Examination of the Impact of Better Surveillance and Communication of Patient Deterioration on Patient Related Outcomes

Examination of the Impact of Better Surveillance and Communication of Patient Deterioration on Patient Related Outcomes (VitalCare - Guardian Version 2)

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01692847

Enrollment

678

Registered

2012-09-25

Start date

2012-10-31

Completion date

2016-02-29

Last updated

2016-04-04

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

Conditions

Cardiac Arrest, Respiratory Failure, Severe Sepsis

Keywords

patient deterioration, rapid response teams, acute care teams, early warning scoring

Brief summary

A hospitals manual method of patient monitoring will be implemented in an automated system and supported by an early patient deterioration detection for timely escalation. The purpose of this study is to assess if clinical outcomes of patients in Acute Care are significantly improved by such a system.

Detailed description

The purpose of this study is to assess if the Philips IntelliVue Guardian Solution (IGS) with all its components can significantly improve clinical outcomes for deteriorating patients on a general medical ward prior and after referral to the hospitals' Acute Care Team (ACT). Further, to provide evidence that the Philips IGS assists to increase the efficiency of a hospital's Early Warning Scoring process (afferent and efferent arm of the escalation system). The introduction of such an intelligent automated system offers a unique opportunity to address the breakdown in the chain of prevention by strengthening the reliability of calls-for-help to responders through a technical solution with the potential for a more timely escalation where appropriate. In this study the hospital's Standard of Care protocol for the monitoring of vital signs (including timing, vital signs collected and escalation instructions) will be implemented in a commercially available intelligent automatic monitoring and notification system. No investigational procedures or devices are associated with this protocol.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* all patients admitted to the study units during the period of data collection

Exclusion criteria

* less than 24h on ward

Design outcomes

Primary

Measure	Time frame	Description
Improvement of outcome for patients after implementing the IGS	15 months	Does the IGS significantly increase positive outcomes for deteriorating patients after referral to the RRT/ACT as measured by the MAELOR score

Secondary

Measure	Time frame	Description
Early detection of patient deterioration	15 months	Does the IGS detect patient deterioration earlier and therefore prevent or shorten periods of severe illness.
Daily workload for the ward's personnel	15 months	Does the IGS reduce the daily workload related to patient surveillance for the general ward personnel.
Level of satisfaction	15 months	Do Nurses and Doctors express a higher level of satisfaction with the IGS in place than with their current paper-based surveillance.

Countries

United Kingdom

Outcome results