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7 results on '"Mortel, Heidi"'

1. Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU.

Author

Varisco, Gabriele, Mortel, Heidi, Cabrera‐Quiros, Laura, Atallah, Louis, Hueske‐Kraus, Dirk, Long, Xi, Cottaar, Eduardus JE, Zhan, Zhuozhao, Andriessen, Peter, Pul, Carola, van de Mortel, Heidi, Cabrera-Quiros, Laura, Hueske-Kraus, Dirk, and van Pul, Carola

Subjects
*MONITOR alarms (Medicine), *NEONATAL intensive care, *ALARMS, *INTENSIVE care units, *FALSE alarms, *LABORATORY equipment & supplies, *RESEARCH, *RESEARCH methodology, *NEONATAL intensive care units, *MEDICAL cooperation, *EVALUATION research, *PATIENT monitoring, *COMPARATIVE studies, *SYSTEM analysis, *RESEARCH funding
Abstract

Aim: To address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsiveness were measured in an 18-bed single family rooms neonatal intensive care unit (NICU).Methods: The technical implementation of the alarm management system was followed by clinical workflow optimisation. Alarms and vital parameters from October 2017 to December 2019 were analysed. Measures included monitoring alarms, nurses' response to alarms and time spent by patients in different saturation ranges. A survey among nurses was performed to evaluate changes in alarm rate and use of protocols.Results: A significant reduction of monitoring alarms per patient days was detected after the optimisation phase (in particular for SpO2 ≤ 80%, P < .001). More time was spent by infants within the optimal peripheral oxygen saturation range (88% < SpO2 < 95%, P < .001). Results from the surveys showed that false alarms are less likely to cause an inappropriate response after the optimisation phase.Conclusion: The implementation of an alarm management solution and an optimisation programme can safely reduce the alarm burden inside of the NICU environment. [ABSTRACT FROM AUTHOR]

Published
2021
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3. Relevance of waveform information displayed on nurses' handheld devices in a single-family room neonatal intensive care unit

Author

Varisco, Gabriele, van de Mortel, Heidi, Cabrera Quiros, Laura, Atallah, N.L. (Louis), Hueske-Kraus, Dirk, Long, Xi, Cottaar, Ward, Kommers, Deedee, Mohns, Thilo, Andriessen, Peter, van Pul, Carola, School of Med. Physics and Eng. Eindhoven, Signal Processing Systems, Center for Care & Cure Technology Eindhoven, and Biomedical Diagnostics Lab

Subjects
NICU, alarm management solution, waveforms, alarms, handheld devices
Published
2019

6. Does the architectural layout of a NICU affect alarm pressure? A comparative clinical audit of a single-family room and an open bay area NICU using a retrospective study design

Author

Joshi, Rohan, Straaten, Henrica Van, Mortel, Heidi Van De, Long, Xi, Andriessen, Peter, Pul, Carola Van, Joshi, Rohan, Straaten, Henrica Van, Mortel, Heidi Van De, Long, Xi, Andriessen, Peter, and Pul, Carola Van

Abstract

OBJECTIVES: To determine differences in alarm pressure between two otherwise comparable neonatal intensive care units (NICUs) differing in architectural layout-one of a single-family room (SFR) design and the other of an open bay area (OBA) design.DESIGN: Retrospective audit of more than 2000 patient days from each NICU cataloguing the differences in the number and duration of alarms for critical and alerting alarms, as well as the interaction of clinicians with the patient monitor.SETTING: Two level 3 NICUs.RESULTS: A total of more than 150 000 critical and 1.2 million alerting alarms were acquired from the two NICUs. The number of audible alarms and the associated noise pollution varied considerably with the OBA NICU generating 44% more alarms per infant per day even though the SFR NICU generated 2.5 as many critical desaturation alarms per infant per day.CONCLUSION: Differences in the architectural layout of NICUs and the consequent differences in delays, thresholds and distribution systems for alarms are associated with differences in alarm pressure.

Published
2018

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