Digital evolution in progress

The H@H SMARTMEWS integrated system represents the medical evolution with regards to remote monitoring of vital signs and the collection of clinical data, diffusion and information for physicians, researchers and patients and offers direct care via the telemedicine device.

The device incorporates one multi parameter monitor (ECG, SaPO2 , Respiratory Rate - RR, two Temperature channels – T°, one channel for Non Invasive Blood Pressure measurement – NIBP), a complete computerized clinical chart that is able to be compiled and edited, as well as some automatic scores (Modified Early Warning Score – MEWS, Sepsis/Severe Sepsis screening tool, PESI, Glasgow Coma Scale – GCS, Glasgow Outcome Scale – GOS, Coma Recovery Scale- Revised – CRS-R, Sequential Organ Failure Assessment score – SOFA Score etc.). The H@H SMARTMEWS PLUS version also includes an oxygen concentrator that delivers up to 5 l/min (Oxygen Therapy), a mucus vacuum (Vacuum-therapy) and a ventilator. Finally there is a channel for video communication in high definition.

All the devices are connected via an intranet and centralised in the H@H SMARTMEWS Central Station in Intensive Care. The data obtained by monitoring the vital signs, processed with the information in the Computerised Medical Chart through a process called “Track and Trigger”, are automatically processed by the onboard computer that then automatically sends alerts depending on the status of the various scores. Each of the H.R., R.R., SaPO2, T°, NIBP values and assigned a MEWS based score that is then totalled; if below 5 standard assistance protocol for the ward are applied, if = > 6 the Service Centre in Intensive Care is alerted and it activates (Trigger) the RRT (Rapid Response Team), made up of a anaesthetist and Intensive Care nurse, who immediately attend to the critical patient.

This system creates extremely positive feedback in terms of mortality and morbidity as described in the literature, as we have seen, serious adverse events are pronounced at least 8 hours before they are determined by significant changes in vital signs.