May 22 2012
EarlySense, a market leader in proactive patient care solutions,
announced today the results of a clinical study conducted at a Dignity
Health Hospital. The data was presented today in a poster presentation
titled: Effect Of Contactless Continuous Patient Monitoring In A
Medical-Surgical Unit On Intensive Care Unit Transfers: A Controlled
Clinical Trial at the ATS International Conference in San Francisco
by Dr. Eyal Zimlichman, a lead researcher from the Center for Patient
Safety Research and Practice, Brigham and Women's Hospital and Harvard
Medical School in Boston, MA.
The objective of the study was to determine the effects of continuous
patient monitoring, using the EarlySense contact-free monitor, on the
length of stay in a medical-surgical unit, ICU transfers and ICU length
of stay for patients initially admitted to non-ICU units. The study was
conducted in a 316 bed acute care hospital as a pre-post evaluation
study. The EarlySense system was positioned in a 33-bed medical-surgical
unit including bed side monitors, a central nursing station display and
integration with the mobile phones of the nurses. Just over 7,600
patient charts, 2,314 in the intervention arm and the rest from three
separate control arms were reviewed.
Comparing the intervention unit to the control unit, which did not go
through with the intervention, outcome results showed a reduction in the
average stay in the ICU of just over 2 days (a 45.9% reduction)
comparing the pre-intervention to the post-intervention, with a trend of
a decline in the number of transfers. This resulted in a 47.2% decrease
in the rate of total ICU days for transfers between the pre-intervention
and the post-interventions periods. Furthermore, length of stay of
patients in the medical-surgical units was also reduced substantially
following the intervention by a mean of 0.4 days, a reduction of almost
10%.
Dr. Zimlichman said, "This large clinical study clearly showed that
there was a substantial improvement in key outcome indicators. We
believe, given the distinct trends resulting from the presence of the
EarlySense system, that clinicians using the system respond to
deterioration earlier and thus reduce the overall utilization of the ICU
and the length of stay of patients on the medical-surgical floor."
"At Dignity Health, we see the importance of partnering with young,
innovative companies as they develop new technologies that support our
goal of improving quality and creating new efficiencies that reduce the
cost of care. This often requires leading by example and supporting
efforts that study how novel mobile technologies help realize these
goals. We are pleased to be part of the team developing this new
approach to patient monitoring and are encouraged with the results of
this study and the impact on patient safety. Acceptance at such a highly
prestigious conference as ATS is clear evidence of its potential," said
Barbara Pelletreau, RN, MPH and Senior Vice President, Patient Safety at
Dignity Health.
"Breakthrough technologies, such as contact-free patient monitoring
systems, not only provide a definite set of clinical and financial
benefits but also enable the establishment of new and elevated standards
of care which help our medical systems to keep patients in lower acuity
environments in a safe and efficient way," said Dr. David Bates, Chief
Quality Officer and Chief of the Division of General Internal Medicine
at Brigham and Women's Hospital, a Professor of Medicine at Harvard
Medical School and the Executive Director of the Center of Patient
Safety Research and Practice.
Dr. Harvey Brown, Clinical Professor of Medicine, David Geffen School of
Medicine at UCLA, and a principal investigator of the EarlySense
clinical study, said, "After seeing the EarlySense system used on
thousands of patients, we were not surprised by the results. We have
seen a large number of cases in which clinical teams used alerts by the
system to provide more rapid and effective intervention. These
documented team 'saves' included cases of respiratory depression,
sepsis, arrhythmias and gastrointestinal bleeding. Furthermore, the
EarlySense 33-bed unit provided our medical staff with an alternative to
Telemetry for those patients who did not require continuous EKG
monitoring, but were at risk because of advanced age, comorbidities,
trauma, recent ICU stays or non-elective surgery. This helped reduce the
demand for Telemetry beds and provided continuous heart rate and
respiratory rate, as well as motion monitoring and turn alerts that
helped the nursing teams prevent falls and pressure ulcers. All of this
enabled higher quality, safer and more efficient patient care."
The EarlySense system provides early detection of patient deterioration
by continuously monitoring heart rate, respiratory rate and motion -
without ever touching the patient. Clinicians using the system can
proactively respond to the earliest indications of patient deterioration
or safety risk to prevent adverse events and ICU escalations.
"As the EarlySense system is on call 24/7 and alerts when changes in a
patient's parameters are detected, it is a tool for medical teams to
proactively respond to early warning signs. Early detection and
intervention is clinically proven to increase effectiveness, reduce cost
of care and avoid preventable deteriorations and never events which may
lead to ICU escalation. ICU beds are several times more costly than
general floor beds. By helping medical teams to avert such situations,
not only does quality of patient care improve, but hospitals are also
able to save unnecessary costs," said Avner Halperin, CEO of EarlySense.
Mr. Halperin continued, "We are very proud to have conducted this
landmark study with Dignity Health and with the active academic support
of the Harvard affiliated Center of Patient Safety Research and
Practice. We are also quite pleased that the data will be presented at
ATS. This marks the first time that clinical results, relating to length
of stay and improvement in the number of ICU transfers while utilizing
the EarlySense system, are to be presented at a major scientific
conference."