The Science Journal of the American Association for Respiratory Care

2001 OPEN FORUM Abstracts

PatientSafety and Staff Satisfaction Following Conversion to Masimo SET Pulse Oximetry? Experience in the Neonatal ICU

Tom Noblet, RRT, Neonatal IntensiveCare Unit, St. Vincent Hospital, Indianapolis, Indiana 46240-0970

Introduction ? Patientsafety has always been a concern. Recent reports highlight the importance ofhuman and system error on patient safety [1]. In addition, to the stress placedon staff and the resultant latent errors, monitor function causes other problemsin the Neonatal ICU (NICU) with noise from alarms as well as increased handlingof the infants to obtain reliable monitoring signals [2,3]. It has been demonstratedthat even minor changes in noise and activity in the NICU can affect infant?sphysiology and well being [3]. We evaluated the impact of a new oximetry technologyon staff perception of patient safety and stress levels.

Methods ? Weconverted all oximetry technology in our 39 bed level III NICU to Masimo SEToximetry. Following this a survey was developed to assess factors related topatient safety and staff satisfaction and was administered to RNs, RRTs andMDs in our NICU, 23 clinicians responded. Questions were designed for cliniciansto respond to each with either disagree or not disagree with the statement.The following questions were asked: (1) The noise level in the Nursing unitis reduced now compared to before conversion to Masimo oximetry, (2) Changingto Masimo oximetry has resulted in less handling of infants to ?fix or adjust?sensors in order to obtain reliable saturation values, (3) I have a greatersense of patient safety since changing to Masimo oximetry, (4) The combinationof decreased false alarms and increased confidence in oximetry values has resultedin less distractions while caring for other infants, (5) I have a greater senseof monitoring reliability since changing to Masimo oximetry, (6) The combinationof decreased false alarms and increased confidence in oximetry values has resultedin a reduction in staff stress levels, (7) Since changing to Masimo oximetrythere has been less parental anxiety concerning the frequency of false alarmsand the reliability of the monitor, (8) If I were to transfer to another nursingunit, I would encourage that unit to use Masimo oximetry. Chi-square analysiswas used to test the distribution of results, p < 0.05 was considered significant.

Results ? Theresults of this survey are tabulated below. These results were significantlydifferent from a random distribution, p < 0.001.

Question number12345678
% not disagreeing70% 96% 91% 83% 83% 74% 78% 83%
% disagreeing30% 4% 9% 17% 17% 26% 22% 17%

 

Conclusions ?After having used Masimo SET pulse oximetry in our NICU, our staff perceivegreater patient safety and staff satisfaction from this new technology. A significantlygreater number of staff members agreed that Masimo oximetry technology offersimproved patient safety by agreeing with questions 2 ? 5, which were directedat improved patient safety. A significantly greater number of staff membersagreed that they would recommend Masimo oximetry if they were transferred toanother unit.

1. Kohn LT, CorriganJM, Donaldson MS, Editors. Institute of Medicine, National Academy Press, 1999.

2. Ahlborn V, BohnhorstB, Peter CS, Poets CF. Acta Paediatr 89:571-576, 2000.

3. Slevin M, FarringtonN, Duffy G, Daly L, Murphy JFA.

Acta Paediatr 89:577-581,2000.

OF-01-224

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