The optimally tailored system components ensure image reproduction that matches the natural state of the image, at the same time operates energy efficient, and is ergonomic and compact.

4K entails a resolution of at least 3840 x 2160 pixels and this represents a fourfold increase compared with the existing HD standard. In order to get this pixel power on the road, Richard Wolf with its long tradition of innovation has strategically bundled all of its in-house expertise: telescope, light, signal processing and the latest production technology melded into one system, providing a solution from a single source.

Optical Systems and Light Cables: Optimum Match Guaranteed

The new sharp begins with the completely new telescopes developed in-house for the rigid 10 millimetre and 5.5-millimetre endoscopes.  

This generates a homogeneous, illuminated image with sharp margins. Specially doped glass material is used for the lenses to minimise any optical errors.

The transmission of light plays an important role in implementing the new sharp. Light power keeps pace with the increase in resolution. The latest light cables combined with powerful LED light sources are precisely tailored to the requirements of the new camera system and therefore a perfect match for ENDOCAM Logic 4K.

Lower Power Consumption Reduces Development of Heat

The new compact is manifested in the ergonomically shaped camera head with reduced dimensions and weight. Richard Wolf uses a new generative method here in order to manufacture the metallic camera casing utilising a 3D printing process. The result is that the camera head is a comfortable fit in the user’s hand and it is also tangibly lighter. The stainless-steel material can be autoclaved and is ideal for chemical sterilisation procedures. It is therefore classified as sterile and may be used without the need for any additional covers.

Richard Wolf reaches a new level of efficiency as a result of the reduced power consumption in various areas. The LED technology demonstrates significant savings over the previous gas discharge lamps. At the same time, the company has succeeded in using more powerful and very efficient electronic components in the camera head. It consumes around 30 per cent less electricity and this is demonstrated in a significantly lower development of heat.

Precise Image of Reality with Visualisation of the Invisible

The advantages of the system from a single source are displayed throughout the whole image chain and by the handling of the 4K signal that convert to the new authentic. Cables, connectors and controller are consequently designed so that the significantly expanded data volume is free of loss. This increases the fail-safe performance and the faithful visualisation of the original image – very much the new authenticity.

At the same time, Richard Wolf has the experience and the ability to generate additional benefits from the surveyed data. Special visualisation processes improve tissue differentiation, illuminate critical areas of an image, and clearly visualise structures situated in bright but overexposed regions.

Be Flexible and Modular

The ENDOCAM Logic 4K camera controller is designed as a flexible platform that is also capable of handling all application parts of the whole ENDOCAM Logic HD family including HD camera heads, pendual camera heads as well as flexible sensor endoscopes.

Furthermore, all available telescopes can be used, which makes it easy to switch to the new standard and start your 4K journey step-by-step.

Anatomy textbooks and cadaver labs will be things of the past when the new Case Western Reserve University Health Education Campus opens at Cleveland Clinic in summer 2019. So will the practice of educating medical, dental and nursing students separately from each other.

The joint venture of Cleveland Clinic and Case Western Reserve University (CWRU) won’t be “state-of-the-art,” says James Young, MD, Chief Academic Officer at Cleveland Clinic. Rather, it will be “state-of-the-future.”

“People often ask, ‘[How] do we know what the future is?’” says Dr. Young. “My response is, ‘Well, if you create the future, you’re going to know what it is, so we’re creating.’”

The new $515 million campus will revolutionise how the world views healthcare education, he says.

Designed for Collaboration

The centrepiece of the Health Education Campus, located on Cleveland Clinic’s main campus in Cleveland, Ohio, will be the 485,000-square-foot Sheila and Eric Samson Pavilion.

Bright, airy and spacious, the facility will unite students, faculty and staff of four schools: CWRU School of Medicine, Cleveland Clinic Lerner College of Medicine, CWRU School of Dental Medicine and the Frances Payne Bolton School of Nursing at CWRU. All but the Lerner College of Medicine are currently housed on the campus of CWRU, minutes away from Cleveland Clinic.

“We’re trying to get the focus away from medical, nursing, dental — the traditional silos of healthcare — and focus on how we can interact in a better way with respect to professional education,” says Dr. Young.

While each school will have a corner of the building, with four stories of learning and administrative spaces, there will be plenty of room for interdisciplinary collaboration — a fundamental of today’s healthcare and a principle on which Cleveland Clinic was founded. In the middle of the building will be an indoor courtyard, a hub where students can associate between classes, study alongside each other and dine together. Joint courses and other activities will provide more opportunities for interaction.

By removing the walls between medical, nursing and dental schools, students can collaborate with other healthcare disciplines every day and grow to expect it in their professional practice.

Ready for the Next Innovation

Although the new campus will be ready for its first students next summer, it won’t be “finished” by then.

“One of the things we wanted to do with the building was to try to leave as much flexibility for the future of healthcare training as possible,” says Chris Connell, Chief Design Officer at Cleveland Clinic. “Nobody quite knows how healthcare will develop in the future. So, it’s very important that education, which is the core of it, is at least as flexible.”

The campus will have plenty of space for future technology, starting with cadaver-less anatomy labs. Students instead will use virtual and augmented reality tools, allowing them to investigate the human body more thoroughly. With high-tech headsets, laptops and joysticks, students will study organs, blood vessels and other structures from different angles and view bodies in motion — something they couldn’t do with cadavers or traditional textbooks. They also will “dissect” holographic images and interact with them in ways never before possible.

This type of education will be as innovative as the high-quality healthcare the world has come to expect from Cleveland Clinic.

“We do not have a model; we have created the model,” says Dr. Young.

The 2,200 students that will step onto Cleveland Clinic’s campus in 2019 will be the first in a new generation of physicians, dentists, nurses and physician assistants uniquely trained to deliver a new generation of healthcare.

For more information, visit my.clevelandclinic.org.

The combination of technology, diagnostics and application allows fully trained Flashwave users to active endogenous muscular satellite cells, which opens up completely new treatment options in:  

– Musculoskeletal indications

– Aesthetics

– Wound care

– Diabetes and

– Urology

Flashwave is fully CE & MDSAP certified, already clinically proven and used with great success in various countries.

Especially the Flashwave MMC indication group − Musculoskeletal Management & Correction − has quickly attracted high profile clinical users and clients, as therapy results are immediate and the learning curve for users is swift.

Here are some of the athletes who have been in contact with Flashwave:

– Richie Patterson (weight lifter, three-time Olympian, 3 x gold-medallist at the Commonwealth-Games, holder of multiple national records in New Zealand)

– Cameron McTaggert (junior weightlifter, holder of various national records in New Zealand for U21 athletes)

– Lydia Ko (former #1 LPGA Tour, 2 x major winner)

– Basketball players of Bayern München, Germany

– Junior Noboa, former Major League Baseball (MLB) player, hitting coach of Dominican Republic National team, current VP Latin America for the Arizona Diamondbacks.

After being turned away from four medical centres in other parts of the country due to his health, Trino met with Dr. Gabriel Loor, surgical director of the lung transplant programme at Baylor St. Luke’s and director of lung transplantation in the Michael E. DeBakey Department of Surgery at Baylor College of Medicine, and his transplant team where it was determined he would be a candidate for the EVLP transplant.

Shortly after, Trino and his family made the move from Miami to Houston where they would wait for the call for a viable pair of lungs.

The surgery was performed as part of the EXPAND II OCS trial, for which Baylor St. Luke’s is a study site, testing the outcomes of transplanted donor lungs that are transported, preserved, optimised, and monitored on a portable OCS device.

Led by Dr. Loor, the transplant was performed at Baylor St. Luke’s using the newest generation of EVLP platforms, Transmedics Organ Care System (OCS), a portable device that maintains the organ in its own physiologic state with warm blood perfusion, ventilation, and a sophisticated monitoring system to continually assess the organ in flight. In Trino’s case, the donated lungs were flown in to Houston from the Midwest and were kept “breathing” on the OCS Lung machine for a total of 11 hours. The device is the only portable EVLP system in the world and the only one that has undergone a positive U.S. Food and Drug Administration (FDA) panel review in the U.S. as well as two rigorous international clinical trials. The OCS Lung System was officially approved by the FDA on March 23.

The technology has the ability to keep the lung active, healthy, and breathing, which had the same affect on the patient. A short 36 hours following the surgery, Trino was in his room recovering; 10 days later, he was out of the hospital. Trino is even enjoying being able to sing again – something he hasn’t done in years.

With nearly 100,000 people on the waiting list for life-saving organ donations in the U.S., the new technology paves the way for future groundbreaking transplants across the country. Thanks to this revolutionary OCS technology, donor organs are more protected, and transplants are no longer restricted by time or distance. This improves the standard method of organ transplantation and provides the opportunity to widen the potential organ donor pool and help save more lives.

Trino and his family are thankful for the life-saving procedure performed by Dr. Loor and his dedicated team at Baylor St. Luke’s. He can now breathe, and sing, easier knowing he has a second chance at life.

The lung transplant programme at Baylor St. Luke’s in Houston’s renowned Texas Medical Center continually strives to meet the needs of patients through innovative breakthrough research and leading-edge technology and is committed to compassionate quality healthcare that improves and saves lives.

MORE INFO

Contact International Services via email international@stlukeshealth.org, call +1 832 355 3350 or visit StLukesInternational.org, Texas Medical Center, Houston, Texas, U.S.

Arab Health, the largest gathering of healthcare and trade professionals in the MENA region, is all set to take place between January 27 to 30, 2020, at the Dubai World Trade Centre and Conrad Dubai Hotel. The upcoming edition of the event will welcome more than 4,250 exhibiting companies and 106,900 professional visits from 159 countries. The Arab Health 2020 exhibition show floor will be split into sectors according to main product categories. This move has been made to increase the traffic within the halls with the relevant audience interested in the product category, increasing quality leads for business. Moreover, close proximity of related exhibitors in a hall will increase the number of visitor meetings that can take place in a time frame, versus walking through more than 64,000 square metres exhibition space. Below is an in-depth look at the different sectors:

Medical equipment and devices

According to a latest Global Medical Device Market Research report for 2018-2022, the global medical device market size is set to achieve an incremental growth of nearly US$120 billion, registering a compound annual growth rate (CAGR) of more than 5 per cent during the forecast period. A recent report by Dubai Exports further highlighted that the pharmaceuticals and medical equipment sectors are one of the six target sectors of the Dubai Industrial Strategy (DIS) 2030. Reportedly, the domestic market for the sector will alone be worth about AED 5 billion in 2021, while the MENA market will reach almost US$10 billion by 2021 growing at around 7 per cent per annum.

Disposables and consumer goods

A recent report highlighted that the medical disposables market is anticipated to reach over US$365.1 billion by 2026. In 2017, drug delivery dominated the worldwide medical disposable industry. Reportedly, Asia-Pacific has been one of the leading contributors to the global market revenue. The increasing number of technologically advanced products and continuous research and development also continue to drive market growth in this segment.

Imaging and diagnostics

The global medical digital imaging systems market size was valued at US$14.55 billion in 2017. It is likely to expand at a 7.7 per cent Compound Annual Growth Rate (CAGR) between 2019 to 2025. Plus, the global 3D medical imaging market was valued US$15.9 billion in 2017 and is expected to reach US$30.3 billion by 2026, at a CAGR of 8.39 per cent till 2026. Surging demand for effective early diagnostic methods and widening base of the ageing population have been instrumental in driving the market.

Preventive and post-diagnostic treatments

Patients are today increasingly aware that preventive measures allow them to have a better-quality and stress-free life. Along with affordability, easy availability of diagnostic devices capable of early detection of the asymptomatic diseases is expected to fuel growth in this sector. The global preventive healthcare technologies and services market size was valued at US$139.1 billion in 2015 and is projected to grow at a CAGR of over 12 per cent between 2018 to 2024. This growth can be attributed to the increasing prevalence of lifestyle-associated and other chronic diseases.

Healthcare and general services

Global healthcare expenditures are expected to continue to rise as spending is projected to increase at an annual rate of 5.4 per cent between 2017-2022, from US$7.724 trillion to US$10.059 trillion. The emergence of personalised medicine, increased use of technologies, entry of disruptive and non-traditional competitors, the demand for expanded care delivery sites, and revamped payment models are all impacting the financial performance of the healthcare ecosystem.

Healthcare infrastructure and assets

Reportedly, more than US$200 billion will be injected into the global healthcare infrastructure market over the next five years. In the GCC, in view of the anticipated rise in the number of patients, the region is expected to require 12,358 new hospital beds by 2022, according to an Alpen Capital report. This translates into an estimated annual average growth of 2.2 per cent from 2017 to reach a collective bed capacity of 118,295. The high incidence of chronic cases has led to an increase in demand for beds. Although general hospitals are not running at optimal capacity, the need for beds is rising particularly in areas of specialised care, long-term care and rehabilitation care, among others. The report added that the demand in the UAE is anticipated at more than 2,000 new beds in the coming years.

IT systems and solutions

The global healthcare IT solutions market will be worth US$228.79 billion by 2020, growing at a CAGR of 13.4 per cent, a recent report found. This growth is attributed to the rising adoption of healthcare IT solutions by healthcare providers to meet regulatory requirements for patient care and safety, increasing need to curtail costs, and growing need to improve healthcare quality while maintaining operational efficiency. The governments and private healthcare providers in the GCC are investing heavily in technology implementation and upgrades. Most of the governments are working on electronic medical records (EMR) to monitor and improve health outcomes.

Orthopaedics and physiotherapy/rehabilitation

High prevalence of orthopaedic conditions such as degenerative bone disease coupled with early onset of musculoskeletal conditions triggered by obesity and sedentary lifestyle are expected to advance the growth of the market. The rapidly growing lifestyle diseases in the GCC has prompted investments in specialised hospitals and clinics. Such centres are being built with a focus on orthopaedics, for example, and offer state-of-the-art technology, enhanced patient-centric care and high-quality standards. Technological advances in 3D printing, robot-assisted surgical procedures, and smart implants further represent high impact driving factors for the global rehabilitation industry.

At these dedicated halls, dealers and distributors, health managers and hospital administrators among others, from around the world, will be stopping by to see the latest products being exhibited and make key purchasing decisions on the spot.

From Prevention to Innovation

A new addition to the Arab Health roster, “From Prevention to Innovation” a two-day conference (Jan 27 and 28) is the first SEHA-Mayo collaborative meeting highlighting the relationship between the two institutions. Aligning with the bigger trends in the UAE, this conference will look at covering the prevention of disease to the most recent innovation in the care of the complex patient, with the added value of artificial intelligence and connected care. The conference will include prominent speakers from SEHA who will open up each session and will be followed by specialised talks from Mayo Clinic experts.

Healthcare Investment Forum

The Investment Conference, taking place from 29-30 January, will be held for the first time at Arab Health and will be the place for influential players who are driving a change in healthcare, and investors who are fuelling that change. This forum is the arena to stimulate more investment, more change and learning in the healthcare system in the UAE and the region. With a venue designed for intimate talks, the forum will be the driving force towards understanding healthcare investment in all facets, including investing in health tech, real estate, understanding the current landscape and what the future holds.

Healthcare Infrastructure Forum

The free-to-attend Healthcare Infrastructure Forum is another new introduction to Arab Health, offering updates from key industry leaders in the fields of infrastructure, spanning the lifecycle of a healthcare facility; from vision through to the design and build, management and operation.

Focus on sustainability

Arab Health has a number of opportunities to improve impact environmentally, socially and economically in the region. This year the event is becoming more responsible and playing a role in helping the market improve its own sustainability through connecting people with the networks and knowledge to help solve the big challenges in the healthcare sector

Arab Health, the largest gathering of healthcare and trade professionals in the MENA region, is all set to take place between January 27 to 30, 2020, at the Dubai World Trade Centre and Conrad Dubai Hotel. The upcoming edition of the event will welcome more than 4,250 exhibiting companies and 106,900 professional visits from 159 countries. The Arab Health 2020 exhibition show floor will be split into sectors according to main product categories. This move has been made to increase the traffic within the halls with the relevant audience interested in the product category, increasing quality leads for business. Moreover, close proximity of related exhibitors in a hall will increase the number of visitor meetings that can take place in a time frame, versus walking through more than 64,000 square metres exhibition space. Below is an in-depth look at the different sectors:

Medical equipment and devices

According to a latest Global Medical Device Market Research report for 2018-2022, the global medical device market size is set to achieve an incremental growth of nearly US$120 billion, registering a compound annual growth rate (CAGR) of more than 5 per cent during the forecast period. A recent report by Dubai Exports further highlighted that the pharmaceuticals and medical equipment sectors are one of the six target sectors of the Dubai Industrial Strategy (DIS) 2030. Reportedly, the domestic market for the sector will alone be worth about AED 5 billion in 2021, while the MENA market will reach almost US$10 billion by 2021 growing at around 7 per cent per annum.

Disposables and consumer goods

A recent report highlighted that the medical disposables market is anticipated to reach over US$365.1 billion by 2026. In 2017, drug delivery dominated the worldwide medical disposable industry. Reportedly, Asia-Pacific has been one of the leading contributors to the global market revenue. The increasing number of technologically advanced products and continuous research and development also continue to drive market growth in this segment.

Imaging and diagnostics

The global medical digital imaging systems market size was valued at US$14.55 billion in 2017. It is likely to expand at a 7.7 per cent Compound Annual Growth Rate (CAGR) between 2019 to 2025. Plus, the global 3D medical imaging market was valued US$15.9 billion in 2017 and is expected to reach US$30.3 billion by 2026, at a CAGR of 8.39 per cent till 2026. Surging demand for effective early diagnostic methods and widening base of the ageing population have been instrumental in driving the market.

Preventive and post-diagnostic treatments

Patients are today increasingly aware that preventive measures allow them to have a better-quality and stress-free life. Along with affordability, easy availability of diagnostic devices capable of early detection of the asymptomatic diseases is expected to fuel growth in this sector. The global preventive healthcare technologies and services market size was valued at US$139.1 billion in 2015 and is projected to grow at a CAGR of over 12 per cent between 2018 to 2024. This growth can be attributed to the increasing prevalence of lifestyle-associated and other chronic diseases.

Healthcare and general services

Global healthcare expenditures are expected to continue to rise as spending is projected to increase at an annual rate of 5.4 per cent between 2017-2022, from US$7.724 trillion to US$10.059 trillion. The emergence of personalised medicine, increased use of technologies, entry of disruptive and non-traditional competitors, the demand for expanded care delivery sites, and revamped payment models are all impacting the financial performance of the healthcare ecosystem.

Healthcare infrastructure and assets

Reportedly, more than US$200 billion will be injected into the global healthcare infrastructure market over the next five years. In the GCC, in view of the anticipated rise in the number of patients, the region is expected to require 12,358 new hospital beds by 2022, according to an Alpen Capital report. This translates into an estimated annual average growth of 2.2 per cent from 2017 to reach a collective bed capacity of 118,295. The high incidence of chronic cases has led to an increase in demand for beds. Although general hospitals are not running at optimal capacity, the need for beds is rising particularly in areas of specialised care, long-term care and rehabilitation care, among others. The report added that the demand in the UAE is anticipated at more than 2,000 new beds in the coming years.

IT systems and solutions

The global healthcare IT solutions market will be worth US$228.79 billion by 2020, growing at a CAGR of 13.4 per cent, a recent report found. This growth is attributed to the rising adoption of healthcare IT solutions by healthcare providers to meet regulatory requirements for patient care and safety, increasing need to curtail costs, and growing need to improve healthcare quality while maintaining operational efficiency. The governments and private healthcare providers in the GCC are investing heavily in technology implementation and upgrades. Most of the governments are working on electronic medical records (EMR) to monitor and improve health outcomes.

Orthopaedics and physiotherapy/rehabilitation

High prevalence of orthopaedic conditions such as degenerative bone disease coupled with early onset of musculoskeletal conditions triggered by obesity and sedentary lifestyle are expected to advance the growth of the market. The rapidly growing lifestyle diseases in the GCC has prompted investments in specialised hospitals and clinics. Such centres are being built with a focus on orthopaedics, for example, and offer state-of-the-art technology, enhanced patient-centric care and high-quality standards. Technological advances in 3D printing, robot-assisted surgical procedures, and smart implants further represent high impact driving factors for the global rehabilitation industry.

At these dedicated halls, dealers and distributors, health managers and hospital administrators among others, from around the world, will be stopping by to see the latest products being exhibited and make key purchasing decisions on the spot.

From Prevention to Innovation

A new addition to the Arab Health roster, “From Prevention to Innovation” a two-day conference (Jan 27 and 28) is the first SEHA-Mayo collaborative meeting highlighting the relationship between the two institutions. Aligning with the bigger trends in the UAE, this conference will look at covering the prevention of disease to the most recent innovation in the care of the complex patient, with the added value of artificial intelligence and connected care. The conference will include prominent speakers from SEHA who will open up each session and will be followed by specialised talks from Mayo Clinic experts.

Healthcare Investment Forum

The Investment Conference, taking place from 29-30 January, will be held for the first time at Arab Health and will be the place for influential players who are driving a change in healthcare, and investors who are fuelling that change. This forum is the arena to stimulate more investment, more change and learning in the healthcare system in the UAE and the region. With a venue designed for intimate talks, the forum will be the driving force towards understanding healthcare investment in all facets, including investing in health tech, real estate, understanding the current landscape and what the future holds.

Healthcare Infrastructure Forum

The free-to-attend Healthcare Infrastructure Forum is another new introduction to Arab Health, offering updates from key industry leaders in the fields of infrastructure, spanning the lifecycle of a healthcare facility; from vision through to the design and build, management and operation.

Focus on sustainability

Arab Health has a number of opportunities to improve impact environmentally, socially and economically in the region. This year the event is becoming more responsible and playing a role in helping the market improve its own sustainability through connecting people with the networks and knowledge to help solve the big challenges in the healthcare sector

Mayo Clinic has a long-standing tradition of sharing medical knowledge and expertise beyond its walls to benefit healthcare providers and their patients. Recognising that most patients prefer to get their healthcare close to home, Mayo took this collaborative spirit a step further with the creation of the Mayo Clinic Care Network in 2011.

The Mayo Clinic Care Network is a multinational network of like-minded, independent healthcare organisations that share a common commitment to improving the delivery of care in their communities through high-quality, data-driven, evidence-based medical care.

Today, the care network has grown to include more than 40 health care organisations across the U.S. and in the UAE, Saudi Arabia, China, Korea, Mexico and Singapore.

The Mayo Clinic Care Network delivers a full spectrum of medical knowledge and subspecialty expertise to communities worldwide. Through formal collaboration and knowledge-sharing tools, Mayo Clinic is forging close connections with medical providers, complementing local expertise, enhancing the delivery of care and providing additional peace of mind to providers and patients.

Members of the network can access Mayo-vetted medical information at the point of care, and easily consult with Mayo specialists on second opinions, in many cases, sparing patients the expense and inconvenience of additional appointments and unnecessary travel. If specialty care is needed, patients can be seen by local providers or referred to Mayo Clinic.

Network members also have access to Mayo Clinic education, experience and subject-matter expertise through an array of services ranging from in-person and virtual conferences to electronic consults and direct phone calls. Every interaction aimed at helping organisations and medical professionals stay current with the latest research and ever-evolving science of healthcare delivery.

For more than a century, patient experiences have helped build Mayo Clinic’s brand — making it the most trusted name in healthcare. And because network members enjoy a clinically meaningful relationship focused on optimising the delivery of healthcare, they have access to a brand that helps differentiate them in the marketplace and define a unique patient service.

Mayo Clinic’s approach to healthcare is rooted in the idea that the best care is achieved when experts from a variety of medical specialties work together to focus on the patient. Membership in the Mayo Clinic Care Network extends that experience. Through technology and collaboration, Mayo Clinic delivers a full spectrum of medical expertise to communities around the world.

The Mayo Clinic Care Network is a global network of organisations that share a commitment to improving the delivery of care in their communities. To learn more, visit https://www.mayoclinic.org/about-mayo-clinic/care-network.

Recently published study by researchers at Dartmouth-Hitchcock Medical Center investigated the impact of an integrated clinical monitoring system, using various Masimo technologies and devices, on clinical workflow and patient care in the general ward. The researchers sought to “demonstrate the application of systems-level design and analysis to measure the impact of clinical monitoring on key workflow and system characteristics that contribute to early detection of patient deterioration.”1

To evaluate workflow impact through use of the enhanced monitoring system, Dr. McGrath and colleagues collected data in a study unit consisting of two general wards with 71 beds total for five months prior to and five months after implementation. They also collected the same data for the full 10 months in a control unit consisting of two general wards with 61 beds total, which did not have any system changes. 

In both the study and control units, prior to implementation, the baseline monitoring system consisted primarily of Masimo Rad-87® Pulse CO-Oximeters®, for continuous and spot-check (vital signs) measurements using Masimo SET® pulse oximetry, and Masimo Patient SafetyNet™, a supplemental remote monitoring and clinician notification system, used for data processing and archiving. 

The enhanced monitoring system, implemented in the study unit, added Masimo Root® with Radius-7® wearable Pulse CO-Oximeters. Root is a patient monitoring and connectivity platform that includes features such as built-in blood pressure and temperature measurements, a barcode reader and integration with the hospital’s admission-discharge-transfer (ADT) system, and integration with Patient SafetyNet and the hospital’s electronic medical record (EMR) system for automated capture of patient monitoring and vital signs data, including from connected third-party devices. Radius-7 is a tetherless, wearable monitor that allows patients to be mobile while still being continuously monitored, with data sent wirelessly via Bluetooth® or WiFi to Root, eliminating the need for nurses to manually place bedside monitors in standby mode and disconnect sensors each time a patient leaves the bed.

Key points of comparison and results included:
Monitoring system utilization: The researchers noted a significant increase in the number of hours patients were continuously monitored after implementation. Monitored hours per patient day increased from mean 17.26 hours to 19.57 hours (p < 0.0001) and monitored hours per month from mean 15,931.25 hours to 19,053.3 hours (p < 0.0001). 

Vital signs documentation: With the implementation of Root and its ability to automatically upload patient data, including pulse oximetry and blood pressure and temperature measurements, to Patient SafetyNet and the EMR, researchers noted a significant decrease in the time required to obtain and record vital signs: mean assessment time dropped from 178.8 seconds to 128.9 seconds (p < 0.0001), representing an average time savings of 3 hours per day in a 36-bed unit. 

Patient information: The researchers measured the rate at which certain patient data fields were filled out in the EMR for one month before and after implementation. Patient last name presence increased from 98.92 percent to 100 percent presence (p = 0.0083). Patient first name and room and bed presence increased from 33.75 percent and 57.27 percent, respectively, to 100 percent (p < 0.0001). 

Clinical staff satisfaction: Three months after implementation, hospital staff feedback was solicited in a 16-question survey which had a 65 percent response rate and overall “very high” satisfaction with the enhanced monitoring system. 

Alarms: The researchers found that there was a significant increase in the number of clinical alarms per patient day (rate ratio 1.46, p = 0.0263) but not per monitored hour (rate ratio 1.34, p = 0.1090), which they believe is “logical when considering [the] additional time each patient [was] monitored.”

The researchers concluded, “The enhanced monitoring system received high staff satisfaction ratings and significantly improved key clinical elements related to early recognition of changes in patient state, including reducing average vital signs data collection time by 28 percent, increasing patient monitoring time (rate ratio 1.22), and availability and accuracy of patient information. Impact on clinical alarms was mixed, with no significant increase in clinical alarms per monitored hour.”

In previous studies conducted at Dartmouth-Hitchcock, researchers found that continuous monitoring of adult post-surgical patients using Masimo SET®, in conjunction with Masimo Patient SafetyNet, resulted in a 65 percent reduction in rapid response team activations and a 48 percent reduction in transfers back to the ICU.2 Over five years, they achieved their goal of zero preventable deaths or brain damage due to opioids,3 and over 10 years, they maintained a 50 percent reduction in unplanned transfers and a 60 percent reduction in rescue events, despite increase in patient acuity and occupancy.4

Joe Kiani, Founder, and CEO of Masimo, said, “We are incredibly grateful to Dartmouth-Hitchcock for their continued long-term research into the utility of continuous patient monitoring on the general floor and the benefits that holistic, integrated monitoring systems can provide. Continuous monitoring of all patients on opioids is clearly the path forward, with the potential to make significant improvements in patient safety and quality of care. We look forward to continuing to learn from Dartmouth-Hitchcock’s data and to improve our technologies and integrated solutions.”

The use of the trademark Patient SafetyNet is under license from University HealthSystem Consortium.

References
1. McGrath S, Perreard I, Garland M, Converse K, and Mackenzie T. Improving patient safety and clinician workflow in the general care setting with enhanced surveillance monitoring. J Biomed Health Infor. DOI 10.1109/JBHI.2018.2834863.
2. Taenzer A et al. Impact of Pulse Oximetry Surveillance on Rescue Events and Intensive Care Unit Transfers: A Before-And-After Concurrence Study. Anesthesiology. 2010; 112(2):282-287.
3. Taenzer A et al. Postoperative Monitoring – The Dartmouth Experience. Anesthesia Patient Safety Foundation Newsletter. Spring-Summer 2012.
4. McGrath S et al. Surveillance Monitoring Management for General Care Units: Strategy, Design, and Implementation. The Joint Commission Journal on Quality and Patient Safety. 2016 Jul;42(7):293-302.

Mayo Clinic has always ranked at or near the top of the annual “Best Hospitals Honor Roll.” Mayo Clinic in Arizona, Florida and Minnesota, was also ranked No. 1 within those states. 

Mayo Clinic is part of a select group of hospitals recognised on the “Best Hospitals Honor Roll” for “breadth of excellence,” according to U.S. News & World Report. The honor roll consists of 20 hospitals with the highest combined overall scores in 16 medical and surgical specialties.

Mayo Clinic ranks first, second or third in 11 specialties, including No. 1 rankings in six specialties:
– Diabetes and Endocrinology
– Gastroenterology and Gastrointestinal Surgery
– Geriatrics
– Gynaecology
– Nephrology
– Neurology and Neurosurgery

Mayo Clinic ranked No. 2 in four specialties — Cardiology and Heart Surgery, Orthopaedics, Pulmonology and Urology (two-way tie). It ranked No. 3 in Cancer.
Specialties are measured for various factors, including mortality index, patient safety, nurse staffing and Magnet status (the gold standard in nursing), patient services, technology and reputation. 

Mayo Clinic staff work to deliver the highest standards of care and transform scientific discoveries into clinical advances that help people everywhere.

“We are humbled and honoured by our ranking with U.S. News & World Report,” said Gianrico Farrugia, M.D., president and CEO, Mayo Clinic. “We have continuously refined our system of care for more than 150 years. We are always working to deliver accurate answers as quickly as possible and ensure the best outcomes for our patients.” 

Mayo Clinic’s commitment to quality dates back more than 150 years to when the Mayo brothers invented the team-based approach to medicine – an approach that continuously evolves and improves. Its physicians are salaried to eliminate any financial pressure from patient care decisions. Mayo Clinic’s experts work across specialties to provide comprehensive and coordinated care for patients.

“Our top ranking is only possible because of our talented staff,” Dr. Farrugia said. “Mayo Clinic’s emphasis on collaboration and teamwork allows us to bring the full spectrum of our knowledge and expertise together to focus on the individual needs of each patient.”
Mayo Clinic is a global destination for patients with serious and complex conditions. More than 1.3 million people from about 140 countries turn to Mayo Clinic for diagnosis and treatment each year. 

“Our primary value is that the needs of the patient come first. We take that value and we embed it in everything we do,” Dr. Farrugia said.

Many outside agencies rate quality in healthcare. Mayo Clinic is the only healthcare organisation that consistently ranks among the top providers nationwide regardless of the quality measure used. 

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For more information or to make an appointment, visit mayoclinic.org or mayoclinic.org/arabic.

Quick, easy and reliable to insert, i-gel accurately positions itself over the laryngeal framework to provide a reliable perilaryngeal seal without the need for an inflatable cuff. It also incorporates a gastric channel for improved safety, an integral bite block to reduce the possibility of airway occlusion and a buccal cavity stabiliser to aid rapid insertion and eliminate the potential for rotation. It is ideal for use in anaesthesia, and in adults for resuscitation and as a conduit for intubation with fibreoptic guidance.

i-gel is currently available in seven sizes and is supplied sterile in an innovative, colour-coded protective cradle or cage pack.

The dedicated i-gel website has detailed information on the device, along with instructional videos. You can also find the newly updated i-gel bibliography, which features all known clinical evidence on the i-gel: www.i-gel.com  

View the i-gel and the full respiratory care range on Intersurgical’s stand (UK Pavillion, Hall 7) at Arab Health from January 28 to 31, 2019.

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Tel: (0)118 9656 300, Fax: (0)118 9656 356, Email: info@intersurgical.com, Website: www.intersurgical.com
Location: Intersurgical, Crane House, Molly Millars Lane, Wokingham, Berkshire RG41 2RZ, England