关键词: Continuous monitoring Hospital readmissions Long-term care Nursing homes Post-acute care Preventive care Quality improvement Remote patient monitoring Skilled nursing

来  源:   DOI:10.1016/j.rmcr.2024.102044   PDF(Pubmed)

Abstract:
An increase in respiratory rate (RR) can be an early indicator of clinical deterioration, yet it remains an often-neglected vital sign. The most common way of measuring RR is by manually counting chest-wall movements, a time-consuming and error-prone process. Staffing and funding shortages, particularly in post-acute and long-term care, mean these RR measurements are often infrequent, potentially leading to missed diagnoses and preventable readmissions. Here we present a case series from skilled nursing facilities, highlighting how continuous respiratory monitoring using a contactless remote patient monitoring (RPM) system can support clinicians in initiating timely interventions, potentially reducing preventable hospitalizations, mortality, and associated financial implications.
摘要:
呼吸频率(RR)的增加可以是临床恶化的早期指标,然而,它仍然是一个经常被忽视的生命体征。测量RR的最常见方法是手动计数胸壁运动,一个耗时且容易出错的过程。人员配备和资金短缺,特别是在急性后和长期护理中,意味着这些RR测量通常很少,可能导致漏诊和可预防的再入院。在这里,我们介绍了一系列来自熟练护理机构的病例,强调使用非接触式远程患者监测(RPM)系统的连续呼吸监测如何支持临床医生及时启动干预措施,有可能减少可预防的住院,死亡率,以及相关的财务影响。
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