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Here's Why Some Teams Struggle with Coordination -- Which Can Lead to Delays in Treatment

Recently I was approached by a nurse who is the Director of the Operating Room at her hospital. She began to list the problems her team has with communication when they are called out for emergencies. She shared how they are struggling to get the right team to the right place in the right amount of time.

In a meeting recently, she was venting her frustrations, and a VP with Cardiac Services explained how they had struggled with problems like these for years, but since they purchased Pulsara, those issues are a thing of the past. She heard that the Stroke Team was using us too and they reported the same results.

Based off of those testimonials, this nurse reached out and asked if we could build another package specifically for her team to use. In business, there are many metrics for evaluating success, but you know you're doing something right when your current customer base is finding new problems for you to solve based off of other problems you've solved for them!

I knew this problem was dire for STEMI and stroke teams, but I was a bit surprised to learn this is a common problem with after hours Operating Room teams in the emergency setting. What is the issue? Why is it so hard to get the team called in for an emergent appendectomy, for example?

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Research: Can Pulsara Facilitate Communication for Multi-Organizational and Multi-Disciplinary Clinicians?

When someone suffers a stroke or heart attack, getting the patient to definitive treatment quickly is crucial to their survival and quality of life post-event. But, getting treatment quickly requires communication between EMS, several care teams within the hospital, and sometimes even teams from other hospitals when transfer is required. 

Too often, this communication breaks down at one or many points along the way due to the outdated and non-integrated technology systems those clinicians rely on to relay their information. This antiquated technology, including phone trees, fax machines, pages, sticky notes ... (yes, really), causes critical patient information to be missed, which can contribute to treatment delays and medical errors.

To ameliorate these frustrations, researchers in Australia have conducted a preliminary study with the following aims:

"To describe:

1) If a technology-based communication solution could be implemented across multiple organizations;

and

2) Which factors are associated with clinicians’ intentions to use the technology."

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Australian Health Systems Reduce D2B and D2N Times by 28 and 33 Minutes Respectively [Preliminary Research]

To determine if Pulsara can improve management timelines for patients suspected of having a stroke or cardiac event, researchers  in Australia have conducted a pilot study with a 6 month pre-post historical control design. 

The researchers give the following background to the study:

  • "Rapid treatment of patients with suspected acute stroke or cardiac events involves pre-hospital (paramedics) and hospital clinicians from multiple departments including: emergency, medical, neurology or cardiology, radiology or catheterisation."
  • "Clinicians repeat patient details using multiple communication methods (phone, fax, pager, face-to-face) and record details in various systems."
  • "Inefficient communication may contribute to treatment delays for these time-critical conditions."

To see if Pulsara could help stop the inefficient communication the teams were experiencing -- and thereby reduce associated treatment delays -- the researchers had prehospital clinicians as well as hospital users activate Pulsara for suspected stroke and STEMI cases.

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Live at Texas EMS: Paramedics Discuss their Biggest Communication Challenges [Podcast]

Every year, breast cancer claims 40,000 lives. The opioid epidemic causes 50,000 deaths per year. Motor vehicle crashes cause 38,000 deaths each year. And gun violence is responsible for 36,000 fatalities annually.

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Having a Regional Plan in Place for Cath Lab Activation Improves STEMI Outcomes [New Research]

A recent AHA study looked at STEMI outcomes in facilities that had a regional plan for cath lab activation in place versus those that did not. The results truly highlight s ystems of care at work. 
 
According to the study, improvements in treatment times corresponded with a significant reduction in mortality (in-hospital death 4.4% to 2.3%; P=0.001) that was not apparent in hospitals not participating in the project during the same time-period.  Congestive heart failure rates also dropped, from 7.4% at baseline to 5.0% at the end of the intervention period (P=0.03).
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Happy Thanksgiving and THANK YOU from Team Pulsara

Happy Thanksgiving to you and yours!

This year, the team at Pulsara feels more thankful than ever. As the holidays approach, it's natural to look back over the past year and think about where we've come and how we've grown together. 

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Pulsara Version 6.5 Includes New User Notification Options and Increased Editing Abilities for Admins [Press Release]

FOR IMMEDIATE RELEASE

BOZEMAN, MT -- NOVEMBER 21, 2017 -- Today Pulsara released app version 6.5 to bring extra functionality to users. 

Changes include the following:

More Options for Notification Messages

Users can improve alert usability for high volume hospitals by prefixing patient type (STEMI, Stroke, General) on all alerts, and by providing the option for each hospital to prefix patient initials and/or age and gender to the alert message.

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What if we Measured Treatment Delays in Number of Brain Cells Lost? Thoughts from a Stroke Coordinator [Podcast]

What if instead of recording treatment delays in minutes, your stroke coordinator recorded them in number of brain cells lost?

Would your team still say "Oh well, it's only five minutes, that's not too bad" if the metric referred to were "Only 10 million brain cells?"

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What Your Region Can do to Address the Miscommunication Crisis in Healthcare [Resources]

For years now, Pulsara has been building and rebuilding, making advances, and then making them better. All in efforts to put an end to the miscommunication crisis in healthcare. 

We have a platform that WORKS. A platform that provides real-time TEAM communication which crosses ALL healthcare entities -- after all, if you're only solving the problem on the prehospital side, or the in-hospital side, or the hospital-to-hospital end, you're only solving ONE PART of the problem ... which really isn't solving the problem at all. 

All of the work we've done encompassing the problem and refining the solution have paid off. Patients in 18 states and Australia now benefit from their care teams providing faster, better care due to the instantaneous, streamlined communication systems they've adopted, which includes Pulsara. Below, check out our research, case studies, posters, press releases, and videos to learn what YOUR region can do to stop the miscommunication crisis.

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Transparency Saves Lives. Here's Proof.

A recent article published on USA Today's website interviewed the CEO of Leapfrog Group, which assigns grades to hospitals based on "medical errors, infections and injuries, patient responses to surveys, [and] data provided to CMS, the American Hospital Association, and voluntarily to Leapfrog." 

Perhaps the most striking point the article made was one that we've been trying to bring to light since Pulsara was founded. In fact, it's the reason WHY Pulsara was founded: "[These] problems are 'all too common,' with more than 500 people a day dying from preventable errors in hospitals."

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