VitalSky - Natural Lighting in the ICU by https://padlet.com/aharrison111/6pfr8me823st An innovative approach to ICU delirium reduction en-us 2019-09-20 15:27:14 UTC 2019-09-23 15:13:38 UTC hello@padlet.com Summary: VitalSky by Philips aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387556656 This innovation is a light screen that can be installed on the ceiling of a hospital room and is used to prevent ICU associated delirium by mimicking natural lighting and promoting normal sleep/wake rhythms.]]> 2019-09-21 12:34:46 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387556656 Source Details: VITALITY Study aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387557106 Luetz, A., Uhrlau, H., Piazena, H., Kramer, A., Fietze, I., Penzel, T., ... Spies, C. (2018). Modification of ICU environment is associated with reduced incidence of delirium - Results from the VITALITY study. Intensive Care Medicine Experimental, 6(2), 1305. Retrieved from https://papers.cociwg.org/users/155154/articles/306834-modification-of-icu-environment-is-associated-with-reduced-incidence-of-delirium-results-from-the-vitality-study]]> 2019-09-21 12:37:29 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387557106 Pros aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387559734
  • Non-pharmacological
  • May play a role in: 
    1. decreased incidence of ICU-related delirium
    2. decreased ICU days
    3. decreased mortality
    4. increased chance of being discharged home

    ]]>     2019-09-21 12:53:52 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387559734     Cons aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387560284
  • Published study did not isolate the VitalSky light ceiling as the intervention that caused the positive clinical effects
  • Not yet approved in the US
  • Likely expensive and will need facility-individualized cost/benefit analysis

    • ]]>     2019-09-21 12:57:52 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387560284     Additional References: aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387561859 Crotti, N. (2019). Royal Philips launches VitalSky to ease ICU patients’ minds. Retrieved from:
    https://www.medicaldesignandoutsourcing.com/royal-philips-launches-vitalsky-to-ease-icu-patients-minds/
    Philips. (2018). Supporting delirium prevention with the patient in mind [Brochure]. N.P.: Koninklijke Philips. Retrieved from: https://www.philips.se/c-dam/b2bhc/master/articles/delirium-in-the-icu-vitalsky-light-therapy/supporting-delirium-prevention-with-the-patient-in-mind-brochure.pdf
    ]]>     2019-09-21 13:06:54 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387561859     Opinion and Rationale: aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/387562366 This is an exciting innovation because it helps accomplish what ICU nurses have struggled with for years: creating a restful and natural environment in one of the busiest and most disorienting places in the hospital.  I especially like that it is non-pharmacological, allowing for a option other than prescribing more sedatives and anti-psychotics that may actually lead to worsening or prolonged delirium. More research is still needed, but the results published so far are promising.]]> 2019-09-21 13:09:47 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/387562366 Teams aharrison111 https://padlet.com/aharrison111/6pfr8me823st/wish/388156801 Annelies – Harmony
    My top strength is harmony, which makes me a natural team player, always on the lookout for what will make the team work better together. 
    Angelica – Analytical
    Because this is meant to be used in the ICU, I feel it would be important to have someone whose strength lies in data, charts, and numbers who can synthesize our evaluation into something that will appeal to intensivists and ICU nurses, who are used to gathering as much data as possible to make life or death treatment decisions. 
    Carter – Communication
    Because this project involves so many different groups – patients and families, hospital administration, ICU staff, IT, quality assurance, etc. – it would be key to have a strong communicator on the team who can make sure our ideas and plans are being effectively communicated to all the parties involved. 
    Faith – Futuristic
    I think it would be important to include someone to inspire the rest of the team and staff with visions of manifesting the future through technology. 
    Fernando – Focus
    Having someone with an executing strength would be key to making sure the evaluation stays on track and is completed in a timely manner. 
    Emily – Empathy
    I would like to include an empathizer on the team, because delirium can be a very stressful experience for patients, families, and staff.  Including someone who can empathize with their experiences would bring valuable input to our evaluation of this product. 
    ]]>     2019-09-23 13:31:25 UTC https://padlet.com/aharrison111/6pfr8me823st/wish/388156801