9 results match your criteria: "Connected Care Center[Affiliation]"

Background: Outpatient Clinics (OCs) are under pressure because of increasing patient volumes and provider shortages. At the same time, many patients with chronic diseases receive routine follow-up consultations that are not always necessary. These patients block access to care for patients that are in actual need for care.

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Background: Hospital stays after colorectal surgery are increasingly being reduced by enhanced recovery and early discharge protocols. As a result, postoperative complications may frequently manifest after discharge in the home setting, potentially leading to emergency room presentations and readmissions. Virtual care interventions after hospital discharge may capture clinical deterioration at an early stage and hold promise for the prevention of readmissions and overall better outcomes.

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Article Synopsis
  • Continuous monitoring of vital signs using wearable sensors can enhance patient outcomes and reduce nurse workloads in general wards, requiring effective implementation strategies.
  • A study was conducted over 6 months in two wards of a teaching hospital to evaluate the intervention's fidelity, assessing how consistently the system was followed and reported by nursing staff.
  • Results showed an overall mean intervention fidelity of 70.7%, with higher fidelity in the surgical ward compared to internal medicine and a decline in fidelity over time in the internal medicine ward but not in the surgical ward.
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Continuous monitoring of vital signs with wearable wireless sensors is increasingly being applied on general nursing wards. Although alarms are considered important for early detection of clinical deterioration, 'alarm fatigue' can seriously hamper the implementation of continuous monitoring. Current systems regularly generate high false alarm frequency, which is generally unworkable.

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Background: Wireless continuous vital sign monitoring by wearable devices have recently become available for patients on general wards to promote timely detection of clinical deterioration. Many continuous monitoring systems use conventional threshold alarm settings to alert nurses in case of deviating vital signs. However, frequent false alarms often lead to alarm fatigue and inefficiencies in the workplace.

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Background: Heart failure (HF) is a common cause of hospitalisation and mortality in elderly. The frequent rehospitalisations put a serious burden on patients, health-care budgets, and health-care capacity. Frequent hospital admissions are also associated with a substantial additional hazard for serious complications and reduced quality of life.

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The COVID-19 pandemic resulted in an exponential increase in telehealth. In response to the pandemic, Dartmouth-Hitchcock Health (D-HH) and its Norris Cotton Cancer Center (NCCC) closed non-essential in-person services on March 17, 2020 and began reopening on April 27, 2020. We examined outpatient telehealth utilization at D-HH and NCCC in the peri-pandemic period and compared utilization to the Academic Medical Center (AMC) overall and to other service lines.

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Telehealth's New Horizon: Providing Smart Hospital-Level Care in the Home.

Telemed J E Health

November 2021

William Perry Center for Hemispheric Defense Studies, National Defense University, Washington, District of Columbia, USA.

During the COVID-19 pandemic, medical providers have expanded telehealth into daily practice, with many medical and behavioral health care visits provided remotely over video or through phone. The telehealth market was already facilitating home health care with increasing levels of sophistication before COVID-19. Among the emerging telehealth practices, telephysical therapy; teleneurology; telemental health; chronic care management of congestive heart failure, chronic obstructive pulmonary disease, diabetes; home hospice; home mechanical ventilation; and home dialysis are some of the most prominent.

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Objective: To determine feasibility, in terms of acceptability and system fidelity, of continuous vital signs monitoring in abdominal surgery patients on a general ward.

Design: Observational cohort study.

Setting: Tertiary teaching hospital.

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