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Wireless Biomedical Sensors

Wireless Biomedical Sensors. By Darlene E. Aponte, RN. Objective. Describe wireless biomedical sensor technology. Describe biomedical sensor hardware. Describe biomedical sensor software. Evaluate the usability of software. Describe Cerner Information System . Objectives (continued).

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Wireless Biomedical Sensors

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  1. Wireless Biomedical Sensors By Darlene E. Aponte, RN

  2. Objective • Describe wireless biomedical sensor technology. • Describe biomedical sensor hardware. • Describe biomedical sensor software. • Evaluate the usability of software. • Describe Cerner Information System

  3. Objectives (continued) • Identify Advantages to Wireless Sensor Technology • Identify 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

  4. What are Wireless Biomedical Sensors? A new technology that advances the way we gather data about our patients.

  5. 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

  6. “Just be still Jim….” Image found at photobucket.com

  7. Hardware • Bed sensors • Temperature and luminosity sensors • ECG sensors • Pulse oximeter sensors • Motion sensors

  8. ECG Sensors • Sensors applied directly to patient skin • Are 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)

  9. ECG SensorImage from Journal of Medical Systems

  10. Software-EMR/EHR • Centricity http://www.softwareadvice.com/medical/ge-centricity-emr-profile/ • InSync http://www.softwareadvice.com/medical/Intivia-insync-profile/ • AdvancedMD http://www.advancedmd.com • Azyxxi (Feied, 2005) • Cerner http://www.cerner.com

  11. Cerner • Highly streamlined workflow solutions • Person centric Architecture • Clients assess system performance

  12. Cerner Axiom #1- Cerner meets axiom #1 because Cerner partners with clinicians and staff to individualize it’s solutions to meet the needs of each hospital.

  13. 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.

  14. 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.

  15. Cerner Millenium • Healthcare Information Technology System Solutions (Cerner, 2010) • PharmNet and PowerChart • PowerOrders • RadNet and PACS • PathNet • CareAware

  16. Cerner • Healthcare Information System • Cerner Information System used by numerous healthcare professionals • Cerner enables users to perform all aspects of healthcare • Configurations determined by needs of facility • Data standards- HL7, DICOM • Utilizes SNOMED classification system • NIDSEC used for nursing

  17. 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

  18. Disadvantages to Wireless Biomedical Sensor Technology • Consume high amount of Bandwidth (Alemdor & Ersoy, 2010) • Interoperability problems • Power supply must be recharged • Security • Privacy • Varying patient response to interaction with technology

  19. Ethical/Legal Issues • Ensuring patient privacy • Maintaining client confidentiality • Healthcare provider accountability • Patient preferences vs. reducing cost of care • Legal use of acquired information

  20. Required Nursing Competencies • Keyboard and Mousing skills • Proficiency in using sensors • Assessing integrity of sensors and proper placement • Troubleshooting minor problems with equipment • Ability to provide patient teaching on proper use of sensors

  21. 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 privacy and ensuring security of patient information

  22. 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 improved patient outcomes • Data from wireless sensors can be linked directly to EMR

  23. 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

  24. 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

  25. 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

  26. 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/ refsvc? jid=772&accno=2009539646

  27. References • 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

  28. 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

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