Clinicians experience alert fatigue due to excessive alarm alerts, leading to potential oversight of important warnings and contributing to burnout1, prompting efforts to improve alert management through methods such as targeted visualisation on electronic health record (EHR) for essential ventilator alarms and deactivation of low-quality alerts.
The purpose of this study is to assess the impact of integrating continuous ventilator parameter monitoring into electronic health record systems like EPIC on patient safety outcomes, clinical workflow efficiency, and the quality of data-driven decision-making in critical care settings.
Integration of Continuous Ventilator Parameter Monitoring into EPIC: Enhancing Patient Care and Clinical Outcomes
Introduction
Methods
This study analyzed the implementation and outcomes of continuous ventilator monitoring within an EHR system. Insights were drawn from current practices and evidence-based literature to assess operational benefits, implications for clinical workflows, and potential improvements in patient outcomes. Real-time data accessibility and automation were examined for their role in reducing manual entry errors and facilitating timely interventions. (!) was added on essential ventilator parameters to inform healthcare providers on EHR.
Discussion
Continuous ventilator monitoring eliminated errors associated with manual data entry and ensured real-time access to critical parameters, including tidal volume, minute volume, and pressures. This automation enabled timely clinical interventions and reduced the administrative burden on healthcare professionals, allowing them to focus on direct patient care. Additionally, continuous data availability enhanced trend analysis, optimization of ventilator settings, and tailored patient management strategies. Integration also supported data aggregation for research, enabling the development of predictive models.
Conclusions
The integration of continuous ventilator monitoring into EPIC demonstrates transformative benefits in respiratory care. By improving patient safety, streamlining workflows, and fostering evidence-based decision-making, this technology highlights the potential of leveraging advanced monitoring systems to enhance healthcare delivery. Future studies should focus on evaluating long-term impacts on clinical performance, patient recovery, and hospital efficiency.
References
1McGreevey JD 3rd, Mallozzi CP, Perkins RM, Shelov E, Schreiber R. Reducing Alert Burden in Electronic Health Records: State of the Art Recommendations from Four Health Systems. Appl Clin Inform. 2020;11(1):1-12. doi:10.1055/s-0039-3402715
1Gary Louie Guzman, 1Lawrence Ace Azul, 1Eleanor Dela Pena, 1Gerald Aquino, 1Arbe Tisha Siosana, 1Wei Jun Dan Ong,
1 Respiratory Therapy, Ng Teng Fong General Hospital, Singapore
Figure 1 & 2: Image show well- integrated data ventilator monitoring in EPIC with real time, minute-by-minute data.