%0 Journal Article
%T Health in a Virtual Environment (HIVE): A Novel Continuous Remote Monitoring Service for Inpatient Management.
%A Bowles T
%A Trentino KM
%A Lloyd A
%A Trentino L
%A Murray K
%A Thompson A
%A Sanfilippo FM
%A Waterer G
%J Healthcare (Basel)
%V 12
%N 13
%D 2024 Jun 26
%M 38998800
%F 3.16
%R 10.3390/healthcare12131265
%X The aim of this study was to describe the implementation of a novel 50-bed continuous remote monitoring service for high-risk acute inpatients treated in non-critical wards, known as Health in a Virtual Environment (HIVE). We report the initial results, presenting the number and type of patients connected to the service, and assess key outcomes from this cohort. This was a prospective, observational study of characteristics and outcomes of patients connected to the HIVE continuous monitoring service at a major tertiary hospital and a smaller public hospital in Western Australia between January 2021 and June 2023. In the first two and a half years following implementation, 7541 patients were connected to HIVE for a total of 331,118 h. Overall, these patients had a median length of stay of 5 days (IQR 2, 10), 11.0% (n = 833) had an intensive care unit admission, 22.4% (n = 1691) had an all-cause emergency readmission within 28 days from hospital discharge, and 2.2% (n = 167) died in hospital. Conclusions: Our initial results show promise, demonstrating that this innovative approach to inpatient care can be successfully implemented to monitor high-risk patients in medical and surgical wards. Future studies will investigate the effectiveness of the program by comparing patients receiving HIVE supported care to comparable patients receiving routine care.