Transcript Document 7532731

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Wireless Biomedical
Sensors
By Darlene E. Aponte, RN
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Objective
 Describe
wireless biomedical sensor technology.
 Describe
biomedical sensor hardware.
 Describe
biomedical sensor software.
 Evaluate
the usability of software.
 Describe
Cerner Information System
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Objectives (continued)
 Identify Advantages
 Identify
to Wireless Sensor Technology
Disadvantages to Wireless Sensor Technology
 Discuss
Ethical/Legal Issues associated with Wireless
Sensor Technology Trend
 List
Informatics competencies required for Trend
 Describe
functions and responsibilities of INS working
with trend
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What are Wireless Biomedical Sensors?
A new technology
that advances the
way we gather data
about our patients.
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Wireless Biomedical Sensors …
Are
able to collect and send data using
remote technology
Can
be placed on the person or in the
environment
Utilize
affordable ad-hoc self-managing
networks
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10
“Just be still Jim….”
Image found at photobucket.com
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Hardware
 Bed
sensors
 Temperature
and luminosity sensors
 ECG
sensors
 Pulse
oximeter sensors
 Motion
sensors
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ECG Sensors
Sensors
 Are
applied directly to patient skin
applied using an adhesive, are small, lightweight,
and worn on patients chest
 Accurate
monitoring that is considered comparable to
readings of Holter Monitor (Fensli, Dale, O’Reilly,
O’Donoghue, Sammon, Gundersen, 2009)
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ECG Sensor
Image from Journal of Medical Systems
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Software-EMR/EHR
 Centricity
http://www.softwareadvice.com/medical/ge-centricityemr-profile/
InSync
http://www.softwareadvice.com/medical/Intivia-insyncprofile/
AdvancedMD
http://www.advancedmd.com
Azyxxi (Feied, 2005)
Cerner
http://www.cerner.com
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Cerner
Highly
streamlined workflow solutions
Person
centric Architecture
Clients
assess system performance
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Cerner
Axiom #1Cerner meets axiom #1 because Cerner partners
with clinicians and staff to individualize it’s
solutions to meet the needs of each hospital.
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Cerner
Axiom #2
Cerner meets axiom #2 because data entry is
quick and easy, and allows the user to make
corrections using the same techniques as the
original data entry.
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Cerner
Axiom #3
Cerner meets axiom #3 because evaluation of its
systems are assessed by their clients and quality
improvement initiatives are addressed using
evidenced based research, data analysis, and
process modeling.
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Cerner Millenium
 Healthcare
Information Technology System
Solutions (Cerner, 2010)
 PharmNet
and PowerChart
 PowerOrders
 RadNet and PACS
 PathNet
 CareAware
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Cerner
 Healthcare
Information System
 Cerner
Information System used by numerous healthcare
professionals
 Cerner
enables users to perform all aspects of healthcare
 Configurations
 Data
determined by needs of facility
standards- HL7, DICOM
 Utilizes
SNOMED classification system
 NIDSEC
used for nursing
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Advantages to Wireless Biomedical
Sensor Technology
 Increased
Patient Satisfaction
 Increased Transparency
 Offers
a solution to continuous monitoring needs
 Increased
Quality of Data
 Real-time
data solution
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Disadvantages to Wireless Biomedical
Sensor Technology
 Consume
high amount of Bandwidth (Alemdor & Ersoy,
2010)
 Interoperability
 Power
problems
supply must be recharged
 Security
 Privacy
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Varying patient response to interaction with technology
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Ethical/Legal Issues
 Ensuring
patient privacy
 Maintaining
 Healthcare
 Patient
 Legal
client confidentiality
provider accountability
preferences vs. reducing cost of care
use of acquired information
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Required Nursing Competencies
 Keyboard
and Mousing skills
 Proficiency
 Assessing
in using sensors
integrity of sensors and proper placement
 Troubleshooting
 Ability
sensors
minor problems with equipment
to provide patient teaching on proper use of
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Functions and Responsibilities of INS
 Staff
education and training
 Product
purchasing
 Collaboration
with staff and software company to design
features
 Ensuring
system requirements are met.
 Maintaining
information
privacy and ensuring security of patient
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Summary
 Wireless
Biomedical Sensors collect key patient data
 Increase
patient satisfaction
 Are
a way to maintain continuous patient monitoring
 Offer
an affordable alternative to inpatient stays in some
circumstances
 Offer
 Data
improved patient outcomes
from wireless sensors can be linked directly to EMR
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References
 Ana
nursing information and data set evaluation center
recognizes cerner corporation's 'carenet solutions'.
(2004). Alabama Nurse, 31(2), Retrieved from URL:
www.cinahl.com/cgi-bin/refsvc?
jid=966&accno=2004161946
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References
 Alemdar,
H, & Ersoy, C. (2010). Wireless sensor networks for
healthcare: a survey. Computer Networks 54, doi: 10.1016/
jcomnet.2010.05.003
 Arshak,
K., Jafer, E., McDonagh, D., Ibala, C.S. (2007).
Modeling and simulation of wireless sensor system for health
monitoring using HDL and Simulink with mixed
environment. IET Comput. Digit. Tech, 1, (5), pp. 508–518.
doi:10.1049/iet-cdt:20050206
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References
 Cerner
. (2010). Retrieved from http://
www.cerner.com/solutions/
 Engin,
M., Demirel, Engin, E.Z., Fedakar, M. (2005).
Recent developments and trends in biomedical
sensors. Measurement, 37, 173-188. doi:10.1016/
j.measurement.2004.11.002
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References
 Feied,
C. (2005). Building your own electronic medical
record. From A to Z. Azyxxi system offers access
to
a wide range of clinical data. Modern
Healthcare,
35 (46). Retrieved from:
www.cinahl.com/cgi-bin/
jid=772&accno=2009539646
refsvc?
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 Fensli,
R, Gunnar-Dale, J, O'Reilly, P, O'Donoghue, J, &
Sammon, D. (2009). Towards improved healthcare
performance: examining technological possibilities
and patient satisfaction with wireless body area
networks. Journal of Medical Systems, doi: 10.1007/
s10916-009-9291-8
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References
 Virone,
G, Wood, L, Selavo, Q, Cao, L, & Fang, T. (n.d.).
An advanced wireless sensor network for health
monitoring. Unpublished manuscript, Department of
Computer Science, University of Virginia, Virginia.
Retrieved from www.cs.virginia.edu/papers/d2h206-
health.pdf