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The Computer Assisted Labor Monitoring Suite for Obstetrics

Tracy Whitman. Objectives. Describe CALM Suite. Describe Hardware. List, Describe, and Evaluate software. Describe and review the information system. Describe advantages and disadvantages. Examine related ethical/legal issues.

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The Computer Assisted Labor Monitoring Suite for Obstetrics






Presentation on theme: "The Computer Assisted Labor Monitoring Suite for Obstetrics"— Presentation transcript:

Slide1

The Computer Assisted Labor Monitoring Suite for Obstetrics (CALM)

Tracy WhitmanSlide2

Objectives

Describe CALM SuiteDescribe HardwareList, Describe, and Evaluate software

Describe and review the information system

Describe advantages and disadvantages

Examine related ethical/legal issues

Describe the technology-related competencies of the professional nurse working with CALM Suite

Describe the functions of the informatics nurse working with CALM SuiteSlide3

CALM Suite Description

CALM Suite is a base fetal monitor surveillance and archival system that:Allows nurses to view patients from different locations

Electronically documents patient data and capture vital signs

Contains embedded clinical decision support tools that identify and label fetal monitor patterns

(LMS Medical, 2005)Slide4

CALM Suite Description

CALM Suite provides for the consistent and objective management of obstetrical unitsCALM Suite includes:Central fetal surveillance and alerts

Maternal – fetal charting

Aggregated reporting

Archiving

Remote access

(LMS Medical)Slide5

Hardware

MonitorsCorometrics 116, Corometrics 118, Corometrics Series 120 models

Hewlett Packard Models HP50XM, HP501P

Toitu MT430Slide6

Hardware description

Corometrics 120 Series Maternal Fetal MonitorsRecords:Dual fetal heart rates

Uterine activity

Maternal vital signs

Fetal pulse oximetry

(Wipro GE Healthcare, 2003)Slide7

Software

CALM CurveCALM PatternsCALM Shoulder ScreenSlide8

Software description

CALM Patterns:Provides impartial tracing analysis (of fetal heart rate) while highlighting significant trends

(LMS Medical)Slide9

Software description cont.

Key Features:CALM Patterns Tracing:

Labels and measures standard fetal heart rate

Accelerations

Decelerations

Late, Early, Variable typical, Variable atypical

Patterns are marked with:

Color, letters, icons

Beginning and ending date

Time range

CALM Patterns Contractility:

Detection of uterine contractions from the monitor

(LMS Medical)Slide10

Software description cont.

Key BenefitsBrings American College of Obstetricians and Gynecologists (ACOG) definitions to the bedside

Numeric values for easy review

Improves communication

Constant educational reinforcement

Automatic data input

2 hours of tracings for trend identification

(LMS Medical)Slide11

Usability of the software

“Train the Trainer” approach:Trained super users, administrators and basic users

First line of clinical support nearby

Complete user guide

Access to “how to” section for in-depth explanation

Your Current IT investment:

Works with monitors, PC’s, servers, networks and software already in place.

Ensure Team Acceptance and Usage of the System:

Easy to use interface

Configured based on OB teams preferences and work methods

CALM ensures usability by:

Being highly accessible

Users can see patient data from the bedside, workstation, lounge or remotely

I hope this is easy to use!!

(LMS Medical)Slide12

Usability of the software cont.

Provide ease of interoperabilityHL7 interfaceEnable’s data sharing between other obstetrical information systems

Fulfill the departments current needs while considering the future

Ensure system performance and ease of installation

(LMS Medical)Slide13

Description of Information System

LMS Medical Systems is a healthcare technology company specializing in computer software for obstetrical management.

The CALM Clinical Information System (CIS) houses intelligent tools in specialized software.

CALM CIS Includes:

Central fetal surveillance and alerts

Maternal-fetal charting

Aggregate reporting

Archiving

Remote access

(LMS Medical)Slide14

Description of Information System cont.

The Calm suite comprises many modules.

CALM Curve (analysis of labor progression)

CALM Patterns (helps to identify the fetus at risk for brain injury from oxygen deprivation)

CALM Shoulder Screen (estimates the risk for shoulder dystocia)

(LMS Medical)Slide15

Information System Review Summary

CALM Clinical Information SystemUsed by doctors and nurses

Functions

Electronic medical record keeping

Surveillance

Alerts and archiving

Display of fetal monitoring records

Web accessibility

Decision support modules

Accessibility

At the bedside

Central monitoring

Workstations

Remotely from home or the physicians office

Health Level 7 (HL7)

(LMS Medical)Slide16

Advantages

Optimizes patient safetyThree tiered securityImproves communication between physicians and nursesLong-term data storage

Fetal and maternal surveillance and alerts

(LMS Medical)Slide17

Advantages cont.

Central monitoringImproving outcomes and reducing errors in obstetricsUses evidence-based approach to obstetrics

(LMS Medical)Slide18

Disadvantages

Adapting to new software

Troubleshooting problems

Staff opposition to change

FinancialSlide19

Ethical Issues

Neonatal brain injuryBirth asphyxia

(Bracci, Perrone, & Buonocove, 2006)Slide20

Legal Issues

50% of all malpractice cases with damages over 1 million dollars are in obstetrics.Most involve birth-related brain injury

Medical errors play a role in 30-50% of cases.

Teams are held accountable even if antepartum conditions contributed to the injury.

(LMS Medical)Slide21

Informatics Competencies

Uses computerized patient monitoring systemsIdentifies the basic components of a computer systemRecognized that a computer program has limitations

Defines the impact of computerized information management

Applies monitoring system appropriately

Performs basic troubleshooting

(McGonigle & Mastrian, 2009)Slide22

Functions and Responsibilities

Demonstrates fluency in informatics and nursing technologiesImplements and evaluates application/system training programs for users

Determines projected impacts to users and organizations

Applies human factors and ergonomics to the design of the hardware and software

(McGonigle & Mastrian)Slide23

Summary

Prevent birth related injuries by:Recognizing

Anticipating

Communicating

Intervening

With regards to:

Abnormal fetal heart rate tracings

Prolonged labor

Shoulder dystocia

(LMS Medical)Slide24

References

LMS Medical (2005). The CALM Suite for Obstetrics. Retrieved January 25, 2009, from http://www.lmsmedical.com/4105/03_03_the_calm_suite_for_obstetrics.asp

Wipro GE Healthcare (2003).

Monitoring Systems

. Retrieved February 21, 2009, from

http://www.gehealthcare.com/inen/monitor/products/interpartum/coro120_info.html

McGonigle, D., & Mastrian, K. (2009).

Nursing Informatics and the Foundation of Knowledge

. Sudbury, MA: Jones and Bartlett Publishers.

Rodolfo Bracci, Serafina Perrone, Giuseppe Buonocore. "The Timing of Neonatal Brain Damage. " 

Biology of the Neonate

  90.3 (2006): 145-55. 

Health Module

. ProQuest.  University Park,  PA. 23 Feb. 2009 <http://www.proquest.com/>