Hospitals Mobilize To Tackle Alarm Fatigue

At Bridgeport Hospital, “talking bed rails” programmed to speak to patients in the geriatric psychiatric unit are helping to reduce the number of alarms that sound when a patient at risk for falling tries to get out of bed. At the Hospital of Central Connecticut in New Britain, health care professionals are adopting techniques from aviation safety experts to reduce the chances of a catastrophic event happening before a clinical alarm goes off. These are among the many ways Connecticut hospitals are tackling a phenomenon known industry-wide as alarm fatigue. Health care experts worry that medical devices with built-in alarms – such as heart monitors, infusion pumps and ventilators – designed to alert caregivers that patients are in danger could potentially put patients at risk because caregivers are desensitized by the sheer number of alerts and false alarms and fail to respond in a timely fashion. Research shows alarms in intensive care units are accurate less than 10 percent of the time, and 90 percent are false alarms.

Solutions for combating alarm fatigue range from alarm integration technology that sends alerts to a caregiver’s telephone to the development of a new generation of “smart alarms,” including ones designed to monitor multiple vital signs.

Study Finds Big Geographic Swings In Psychotropic Drug Use

In Alexandria, Va., the rate of antidepressant use is the highest in the country, with a full 40 percent of residents receiving prescriptions. Cape Cod, Mass., tops the country in the use of stimulants, with 16 percent of the population filling at least one prescription, compared to a mean of 2.6 percent nationally. Gainsville, Fla., has the highest utilization rate of antipsychotics – 4.6 percent of residents, well above the national mean of .8 percent. Usage rates of the three classes of mental health medications vary widely across the U.S., with Connecticut in the middle, according to a new study by the Yale School of Management. The study found that much of the geographic variation could be explained by access to health care and pharmaceutical marketing efforts, rather than by the underlying prevalence rate of the psychiatric disorders.

Life spans by counties in Connecticut

Women’s Longevity Falling in Some Parts of U.S., Stress May Be Factor

It’s one of the most disturbing trends in American public health: women’s life spans are shrinking in many parts of the U.S., and no one knows why. Women’s longevity took an unprecedented nosedive during the past decade, researchers recently discovered, with their life expectancy tumbling or stagnating in one of every five counties in the country. In Connecticut, where women’s life expectancy exceeds the national average, New London County saw a drop in longevity, while Fairfield and Hartford counties saw significant jumps. The last time life expectancy fell for a large number of American women was in 1918, due to Spanish influenza. While many scientists believe that smoking and obesity are driving the downward spiral, a growing chorus of experts contends that chronic stress may be a key culprit, too – especially the stress of juggling work and family.

Cancer death rates

Cancer Deaths: Gap Persists Among Blacks, Whites

When Ulysses B. Hammond was diagnosed with prostate cancer, his first thought was that he could wait to deal with it. After all, the doctor said it would spread slowly. That reaction is typical for men – especially African Americans like Hammond — and it plays a role in explaining why they have the highest cancer death rate in the United States and in Connecticut. “It’s not deemed very macho to actually admit or discuss physical frailties,” said Hammond, chair of the board at Lawrence & Memorial Hospital in New London. The death rate for African American men and women nationally – 207.7 per 100,000 people – is more than 20 percent higher than the rate for whites, according to 2009 data, the latest from the National Cancer Institute.

Frequency Of Juveniles Detained Varies Widely

Juveniles in the Hartford judicial district who break the law are far more likely to be locked in a pre-trial detention center following arrests or referrals than juveniles from the state’s other districts, an analysis of data from the judicial department shows. More than a third, or 34 percent, of new delinquency cases in Hartford juvenile court ended up in secure detention, compared to 17 percent in Bridgeport and 20 percent in New Haven, according to fiscal year 2011 data released by the judicial branch. In Middletown, Waterford and Willimantic, fewer than 10 percent of juveniles arrested were sent to detention.