Oxevision is a tool that helps staff care for patients more safely
Oxevision has been developed in collaboration with patients, carers, doctors and nurses.
The system has been designed specifically for mental health care and includes a regulated medical device which operates with an infrared-sensitive camera.
It helps staff visually confirm a patient is safe - and measure their pulse and breathing rate - without disturbing their sleep.
Oxevision and the Oxehealth website, collateral and procedures have been co-produced with service users expert by lived experience, carers and clinicians.
Overview of Oxevision
Oxevision unit: Housing unit (anti ligature and vandal proof) containing the infrared-sensitive camera in a patient's room
Nursing station screen: Oxevision home screen showing room information such as alerts
Nurses tablet: Handheld tablet showing room information such as alerts and enabling clinical staff to take observations Local server: Secure, local computer storage where Oxevision data is stored
Oxevision includes a suite of modules designed for inpatient behavioral health:
Measure a patient’s pulse and breathing rate completely contact-free
View a short 15-second clear image into the room to verify patient safety at night without disturbing them
View vital signs data over time with the Vital Signs Trends chart.
Alerts1
Oxevision provides information and notifications to clinical staff about a patient’s location in their room.
Activity reports1
Staff can gain additional insights with activity reports. These reports enable staff to review night-time and day-time activity.
Recent Incident Review1
Incident reporting is time consuming and there may be a lack of reliable evidence, particularly when an incident occurs in a patient’s room.
Recent Incident Review enables authorised staff to access anonymized (blurred) video when there has been an unwitnessed incident in a patient’s room. This:
Helps staff to provide timely assessments of incidents and determine the most appropriate care response (for example, has a patient hit their head during a fall and do they require a visit to the ER?)
Enables staff to document an accurate and objective narrative when an incident occurs in a patient’s room including vital signs and trends data.
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Protected privacy and security
Not CCTV
Ward staff can only see a clear, time-limited video into the room when taking vital sign spot check measurements with the cleared medical device. This is so clinical staff can confirm that vital signs are being taken for the correct patient and that the patient is still. The video automatically times out after 15 seconds.
Adherence to strict privacy standards
Psychiatric hospitals implementing Oxevision define the patient consenting model. In the UK the National Mental Health and Learning Disabilities Nursing Directors Forum created guidance on the use of vision-based patient monitoring technology in mental health care including two informed consent regimes, see here.
No clear video recording
No clear video data is recorded.
Blurred video for incident reviews and alerts
In the event of a serious incident, authorised staff can access anonymised (blurred) video footage to support the investigation.
In the event of an alert, staff are also presented with the opportunity to view a blurred time limited view into the room.
No wearables
No need for a wearable device. Wearable devices can pose safety risks and be poorly tolerated by patients, reducing therapeutic engagement.
No Audio
There is no microphone. Oxevision can not pick up any sound.
National guidelines from the UK
The UK National Mental Health and Learning Disabilities Nursing Directors Forum created guidance in 2022 on the use of vision-based patient monitoring technology in mental health care. Oxehealth recommends providers to follow the informed consent.
1 The Oxevision housing unit contains an infrared-sensitive camera that relays information to designated fixed screens, tablets and/or mobile devices on a ward/unit. It is a fixed-installed solution within hospitals, general care, and secured environments where a framework exists that mandates periodic checks by a trained professional to ensure subject safety. The Vital Signs software is registered as a class IIa medical device in the UK & Europe. It is intended for non-invasive spot measurements of pulse rate (50 to 130 ± 3 beats per minute) and estimated breathing rate (8 to 39 ± 2 breaths per minute). It does not provide alerting or alarms for vital signs. The Vital Signs Trends chart is a feature within the Vital Signs software that shows a summary of average vital signs to inform decisions to take further vital signs spot check measurements or check on patients and cannot be used to measure or monitor pulse rate or breathing rate. The Activity Tracker software (including activity detection, fall risk, location risk, inactivity warning, flexi room, refresh room, activity report and recent incident review) are Clinical Decision Support System (CDSS) products. They are not medical devices. Oxevision Observations is an Electronic Medical/Health Record product that is designed to assist reporting activities and is not part of any medical device. See Instructions for Use for intended use, contraindications, warnings, cautions, usage directions and maintenance.
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