Connect with us

Published

on

HOUSTON Patients admitted to Houston Methodist Hospital get a monitoring device about the size of a half-dollar affixed to their chest and an unwitting role in the expanding use of artificial intelligence in health care.

This story also ran on Fortune. It can be republished for free.

The slender, battery-powered gadget, called a BioButton, records vital signs including heart and breathing rates, then wirelessly sends the readings to nurses sitting in a 24-hour control room elsewhere in the hospital or in their homes. The devices software uses AI to analyze the voluminous data and detect signs a patients condition is deteriorating.

Hospital officials say the BioButton has improved care and reduced the workload of bedside nurses since its rollout last year.

Because we catch things earlier, patients are doing better, as we dont have to wait for the bedside team to notice if something is going wrong, said Sarah Pletcher, system vice president at Houston Methodist.

But some nurses fear the technology could wind up replacing them rather than supporting them and harming patients. Houston Methodist, one of dozens of U.S. hospitals to employ the device, is the first to use the BioButton to monitor all patients except those in intensive care, Pletcher said.

The hype around a lot of these devices is they provide care at scale for less labor costs, said Michelle Mahon, a registered nurse and an assistant director of National Nurses United, the professions largest U.S. union. This is a trend that we find disturbing, she said.

The rollout of BioButton is among the latest examples of hospitals deploying technology to improve efficiency and address a decades-old nursing shortage. But that transition has raised its own concerns, including about the devices use of AI; polls show the public is wary of health providers relying on it for patient care. The BioButton, a monitoring device, is being used in dozens of hospitals employing artificial intelligence to analyze patients vital signs. (Phil Galewitz/KFF Health News) Houston Methodist Hospital, just a few miles south of downtown Houston, is located amid a giant medical complex that includes several hospitals. (Phil Galewitz/KFF Health News)

In December 2022 the FDA cleared the BioButton for use in adult patients who are not in critical care. It is one of many AI tools now used by hospitals for tasks like reading diagnostic imaging results.

In 2023, President Joe Biden directed the Department of Health and Human Services to develop a plan to regulate AI in hospitals, including by collecting reports of patients harmed by its use.

The leader of BioIntelliSense, which developed the BioButton, said its device is a huge advance compared with nurses walking into a room every few hours to measure vital signs. With AI, you now move from I wonder why this patient crashed to I can see this crash coming before it happens and intervene appropriately, said James Mault, CEO of the Golden, Colorado-based company.

The BioButton stays on the skin with an adhesive, is waterproof, and has up to a 30-day battery life. The company says the device which allows providers to quickly notice deteriorating health by recording more than 1,000 measurements a day per patient has been used on more than 80,000 hospital patients nationwide in the past year.

Hospitals pay BioIntelliSense an annual subscription fee for the devices and software.

Houston Methodist officials would not reveal how much the hospital pays for the technology, though Pletcher said it equates to less than a cup of coffee a day per patient.

For a hospital system that treats thousands of patients at a time Houston Methodist has 2,653 non-ICU beds at its eight Houston-area hospitals such an investment could still translate to millions of dollars a year. Email Sign-Up

Subscribe to KFF Health News' free Morning Briefing. Your Email Address Sign Up

Hospital officials say they have not made any changes in nurse staffing and have no plans to because of implementing the BioButton.

Inside the hospitals control center for virtual monitoring on a recent morning, about 15 nurses and technicians dressed in scrubs sat in front of large monitors showing the health status of hundreds of patients they were assigned to monitor.

A red checkmark next to a patients name signaled the AI software had found readings trending outside normal. Staff members could click into a patients medical record, showing patients vital signs over time and other medical history. These virtual nurses, if you will, could contact nurses on the floor by phone or email, or even dial directly into the patients room via video call.

Nutanben Gandhi, a technician who was watching 446 patients on her monitor that morning, said that when she gets an alert, she looks at the patients health record to see if the anomaly can be easily explained by something in the patients condition or if she needs to contact nurses on the patients floor.

Oftentimes an alert can be easily dismissed. But identifying signs of deteriorating health can be tough, said Steve Klahn, Houston Methodists clinical director of virtual medicine.

We are looking for a needle in a haystack, he said.

Donald Eustes, 65, was admitted to Houston Methodist in March for prostate cancer treatment and has since been treated for a stroke. He is happy to wear the BioButton.

You never know what can happen here, and having an extra set of eyes looking at you is a good thing, he said from his hospital bed. After being told the device uses AI, the Montgomery, Texas, man said he has no problem with its helping his clinical team. This sounds like a good use of artificial intelligence.

Patients and nurses alike benefit from remote monitoring like the BioButton, said Pletcher of Houston Methodist. A nurse inside Houston Methodist Hospitals virtual intensive care unit monitors patients from afar. Nurses can track dozens of patients using technology that helps them supplement bedside care. (Phil Galewitz/KFF Health News) Sarah Pletcher, system vice president at Houston Methodist, stands inside the hospitals 24-hour virtual intensive care unit where patients are monitored by nurses and technicians. (Phil Galewitz/KFF Health News)

The hospital has placed small cameras and microphones inside all patient rooms enabling nurses outside to communicate with patients and perform tasks such as helping with patient admissions and discharge instructions. Patients can include family members on the remote calls with nurses or a doctor, she said.

Virtual technology frees up on-duty nurses to provide more hands-on help, such as starting an intravenous line, Pletcher said. With the BioButton, nurses can wait to take routine vital signs every eight hours instead of every four, she said.

Pletcher said the device reduces nurses stress in monitoring patients and allows some to work more flexible hours because virtual care can be done from home rather than coming to the hospital. Ultimately it helps retain nurses, not drive them away, she said.

Sheeba Roy, a nurse manager at Houston Methodist, said some members of the nursing staff were nervous about relying on the device and not checking patients vital signs as often themselves. But testing has shown the device provides accurate information.

After we implemented it, the staff loves it, Roy said. Houston Methodist this year plans to send the BioButton home with patients so the hospital can better track their progress in the weeks after discharge, measuring the quality of their sleep and checking their gait.(Phil Galewitz/KFF Health News)

Serena Bumpus, chief executive officer of the Texas Nurses Association, said her concern with any technology is that it can be more burdensome on nurses and take away time with patients.

We have to be hypervigilant in ensuring that we are nt leaning on this to replace the ability of nurses to critically think and assess patients and validate what this device is telling us is true, Bumpus said.

Houston Methodist this year plans to send the BioButton home with patients so the hospital can better track their progress in the weeks after discharge, measuring the quality of their sleep and checking their gait.

We are not going to need less nurses in health care, but we have limited resources and we have to use those as thoughtfully as we can, Pletcher said. Looking at projected demand and seeing the supply we have coming, we will not have enough to meet demand, so anything we can do to give time back to nurses is a good thing.

Phil Galewitz: pgalewitz@kff.org, @philgalewitz Related Topics States Health IT Hospitals Nurses Texas Contact Us Submit a Story Tip

Continue Reading

Sports

Kiley McDaniel’s favorite Day 1 draft picks, biggest surprises and best available Day 2 prospects

Published

on

By

Kiley McDaniel's favorite Day 1 draft picks, biggest surprises and best available Day 2 prospects

With Day 1 of the 2025 MLB draft complete, it’s time to look at which picks in the first round stood out most.

After weeks of speculation about the various directions the Washington Nationals could go with the No. 1 pick, they surprised the industry by taking Oklahoma high school shortstop Eli Willits — and the Los Angeles Angels followed up with a surprising pick of their own at No. 2 by taking UC Santa Barbara pitcher Tyler Bremner

Though the nature of the baseball draft means that some of the picks we aren’t quite sure about on Day 1 will become clearer when we see how teams spread their bonus allotment around later in the draft, here are the early picks I liked the most and some eye-opening selections along with the top players still available entering Day 2.


Five favorite moves

Mariners and Pirates get their guys

The buzz leading up to the draft was that Kade Anderson was atop the Mariners’ draft board and Seth Hernandez was the top target (after Willits, who wasn’t going to get there) of the Pirates. Seattle was the other team taking a long look at Hernandez, but the shenanigans at the top two picks (more on that later) means that both Seattle and Pittsburgh got their preferred arms.

A’s select Arnold and Taylor

The Athletics had only two picks on Day 1 but received excellent values at each. Jamie Arnold was the top prospect in the draft entering the season and seemed primed to go somewhere between No. 2 and No. 8 after an uneven season. He somehow was the prospect left holding the short straw, falling to the 11th pick. Devin Taylor was in the mix at multiple picks in the comp round but lasted five selections into the second round.

Twins embrace risk with Quick and Young

The Twins took two hit-first college infielders as their first picks last year (Kaelen Culpepper and Kyle DeBarge), took another one in the 2023 second round (Luke Keaschall), and two more in the top two rounds in 2022 (Brooks Lee, Tanner Schobel) — and also took one with their first pick this year in Marek Houston.

What interested me though is what Minnesota did after that, taking big swings with the upside of Riley Quick (four potential plus pitches but below-average command) and Quentin Young (80-grade power potential with big questions on contact rate).

Phillies try to jump the reliever trade market?

Gage Wood has a chance to start long term but can also go straight to the upper minors — if not the big leagues — and potentially help the bullpen later this season, like a trade deadline addition. The Phillies’ next pick, Cade Obermueller, is another possible starter who also could move quickly as a lefty turning 22 later this month with two knockout pitches in his fastball/slider combo. Odds are good that at least one of them can provide big league value in the next 12 months if Philly wants to utilize them that way.

The Red Sox land Witherspoon, Phillips and Eyanson

The Red Sox are interested in creating more pitching depth and selected a number of interesting arms on Day 1. Kyson Witherspoon had a lot of interest in the top 10, but the Red Sox got him at No. 15.

He’ll need to sharpen his execution a notch and his short arm action is unique, but there’s midrotation upside. Marcus Phillips has a chance to start but could also bring another distinctive look as a late-inning arm with four plus pitches from a low slot and a triple-digit fastball. Anthony Eyanson is a different sort, with fringy fastball velocity but standout command along with a slider and splitter that keep hitters off-balance.

Five eye-openers

Eli Willits at No. 1

The buzz ahead of the draft was that there were three players in play for the top pick and Willits was my third-ranked player in the class, so the same group is what I would’ve been considering — and I love Willits as a player. The bonus will be a factor in evaluating how successful this pick will be viewed — I’ll guess it starts with an eight — but I think this will be seen as a solid decision, as long as Kade Anderson or Ethan Holliday don’t become stars.

Tyler Bremner at No. 2

The biggest piece of late buzz I was hearing is that Bremner was in play at No. 3 to the Mariners. I didn’t hear his name at all at No. 2 so that made this pick the first shocker in the draft.

Bremner was considered in this area (on a deal) because he could easily be the best pitcher in this class — but only if he can develop a better slider, which isn’t a small if. The Angels seem to have a thought about how to solve this, and how he progresses will be one of the more followed storylines of this draft.

Tigers take Yost and Oliveto

I like both players, but it’s fascinating that these two and the most-rumored prep hitter tied to Detroit that they didn’t take (Coy James, who had a tough summer) were all missing strong 2024 summer performances.

Jordan Yost and Michael Oliveto were the only two prep position players in the first-round mix who weren’t in the major national events on the summer circuit, thus creating a lot of uncertainty about how to project them.

The Tigers are right to assume this could create a potential quick gain in value if Yost and Oliveto can perform early in their pro careers, but I don’t remember seeing a team double down on lack of summer exposure in the early rounds.

Orioles take two catchers in the first round, and two pitchers in the second

It’s certainly a bit odd that the Orioles took two college catchers with their first two picks after taking another one (Ethan Anderson) in the second round last year. Obviously, teams don’t draft for big league need — the O’s already have Adley Rutschman — and they need at least two catchers at all four full season minor league affiliates, it’s just odd to see them invest in this position early multiple times. And after all of the position players they have drafted under Mike Elias, they did sneak in two arms on Day 1 with Joseph Dzierwa (a command-forward lefty) and J.T. Quinn (one of my favorite college relievers with the traits to start in pro ball).

Guardians lean into power

The Guardians often draft, or sign internationally, hit-first players who are often underpowered, with Steven Kwan a prominent example. They swerved a lot this year, taking Jace LaViolette with their first pick (I compare him to Cody Bellinger or Joey Gallo; he hit .258 this season) and Nolan Schubart (24% strikeout rate, 22% in-zone whiff rate) with their fifth pick on Day 1. Those two have big power and strong pull/lift rates, and LaViolette has the athleticism to play center field, so there’s real talent, it’s just not usually the type that the Guardians have targeted.


Best available for Day 2

Listed by top 250 draft rankings

43. Mason Neville, OF, Oregon
44. Matthew Fisher, RHP, Evansville Memorial HS (Ind.)
53. Josiah Hartshorn, LF, Orange Lutheran HS (Calif.)
55. Brock Sell, CF, Tokay HS (Calif.)
61. Jack Bauer, LHP, Lincoln Way East HS (Ill.)
69. Coy James, SS, Davie County HS (N.C.)
70. Alec Blair, CF, De La Salle HS (Calif.)
71. Mason Pike, RHP, Puyallup HS (Wash.)
72. Cam Appenzeller, LHP, Glenwood HS (Ill.)
73. Briggs McKenzie, LHP, Corinth Holders HS (N.C.)

Continue Reading

UK

Gregg Wallace: Over half of allegations against MasterChef presenter upheld, including one of unwanted physical contact

Published

on

By

Gregg Wallace: Over half of allegations against MasterChef presenter upheld, including one of unwanted physical contact

An investigation into Gregg Wallace’s “inappropriate behaviour” on MasterChef has found more than half of the allegations against him have been substantiated, including one of “unwanted physical contact”.

MasterChef’s production company Banijay UK shared a summary of its report into historical allegations of misconduct against the 60-year-old presenter, carried out by independent law firm Lewis Silkin over seven months.

The report said the number of sustained allegations made Wallace’s return to MasterChef “untenable”.

Last week it emerged Wallace had been sacked as MasterChef presenter, with reports of more than 50 fresh allegations against him.

The investigation heard evidence from 78 witnesses, including 41 complainants. The investigations team spoke to Wallace three times for the report, conducting 14 hours of interviews with him.

There were 83 allegations against Wallace, and 45 of them were upheld. All were related to MasterChef.

The upheld allegations were:

• Twelve claims he made inappropriate jokes and innuendo;

• Sixteen reports he made sexually explicit comments;

• Two allegations that he made sexualised comments to or about someone;

• Four complaints that he made culturally insensitive or racist comments;

• Three claims that he was in a state of undress;

• Seven allegations of bullying;

• One allegation of unwanted touching.

Nearly all the allegations against Wallace were related to behaviour which is said to have occurred between 2005 and 2018, with just one substantiated allegation taking place after 2018.

Wallace and Anne-Marie Sterpini in 2014
Image:
Wallace and Anne-Marie Sterpini in 2014

Ahead of the publication of the summary, Wallace had said he had been “cleared of the most serious and sensational accusations” made against him.

He also said his neurodiversity had “now formally (been) diagnosed as autism”, saying in the social media post that it was “suspected and discussed by colleagues across countless seasons of MasterChef”.

BBC held no ‘central’ information over Wallace concerns

Additionally, the report summary found there were 10 standalone allegations about other people between 2012 and 2018/2019, two of which were substantiated. These were unrelated to Wallace, and those people were not named in the summary.

The investigation found that complaints had previously been raised with the production company between 2005 and 2024.

Gregg Wallace on MasterChef. Pic: BBC/ Shine TV 2024
Image:
Gregg Wallace on MasterChef. Pic: BBC/ Shine TV 2024

While the report flagged inadequate reporting procedures before 2016, when Endemol merged with Shine ahead of Banijay acquiring Endemol Shine in 2020, it said there were significant improvements to HR processes and training after 2016.

The investigation said some formal action was taken by the BBC in 2017, but it also noted the corporation held no information regarding concerns raised over Wallace centrally, resulting in issues being addressed as a first offence.

Sky News has tried to contact Gregg Wallace today.

Gregg Wallace after being made a Member of the Order of the British Empire (MBE) by the Princess Royal in an investiture ceremony at Windsor Castle. Picture date: Tuesday February 28, 2023.
Read less

Picture by: Andrew Matthews/PA Archive/PA Images
Date taken: 28-Feb-2023
Image:
Gregg Wallace after being made a Member of the Order of the British Empire (MBE) by the Princess Royal in an investiture ceremony at Windsor Castle. Picture date: Tuesday February 28, 2023.
Read less

Picture by: Andrew Matthews/PA Archive/PA Images


Responding to the findings of the report, the BBC said the corporation had “no plans to work with [Wallace] in future”, saying his behaviour “falls below the values of the BBC”.

The BBC said “opportunities were missed” to address Wallace’s behaviour, adding, “We accept more could and should have been done sooner”.

Concerning the allegations against other individuals flagged in the report, the BBC said they had asked Banijay UK to take action to address these issues, and said it would “be completed as a priority”.

The corporation has yet to decide if the unseen MasterChef series that was filmed with Wallace last year will still be aired.

Production staff deserve ‘much, much better’

Banijay UK chief executive Patrick Holland called the report “uncomfortable reading”, but said its findings provided “valuable insight” for production teams moving forward.

In a nod to Wallace’s recent autism spectrum disorder diagnosis, Mr Holland said Wallace’s neurodiversity was “relevant to certain behaviours identified in the report”, admitting “the production could have done more to identify, manage and communicate patterns of inappropriate behaviour”.

Philippa Childs, head of creative industries union Bectu, said the report findings made it clear that “inappropriate behaviour has gone unchecked for far too long,” adding: “This is a real failure by Banijay to take these issues seriously and act accordingly”.

Ms Childs said the report highlighted the precarious position of production staff, the majority of whom are freelance workers, who she said deserve “much, much better”.

Wallace was the original presenter of the BBC show Saturday Kitchen in 2002 and has also featured on Eat Well For Less?, Inside The Factory, Turn Back Time, Harvest and Supermarket Secrets.

He was best known, however, for presenting MasterChef, MasterChef: The Professionals, and Celebrity MasterChef.

Continue Reading

UK

Postman who murdered and beheaded girlfriend jailed for at least 23 years

Published

on

By

Postman who murdered and beheaded girlfriend jailed for at least 23 years

Warning: This article contains details readers may find distressing.

An “evil” postman who moaned about being lonely hours before he severed his girlfriend’s head and tried to dismember her body has been jailed for a minimum of 23 years.

Ewan Methven murdered 21-year-old Phoenix Spencer-Horn in the flat they shared in East Kilbride, South Lanarkshire, in November last year.

The High Court in Glasgow heard the killer dumped his partner’s body parts in their hallway and failed to call emergency services for two days.

Phoenix Spencer-Horn
Image:
Phoenix Spencer-Horn was murdered in November

The 27-year-old then bought drugs, watched pornography and sent sickening texts to Phoenix’s worried mum pretending she was still alive.

Phoenix was stabbed 20 times – including 10 times in the face – using three knives in an attack that unfolded after she returned from her waitressing job in Lanarkshire.

The 21-year-old had described Methven as her “soulmate” on social media, saying in one TikTok video: “Life is so much more beautiful and full of colour with you.”

A few months later she was murdered by the same man she had been in a relationship with for two years.

Ewan Methven.
Pic Police Scotland/PA
Image:
Ewan Methven was jailed on Monday. Pic: Police Scotland

Methven received a life sentence with at least 23 years behind bars when he retuned to the dock on Monday.

The judge, Lord Matthews, described it as a “dreadful crime”.

He told Methven: “You were a trusted member of her family, but you betrayed that trust and robbed her of life in the cruellest way.

“Not content with what you had done to her, you robbed her of all dignity in death by decapitating her and trying to dismember her in an attempt to defeat the ends of justice.”

The pair had been in a relationship for two years.
Image:
The pair had been in a relationship for two years

Lord Matthews highlighted victim impact statements supplied by Phoenix’s family and said he had “rarely read such outpourings of grief”.

The judge said: “The way you treated this innocent young woman after her death meant that her family did not even have the comfort of saying goodbye to her.”

He added: “I have this morning seen a letter written by you, but it answers none of the questions which must be plaguing the family. You blame the effect of substances but that is no excuse.”

‘Personification of evil’

Sky News has interviewed the couple’s neighbour who lives directly next door.

Toni Brown, 25, described the horror of discovering what happened.

She said: “I think I stayed out of the house for about a week after that. I couldn’t even sit.

“It’s horrific. It gives me shivers thinking about it. It is crazy to think I stayed next door to a monster like that.

“What scares me the most is knowing she was lay there and I was in here oblivious.”

Toni Brown
Image:
Neighbour Toni Brown spoke to Sky News

Asked whether she heard any noises or violence around the time of the murder, Ms Brown said: “There was a bad smell in my house in the early hours of the morning she was found.

“There was a bad smell in my kitchen basically where the walls join together.”

Methven’s own defence lawyer told the court that society will see the killer as the “personification of evil”.

When he eventually called 999, he claimed to have suffered a drug-induced blackout during the violent killing.

Phoenix Spencer-Horn was murdered by the man she once called her "soulmate"
Image:
Ms Spencer-Horn was murdered by the man she once called her ‘soulmate’

Another life lost to gender-based violence

The case has raised questions once again about the growing prevalence of gender-based violence.

Fiona Drouet’s daughter Emily was 18 when she took her own life at university in Aberdeen in 2016, days after being choked and slapped by her ex-boyfriend.

Angus Milligan was later convicted of physical and psychological abuse.

Fiona Drouet
Image:
Fiona Drouet’s daughter was a victim of physical abuse from an ex-boyfriend

Ms Drouet, who now campaigns on violence against women across the UK and Ireland, has set up a charity called Emily’s Test in her daughter’s name.

Reacting to the death of Ms Spencer-Horn, Ms Drouet told Sky News: “There is another mother and father that have just been plunged into utter hell.

“Somebody once said to me that if God came to you and said, ‘I am going to give you this beautiful daughter, but you’ll only have her for 18 years and then we need to take her back, would you still want her?’ and I would take those 18 years and go through the pain rather than have nothing.

“Although just now that probably offers no words of comfort for Phoenix’s parents, maybe one day it can.”

If you suspect you are being abused and need to speak to someone, there are people who can help you, including The National Domestic Violence Helpline on 0808 2000 247 or Women’s Aid online.

Continue Reading

Trending