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Monitoring in Acute Care Environments: Unique Aspects of Intensive Care Units, Operating Rooms, Recovery Rooms, and Telemetry Floors

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Monitoring Technologies in Acute Care Environments

Abstract

The major goal of care for patients in high-acuity settings is to correct detrimental physiologic states while avoiding, preventing, or mitigating additional insults. Achieving this goal by collecting monitor data can be problematic due to the challenges of data resolution, storage limitations, and a lack of device interoperability that all limit device integration and the automatic collection of data. Artifacts in the data collected may exist due to an absence of filters, increasing the signal-to-noise ratio. In many circumstances, artifacts lead to false positives and can create “alarm fatigue.” Artifacts also decrease the data quality needed for data-driven or model-based decision support. Ultimately, the application of bedside monitors’ real-time data through decision support engines could facilitate communication and predict, identify, diagnose, and guide the treatment of evolving medical conditions to improve outcomes and avoid suboptimal care. However, improved outcomes solely using monitoring data have proved elusive thus far.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Vanderbilt University School of Medicine, 1301 Medical Center Drive, 4648 TVC, Nashville, TN, 37232, USA

    Brian S. Rothman MD

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  1. Brian S. Rothman MD
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Correspondence to Brian S. Rothman MD .

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Editors and Affiliations

  1. Departments of Anesthesiology, Surgery, and Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

    Jesse M. Ehrenfeld

  2. Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, California, USA

    Maxime Cannesson

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Rothman, B.S. (2014). Monitoring in Acute Care Environments: Unique Aspects of Intensive Care Units, Operating Rooms, Recovery Rooms, and Telemetry Floors. In: Ehrenfeld, J., Cannesson, M. (eds) Monitoring Technologies in Acute Care Environments. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8557-5_2

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  • DOI: https://doi.org/10.1007/978-1-4614-8557-5_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8556-8

  • Online ISBN: 978-1-4614-8557-5

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