May 17, 2020

4 ways hospitals can provide better care for infants

Patient Care
Patient Care
3 min
According to the Center for Disease Control's Reproductive Health Survey, 450,000 premature babies are born in the U.S. each year.
Many hospitals all over the country are doing all they can to make sure premature babies have the best possible chance for survival.

From updating tech...

Many hospitals all over the country are doing all they can to make sure premature babies have the best possible chance for survival.

From updating technology to using state-of-the-art equipment, medical facilities are truly giving preemies a fighting chance.

Premature births are increasing in the United States and other countries across the globe. Pre-term birth complications include developmental delays, hearing impairment, feeding and breathing problems, and cerebral palsy.

RELATED TOPIC: TOP 5: Best hospitals for obstetrics in the United States

With the severity of the complications above, it's important to know just how many premature births take place in the U.S. each year.

According to the Center for Disease Control's Reproductive Health Survey, 450,000 premature babies are born in the U.S. each year. That's roughly one of every 9 babies.

The rate of pre-term births in the United States makes it higher than most high-income countries in the world.

So, what are hospitals doing to make sure premature babies have a better chance of survival?

Constant monitoring

As the following article looks at, considering the hospital is just one of five important delivery day decisions couples make, medical facilities across the country are improving their Neonatal Intensive Care Units (NICU). This all starts with state-of-the-art monitoring stations and alert systems.

Most hospital NICUs have blood pressure, respiratory rate, heart rate and body temperature monitors. However, that doesn't cover all the bases with premature babies.

RELATED TOPIC: Your baby is premature, what does that mean?

As a result, hospitals are upgrading their NICU units with pulse oximeters that measure oxygen levels in the blood. If levels decrease or increase significantly, the system immediately alerts nurses.

Respiratory assistance

Although premature babies do require breathing assistance, not all preemies are the same. Those born earlier than others need different levels of respiratory assistance, which is why hospital NICUs are expanding their respiratory technology.

Ventilators were once the standard for respiratory assistance in NICUs, but times are changing.

Now, most hospitals use endotracheal tubes, continuous positive airway pressure devices, and oxygen hoods. This equipment is drastically making a difference in the survival rates of premature babies.

Feeding methods

One of the most challenging aspects of preterm births for hospitals is successfully feeding preemies.

Depending on how premature the baby is, getting proper nutrition to the infant is a difficult process. However, hospitals are taking new measures to improve their feeding methods as well.

RELATED TOPIC: This Personal Story About Giving Birth Will Give You Insight into the Delivery Room

Intravenous lines are standard practice, but NICUs are also using nasal and oral feeding techniques as well as umbilical catheters. These catheters are used in the most critical cases and deliver nutrients directly through the umbilical cord. 

Other technologies

Because premature babies are extremely sensitive to their surroundings, hospital NICUs use incubators to keep infants warm and safe from bacteria and other germs. Hospitals are using updated incubator technology that also includes the use of bili lights.

Bili lights are fluorescent tubes that emit a blue light, which is used to treat jaundice and other skin issues common with premature babies. These lights are located directly over the incubators.

In order to help pre-term infants survive, numerous U.S. hospitals are taking advantage of the technology above.

About the author: Adam Groff is a freelance writer and creator of content. He writes on a variety of topics including health care and technology.

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Jun 13, 2021

How healthcare can safeguard itself against cyberthreats

Jonathan Miles
6 min
Jonathan Miles, Head of Strategic Intelligence and Security Research at Mimecast, tells us how the healthcare sector can protect itself from attacks

One of the most fundamental lessons from the COVID crisis is that health should always be a priority.  In a similar fashion to the human body that frequently fights off viruses and foreign invaders that intend to cause it harm, the sector itself is now a prime target for another type of external threat: cyberattacks.

The figures speak for themselves: between December and January this year, hospitals in the UK were at 89% capacity, with 7,000 fewer available beds than there usually are. As the pandemic increased pressure on hospitals, clinics, and research facilities to create a treatment for patients globally, it has left the sector exposed to hackers who, like a virus, have been targeting it relentlessly and evolving their tactics. 

From patient records being held ransom, to fake emails claiming to originate from the UN WHO, the NHS, or vaccine centres, through to attacks on the cold supply chain to find out the secret formula of the COVID vaccine, the healthcare industry is facing constant cyberattacks and struggling to cope. This threat is unlikely to go away anytime soon – and as such, the industry needs to take a proactive, preventative stance to stay safe in a dynamic digital world. 

Going digital 

The responsive nature of healthcare – particularly of hospitals – means that efficiency is crucial to the industry’s standard operations. To support this, the sector has been embracing technological advancements that can improve the quality of work, enabling staff to meet pressing deadlines, and enhancing patient care. For example, the industry has been digitising records and improving its ways of working through digital means over the past few years. 

This shift is critical to offer high quality patient care; yet, it also means the sector has become more dependent on IT, which can come with a risk if cybersecurity processes employed are deemed as inadequate. 

Without the correct security measures in place, the desired efficiency gains realised, can be easily lost in a heartbeat. Simply put, an elementary glitch in the system can have a tremendous ripple effect on many areas, from accessing patient records and conducting scans, to maintaining physical security and protecting the intellectual property of experimental treatment development.

To prevent this, healthcare organisations need to ensure they’re considering cybersecurity as part of their overall digital transformation strategy – and setting the right foundations to create a culture where safety goes hand in hand with patient care. 

Strengthening defences

Before implementing cybersecurity process, healthcare organisations need to assess the potential risks they face. Depending on how much confidential data the trust has, where it is stored, who has access to it and via which means, the cybersecurity strategy and associated solutions will change. 

It’s fair to say that a medical device start-up where all employees have a corporate-sanctioned laptop and access data via a VPN will have radically different needs to a large hospital with hundreds of frontline workers connecting to the hospital’s Wi-Fi using their personal device. 

These requirements will pale by comparison to a global pharmaceutical giant with offices in multiple locations, a large R&D department researching new treatments for complex diseases and a fully integrated supply chain. Considering the existing setup and what the organisations is looking to achieve with its digital transformation strategy will therefore have an immediate impact on the cybersecurity strategy.

Despite this, there are fundamentals that any organisation should implement: 
Review and test your back-up policy to ensure it is thorough and sufficient – By checking that the organisation’s back-up is running smoothly, IT teams can limit any risks of disruption in the midst of an incident and of losing data permanently.

In our recent State of Email Security report, we found that six out of ten organisations have been victims of ransomware in 2020. As a result, afflicted organisations have lost an average of six days to downtime. One third of organisations even admitted that they failed to get their data back, despite paying the ransom. In the healthcare industry, this could mean losing valuable patient records or data related to new treatments – two areas the sector cannot afford to be cavalier about.

Conduct due diligence across the organisation’s supply chain – Healthcare organisations should review their ways of working with partners, providers and regulatory institutions they work with in order to prevent any weak link in their cybersecurity chain. Without this due diligence, organisations leave themselves exposed to the risks of third party-led incidents. 

Roll out mandatory cybersecurity awareness training - Healthcare organisations shouldn’t neglect the training and awareness of their entire staff – including frontline workers who may not access the corporate network on a regular basis. According to our State of Email Security report, only one fifth of organisations carry out ongoing cyber awareness training.

This suggests it is not widely considered as a fundamental part of most organisations cyber-resilience strategy, despite the fact many employees rely on their organisation’s corporate network to work. By providing systematic training, healthcare organisations can help workers at all levels better understand the current cyberthreats they face, how they could impact their organisation, the role they play in defending the networks, and develop consistent, good cybersecurity hygiene habits to limit the risks of incidents. 
Consider a degree of separation – Information and Operational Technology (IT and OT) networks should be separated.

Although mutually supported and reliance on each other, employees shouldn’t be accessing one via the other. This should be complemented by a considered tried and tested contingency and resiliency plan that allows crucial services to function unabated should there be a compromise. Similarly, admin terminals should not have internet access to afford a degree of hardening and protection for these critical accounts.

As the sector becomes a common target for fraudulent and malicious activity, putting cybersecurity at the core of the organisation’s operations is critical. It will help limit the risks of disruption due to cyberattacks, reduce time spent by the cybersecurity team to resolve easily avoidable errors, and ensure that institutions can deliver patient care, safe in the knowledge that their networks are safe.  

Fighting future threats

With technology continuing to change the face of healthcare, the surface area and vectors available for attacks by malicious actors is constantly increasing. With the introduction of apps, networked monitoring devices, and a need for communication, the attack vector is ever expanding, a trend that needs to be monitored and secured against.

To prevent any damage to patients, staff, or the organisation they are responsible for, healthcare leaders must put security front and centre of their digital transformation strategy. Only then can the sector harness the full benefits of technology. Doing this should include implementing cybersecurity awareness training to challenge misconceptions around security, encourage conversation, and to ensure employee knowledge of the security basics and threats faced. 

This ultimately allows healthcare organisations to do what they do best: provide the highest standard of patient care, safe in the knowledge that their operations, patients, and data are safe.

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