Introducing the Vital Sync™ Early Warning Score App

PREVENT THE PREVENTABLE.

2017 ECRI INSTITUTE TOP PATIENT SAFETY CONCERNS INCLUDE:2

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Unrecognized patient deterioration

Implementation and use of clinical decision support

If you could make it easier to identify at-risk patients sooner, you would. If you could prevent the preventable, you would. The Vital Sync™ early warning score app can help you do just that.

The first warning signs of a code blue appear as early as six hours in advance of the event.1 But identifying patient deterioration early can be difficult with single parameter monitoring since you are alerted only when a significant physiological change occurs.

Early warning scores (EWS) were developed to help address this exact problem. An EWS paints a fuller picture of your patient’s overall condition by measuring and calculating a score based on multiple parameters. It not only alerts you when there is a significant change in a single parameter, it also tracks subtle changes across multiple data points. And that can help you identify when a patient needs intervention sooner — and prevent preventable complications.1

An EWS can identify patient deterioration six hours sooner than a single parameter.1 The impact of using an EWS is proven. But managing the data collection and calculations to implement an EWS protocol can be complicated and time-consuming.

THIS IS WHERE THE VITAL SYNC™ EARLY WARNING SCORE APP OFFERS SIGNIFICANT VALUE.

Our app simplifies the implementation of an EWS by providing:

Direct device connectivity and continuous calculations for an “earlier” early warning score

Automatically calculated scores and alerts — available anywhere, anytime

A proven EWS based on clinical evidence and the ability to build your own score

EARLY WARNING SCORES. UNCOMPLICATED.

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THE BENEFITS ARE REAL3-9

+ =CONTINUOUS VITAL SIGNS MONITORING

EARLY WARNING SCORES

EARLIER IDENTIFICATION OF PATIENT DETERIORATION

IMPROVED CLINICAL OUTCOMES

Unplanned ICU transfers3-5

33–68%Post-RRT call survival6

6%

RRT response iswithin 48 hours with use of an automated early warning system8-9

Strong predictor of cardiac arrest and death7

within 48 hours

The Vital Sync™ EWS app was designed to help you easily implement the EWS protocol, or protocols, to suit your needs. And realize the benefits of an automated early warning system.

With the timely insights from the Vital Sync™ EWS app, you know when to intervene — sooner

Our app continuously assimilates patient information from four different sources: directly from both Medtronic and third-party bedside devices, from the EMR, and via manual inputs. The system uses this data to continuously and automatically calculate an EWS based on the proven algorithm your facility selects. And the system sends alerts and presents this information when and where you need it — on any web-enabled device — so you can:

Identify patient deterioration sooner10

Prioritize patient care and necessary escalations

Facilitate clinical collaboration

Have more time to help more people

REAL-TIME CONTINUOUS EWS CALCULATIONS.

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The Vital Sync™ EWS app connects directly to the monitoring devices you use today to provide accurate, real-time parameter measurements. And because our app continuously pulls information directly from bedside devices — rather than the EMR, which can introduce many hours of delay — it delivers a more immediate, “earlier” early warning score than many other systems. This direct-from-the-device capability helps get critical information to you quickly so you can respond to signs of clinical distress sooner.

AN “EARLIER” WARNING SCORE

A CHOICE OF PROVEN EARLY WARNING SCORES

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The Vital Sync™ EWS app gives you a choice of commonly accepted, proven EWS protocols based on published clinical literature, as well as the ability to build a custom score. So you can use the EWS protocol that best suits your patient populations.

THE APP OFFERS YOUR CHOICE OF: NEWS — national early warning score

MEWS — modified early warning score

SEWS — Scottish early warning score

WEWS — Wellington early warning score

The option to build a customized score based on your facility’s scoring protocols

Our app continuously and automatically calculates a score using multiparameter information based on your chosen EWS protocol.

INTUITIVE, MEANINGFUL INFORMATION AT YOUR FINGERTIPS.

Alerts you when a patient has a high EWS

Easy access to EWS alerts from any web-enabled device

Continuously monitors parameters in near real time from multiple devices

Indicates when the score was calculated

Aggregates data with other vital signs and observations, which can be entered manually or pulled from your EMRs

Vital information when and where you need it

Our EWS app is just one of the tools available with the Vital Sync™ monitoring and clinical decision support (CDS) solution. Our CDS solution offers a suite of tools designed to help you simplify the complexity of managing patient care.

We integrate the multitudes of data from your individual devices to a single platform. And transform it into smart, actionable information. Delivered to you wherever you are, on virtually any device.

The Vital Sync™ CDS solution provides you the right information at the right time — so you can focus on the patients who need you most.

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TAKING HEALTHCARE FURTHER, TOGETHER

The introduction of the innovative Vital Sync™ monitoring and CDS solution is a big step forward — but it’s only a first step

We’re committed to expanding both the capabilities of the platform itself and the number of meaningful CDS apps. So we can help in even more areas in your hospital.

We strive to identify the issues most important to you. And we partner with you to create helpful solutions to simplify what you do every day.

1. MaupinJM,RothDJ,KrapesJM.UseoftheModifiedEarlyWarningScoredecreasescode blue events. Jt Comm J Qual Patient Saf. 2009;35(12):598-603.

2. ECRI 2017 Top Patient Safety Concerns. https://www.ecri.org/Pages/Top-10-Patient-Safety-Concerns.aspx. Accessed April 27, 2017.

3. Jones S, Mullally M, Ingleby S, Buist M, Bailey M, Eddleston JM. Bedside electronic capture of clinical observations and automated clinical alerts to improve compliance with an Early Warning Score protocol. Crit Care Resusc. 2011;13(2): 83-88.

4. Moon A, Cosgrove JF, Lea D, Fairs A, Cressey DM. An eight year audit before and after theintroductionofmodifiedearlywarningscore(MEWS)charts,ofpatientsadmittedto a tertiary referral intensive care unit after CPR. Resuscitation. 2011;82(2): 150-154.

5. PerisA,ZagliG,MaccarroneN.TheuseofModifiedEarlyWarningScoremayhelpanesthesists in postoperative level of care selection in emergency abdominal surgery. Minerva Anestesiol. 2012;78(9):1034-1038.

6. Bellomo R, Ackerman M, Bailey M, et al. A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards. Crit Care Med. 2012;40:2349-2361.

7. Smith MEB, Chiovaro J, O’Neil M, et al. Early Warning Scoring Systems: A Systematic Review.Washington,DC:DepartmentofVeteranAffairs(US);2014.https://www.ncbi.nlm.nih.gov/books/NBK259026/. Accessed January 24, 2017.

8. Swartz CH. A systematic approach to manage clinical deterioration on inpatient units in the health system. 2011.DNP Practice Inquiry Projects. http://uknowledge.uky.edu/dnp_etds/26. Accessed March 2017.

9. Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012 Apr;32(2):e9-18.

10. Kang MA, Churpek MM, Zadravecz FJ, Adhikari R, Twu NM, Edelson DP. Real-time risk prediction on the wards: a feasibility study. Crit Care Med. 2016;44(8):1468-1473.

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