Publications by authors named "B Duller"
Article Synopsis
- Delayed response to patients getting worse in hospitals happens often, but using an electronic system that alerts doctors when vital signs change can help improve patient outcomes.
- A study was done to see if this system saves money compared to regular monitoring by looking at data from nearly 3,800 patients in a hospital.
- The results showed that the automated system not only helped reduce health issues and saved money per patient, but it also provided extra days of good health for patients, making it a good choice for the National Health Service in the UK.
Patients who are stable might not be required to remain in hospital. We aimed to create objective criteria to indicate stability based on vital signs. An index based on NEWS (NBI) was compared to a Patient Stability Index (PSI) algorithm created by random forest analysis.
View Article and Find Full Text PDFBackground: Clinicians in intensive care units experience alarm fatigue related to frequent false and non-actionable alarms produced by physiologic monitors. To reduce non-actionable alarms, alarm settings may need to be customized for individual patients; however, nurses may not customize alarms because of competing demands and alarm fatigue.
Objective: To examine the effectiveness and acceptance of physiologic monitor software to support customization of alarms.
A high respiratory rate is a significant predictor of deterioration. The accuracy of measurements has been questioned. We performed a prospective observational study of automated electronic respiratory rate measurements and compared measurements with electronic counts obtained in the 10 minutes prior to the manual measurement.
View Article and Find Full Text PDFBackground: Delayed response to clinical deterioration of ward patients is common.
Methods: We performed a prospective before-and-after study in all patients admitted to two clinical ward areas in a district general hospital in the UK. We examined the effect on clinical outcomes of deploying an electronic automated advisory vital signs monitoring and notification system, which relayed abnormal vital signs to a rapid response team (RRT).