageing, 1, 233-238.

Outcome results