The solution was installation of Philips IntelliVue Guardian Solution, an automated early warning scoring (EWS) system that can aid clinicians in identifying subtle signs of deterioration in a patient’s condition, hours before a potential adverse event occurs.
Saratoga Hospital installed Philips IntelliVue Guardian Solution in two phases between 2013 and 2015 on two units. Philips Intellivue MP5SC monitors were installed at every bedside unit, which capture vital signs that are tracked by Guardian software through the central station. The system detects early signs of deterioration, automates EWS calculations and alerts care providers.
“It looks at key vital signs, and it gives a point score for each vital sign that's abnormal with a total point score. If they need help, the ICU can help them in responding to that score and/or the charge nurse will follow up with the physicians,” says Dr. Bartos. “It's intuitive, it tells nurses what is going on and helps them to make a confident decision.”
Installing Early Warning Score technology led to a clinically significant reduction in patient codes and the orthopaedic unit having no codes in the four years since installation.
“We're trying to provide care as safely as possible, and we don't want that patient to deteriorate at all,” says Dr. Bartos. “As we're providing care, doing interventions, we're trying to provide care in the safest environment possible. We have shown over time and very dramatically right after implementing the early warning scoring, that we have decreased the number of codes dramatically.”