Wearable technology as a booster of clinical care
Wearable technology as a booster of clinical care
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可穿戴技术作为临床护理的助推器
DOI：
10.1117/12.2042986
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
T. Deserno
中科院分区：
文献类型：
--
作者：
S. Jonas;Andreas Hannig;C. Spreckelsen;T. Deserno
可穿戴技术定义了一类新的智能设备，它们是配备计算能力和传感器的配件或服装，如谷歌眼镜。在这项工作中，我们提出了一个新的概念，支持日常的临床路径与可穿戴技术。与大多数先前的工作相比，我们并没有专注于无所不在的屏幕来显示患者信息或图像，而是试图维护现有的工作流程。为了实现这一目标，我们的系统支持临床工作人员作为记录观察员，只有在检测到问题时才进行充分干预。使用药物准备和管理的例子，一个已知的任务是容易出错，我们证明了新设备的全部潜力。患者和药物标识符被内置摄像头捕获，信息被发送到交易服务器。服务器与医院信息系统通信以获得患者记录和药物信息。然后，系统分析新药可能的副作用以及与已施用药物的相互作用。结果被发送到设备，同时封装尊重数据安全和隐私的所有敏感信息。用户仅看到交通灯样式的编码反馈以避免分心。服务器可以减少文档工作，并实时报告药物准备或管理期间可能出现的问题。总之，我们围绕三个基本原则设计了一个安全系统，在日常临床工作中有许多应用：（i）尽可能减少交互和干扰;（ii）不显示患者数据;（iii）设备是纯粹的观察者，不是工作流程的一部分。通过减少错误和文件负担，我们的方法有能力提高临床护理。
Wearable technology defines a new class of smart devices that are accessories or clothing equipped with computational power and sensors, like Google Glass. In this work, we propose a novel concept for supporting everyday clinical pathways with wearable technology. In contrast to most prior work, we are not focusing on the omnipresent screen to display patient information or images, but are trying to maintain existing workflows. To achieve this, our system supports clinical staff as a documenting observer, only intervening adequately if problems are detected. Using the example of medication preparation and administration, a task known to be prone to errors, we demonstrate the full potential of the new devices. Patient and medication identifier are captured with the built-in camera, and the information is send to a transaction server. The server communicates with the hospital information system to obtain patient records and medication information. The system then analyses the new medication for possible side-effects and interactions with already administered drugs. The result is sent to the device while encapsulating all sensitive information respecting data security and privacy. The user only sees a traffic light style encoded feedback to avoid distraction. The server can reduce documentation efforts and reports in real-time on possible problems during medication preparation or administration. In conclusion, we designed a secure system around three basic principles with many applications in everyday clinical work: (i) interaction and distraction is kept as low as possible; (ii) no patient data is displayed; and (iii) device is pure observer, not part of the workflow. By reducing errors and documentation burden, our approach has the capability to boost clinical care.