20 Oct

Two cool systems that talk

Pebble Time Round Smart Watch talks to any type of phoneTwo cool systems that seem to talk to other systems, no matter the brand? The Pebble Time Round Smart Watch and PeriCALM Patterns.

That’s not all they have in common now. To prove that PeriCALM takes some of the hassle out of getting EFM data into your EHR, we’re giving away an elegant Pebble Time Round smart watch to the person at the Synova Perinatal Leadership Forum that can use our new Export Feature to update an annotation the fastest.

Up for it? See us at the Synova Perinatal Leadership Forum  Booth 13.

10 Oct

Patterns Video Now Available

Video: A Research Review on

EFM Assessment Agreement & Standardization

Last week’s presentation on EFM Assessment Agreement packed a lot into 30-minutes. Emily Hamilton, PeriGen’s SVP of Clinical Research reviewed the research related to low levels of agreement among even expert clinicians on core EFM feature assessments.

Emily then reviewed how modern technology has adapted to the problem of standardizing EFM analysis, making it easier for clinicians to see concerning trends and response to clinical interventions.

A video of the presentation has been added to the L&D Library for those who missed the session

27 Sep

PeriGen & WatchChild Combine Forces

Shaping the Future of Perinatal Care Together

A New Era in Obstetrics Begins

PeriGen’s acquisition of the WatchChild Fetal Monitoring System will result in access to the most comprehensive perinatal safety platform available.

Current users of both PeriGen’s PeriCALM and WatchChild system will continue to be fully supported and can, in the future, expect access to additional clinical, analytic, and expanded enterprise software management tools.

Steven Clark, M.D., professor of maternal fetal medicine at Baylor College commented on the new partnership: “I’ve had the pleasure of working independently on research projects with the PeriGen team and seeing how well their technology can augment nursing for the benefit of patients, clinicians, and research teams. As a current WatchChild customer, I am excited about this combination.”

The combined entity will be led by PeriGen chief executive officer Matthew Sappern. The management team will include senior executives from both companies, including the appointment of Brian Bishop, currently the general manager of WatchChild, as chief product officer.

For more information, please call 877.700.4755, email info@perigen.com or click here

27 Sep

Telemedicine Branching Out to Smallest Patients

By Matthew Sappern, CEO, PeriGen

Remote communication in obstetricsTelemedicine is getting much attention these days as innovative health systems look to increase operational efficiency and patient satisfaction. Leaders such as Stephen Klasko, MD at Thomas Jefferson University Hospital are mandating telemedicine and this top down approach will surely accelerate adoption.

Telemedicine is quickly moving beyond telestroke and the ICU. At least one major EMR company and one of the nation’s leading health systems – fortunately a PeriGen client – are investing significant resources to bring telemedicine to labor and delivery. Complexity, risk and attrition in the ranks of OBs and MFMs make labor and delivery an ideal service line in which to deploy these technologies. PeriGen’s fetal surveillance platform uses Artificial Intelligence to identify troubling patterns and long-term trends in fetal strips. This real time capability is now at the heart of a telemedicine infrastructure which allows a single OB to be alerted to specific cases – showing patterns identified as the most troubling – across an entire health system.

Telemedicine branching out to smallest patients
As a standalone tool or in concert with the above-mentioned EMR module, telemedicine creates a cost-effective way to leverage valuable clinical resources across an enterprise and help safeguard one of a health system’s most risky and most valuable service lines.

27 Sep

My Post-Summer Research Reading List

In The myths and physiology surrounding intrapartum decelerations: the critical role of the peripheral chemoreflex published in the Journal of Physiology, Lear et al have written a highly readable and methodical analysis of current evidence about the mechanisms of fetal heart rate decelerations. This is a must read for anyone seriously using fetal monitoring. He challenges long held tenets and presents a simplified coherent approach to the interpretation of heart rate monitoring. Here are two excerpts that may compel you to read further:

“… Despite multiple detailed analyses, there is no consistent FHR marker of fetal compromise …”

“… We believe that it is better to focus on the frequency, depth and total duration of decelerations during labor rather than on timing, shape or supposed aetiology of the specific deceleration.”

In an article published recently in the American Journal of Obstetrics & Gynecology titled Triggers, bundles, protocols, and checklists — what every maternal care provider needs to know, Arora et al define and provide examples of various methods to standardize and streamline clinical care and summarize the evidence supporting their association with improved outcomes. Many examples are provided for obstetrical issues such as hemorrhage, hypertension, oxytocin usage or preop preparation. With burgeoning evidence from diverse medical and non-medical domains, the question is no longer “Do these methods work?“, but rather “How can we get wider adoption and sustain compliance?” In short, how do we actually change established clinical beliefs and behaviors? This article is less informative on these practical issues.

InfluencerThere is abundant data about effective ways to change behavior. In short, behaviors will not change without aligning a critical mass of influential factors. Determination and good intentions alone are insufficient and depending upon them alone is destined to fail. To supplement this review of available obstetrical safety packages we strongly recommend the book- Influencer: The New Science of Leading Change, Second Edition by David Maxfield, Ron McMillan, Al Switzler. (Click here to see a summary of this excellent work)

22 Sep

Being a FHR Tracing Me Too

How many labor & delivery nurses NEVER ask for a second opinion when interpreting a tracing?  If you do, is that a bad thing?FHR Interpretation AgreementWe ask because it turns out that a fair amount of research says that labor nurses SHOULD ASK for a back up opinion. Multiple research studies show that agreement about FHR tracing interpretation is a pretty rare event.

Discover what this research tells us and how some of today’s leading OB clinicians are using technology tools to gain a valuable second opinion before they make important care decisions. Register for a free webinar on Sept. 28th, Noon – 12:30 PM ET

Click to register today

19 Sep

What do you think? Is that a late?

What do you think? Is that a late?

Even the most experienced nurse, one who has seen hundreds of strips asks this basic question once in a while. The problem isn’t getting agreement on a yes or no to whether a tracing segment shows a decel or variation, but about the accumulation of factors that point to an intervention, a change in the care plan, a phone call to the OB.

Multiple research studies show that lack of agreement when it comes to tracing interpretation is alarmingly prevalent. On Sept. 28th, PeriGen is sponsoring a free webinar that reviews this research and discusses ways leading clinicians are using technology to help make interpretation more consistent and reliable.

Join us.  Register by clicking http://perigen.com/webinar-registration/

13 Sep

When two nurses differ in EFM interpretation

Different EFM InterpretationSally has worked as a labor & delivery nurse for twelve years. Her team brags that she can interpret a strip from 15 feet away. Today she’s teamed up with Laura, a 3-year veteran, taking care of a high-risk mother in early labor.

While Sally’s taking lunch, Laura starts seeing some variable decels. She pulls up a new software program her hospital has provided, reviewing the last four hours of tracing to see if she can see a pattern of variability. Not yet, but she thinks it’s something to keep an eye on.

Before taking her own lunch break, she suggests that Sally keep an eye on the trend line shown in the new tool. Sally’s not sold on the new tool, so she continues to watch the shorter views, noting the decels and baselines with her experienced eyes.

On September 28th, from noon – 12:30 PM ET, learn how even the most experienced clinicians often disagree about the interpretation of FHR tracings and misjudge the duration of abnormality that can be highlighted by modern perinatal technology.

Click to register today

12 Sep

Improvement over Wallpaper

L&D leadershipSix Focuses for a Happy L&D Unit

Take a look at your L&D unit bulletin board and tell us: Is there at least one piece of paper dealing with employee satisfaction?

Let’s face it. When asked to complete questionnaires about how we view our work and our performance, many of us glaze over. Especially when those questions seem standardized and unrelated to what we really do and where we really work.

This certainly is the case as well for nurse managers using tools such as Gallup’s Q12 to assess their team’s engagement and work satisfaction. This applies even more so for high-stress units such as labor & delivery where the intrinsic life value of helping to bring life is tempered by the demands of patient attention, documentation, and lots of long hours and hard work.

This week Rose Sherman, the editor of the blog Emerging Nurse Leader, summarizes how to put results from employee surveys like Gallup Q12 to effective use. She highlight six (of the way too many) questions for serious focus by managers looking to measure and improve employee satisfaction:

  1. Clearly defined expectations
  2. Necessary tools & equipment
  3. Opportunity to use strengths
  4. Recognition & praise
  5. Empathy with manager
  6. A mentor

Four of these are areas where nurse managers have direct control. #2 and #6 are certainly in a nurse manager’s sphere of influence.

To read Rose’s article click here