“PeriGen’s evidence-based fetal surveillance and decision support functionality coupled with its experience interfacing with Epic builds upon our mission to outfit our hospitals with the most sophisticated medical technology. Our goal is to facilitate the very best health outcomes for our patients, including our smallest ones and their moms.”

Gloria Solis, Chief Nursing Officer, Saint Luke's East Hospital

“PeriGen’s analytic modules take the guesswork out of assessing fetal strips and support informed communication and data sharing among our physicians and nurses. For physicians and nurses especially, it’s helpful to have a second ‘pair of eyes’ to confirm the fetal heart rate patterns that they are viewing onscreen and that their knowledge-based treatment decisions are on the right track.”

Hollie Conner, RN, Nurse Manager, Taylor Regional Hospital

“PeriGen’s evidence-based decision support system is like having a maternal fetal expert looking over your shoulder throughout the labor process, offering reassurance and consultation when needed. When we get busy handling multiple deliveries, PeriCALM’s fetal heart monitoring and alert capabilities ensure that we stay on top of all developments. We expect our outstanding quality care for newborns and their mothers to continue and PeriGen helps assure the highest level of safety.”

Gwen Buck, Chief Nursing Officer, Gila Regional Medical Center

“PeriGen was great to work with-they get an A+ from the top on down. The company CEO has been involved throughout the process and he, as well as everyone on our team, is quickly accessible. Our PeriGen and Epic teams collaborated closely throughout the planning and installation and ensured that the needs of our Labor and Deliver clinicians and staff were addressed. The roll out was completed on time; the training and education were great; and just two weeks after we deployed PeriGen, everything is running smoothly. Everyone is excited about the data exchange between the two systems and that real-time data can be instantly accessed whenever and where ever it’s needed.”

Nyla Carswell, Director of Labor & Delivery, Mary Greeley Medical Center

Video Transcript: How HUB Early Warning System Works

Welcome to this short webinar on what the PeriWatch® HUB™ early warning system is and how it works.  During this presentation we will  describe HUB and how it is relevant to clinical practice.  HUB is an intelligent early warning system dashboard that prioritizes patients based on the degree and duration of abnormalities in labor progression, vita signs, and EFM tracings. It’s interactive and highly configurable.

Let’s look at some details.  Each row represents a patient and her information is displayed in columns.  In this example, the first columns include information
about the patient and identify the site.  The next columns show basic OB information.  The next show the results of her last pelvic exam including the values of time.  This column shows the status of membranes.  The next two columns show the status of her labor progression.  This includes the percentile ranking at the
time of her last examination and if she has an arrest of dilation.  The display will show how many hours it has been arrested.  Her most recent vital signs are shown in these columns as well as the value and time that each one was taken.  The next two columns reflected the status of her EFM tracing.  And, finally, the HUB early warning system allows the user to write notes in the last column.
Some cells are colored.  This occurs when the values exceed early warning system thresholds that have been set by your institution.  This panel shows various settings that can be configured by your institution.  As an example, on the top row you can see that a blood pressure systolic measurement that is less than 90 or greater than 160 and persists for more than 15 minutes will be the trigger to cause that turns the cell orange.   Labor progression parameters are based on duration of arrest and the percentile ranking at the last examination.  Clicking on the percentile ranking will open the Curve screen where you can see the information related to that patient’s data and this screen can be pinned to the side so you can keep track in real time as things evolved for this patient.
EFM status is also based on configurable early warningsettings related to the degree and duration tracing abnormality.  Negative means no thresholds have been exceeded and if positive, an early warning system threshold has been exceeded, the duration that has been positive appears of the call on the side.  This cell is also interactive and clicking it opens the tracing, allowing you to navigate back and forth in the actual tracing and to observe it in real time.  The criteria defining positive or negative EFM status are found within the configurable settings for EFM pattern recognition or Cues by PeriGen.

The HUB early warning system dashboard will automatically sort patients so that those with the greatest abnormalities will rise to the top.  This is dynamic.  Patients will change position depending upon their status.  This is especially important when HUB is used in a remote setting where there may be dozens of patients being followed by a few clinicians.  The default setting rules are configurable by the institution however at any point in time a HUB user may sort any column or may mark an annotation for sorting.

How the HUB Early Warning System Works

HUB can be placed at your nursing station, in offices within the hospital, or at a remote center where it can follow patients from one institution or consolidate patients from many labor and delivery units.  It works in conjunction with the other PeriWatch early warning system modules.
Why HUB Early Warning System
Early warning systems were developed in response to rising maternal mortality rates and they were based on the observation that most severe adverse maternal outcomes were preceded by changes in vital signs and that there was often delayed recognition and response to these changes.  Delayed response to EFM tracings and labor abnormalities are also common problems in adverse outcomes.  In obstetrics, early warning systems are widely supported.  The IHI calls them scorecards that can save lives.
We are very pleased to introduce you to have this dynamic and intelligent dashboard specifically tailored for obstetric clinicians.  At a glance, clinicians can see the degree and duration of abnormality and quickly assess supporting information.  HUB effortlessly watches all patients, all the time.
Thank you very much for joining us!  For more information, please complete the information request form or email us at info@perigen.com.