AAMI News December 2019

Mary K. Logan Research Grant Supports Continuous Monitoring Research

Foundation 2020 Research Grant

Applications for the 2020 Mary K. Logan Research Grant Program are due no later than 5:00 p.m. ET on Dec. 31, 2019 at www.AAMIFoundation.org/MKL-Awards. Recipients are eligible to receive up to $80,000 in funding. Priority is given to topics that do not have other available sources for funding. Junior investigators with strong mentorship are encouraged to apply.

 

Last year, a team at Cincinnati Children’s Hospital Medical Center in Ohio was awarded the $40,000 Mary K. Logan Research Grant in order to fund a project aimed at studying effective pediatric continuous monitoring.

The project, “Dissemination of the Best Evidence for Effective Pediatric Monitoring Study Results,” is led by Amanda C. Schondelmeyer, MD, assistant professor of pediatrics at the University of Cincinnati. Schondelmeyer’s team is helping clinicians use qualitative methodologies and surveys to inform the design of an implementation and diffusion strategy for pediatric monitoring guidelines, as well as to create and assess the acceptability and usability of a stakeholder-informed toolkit for implementing pediatric monitoring guidelines.

AAMI News interviewed Schondelmeyer about project details.

Q What inspired you to apply for a Logan Research Grant?

The AAMI Foundation was a wonderful and enthusiastic partner for our earlier work in establishing recommendations for using cardiorespiratory and pulse oximetry monitors in hospitalized children. We applied for the 2019 Logan Research Grant because it would be an opportunity for us to continue working with an organization that appreciates the urgency of this issue—alarm fatigue is a pressing problem for patient safety generally and for children’s hospitals.

Q How did you identify the need for this project?

Our team previously published work describing alarm rates and monitoring practices at children’s hospitals and identified high alarm rates and variability from center to center. We also know, from work by Chris Bonafide of the Children’s Hospital of Philadelphia and others, that very few monitor alarms occurring outside of the intensive care unit are clinically actionable. Therefore, establishing and then implementing a standard approach to using continuous cardiorespiratory and pulse oximetry monitors is an important step to take to improve patient care at children’s hospitals nationwide.

Q How is your project progressing?

We have only just started. But, as with any project, we’ve been doing the critically important step of making sure we have all the relevant stakeholders at the table. I always have a general plan or scaffold for what I intend to do, but I’ve found stakeholder engagement to be key for successful execution in these projects. After that, we will begin working on tool development and improvement.

Q What are your goals for the project?

In the long term, we intend to apply the findings from this project to children’s hospitals across the nation. We have a series of recommendations for using continuous cardiorespiratory and pulse oximetry monitors for children, for which we will develop a toolkit and a dissemination plan. We are then poised to implement these recommendations through existing pediatric hospital research networks, like the Pediatric Research in Inpatient Settings Network, and at children’s hospitals across the country.