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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). - PowerPoint PPT Presentation
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+
Wireless Biomedical SensorsBy 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)
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
+What are Wireless Biomedical Sensors?
A new technology that advances the way we gather data about our patients.
+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
+“Just be still Jim….”6
Image found at photobucket.com
+Hardware
Bed sensors
Temperature and luminosity sensors
ECG sensors
Pulse oximeter sensors
Motion sensors
+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)
+ECG SensorImage from Journal of Medical Systems
+Software-EMR/EHR
Centricityhttp://www.softwareadvice.com/medical/ge-centricity-emr-profile/InSynchttp://www.softwareadvice.com/medical/Intivia-insync-profile/AdvancedMDhttp://www.advancedmd.comAzyxxi (Feied, 2005)Cernerhttp://www.cerner.com
+Cerner
Highly streamlined workflow solutionsPerson centric Architecture
Clients assess system performance
+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.
+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.
+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.
+Cerner Millenium
Healthcare Information Technology System Solutions (Cerner, 2010)
PharmNet and PowerChart PowerOrders RadNet and PACS PathNet CareAware
+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
+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
+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
+Ethical/Legal Issues
Ensuring patient privacy
Maintaining client confidentiality
Healthcare provider accountability
Patient preferences vs. reducing cost of care
Legal use of acquired information
+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
+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
+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
+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
+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
+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
+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
+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
+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