Implementation of remote video auditing with feedback and compliance for manual-cleaning protocols of endoscopic retrograde cholangiopancreatography endoscopes
American Journal of Infection Control
Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback
AORN Journal: The official Voice of Perioperative Nursing
Remote Video Auditing in the Surgical Setting
Remote video auditing, a method first adopted by the food preparation industry, was later introduced to the health care industry as a novel approach to improving hand hygiene practices. This strategy yielded tremendous and sustained improvement, causing leaders to consider the potential effects of such technology on the complex surgical environment
Video transparency: a powerful tool for patient safety and quality improvement
Transparency can be a powerful driver of better healthcare quality. In 2013, it was proposed that recording video data in healthcare begin with the several medical procedures that are already video based (cardiac stent placement, arthroscopic surgery, colonoscopy, etc). Different from the past era when recording required new hardware, most of the procedures performed in medicine today are now mediated by video, enabling a new opportunity for learning health systems.
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study
The operating room (OR) is a complex system that requires a carefully coordinated workflow to ensure both safe and efficient operation. Video monitoring of ORs has been described on a small scale by Hu who recorded 10 operations and used the video offline to identify and analyse safety and efficiency deficits. Makary discussed the potential of video recording in driving surgical quality improvements and eliminating surgical ‘never events’ as well as the importance of effective teamwork in driving patient safety. The use of a surgical safety checklist has been shown to reduce mortality and complication rates
Impact on Compliance with Endoscope Cleaning Protocols
One method being investigated to increase compliance to cleaning protocols is remote video auditing with near real-time feedback. We evaluated technician compliance with endoscope cleaning and sterilization protocol with the use of remote video auditing with and without feedback.
The Joint Commission Journal on Quality and Patient Safety
Ongoing Discovery of High-Level Disinfection of Endoscope Practices and the Use of Performance Improvement Methodologies to Improve Processes
Preventing health care–associated infections, regardless of the setting (hospital, ambulatory, office-based), has become a priority. This focused attention can be attributed to leaders motivated to improve the quality of care with highly reliable, repetitive, evidence-based process practices; patient expectations of an uncomplicated health care experience; increased awareness of reported infections; and financial implications (positive and negative) to the organization
Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare
Hand hygiene is a key measure in preventing infections. We evaluated healthcare worker (HCW) hand hygiene with the use of remote video auditing with and without feedback.
Clinical Study Finds Remote Video Auditing Dramatically Increases Hospital Hand Hygiene Compliance
North Shore University Hospital Study Demonstrates Hand Hygiene Rates Improve Exponentially When Remote Video Auditing Technology Provides Continuous Feedback to Health Care Professionals Hand Hygiene is Critical to the Reduction of Hospital-Acquired Infections
New York health system tries cameras to boost checklist compliance in the OR
"The operating room involves nurses, doctors, patients, a cleaning crew, people bringing out sterile equipment. It's a tremendous dance, the most complex environment in any hospital," says John Di Capua, M.D., vice president of anesthesiology services for the 16-hospital system. "So it's many orders of magnitude or more difficult to monitor and to improve any activity."
The Huffington Post: Video Surveillance Can Save Lives
Commonplace in other industries, but new for healthcare, is the latest installment of third-party remote video auditing (RVA) technology. For instance, North Shore-LIJ Health System has pioneered the use of real-time RVA since 2008 for a wide range of patient safety solutions in healthcare ranging from 90%+ hand hygiene performance in ICUs to 95%+ surgical safety checklist performance in surgical suites.
Remote Video Audits of Operating Room Practices Sustainably Improve Patient Safety Processes and Operating Room Throughput
Objective performance data for processes essential to patient safety and OR efficiency, such as surgical time out (STO), OR cleaning, and OR throughput, are challenging to obtain. When collected by OR stakeholders, these metrics are often biased and time consuming to collect. Video auditing has been described in the OR and beyond to improve the quality of care by influencing behavior, analyzing adverse events, and encouraging best practice.
Remote Video Auditing With Feedback: Boosts Compliance, Infection Prevention
Remote video auditing (RVA) with feedback is a promising new technology shown to dramatically improve compliance among healthcare workers (HCWs). Emerging research suggests that the proven efficacy of these systems is associated with the real-time performance evaluation and reminders they provide to HCWs, which encourages staff to improve or modify aspects of their behavior
The Power of Video Recording: Taking Quality to the Next Level
In Medicine, the problems of wide variations in quality and poor compliance with evidence-based care are well known. More education is not the solution for these problems. Knowledge is abundant, but implementation of knowledge often lags. This Viewpoint explores whether use of an existing technology, video recording of medical procedures, can improve quality of care
Keeping a Remote Eye on Reprocessing Techniques
Hospitals are adopting remote video auditing in their endoscopy suites to encourage higher reprocessing compliance rates.
North Shore-LIJ Takes Patient Safety and Efficiency to New Heights with Remote Video Auditing Expansion
October 26, 2015 – GREAT NECK, NY – Citing prior success in dramatically increasing hand hygiene compliance in intensive care units (ICUs), as well as improving patient safety and efficiency in operating rooms (ORs), the North Shore-LIJ Health System is expanding its use of remote video auditing (RVA) to over 140 patient care rooms in surgery suites, intensive care units (ICUs), endoscopy suites, labor and delivery rooms and emergency departments (ED) in multiple hospitals and surgery centers.
A Watchful Eye in Hospitals - New York Times (2014)
The use of video monitoring — covert or disclosed, of patients or providers — has proliferated as high quality, inexpensive technology has become increasingly accessible. The possibilities range from watching elderly patients at risk of falling in their rooms to recording doctors and nurses at sinks to make sure they’re washing their hands.
North Shore-LIJ Extends Use of 3rd Party Remote Video Auditing into ORs
FOREST HILLS, NY, May 21, 2013 – The North Shore-LIJ Health System is expanding a first-of-its-kind video monitoring system used to measure hand-washing compliance at North Shore University Hospital in Manhasset, NY, by introducing cameras in operating rooms at Forest Hills (NY) Hospital.
OR Manager: Remote video auditing: A path to compliance and safety
Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing, which is being successfully used in hospital ORs and ambulatory surgery centers.
Ongoing Discovery of High-Level Disinfection of Endoscope Practices and the Use of Performance Improvement Methodologies to Improve Processes
Preventing health care–associated infections, regardless of the setting (hospital, ambulatory, office-based), has become a priority. This focused attention can be attributed to leaders motivated to improve the quality of care with highly reliable, repetitive, evidence-based process practices; patient expectations of an uncomplicated health care experience; increased awareness of reported infections; and financial implications (positive and negative) to the organization. A topic that has recently become a main concern is high-level disinfection (HLD) and endoscopes used for endoscopic retrograde cholangiopancreatography (ERCP) procedures, as represented in the Food and Drug Administration (FDA) Safety Communication in February 2015.
Use of Remote Video Auditing to Validate Ebola Level II Personal Protective Equipment Competency
Faced with an Ebola-related mandate to regularly train front-line hospital staff with the donning and doffing of personal protective equipment, a community hospital’s emergency department implemented remote video auditing (RVA) to assist in the training and remediation of its nursing staff. RVA was found to be useful in assessing performance and facilitating remediation.
5 applications to improve patient safety, efficiency
Just as sports teams watch game film to analyze performance and identify opportunities for improvement, remote video auditing in the healthcare setting gives clinicians the opportunity to receive near real-time performance feedback to help them improve care and reduce the possibility of adverse events.
UPMC Hamot reports significant reduction in SSIs, OR turnover times with remote video auditing
Hospital operating rooms often have opportunities for patient safety and efficiency improvements, and the ORs at UPMC Hamot in Erie, Pa., were no exception — while the hospital had comparatively strong metrics for surgical site infections, OR never events, and OR turnover times, its leaders believed all three areas could be improved
Seen At 11: Using Technology To Stop Medical Mistakes Before They Happen
NEW HYDE PARK, N.Y. (CBSNewYork) — Medical mistakes are the third leading cause of death in the U.S., and now, some area hospitals are turning to technology to make sure mistakes are caught before they even happen.
Arrowsight’s RVA Technology Improves Safety in the Meat & Healthcare Industries
Arrowsight employs remote video auditing technology to monitor and improve safety and performance in both the meat industry as well as the healthcare industry. I had the idea over 20 years ago when I thought to myself, why isn’t there game film for business, similar to what sports teams use to improve their performance? So I took some of my own money together with some investors and started ParentWatch which was a web based video system that child care centers could install so parents could keep connected with their kids during the day.
Big Brother is Watching Your Surgery: To Keep You Safe
Doctors, nurses and other staff face endless demands and a long list of things that can go wrong. That means mistakes can (and often do) happen, especially in recent decades, as most hospitals have been forced to provide the same care on far more patients with far fewer resources.
But one hospital in New York has found, what many call, a good solution. Since 2013, all 24 operating rooms at Long Island Jewish Medical Center (LIJ) have been wired with a remote video monitoring system created by a company called Arrowsight.
Optimize GI infection control: Best strategies, protocols & new technology
We have engaged Arrowsight, a company that has been instrumental in improving food safety in the meat and poultry industry to install cameras in our scope processing areas where technicians will be monitored for accuracy and completeness of the cleaning process based on OEM and FDA recommendations
Opinionator: Hospitals Focus on Doing No Harm
Last week, I reported on the problem of preventable harm in hospitals. It has been estimated that each year between 98,000 and 440,000 people die as a result of preventable errors in hospital. Many readers wrote in with comments about family members who were victims of flawed care. They revealed a sense of betrayal and hurt. How could hospitals — institutions we turn to for comfort when we are most vulnerable — so often increase pain and suffering?
With Money at Risk, Hospitals Push Staff to Wash Hands
At North Shore University Hospital on Long Island, motion sensors, like those used for burglar alarms, go off every time someone enters an intensive care room. The sensor triggers a video camera, which transmits its images halfway around the world to India, where workers are checking to see if doctors and nurses are performing a critical procedure:washing their hands
AJIC: Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback
Prior to this study, remote video auditing (RVA) on health care workers (HCW) hand hygiene was initiated in 1 medical intensive care unit (MICU) at a tertiery hospital. Hand hygiene compliance within that unit went from less than 10% without feedback to a sustained rate that exceeded 85% after feedback.1 The aim of this study was to assess HCW hand hygiene upon entry and exit on a second, adjacent surgical intensive care unit (SICU) with the use of RVA without and with feedback.
The Secret to Better Infection Control Compliance: Move Beyond Secret Shoppers
The importance of monitoring Monitoring physicians' and staff's adherence to infection control guidelines is crucial for preventing infections and ensuring patient safety. Surveillance also helps leaders identify barriers to noncompliance. Donna Armellino, vice president of infection prevention at Great Neck, N.Y.-based North Shore-Long Island Jewish Health System, says when monitors identify failures to adhere to infection control policies, it is crucial to have discussions with the individuals involved.
Reuters: When cameras are watching, more doctors wash up
NewsDay: LI hospital monitors workers' hand-washing
NYT: Prevention: Cameras Can Help Ensure Hand Washing
There is a simple and effective way of getting hospital workers to wash their hands consistently: Watch them wash, and then congratulate them for having done so.
Opinionater: An Electronic Eye on Hospital Hand-Washing
Huffington Post: Hospital-Acquired Infections: The Real Story
Did you go into the hospital recently for a routine operation or problem and come out with a nasty hospital-acquired infection unrelated to your illness? If you have, you are not alone. If you haven't, you are one of the lucky ones.
HPR: Putting pain on the front burner
A recent survey of peer review studies related to palliative care by the Agency for Healthcare Research and Quality (AHRQ) found that only five of more than 90 studies targeted multiple outcomes measures and relayed data to providers.
H&HN Daily: It's Simple Wash Your Hands
Daily News: Study at LIJ North Shore University Hospital finds cam is son, med staff do keep hands really clean
Using High-Technology to Enforce Low-Technology Safety Measures
How to Stop Hospitals From Killing Us
Medical errors kill enough people to fill four jumbo jets a week. A surgeon with five simple ways to make health care safer.
ISQua 2016: Manual Cleaning of Endoscopic Retrograde Cholangiopancreatography Endoscopes using RVA
The Society of Gastroenterology Nurses and Associates (SGNA) outlines practice standards for manual cleaning of endoscopic retrograde cholangiopancreatography endoscopes before being placed into a automated endoscope reprocessors (AER) between patients to prevent the transmission of pathogens. Since pathogen transmission can be related to improper cleaning of the endoscope between patients this initiative was designed to assess adherence to the multi-step process for manual cleaning of ERCP endoscopes with the use of remote video auditing (RVA).
Preventing Hospital Acquired Infections (HAIs): High-Level Disinfection (HLD) and Sterilization
One Hour Educational Video Featuring Arrowsight RVA Services Joint Commission Resources: January 2014
Arrowsight Medical™ Introduces Hospital Video Audits New Service Enables Improved Safety Protocols, Clinical and Non-Clinical Compliance
Arrowsight CEO Adam Aronson said, “Arrowsight Medical seeks to help hospitals improve patient safety, raise the benchmark of multiple quality of care indicators and reduce costs. The service enables physician and nursing leaders and hospital administrators to improve best practices, minimize errors and reduce risk within hospital environments.”