The Fall Risk Score solution can include the patient's fall risk score in notifications to care team members.
Clinical staff perform a fall risk assessment on a patient, or an MD provides the facility with it upon admission, resulting in a Fall Risk Score. The Fall Risk Score is part of the facility Clinical Details record in the EHR, though not part of the standard HL7 ADT feed. Vocera can be configured to integrate the patient's Fall Risk Score in the alert notification sent to the care team for an event triggered by a third party system.
The alert escalation pathway for a bed exit alarm can be configured depending on the fall risk score of the patient in the bed at the time the exit alarm is triggered. For example, when a patient who has a high Fall Risk Score triggers a bed exit alarm, the alert can be automatically escalated to the highest level, allowing a nurse or care team member to respond quickly.
Workflow Example
In this workflow you may note that HL7 is used to input data, and XMPP to output notifications. Other protocols could be used in these scenarios. Vocera provides multiple input and output adapters, as well as adapters to integrate with specific third party vendors.
As shown in this diagram, the workflow begins when a nurse enters the patient's fall risk score in the EHR. In many facilities this record is maintained in a custom interface, which is separate from the ADT records in the EHR. Vocera receives the patient's fall risk score in the clinical documentation contained in the custom feed, and integrates this score with the patient's details provided in the ADT data.
When the patient's bed exit system alarm is triggered, Vocera intelligently integrates the patient's fall risk score and any other aggregated data, and sends alerts to configured recipients.
Rules configured in Vocera enable the appropriate recipients to be identified and notified. When the patient's fall risk score is low, the rule configuration may specify only the assigned nurse is notified of the bed exit event. However, when the fall risk score is high, alerts may be sent to all staff on the unit to ensure the patient is protected. When the care staff acknowldege or accept the notification, they take responsibility for the fall risk alert, and that completes the workflow process.
