Off-Site Central Monitoring Units by https://padlet.com/alexandria_0688/donmoa7r5vaf Current Innovation Assignment en-us 2018-02-25 02:01:23 UTC 2026-03-16 00:35:27 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Doubleheart.png Summary alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235044279 Nurses have the particular role in healthcare to not only pay close attention to their patients, but also their patient's monitors. Desensitization to the constant ringing, dinging, and buzzing of alarms is known as "alarm fatigue," which could be a matter of life or death for some.
A 2016 study published by JAMA used an off-site central monitoring unit (CMU) to monitor non-critically ill patients over a 13-month period of time. This off-site unit used advanced equipment to monitor heart-rate, blood pressure, pule oximetry, and more. Automatic alerts to on-site clinical staff triggered timely interventions while minimizing noise distractions. With almost 100,000 patients monitored, the CMU accurately detected and notified 79% of the emergency response team activations and reported a 93% survival rate for cardiopulmonary arrests.]]> 2018-02-25 02:56:32 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235044279 Pros alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235046857
  • Reduces the amount of noise within the work space.
  • Provides accurate and timely recognition of changes directly to nursing staff.
  • Increased efficacy to alarm management as now regulated by The Joint Commission.
  • Increases time spent providing patient care and thus contributing to patient satisfaction.
  • Reduces the amount of deaths related to improper recognition of telemetry monitor changes.

    • ]]>     2018-02-25 03:52:09 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235046857     Cons alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235047774
  • Nursing staff may lose ability to recognize changes in telemetry monitoring on their own. 
  • Increased demands in nursing staff to be available for notifications from CMU may cause strain. 
  • Inaccurate monitoring from CMU. 
  • Nurses have been trained, to “treat the patient, not the monitor,” and must know how to apply the advance warnings from CMU into real clinical practice. 
  • Willingness of staff to take on change. 
  • Increased strain on hospital resources. 

    • ]]>     2018-02-25 04:05:10 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235047774     Opinion alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235048395 The American Heart Association reported an incidence of 209,000 in-hospital cardiac arrests with a survival rate of 24.8% in 2016. These numbers speak for themselves, and it is my opinion that off-site central monitoring units will soon be the new norm for most hospital systems. Having another set of eyes to assist with rapid recognition of potential problems in telemetry patients, in my opinion,  will greatly improve patient care, decrease deaths, and improve overall job satisfaction. ]]> 2018-02-25 04:18:13 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235048395 alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235049611 2018-02-25 04:43:35 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235049611 Sources alexandria_0688 https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235049771 2018-02-25 04:46:48 UTC https://padlet.com/alexandria_0688/donmoa7r5vaf/wish/235049771