the computer assisted labor monitoring suite for obstetrics (calm)
DESCRIPTION
The Computer Assisted Labor Monitoring Suite for Obstetrics (CALM). 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 - PowerPoint PPT PresentationTRANSCRIPT
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The Computer Assisted Labor Monitoring Suite for Obstetrics (CALM)
Tracy Whitman
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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 Describe the technology-related competencies of
the professional nurse working with CALM Suite Describe the functions of the informatics nurse
working with CALM Suite
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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)
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CALM Suite Description CALM Suite provides for the consistent
and objective management of obstetrical units
CALM Suite includes:Central fetal surveillance and alertsMaternal – fetal chartingAggregated reportingArchivingRemote access
(LMS Medical)
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Hardware Monitors
1. Corometrics 116, Corometrics 118, Corometrics Series 120 models
2. Hewlett Packard Models HP50XM, HP501P
3. Toitu MT430
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Hardware description
Corometrics 120 Series Maternal Fetal Monitors
Records: Dual fetal heart rates Uterine activity Maternal vital signs Fetal pulse oximetry
(Wipro GE Healthcare, 2003)
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Software CALM Curve CALM Patterns CALM Shoulder Screen
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Software description
CALM Patterns: Provides impartial tracing analysis (of
fetal heart rate) while highlighting significant trends
(LMS Medical)
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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)
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Software description cont.
Key Benefits Brings 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)
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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 explanationYour 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 methodsCALM 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)
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Usability of the software cont.
Provide ease of interoperability HL7 interface Enable’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)
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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)
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Description of Information System cont.
The Calm suite comprises many modules.
1. CALM Curve (analysis of labor progression)2. CALM Patterns (helps to identify the fetus at
risk for brain injury from oxygen deprivation)3. CALM Shoulder Screen (estimates the risk for
shoulder dystocia)
(LMS Medical)
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Information System Review Summary CALM Clinical Information System Used 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)
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Advantages Optimizes patient safety Three tiered security Improves communication between
physicians and nurses Long-term data storage Fetal and maternal surveillance and alerts
(LMS Medical)
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Advantages cont. Central monitoring Improving outcomes and reducing errors
in obstetrics Uses evidence-based approach to
obstetrics
(LMS Medical)
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Disadvantages
Adapting to new software
Troubleshooting problems
Staff opposition to change
Financial
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Ethical Issues Neonatal brain injury Birth asphyxia
(Bracci, Perrone, & Buonocove, 2006)
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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)
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Informatics Competencies
Uses computerized patient monitoring systems Identifies the basic components of a computer
system Recognized that a computer program has
limitations Defines the impact of computerized information
management Applies monitoring system appropriately Performs basic troubleshooting
(McGonigle & Mastrian, 2009)
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Functions and Responsibilities
Demonstrates fluency in informatics and nursing technologies
Implements 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)
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Summary
Prevent birth related injuries by: Recognizing Anticipating Communicating Intervening
With regards to: Abnormal fetal heart rate tracings Prolonged labor Shoulder dystocia
(LMS Medical)
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ReferencesLMS Medical (2005). The CALM Suite for Obstetrics. Retrieved January 25, 2009, from
http://www.lmsmedical.com/4105/03_03_the_calm_suite_for_obstetrics.aspWipro GE Healthcare (2003). Monitoring Systems. Retrieved February 21, 2009, from
http://www.gehealthcare.com/inen/monitor/products/interpartum/coro120_info.htmlMcGonigle, 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/>