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Effectiveness of a continuous patient position monitoring system in improving hospital turn protocol compliance in an ICU: A multiphase multisite study in India
B. S. Renganathan, S. P. Preejith,
Published in SAGE Publications Inc.
2019
Volume: 20
   
Issue: 4
Pages: 309 - 315
Abstract
Purpose: Hospital-acquired pressure ulcers are a significant cause of morbidity and consume considerable financial resources. Turn protocols (repositioning patients at regular intervals) are utilized to reduce incidence of pressure ulcers. Adherence to turn protocols is particularly challenging for nursing teams, given the high number of interventions in intensive care unit, and lack of widely available tools to monitor patient position and generate alerts. We decided to develop and evaluate usefulness of a continuous patient position monitoring system to assist nurses in improving turn protocol compliance. Methods: We conducted a prospective, non-randomized, multiphase, multicentre trial. In Phase I (control group), the function of the device was not revealed to nurses so as to observe their baseline adherence to turn protocol, while Phase II (intervention group) used continuous patient position monitoring system to generate alerts, when non-compliant with the turn protocol. All consecutive patients admitted to one of the two intensive care units during the study period were screened for enrolment. Patients at risk of acquiring pressure ulcers (Braden score < 18) were considered for the study (Phase I (N = 22), Phase II (N = 25)). Results: We analysed over 1450 h of patient position data collected from 40 patients (Phase I (N = 20), Phase II (N = 20)). Turn protocol compliance was significantly higher in Phase II (80.15 ± 8.97%) compared to the Phase I (24.36 ± 12.67%); p < 0.001. Conclusion: Using a continuous patient position monitoring system to provide alerts significantly improved compliance with hospital turn protocol. Nurses found the system to be useful in providing automated turn reminders and prioritising tasks. © The Intensive Care Society 2018.
About the journal
JournalData powered by TypesetJournal of the Intensive Care Society
PublisherData powered by TypesetSAGE Publications Inc.
ISSN17511437
Open AccessYes
Concepts (31)
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    Adult
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    Article
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    Body mass
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    BRADEN SCORE
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    CAREGIVER
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    Clinical article
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    Clinical effectiveness
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    CLINICAL OUTCOME
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    DECUBITUS
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    Electrocardiography
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    Female
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    HOSPITAL MANAGEMENT
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    HOSPITALIZATION
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    Human
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    India
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    Intensive care unit
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    INTERVENTION STUDY
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    Male
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    Multicenter study
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    Patient monitoring
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    PERSONNEL MANAGEMENT
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    PHASE 1 CLINICAL TRIAL
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    PHASE 2 CLINICAL TRIAL
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    Prospective study
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    PROTOCOL COMPLIANCE
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    Sample size
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    Scoring system
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    SKIN INTERFACE
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    THORAX
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    TURN ANGLE
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    Validation study