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dc.contributor.authorSchmidt, P.E.*
dc.contributor.authorMeredith, P.*
dc.contributor.authorPrytherch, D.R.*
dc.contributor.authorWatson, D.*
dc.contributor.authorWatson, V.*
dc.contributor.authorKillen, R.M.*
dc.contributor.authorGreengross, P.*
dc.contributor.authorMohammed, Mohammed A.*
dc.contributor.authorSmith, G.B.*
dc.date.accessioned2015-08-20T13:51:46Z
dc.date.available2015-08-20T13:51:46Z
dc.date.issued2015
dc.identifier.citationSchmidt PE, Meredith P, Prytherch DR et al (2015) Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Quality and Safety. 24(1): 10-20.en_US
dc.identifier.urihttp://hdl.handle.net/10454/7386
dc.descriptionnoen_US
dc.description.abstractBackground Avoidable hospital mortality is often attributable to inadequate patient vital signs monitoring, and failure to recognise or respond to clinical deterioration. The processes involved with vital sign collection and charting; their integration, interpretation and analysis; and the delivery of decision support regarding subsequent clinical care are subject to potential error and/or failure. Objective To determine whether introducing an electronic physiological surveillance system (EPSS), specifically designed to improve the collection and clinical use of vital signs data, reduced hospital mortality. Methods A pragmatic, retrospective, observational study of seasonally adjusted in-hospital mortality rates in three main hospital specialties was undertaken before, during and after the sequential deployment and ongoing use of a hospital-wide EPSS in two large unconnected acute general hospitals in England. The EPSS, which uses wireless handheld computing devices, replaced a paper-based vital sign charting and clinical escalation system. Results During EPSS implementation, crude mortality fell from a baseline of 7.75% (2168/27 959) to 6.42% (1904/29 676) in one hospital (estimated 397 fewer deaths), and from 7.57% (1648/21 771) to 6.15% (1614/26 241) at the second (estimated 372 fewer deaths). At both hospitals, multiyear statistical process control analyses revealed abrupt and sustained mortality reductions, coincident with the deployment and increasing use of the system. The cumulative total of excess deaths reduced in all specialties with increasing use of the system across the hospital. Conclusions The use of technology specifically designed to improve the accuracy, reliability and availability of patients’ vital signs and early warning scores, and thereby the recognition of and response to patient deterioration, is associated with reduced mortality in this study.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://qualitysafety.bmj.com/content/24/1/10.fullen_US
dc.subjectElectronic physiological surveillance system; Hospital; Mortality; Vital signs monitoringen_US
dc.titleImpact of introducing an electronic physiological surveillance system on hospital mortalityen_US
dc.status.refereedyesen_US
dc.typeArticleen_US
dc.type.versionNo full-text available in the repositoryen_US


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