Impact of Pulse Oximetry Surveillance on Rescue Events and Intensive Care Unit Transfers: A Before-and-After Concurrence Study
Open accessAbstract
Background: Some preventable deaths in hospitalized patients are due to unrecognized deterioration. There are no publications of studies that have instituted routine patient monitoring postoperatively and analyzed impact on patient outcomes. Methods: The authors implemented a patient surveillance system based on pulse oximetry with nursing notification of violation of alarm limits via wireless pager. Data were collected for 11 months before and 10 months after implementation of the system. Concurrently, matching outcome data were collected on two other postoperative units. The primary outcomes were rescue events and transfers to the intensive care unit compared before and after monitoring change. Results: Rescue events decreased from 3.4 (1.89-4.85) to 1.2 (0.53-1.88) per 1,000 patient discharges and intensive care unit transfers from 5.6 (3.7-7.4) to 2.9 (1.4-4.3) per 1,000 patient days, whereas the comparison units had no change. Conclusions: Patient surveillance monitoring results in a reduced need for rescues and intensive care unit transfers.
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The EHR contains a large amount of data that may be useful to identify patients at the highest risk of decompensation if the data are evaluated over time.
“The EHR contains a large amount of data that may be useful to identify patients at the highest risk of decompensation if the data are evaluated over time (37, 38).”
From Accessing Artificial Intelligence for Clinical Decision-Making (2021) · cites this paper as [37]
Six to eight hours may precede acute patient decompensation, which can provide ample time for interventions to be made.
“Six to eight hours may precede such acute patient decompensation, which can easily provide ample time for interventions to be made (37).”
From Accessing Artificial Intelligence for Clinical Decision-Making (2021) · cites this paper as [37]
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References 14 · Cited by 315
- Authors
- Taenzer, A. H., Pyke, J. B., McGrath, S. P., & Blike, G. T.
- Affiliations
- Assistant Professor of Anesthesiology and Pediatrics.
- Ph.D. Student.
- Dartmouth College (US)
- Dartmouth–Hitchcock Medical Center (US)
- Venue
- Anesthesiology
- Published
- 2010-02-01
- Volume
- 112
- Issue
- 2
- Pages
- 282-287
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W2050002215
- Cited by
- 315
- References
- 14
- Citations by year
- 2026: 13 · 2025: 12 · 2024: 13 · 2023: 8 · 2022: 15 · 2021: 44 · 2020: 18 · 2019: 22 · 2018: 21 · 2017: 29 · 2016: 27 · 2015: 20 · 2014: 24 · 2013: 17 · 2012: 12
- FWCI
- 16.40
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-03-01)
- Open access
- bronze
- doi.org
- Locations
- Anesthesiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- pulse oximetry, patient surveillance, postoperative monitoring, ICU transfer, preventable deaths, postoperative care
- MeSH terms
- Aged, Anesthesia, Emergency Medical Services, Female, Heart Arrest, Hemodynamics, Humans, Intensive Care Units, Male, Middle Aged, Monitoring, Physiologic, Oximetry, Postoperative Period, Transportation of Patients, Cohort Studies, Treatment Outcome, Orthopedic Procedures, Clinical Alarms
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