Health in a Virtual Environment (HIVE): A Novel Continuous Remote Monitoring Service for Inpatient Management

Tim Bowles, Kevin M Trentino, Adam Lloyd, Laura Trentino, Kevin Murray, Aleesha Thompson, Frank M Sanfilippo, Grant Waterer

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The aim of this study was to describe the implementation of a novel 50-bed continuous remote monitoring service for high-risk acute inpatients treated in non-critical wards, known as Health in a Virtual Environment (HIVE). We report the initial results, presenting the number and type of patients connected to the service, and assess key outcomes from this cohort. This was a prospective, observational study of characteristics and outcomes of patients connected to the HIVE continuous monitoring service at a major tertiary hospital and a smaller public hospital in Western Australia between January 2021 and June 2023. In the first two and a half years following implementation, 7541 patients were connected to HIVE for a total of 331,118 h. Overall, these patients had a median length of stay of 5 days (IQR 2, 10), 11.0% (n = 833) had an intensive care unit admission, 22.4% (n = 1691) had an all-cause emergency readmission within 28 days from hospital discharge, and 2.2% (n = 167) died in hospital. Conclusions: Our initial results show promise, demonstrating that this innovative approach to inpatient care can be successfully implemented to monitor high-risk patients in medical and surgical wards. Future studies will investigate the effectiveness of the program by comparing patients receiving HIVE supported care to comparable patients receiving routine care.

Original languageEnglish
Article number1265
Number of pages12
JournalHealthcare
Volume12
Issue number13
DOIs
Publication statusPublished - Jul 2024

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