RT Assistant - handheld patient safety tool for mechanical ventilation

RT Assistant - 用于机械通气的手持式患者安全工具

• 批准号: 10755397
• 负责人: Neil R. Euliano
• 金额: $ 5.25万
• 依托单位: CONVERGENT ENGINEERING, INC.
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-20 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10755397
• 关键词: Acute Respiratory Distress Syndrome; Address; Adherence; Affect; Awareness; COVID-19 pandemic; Caring; Categories; Cessation of life; Chronic; Clinical; Clinical Distribution; Clinical Practice Guideline; Clinical Trials; Communication; Communication Tools; Complex; Cost Control; Critical Illness; Data; Data Security; Devices; Documentation; Electronics; Environment; Face; Failure; Future; Grant; Guideline Adherence; Guidelines; Healthcare; Hospitals; Hour; Intervention; Intuition; Life; Life Support Care; Lung; Malpractice; Mechanical Ventilators; Mechanical ventilation; Medical Errors; Medical Records; Methods; Monitor; Multi-Institutional Clinical Trial; Patient Care; Patient-Focused Outcomes; Patients; Phase; Protocols documentation; Publications; Quality of Care; Recommendation; Reporting; Risk; Safety; Sales; Secure; Standardization; Statistical Data Interpretation; Stress; System; Testing; Tidal Volume; Time; Time Management; Ventilator; Ventilator-induced lung injury; Workload; care providers; clinical decision support; clinical practice; commercialization; computerized; cost; design; effectiveness evaluation; evidence base; improved; innovation; mortality; new technology; patient safety; post intervention; pressure; prototype; provider adoption; remote monitoring; remote patient monitoring; respiratory; respiratory assist; respiratory challenge; satisfaction; sound; support tools; tool; transmission process; uptake; usability; ventilation

PROJECT SUMMARY Respiratory Therapists (RTs) are increasingly tasked to improve the quality of care provided for their patients on mechanical ventilation while controlling cost amidst a high workload. Challenges for the RTs include maintaining continuous awareness of patient-ventilator interactions, assuring compliance with best practice protocols, and providing efficient communication during shift changes. While new technology has been recently introduced to improve medical record documentation, there is a scarcity of innovative electronic tools that can improve compliance with best practices and communications in respiratory care. In Phase I of the grant we successfully built and evaluated a fully-functional prototype system called RT Assistant that provides continuous remote monitoring of ventilated patients. The device provides real time management guidelines, guidance on patient safety and best clinical practices, and a standardized hand-off communication tool. The Phase I prototype was designed to evaluate the feasibility of the tool and its integration into an RT's workflow. Phase II effort will add functionality, improve data security, increase usability, and allow for customized user interfaces for each hospital or unit. The Phase II system will facilitate commercialization and will be tested in 3 clinical trials at 3 different hospitals. RT Assistant will serve as a platform for future modular upgrades that will provide clinical decision support (CDS) tailored for respiratory care. In Phase II, we propose two specific aims. Aim 1 – Productize the RT Assistant system To address usability and commercialization concerns, this aim will address three categories of improvements to RT Assistant. First, implement and validate appropriate data security and IT requirements in order to be allowed to operate safely in a healthcare environment. Second, increase functionality by adding an additional oxygenation CPG, support low acuity ventilation, and management features that support departmental quality assessment. Third, increase ease of use by allowing customization of the system for different hospitals and ICUs and enable use on different platforms. Aim 2 – Evaluate effectiveness of RT Assistant in multi-center clinical trial To evaluate the effectiveness of the system in different environments, we will evaluate the system in two ICUs from two different hospitals. Baseline data will be collected for 1 month and then data will be collected while RTs use the RT Assistant for 1 month. Statistical analyses of pre- and post-intervention data includes change in time patients are outside the CPGs, quality of shift reports, and RT satisfaction scores while using the system. After completion of this Phase II grant, we will have created a secure, inexpensive, intuitive, highly functional system proven to: increase compliance with CPGs, improve shift report communication, and enhance situational awareness, resulting in improved patient care and reduced medical errors. The clinical results will provide data that will enable early adopter sales for the RT Assistant system.

项目摘要 呼吸治疗师（RTS）越来越多地负责提高为患者提供的护理质量 在高工作负载中控制成本时，机械通气。 RT的挑战包括 保持对患者 - 换情者相互作用的持续认识，以确保符合最佳实践 协议，并在轮班变化期间提供有效的通信。虽然新技术最近已经 引入了为了改善病历文档，有大量的创新电子工具可以 提高对呼吸护理中最佳实践和沟通的遵守。 在赠款的第一阶段，我们成功地构建和评估了一个功能齐全的原型系统，称为RT 提供对通风患者的连续远程监控的助手。该设备提供实时 管理指南，患者安全指南和最佳临床实践以及标准化的交接 通信工具。 I期原型旨在评估该工具的可行性及 集成到RT的工作流程中。第二阶段的工作将增加功能，提高数据安全性，提高可用性， 并允许为每个医院或单位提供自定义的用户界面。第二阶段系统将有助于 商业化，将在3家不同医院的3个临床试验中进行测试。 RT助手将作为 未来模块化升级的平台，该升级将为呼吸道提供临床决策支持（CD） 关心。在第二阶段，我们提出了两个具体目标。 目标1 - 生产RT助理系统 为了解决可用性和商业化问题，此目标将解决三类改进类别 致RT助手。首先，实施并验证适当的数据安全和IT要求，以便 允许在医疗保健环境中安全操作。其次，通过添加附加功能来增加功能 氧合CPG，支持低敏锐通气以及支持部门质量的管理功能 评估。第三，通过允许对不同医院的系统自定义以及 ICU并启用在不同平台上使用。 AIM 2 - 评估RT助手在多中心临床试验中的有效性 为了评估系统在不同环境中的有效性，我们将在两个ICU中评估系统 来自两家不同的医院。基线数据将收集1个月，然后将收集数据 RTS使用RT助手1个月。干预前和干预后数据的统计分析包括变化 随着时间的推移，患者在CPG之外，班次报告的质量和RT满意度得分。 系统。 在完成此第二阶段赠款之后，我们将创建一个安全，廉价，直观，高度功能的安全性 系统证明是：提高对CPG的符合，改善轮班报告并增强 情境意识，导致患者护理的改善和医疗错误减少。临床结果将 提供将为RT助理系统提供早期采用者销售的数据。