A Centralized Monitoring Approach to Pulse Oximetry for Patients on Opioids

This article describes EvergreenHealth's processes and lessons learned as it evolved toward centralized continuous monitoring of SpO2 of patients on opioids. The main focus of this report is how EvergreenHealth implemented the first phase of its initiative, which included centralized continuous...

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Bibliographic Details
Published inBiomedical instrumentation & technology Vol. 51; no. 5; pp. 408 - 413
Main Author Miller, Phyllis J
Format Journal Article
LanguageEnglish
Published United States Association for the Advancement of Medical Instrumentation, AAMI 01.09.2017
Subjects
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
Apnea
Caregivers
Clinical Alarms
Drug Therapy, Computer-Assisted - methods
Environmental monitoring
Hospitals
Humans
Initiatives
Medicaid
Monitoring systems
Monitoring, Physiologic - methods
Narcotics
Nursing
Opioids
Oximetry
Oximetry - methods
Patient safety
Patients
Risk assessment
Sleep
Sleep apnea
Sleep disorders
Systems Integration
User-Computer Interface
Vital signs
Wages & salaries
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Summary:This article describes EvergreenHealth's processes and lessons learned as it evolved toward centralized continuous monitoring of SpO2 of patients on opioids. The main focus of this report is how EvergreenHealth implemented the first phase of its initiative, which included centralized continuous monitoring of postoperative patients on opioids (regardless of the route of administration) who yielded a score on the STOP-BAG checklist (a slightly altered version of the STOP-BANG) indicating a high risk for sleep apnea. Following the success of this effort, EvergreenHealth now continuously monitors all postoperative patients on opioids. For EvergreenHealth, the value of this initiative was not seen financially but in terms of improved patient care. It was seeing increases in the number of patients with sleep apnea, obesity, and comorbidities, and the health system's primary focus was keeping patients safe in a busy care environment given these realities.
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ISSN:0899-8205
1943-5967
DOI:10.2345/0899-8205-51.5.408