South Western Sydney Clinical School

Vigilance with Vital Signs (VVS)

Project Main Description

The Vigilance with Vital Signs initiative aims to establish a system for early identification of deteriorating patients through the continuous use of a portable electronic monitor of vital signs to prevent unexpected serious events and trigger a response that can enhance clinician’s decision-making. The project is conducted in two general wards of a NSW teaching hospital.

The device will be gradually introduced and progressively evaluated in four phases:

  • The first phase aims to assess the acceptance and utility of the device by clinical staff through a pilot where nurses will wear the device and provide feedback on comfort, alarm frequency and any disruptions (2014)
  • The second phase included a pilot of low-risk patients wearing the device for some time during their hospital stay and giving researchers feedback on their experience, together with an observational study of the nurse-patient interaction. A baseline of the existing indicators and social networks will be collected before wider introduction of devices (2014)
  • The third phase will include a baseline quantitative study and a process evaluation of nurse and patient adherence to protocol for device use and alert management
  • The fourth phase will evaluate the device effectiveness for early identification of high-risk parameters and their association with patient outcomes over time

 This project required an assessment and remediation of the wireless network in the target wards in late 2013, and was followed by installation and staff training in 2014. The duration of the four phases is approximately three years.

PUBLICATIONS ARISING FROM THIS PROJECT

Cardona-Morrell M, Prgomet M, Turner RM, Nicholson M, Hillman K. Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: A systematic review and meta-analysis.  International Journal of Clinical Practice, 2016 [In Press]

Prgomet M, Cardona-Morrell M, Nicholson M, Lake R, LongJ, Westbrook J, Braithwaite J, Hillman K. Vital signs monitoring on general wards: clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology. International Journal for Quality in Helathcare, 2016 [In press].

Cardona-Morrell M, Prgomet M, Lake R, Nicholson M, Long J, Harrison R, Westbrook J, Braithwaite J, Hillman K.  Vital signs monitoring and nurse-patient interaction: An observational study of hospital practice. International Journal of Nursing Studies, Dec 2015.DOI: http://dx.doi.org/10.1016/j.ijnurstu.2015.12.007

 


Opportunities (Scholarships, Grants and Research Positions)

Health technology implementation and evaluation

Implementation and evaluation of this initiative offers opportunities for several exciting PhD projects in the areas of qualitative and quantitative research. If you are interested in pursuing a PhD with us and are enthusiastic about evaluations and health technology assessment please contact: Prof Ken Hillman on k.hillman@unsw.edu.au.

Project 1: Impact of introduction of new technology in general wards on organisational culture and social network dynamics

Project 2: Using biomedical engineering strategies to solve alarm and alert system issues from a mobile device

Project 3: Impact evaluation of continuous monitoring on health outcomes (predicting and preventing unexpected events in general wards)

Details on available scholarship are available here.

Stipend:
Applicants may be eligible to apply for a scholarship

Length:
3 years

Related links:
Scholarship details

Project Supporters

NHMRC grant 1054146
Clinical Excellence Commission
HealthShare NSW
Liverpool Hospital
South Western Sydney Local Health District IM&TD

Project Collaborators: External

Liverpool Hospital

A/Prof Michael Parr, Director of Intensive Care
Liverpool Hospital

Ms Margaret Nicholson, Registered Nurse, Project Implementation Officer
Liverpool Hospital

Dr Zinta Harrington, Medical Head, Respiratory & Sleep Medicine
Liverpool Hospital

Dr Simon Mckechnie, Medial Head, Neurosurgery
Liverpool Hospital

Ms Amanda Chapman, Registered Nurse, MET coordinator
Liverpool Hospital

Ms Donna Lodge, Manager, IT support
Liverpool Hospital

Clinical Excellence Commission

Prof Cliff Hughes, Chief Executive Officer
Clinical Excellence Commission

Mr Malcolm Green, Between the Flags Project Lead
Clinical Excellence Commission

South Western Sydney Local Health District

Mrs Amanda Larkin, Chief Executive
South Western Sydney Local Health District

Mr Mark Zacka, Director, Clinical Governance
South Western Sydney Local Health District

Mr Nick van Domburg, Chief Information Officer IM&TD
South Western Sydney Local Health District

Mr George Thomas, Director of Telecommunications
South Western Sydney Local Health District

Ms Louise Robertson, Deputy CIO, IM&TD
South Western Sydney Local Health District

HealthShare NSW, Information and Communications Technology

Robin Blake
HealthShare NSW, Information and Communications Technology

Sotera Wireless Inc

Gary Manning, Vice President, Global Sales & Marketing, USA
Sotera Wireless Inc

James Welch, Biomedical Engineering Department, USA
Sotera Wireless Inc

WenPing Ooi, Regional Manager Asia Pacific, Singapore
Sotera Wireless Inc

Cerner Corporation

Ken Bendall, Client Results Executive
Cerner Corporation

Peter Wetherall, Technology Sales Executive
Cerner Corporation

Project Status
Current
Project Members

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