Vision-based patient monitoring and digital rounding designed for behavioral health

Oxevision a tool to help staff care for patients more safely.

Oxevision is made up of a suite of modules built specifically for the needs of behavioral health inpatient settings - including a unique digital rounding tool and a FDA cleared medical device that allows staff to measure pulse rate and breathing rate (chest wall movement) measurements completely contact-free1.
Oxevision Observations can be accessed 24/7 via portable devices or a fixed screen in the nursing station, just like the other Oxevision modules. When patients are in their rooms at night, staff can carry out their safety checks remotely - instead of going into patients' rooms and disturbing them.
Full EHR
Oxevision includes a suite of modules designed for inpatient behavioral health:

Oxevision Observations

Q15 safety checks are necessary to ensure patient safety but are time consuming, prone to human error and non-compliance, and often disrupt patients’ sleep and privacy at night.

Oxevision Observations replaces paper and clipboard documentation and can be accessed 24/7 via portable devices or a fixed screen in the nursing station. It is so much more than just a rounding tool because it enables staff to:
  • Take therapeutically valuable night-time observations with FDA cleared contact-free vital sign measurements1 that do not disturb patients’ sleep
  • Reduce the time it takes for them to complete observation rounds with its intuitive workflow
  • Improve compliance with a suite of weekly facility observation compliance reports, and real-time on-unit compliance reports.
Visit the Oxevision Observations page to find out more.

Contact-free vital signs

Cleared as a Class II medical device by the FDA1
Spot-check measurements for private and semi-private rooms:
  • Medical-grade pulse rate and breathing rate measurements, as accurate as contact devices:
    - Pulse rate: ± 3 beats per minute
    - Breathing rate (chest wall movements): ± 2 breaths per minute
  • Brief live 15-second vision into the room so staff can:
    - Verify patient safety at night (just as per protocol during a Q15 safety check)
    - Confirm that vital signs are being taken for the correct patient
    Note: No clear video is recorded to protect patients’ privacy and dignity
  • Regular usage reports provided to clinical management for compliance monitoring
Vital Signs Trends chart:
Shows objective vital signs data in a room over time. This can provide staff with additional insight into the patient’s recent state and surface any underlying trends which may be of interest.

Recent Incident Review4

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 authorized 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.

Seclusion Session Report3

Obtaining physical health observations while a patient is in seclusion or restraint is needed but can be challenging and put the patient and staff member at risk.

Oxevision’s Seclusion Session Report can be used for a seclusion session, restraint, or a patient sleeping in the seclusion room. It enables staff to gain insights including:
  • Vital signs information including vital signs observations and trends
  • A patient’s activity levels and a “No Activity” alert if no activity is detected within an occupied room for a prolonged time
  • Location insights, including an “In Bathroom” status (if applicable)
  • Emergency treatment order administration and timings (optional).

Activity alerts and reports4

Note: Today these are available for private rooms only. However, development is in progress to make these available in semi-private rooms.

A lot can happen in between safety checks, particularly at night. Oxevision provides information and notifications to clinical staff about a patients' location in their room.

The location information and notifications consist of general room states (e.g. “In Bed”, “In Room”, “Empty”) and alerts and warnings that can be configured to support an individual unit’s clinical needs:
  • “Edge of Bed” and “Out of Bed” alerts
  • “In Bathroom/Blind spot” warnings and alerts
  • “At Door” warnings and alerts
  • “Room Entry” warnings
  • “Out of Room” alerts.
Staff can also gain additional insights with Activity Reports. These reports enable staff to review night-time and day-time location patterns.

Protected privacy and security

Not CCTV, not telesitter
Staff can only see a clear, time-limited video into the room when taking vital sign spot check measurements with the FDA 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.
Blurred video for incident reviews and alerts
In the event of a serious incident, authorized staff can access anonymized (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 clear video recording
No clear video data is recorded.
Adherence to strict privacy standards
Providers 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.
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.

See more details about the use of vision-based patient monitoring in the UK Mental Health and Learning Disability Nurse Director Forum’s national guidance

Oxehealth welcomes and recommends the MHNDF National guidance which was coproduced with patients, carers and clinicians.

To continually improve care, reach out to schedule a brief demonstration

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1 The Vital Signs software is cleared by the FDA as a Class II medical device in the US. It is intended for non-invasive spot measurement of pulse rate and estimated breathing rate (chest wall movements) when the subject is still. It is software assessing video footage from a fixed-installation solution for use within hospitals, general care and secured environments with professional healthcare oversight and where a framework exists which mandate periodic checks by a trained professional to ensure subject safety. The Oxehealth system is intended for use by appropriately trained staff with a duty of care, and should not be used by untrained users. The Oxehealth Vital Signs device is indicated for use on humans 18 years of age or older who do not require critical care or continuous monitoring. The device is not intended to be the sole method of checking the physical health of a subject. Federal law (U.S.) restricts this device to sale by or on the order of a licensed healthcare practitioner. See Instructions for Use for intended use, contraindications, warnings, cautions, usage directions and maintenance.

2 Subject to integration. Professional service fees apply.

3 The Seclusion Session/Reports product is an Electronic Medical/Health Record product and is designed to assist reporting activities within a seclusion environment and is not part of any medical device. See Instructions for Use for intended use, contraindications, warnings, cautions, usage directions and maintenance.

4 The Activity Tracker software (including the activity detection, fall risk, location risk, inactivity warning, flexi room, refresh room, activity report and recent incident review products) are Clinical Decision Support System (CDSS) products suitable for use within single occupancy rooms. They are not medical devices. See Instructions for Use for intended use, contraindications, warnings, cautions, usage directions and maintenance.
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