Publications: MetaVision Studies
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The Johns Hopkins Hospital study shows MetaVision may be used to optimize blood product usage
April 2012|Anesthesiology
A study done by The Johns Hopkins Hospital concludes that data provided by MetaVision can help optimize blood management, and has the potential to “enhance patient safety, reduce costs, and conserve blood, a valuable and scarce resource.” An analysis of data acquired by MetaVision revealed significant variation in blood usage among surgical services and surgical procedures, and among individual anesthesiologists and surgeons. This data may be used for standardizing transfusion practices and as the basis of a quality improvement program. Additionally, these findings can be used to predict intraoperative requirements, preventing the costly mistake of ordering more blood products than necessary.
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MGH creates novel, efficient evaluation system based on data automatically extracted from MetaVision
February 2012|The Joint Commission Journal
In order to comply with new Joint Commission physician credentialing and privileging standards, Massachusetts General Hospital in Boston created an evaluation system based on electronic anesthesia data automatically captured by the MetaVision AIMS (Anesthesia Information Management System). MetaVision provided "reliable and extensive documentation of clinical monitoring and physician practice patterns" which was used to assess clinical performance.
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MetaVision facilitates pharmacist medication recommendations in Sheffield, UK
February 2012|International Journal of Clinical Pharmacy
A study done at Sheffield Teaching Hospitals National Health Service Foundation Trust (STH), UK, found that using MetaVision, critical care pharmacists made a significant number of medication recommendations, and these recommendation had a high acceptance rate (>90%) by medical staff. According to the study, “This system improves communication between both professional groups within the critical care team, and supports clinical practice including remote review of patients over multiple sites.”
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MetaVision delivers complete anesthesia records for 99.6% cases
January 2012|International Journal of Medical Informatics
A study done at Hadassah-Hebrew University Medical Center in Israel found that using context-sensitive mandatory fields in MetaVision was associated with high record completeness rate and data concordance, enabling complete anesthesia records for 99.6% cases. Implementation of MetaVision was deemed successful by 98% of the anesthesiologists, who found using MetaVision to be more comfortable than paper-based records. MetaVision’s usability was rated as high, and the forms’ design as comfortable.
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MetaVision increases SCIP compliance for antibiotic timing by more than 30%
July 2011|Anesthesia & Analgesia
Research published in Anesthesia & Analgesia shows that MetaVision decision support tools increased compliance with SCIP indicators and improved outcomes at Lehigh Valley Health Network (Allentown, PA). After implementation, compliance with documentation and administration of antibiotics within 60 minutes of surgical incision increased by 31% and was associated with a decrease in the incidence of SSI from 1.1% to 0.7%.
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CHUV increases quality of nutritional support in ICUs and improves newborn care with MetaVision
August 2011|Neonatal Intensive Care
Clinicians at the University Hospital of Lausanne (CHUV) report that MetaVision improves patient safety and treatment accuracy and has a significant impact on their daily workload. Using MetaVision, CHUV was able to reduce malnutrition, minimize ICU patient weight loss, and identify potentially dangerous conditions in newborns. MetaVision shortened the time required for computations and clerical reporting by 30 minutes per shift, enabling clinicians to spend more time on patient care.
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MetaVision helps Massachusetts General Hospital increase ability to capture adverse events by 92%
May 2011|Anesthesia & Analgesia
Massachusetts General Hospital customized the MetaVision Anesthesia Information Management System (AIMS) to ensure that anesthesia providers complete a separate quality assurance data
collection program. As a result, the hospital increased their ability to capture adverse events by 92%.
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Adherence to drug guidelines doubles with MetaVision
June 2010|European Journal of Anaesthesiology
A study recently published in the European Journal of Anaesthesiology shows a dramatic increase in adherence to prophylaxis administration guidelines using MetaVision, at OLVG hospital. Using MetaVision decision support tools, the Hospital was able to increase timely delivery of both dexamethasone and granisetron from 39% to 79%. The study concluded “decision support is effective in improving administration and timing of PONV prophylaxis medication”.
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MetaVision helps reduce hypoglycemia and malnutrition in ICUs
May 2010|Current Opinion in Clinical Nutrition and Metaboli
A study published by MetaVision users at University Hospital of Lausanne (CHUV) shows that using CIS facilitates glucose control, improves nutritional monitoring and the quality of nutrition, and reduces nurse workload. MetaVision has been operational in the hospital since 1999, and over the years it was installed in the hospital’s entire ICU (32 beds), surgical ICU, cardiac surgery, intermediate care and Division of Neonatology.
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Study shows 31% reduced mortality rate using MetaVision
April 2010|Archives of Internal Medicine
A new study of critically ill patients at Lehigh Valley Hospital has found significantly reduced mortality rates, after implementing a health IT bundle including MetaVision. The hospital used MetaVision as the ICU’s electronic medical record, and MVcentral for telemonitoring, to achieve intensivist bedside coverage 24/7. LVH published that after implementing MetaVision, among other technologies, mortality fell from 21.4% to 14.7% (a reduction of 31.3%).
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MetaVision shortens length of stay and decreases mortality rate
April 2010|BMJ Quality & Safety
A study done at Hôpital Pitié-Salpétrière in Paris, France found that after implementing MetaVision in their intensive care unit, length of stay was shortened by 2 days (7 versus 9) and a near 15% decrease in mortality was observed, from 17% to 14.5%. The study discusses the advantages of MetaVision’s customizability and clinical decision support, which enable optimization of patient care, and which may explain the reduction in duration of patients' stay in the ICU.
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MetaVision CPOE significantly reduces prescribing errors and increases safety in the ICU
January 2010|Anesthesia
A study at the Papworth Hospital, Cambridge, UK, showed that after the implementation of MetaVision in their 25-bed ICU, all issues of legibility, completeness and traceability were eliminated, increasing the percentage of correctly prescribed drugs from 53% to 100%. For example, MetaVision reduced dose errors from 11.7% in handwritten prescriptions to 0% post-implementation and increased the traceability of prescribers from 31% on handwritten prescriptions to 100% after deployment.
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MetaVision improves early and adequate delivery of nutrients in the ICU
December 2009|The Netherlands Journal of Medicine
A study at the VU University Medical Centre showed that MetaVision and its decision support tools allow for significantly improved early delivery of nutrition in the ICU. After installing MetaVision, the percentage of patients with adequate nutrients delivered by day 4 in the ICU increased from 30.2% to 56.5%, in accordance with ICU guidelines. Recent literature shows that nutrition protocol management and guideline adherence is critical to shortening ICU stays and reducing patient mortality.
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MetaVision Decision Support tools reduce prescription errors by 83%
September 2009|Pediatrics
Research at the pediatric ICU at the Schneider Children’s Medical Center, Israel, shows that prescription errors and potential adverse drug events were significantly reduced through the use of MetaVision's decision support capabilities. Specifically, adverse drug events were reduced by 72%, while medication prescription errors fell from 5.5% to a mere 0.7%. This shows the extent to which MetaVision can prevent weight-based calculation errors, which are of particular significance in pediatrics.
MetaVision Event Manager improves reactivation of CPB monitor
April 2009|Anesthesia & Analgesia
The rate of alarm reactivation at baseline (Stage I) was 22%, increased to 63% (Stage II), and again to 83% during Stage III (P < 0.001). The spontaneous alarm reactivation rate before the appearance of the electronic reminder on the anesthesia information management system screen increased from 19% at Stage II to 42% at stage III (P < 0.001).
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Use of MetaVision increases guideline adherence for prescribing PONV prophylaxis
March 2008|Anesthesia & Analgesia
Between November 2005 and June 2006, 1340, 2715, and 1035 patients were included in the control, DS and post-DS periods, respectively. During the control period, 38% of all high-risk patients were prescribed PONV prophylaxis. This increased to 73% during the DS period and decreased to 37% in the post-DS period.
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Implementing MetaVision in an anesthesia department
June 2006|European Journal of Anesthesiology
Users quickly accepted the system, and both automatic and manual data entry were found to be accurate and reliable, while the prevalence of artefacts was relatively low. MetaVision can be easily implemented and used instead of paper charts.
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MetaVision improves the quality of nutritional support
March 2006|Nutrition
Computerized information systems favored standardization of nutritional care and monitoring, thus decreasing time required for writing and computations. Follow-up was improved and nutrient delivery was closer to target values, thus increasing quality of care. In burn patients, the better data visibility was associated with significant improvement in nutrient delivery.
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MetaVision enhances accurate information on energy balance
February 2006|Clinical Nutrition
Negative energy balance may be correlated with the occurrence of complications in the ICU. The bedside CIS provides accurate information on energy balance in critically ill patients and may allow for early detection and prevention of severe negative energy balance and complications.
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MetaVision improves outcomes
January 2006|Journal of Nursing Administration
The Leapfrog Group focused on 3 practices that have tremendous potential to save lives by reducing preventable mistakes in hospitals. The authors describe these practices and how they served as a driving force to create a "virtual ICU" to ensure the delivery of high-quality care to all critically ill patients throughout the network. This article describes the process of planning and implementing the tele-intensivist program.
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MV-ICU improves glucose regulation and guidelines adherence
March 2005|Journal of Medical Informatics Association
Implementing a computerized version of a guideline significantly improved timeliness of measurements and glucose level regulation for critically ill patients compared with implementing a paper-based version of the guideline.
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MV-ICU reduces documentation time
January 2003|Intensive Care Med
This study shows that use of MetaVision in patients after cardiothoracic surgery alters nursing activity; it reduces the time for documentation and increases the time devoted to patient care.
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