AlertWatchTM’s choice help software has been used as a technical aid to provide an alert to blood strain measurement gaps. Although used routinely, the potential effectiveness of this alert to scale back blood strain gaps has not yet been studied. APSF coverage is to not print names of some medical software program gadgets as a result of it might be construed as endorsing that product. I learn with curiosity the letter in the Rapid Response column (APSF Newsletter June 2019) concerning questions on gaps in blood stress monitoring from Dr. Sheron McLean, a college member in our department.1 I'm aware of the difficulty of wireless blood oxygen check strain monitoring gaps, since our multi-institutional research assessing the ability to scale back the incidence of those gaps by utilizing both visible alerts, audible and visual alerts, or no alerts.2 The study showed that audible alerts did reduce monitoring gaps however the visible alerts alone didn't.2 Subsequently, we found that blood pressure monitoring gaps are a potential affected person safety situation since they have been related to an elevated incidence of hypotension.Three Based upon this analysis, wireless blood oxygen check we developed, and have been utilizing, a call support system with visible and audible alerts that may be programmed for personalized alerts.

This system (AlertWatch™ Ann Arbor, MI), was commercialized and cleared by the Food and Drug Administration (FDA) as a medical software program machine. The name of our company was not indicated in Dr. McLean’s letter apparently because it was removed in the course of the modifying process "to keep away from any look of endorsement by APSF."4 The response from General Electric (GE) published extensive text and a number of screenshots describing how they are trying to strategy this problem. This article could be seen as an endorsement for the GE CARESCAPE B-850 monitor. Within the spirit of informing anesthesia professionals about strategies for wireless blood oxygen check enhancing affected person security, I am shocked the Anesthesia Patient Safety Foundation would not reference a system meant to enhance safety, especially in the context of a whole situation on alarm fatigue and patient security. APSF should publish the editorial coverage on content material referencing a industrial product to facilitate communication to the anesthesia neighborhood yet avoid the possible notion of "endorsing" a particular product, sponsor, or APSF donor.

Kevin Tremper is the Robert B. Sweet Professor and chair of the Department of Anesthesiology, University of Michigan. He can be the founder and fairness holder in AlertWatch. 1. McLean S. Dear Rapid Response: Monitoring gaps. 2. Ehrenfeld JM, Epstein RH, Bader S, et al. Automatic notifications mediated by anesthesia data administration programs scale back the frequency of prolonged gaps in blood stress documentation. 3. Kruger GH, Shanks A, Kheterpal S, et al. Influence on non-invasive blood strain measurement intervals on the incidence of intraoperative hypotension. J Clin Monit Comput. We want to thanks to your interest within the APSF and perceive the concern you may have raised in your recent letter. The letter from Dr. McLean was submitted to our Rapid Response (formerly Dear SIRS) column. The historical past of that column is to obtain comments, often disparaging, about technology used in affected person care, and publish these comments with the opportunity for a corporate response from the vendor.

The goal of the column is to provide a forum to carry affected person security considerations about expertise to light while allowing the design work by the corporate to be clarified, and likewise to highlight any consumer points which will have contributed to an issue. Not infrequently, the identified safety concern influences the product design course of by the businesses and ends in product enchancment and/or BloodVitals tracker helps to educate professionals about the correct use of the gadget. Through the years, this column has been very impactful in part because we now have labored laborious to handle the corporate sensitivities. Within the editorial process, we're cognizant of the potential impact if the APSF Newsletter is used as a platform to advertise or disparage any particular vendor or know-how. In this particular case, we centered on the idea of blood stress measurement as a possible affected person safety concern and thanks to Dr. McLean, wireless blood oxygen check the concept is explored nicely within the APSF Newsletter. Not solely was her letter crucial of the GE design, but given the fact that AlertWatch™ originated in your division, BloodVitals SPO2 device we had been involved that by mentioning the product by name, her letter could be seen as an endorsement that might be referenced and used to advertise the product. Undoubtedly, wireless blood oxygen check you may recognize the editorial challenges to managing the content in a style that informs the readers and supplies a discussion board for firms to highlight the design course of yet is impartial with regard to any corporate interests. Ideally, we might publish an editorial coverage that clearly indicates the threshold for mentioning a selected firm, but finally, the editorial course of becomes a matter of judgement. Suffice it to say that the editorial coverage is driven to provide a forum for bringing patient safety issues to light without particularly endorsing a specific product or vendor.

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Pub: 29 Aug 2025 17:20 UTC

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