LifeSignals Blog

The End of Spot Checks? How Continuous Monitoring is Redefining Patient Care

For decades, bedside spot checks have been a cornerstone of patient monitoring in hospitals. Nurses typically measure vital signs every four to six hours, adjusting intervals based on a patient’s condition. While this method has long been a standard practice, it has significant limitations, particularly in detecting early signs of clinical deterioration.

In today’s healthcare landscape, where real-time patient monitoring and remote healthcare solutions are advancing rapidly, traditional spot checks are no longer sufficient. Continuous monitoring systems, such as wireless patient monitoring technology, are revolutionizing patient care by bridging gaps in oversight, improving accuracy, and enabling proactive interventions.

The Clinical Limitations of Bedside Spot Checks

  1. Delayed Detection of Deterioration: Bedside spot checks, performed at predefined intervals, provide only periodic updates on a patient’s condition. These scheduled assessments leave significant gaps during which subtle or sudden changes in a patient’s health may go unnoticed. For patients in higher-risk categories, such as those recovering from surgery or with chronic illnesses, this lack of continuous oversight increases the risk of delayed recognition of deterioration.1
  2. Human Error and Data Gaps: The manual nature of spot checks introduces potential errors in data collection and recording. In busy clinical environments, transcription mistakes, delayed readings, or incomplete documentation are common.2 These errors can lead to misinformed clinical decisions, delayed interventions, or even unnecessary treatments based on inaccurate data.
  3. Reactive Rather Than Proactive Care: Spot checks inherently follow a reactive care model, with vital signs intermittently measured and recorded after they have already changed. This approach often fails to capture early indicators of patient decline, such as subtle trends in respiration rate or temperature, that could prompt timely interventions.3 By the time changes are identified, the patient’s condition may have progressed, necessitating more intensive care.

UbiqVue Multiparameter: Redefining Patient Monitoring with Continuous Oversight

Continuous monitoring addresses the gaps in traditional bedside checks by delivering uninterrupted, near real-time data. Systems like UbiqVue Multiparameter bring together advanced wireless patient monitoring technology and practical benefits to enhance patient care.

Early Detection of Deterioration

Unlike periodic checks, UbiqVue offers near real-time continuous monitoring of vital signs such as heart rate, ECG, temperature and respiration rate. Subtle changes in these parameters, which might otherwise go undetected, can be identified earlier. This allows clinicians to intervene before conditions escalate, reducing complications and supporting better patient outcomes.

Streamlining Care Through Automation

The UbiqVue wearable Biosensor, a critical component of the UbiqVue System, automates the collection and transmission of physiological data, eliminating the need for manual data collection and entry. This data is securely stored and displayed on the cloud-based UbiqVue portal, providing clinical teams with near real-time insights. The automation of vital sign monitoring not only minimizes errors but also optimizes clinical workflows, enabling staff to focus on direct patient care.

Time-Saving and Proactive Care

Routine spot checks are labor-intensive and time-consuming for nurses on a busy hospital ward. Automating these processes with UbiqVue enables clinical teams to reallocate time toward more complex or urgent patient needs. The system’s customizable alerts ensure that deviations in patient parameters are flagged immediately, supporting a proactive approach to care.
For patients, the lightweight and wireless design of the UbiqVue Biosensor enhances comfort during monitoring, allowing them to move freely, sleep undisturbed, and even shower without needing to remove the device.

Bridging Hospital and Home

As healthcare increasingly embraces hospital-at-home models, maintaining continuity of care is crucial. UbiqVue supports this transition by providing continuous monitoring during recovery at home. Patients benefit from comfort and mobility, while clinicians retain oversight through near real-time monitoring. This approach is designed to reduce hospital readmissions, support early discharges, and optimize resource utilization.

Advancing Patient Care Beyond Spot Checks

The limitations of spot checks highlight the need for a more advanced approach to patient monitoring. Continuous monitoring systems like UbiqVue Multiparameter address these gaps by providing earlier detection, automating data capture, and supporting patient care.

References

1BMJ Open. (2021). Continuous monitoring for detecting patient deterioration: Bridging the gap in general wards. BMJ Open, 11(5), e047715. https://bmjopen.bmj.com/content/11/5/e047715?utm_source=chatgpt.com
2BMC Emergency Medicine. (2018). Automation in vital sign documentation: Reducing human error and improving patient safety. BMC Emergency Medicine, 18(1), Article 205. https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-018-0205-2?utm_source=chatgpt.com
3NICE. (2021). National Early Warning Score (NEWS) systems for identifying deteriorating adult patients in hospital. NICE Medtech Innovation Briefing. https://www.nice.org.uk/advice/mib205/resources/national-early-warning-score-systems-that-alert-to-deteriorating-adult-patients-in-hospital-pdf-2285965392761797?utm_source=chatgpt.com

Frequently Asked Questions About Wireless Patient Monitoring and UbiqVue

We know wireless patient monitoring and systems like UbiqVue can raise many questions. To help clarify how these technologies work and their benefits, we’ve answered some of the most frequently asked questions below.

Bedside spot checks are limited to intermittent monitoring, leaving significant gaps during which patient conditions can deteriorate unnoticed. Additionally, manual data collection is prone to human error, which can lead to delayed or inaccurate clinical decisions. Continuous monitoring closes these gaps by providing real-time data, allowing for earlier detection of deterioration and more timely interventions.
UbiqVue provides near real-time, continuous monitoring of multiple vital signs, such as heart rate, ECG, and respiration rate. Using the UbiqVue wearable Biosensor, physiological data is automatically collected and transmitted to a secure server, where it is accessible to clinical teams via the UbiqVue portal. This automated process ensures accuracy, reduces human error, and enables clinicians to respond proactively to changes in patient condition.
Continuous monitoring enables clinicians to detect early warning signs of deterioration that might be missed during periodic checks. By providing consistent, real-time data and customizable alerts, it supports timely interventions, improves patient outcomes, and allows for more efficient resource allocation.