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 ethicallegal issues ID: 180958
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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/>