A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients

Thomas Schmidt; Annmarie Touborg Lassen; Uffe Kock Wiil

doi:10.1109/ICHI.2016.21

A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients

Thomas Schmidt, Annmarie Touborg Lassen, Uffe Kock Wiil

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

Abstract

Current patient monitoring solutions struggle with high rates of false alarms, which potentially lead to dismissal of clinically relevant alarms. This risk is in particular present in emergency departments and acute bed wards where highly heterogeneous patients are treated in rapid succession. In this paper, we present the design, implementation, and evaluation of a Patient Deterioration Warning System prototype. The prototype addresses these issues by providing a summarized, easy to grasp representation of monitored patients to improve the situational awareness of nurses. The prototype has been evaluated by 18 nurses on 50 patients, and achieved an agreement rate of 78%. The proposed system enables nurses to quickly and accurately gain insight into the state and trajectory of monitored patients over a period of 24 hours.

Original language	English
Title of host publication	Proceedings of the 2nd IEEE International Conference on Healthcare Informatics
Editors	Wai-Tat Fu, Kai Zheng, Larry Hodges, Gregor Stiglic, Ann Blandford
Publisher	IEEE Press
Publication date	6. Dec 2016
Pages	129-138
Article number	7776337
ISBN (Print)	978-1-5090-6118-1
ISBN (Electronic)	978-1-5090-6117-4
DOIs	https://doi.org/10.1109/ICHI.2016.21
Publication status	Published - 6. Dec 2016
Event	2nd IEEE International Conference on Healthcare Informatics - Chicago, United States Duration: 4. Oct 2016 → 7. Oct 2016 Conference number: 2 http://www.ieee-ichi.org/

Conference

Conference	2nd IEEE International Conference on Healthcare Informatics
Number	2
Country/Territory	United States
City	Chicago
Period	04/10/2016 → 07/10/2016
Internet address	http://www.ieee-ichi.org/

Series	Healthcare Informatics
ISSN	1050-9135

Keywords

emergency and acute medical services
health informatics
patient monitoring

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10.1109/ICHI.2016.21

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Schmidt, T., Lassen, A. T., & Wiil, U. K. (2016). A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients. In W.-T. Fu, K. Zheng, L. Hodges, G. Stiglic, & A. Blandford (Eds.), Proceedings of the 2nd IEEE International Conference on Healthcare Informatics (pp. 129-138). Article 7776337 IEEE Press. https://doi.org/10.1109/ICHI.2016.21

Schmidt, Thomas ; Lassen, Annmarie Touborg ; Wiil, Uffe Kock. / A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients. Proceedings of the 2nd IEEE International Conference on Healthcare Informatics. editor / Wai-Tat Fu ; Kai Zheng ; Larry Hodges ; Gregor Stiglic ; Ann Blandford. IEEE Press, 2016. pp. 129-138 (Healthcare Informatics).

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title = "A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients",

abstract = "Current patient monitoring solutions struggle with high rates of false alarms, which potentially lead to dismissal of clinically relevant alarms. This risk is in particular present in emergency departments and acute bed wards where highly heterogeneous patients are treated in rapid succession. In this paper, we present the design, implementation, and evaluation of a Patient Deterioration Warning System prototype. The prototype addresses these issues by providing a summarized, easy to grasp representation of monitored patients to improve the situational awareness of nurses. The prototype has been evaluated by 18 nurses on 50 patients, and achieved an agreement rate of 78%. The proposed system enables nurses to quickly and accurately gain insight into the state and trajectory of monitored patients over a period of 24 hours.",

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author = "Thomas Schmidt and Lassen, {Annmarie Touborg} and Wiil, {Uffe Kock}",

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editor = "Wai-Tat Fu and Kai Zheng and Larry Hodges and Gregor Stiglic and Ann Blandford",

booktitle = "Proceedings of the 2nd IEEE International Conference on Healthcare Informatics",

note = "2nd IEEE International Conference on Healthcare Informatics ; Conference date: 04-10-2016 Through 07-10-2016",

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Schmidt, T , Lassen, AT & Wiil, UK 2016, A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients. in W-T Fu, K Zheng, L Hodges, G Stiglic & A Blandford (eds), Proceedings of the 2nd IEEE International Conference on Healthcare Informatics., 7776337, IEEE Press, Healthcare Informatics, pp. 129-138, 2nd IEEE International Conference on Healthcare Informatics, Chicago, Illinois, United States, 04/10/2016. https://doi.org/10.1109/ICHI.2016.21

A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients. / Schmidt, Thomas ; Lassen, Annmarie Touborg ; Wiil, Uffe Kock.
Proceedings of the 2nd IEEE International Conference on Healthcare Informatics. ed. / Wai-Tat Fu; Kai Zheng; Larry Hodges; Gregor Stiglic; Ann Blandford. IEEE Press, 2016. p. 129-138 7776337 (Healthcare Informatics).

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

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T1 - A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients

AU - Schmidt, Thomas

AU - Lassen, Annmarie Touborg

AU - Wiil, Uffe Kock

N1 - Conference code: 2

PY - 2016/12/6

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N2 - Current patient monitoring solutions struggle with high rates of false alarms, which potentially lead to dismissal of clinically relevant alarms. This risk is in particular present in emergency departments and acute bed wards where highly heterogeneous patients are treated in rapid succession. In this paper, we present the design, implementation, and evaluation of a Patient Deterioration Warning System prototype. The prototype addresses these issues by providing a summarized, easy to grasp representation of monitored patients to improve the situational awareness of nurses. The prototype has been evaluated by 18 nurses on 50 patients, and achieved an agreement rate of 78%. The proposed system enables nurses to quickly and accurately gain insight into the state and trajectory of monitored patients over a period of 24 hours.

AB - Current patient monitoring solutions struggle with high rates of false alarms, which potentially lead to dismissal of clinically relevant alarms. This risk is in particular present in emergency departments and acute bed wards where highly heterogeneous patients are treated in rapid succession. In this paper, we present the design, implementation, and evaluation of a Patient Deterioration Warning System prototype. The prototype addresses these issues by providing a summarized, easy to grasp representation of monitored patients to improve the situational awareness of nurses. The prototype has been evaluated by 18 nurses on 50 patients, and achieved an agreement rate of 78%. The proposed system enables nurses to quickly and accurately gain insight into the state and trajectory of monitored patients over a period of 24 hours.

KW - emergency and acute medical services

KW - health informatics

KW - patient monitoring

U2 - 10.1109/ICHI.2016.21

DO - 10.1109/ICHI.2016.21

M3 - Article in proceedings

SN - 978-1-5090-6118-1

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BT - Proceedings of the 2nd IEEE International Conference on Healthcare Informatics

A2 - Fu, Wai-Tat

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PB - IEEE Press

T2 - 2nd IEEE International Conference on Healthcare Informatics

Y2 - 4 October 2016 through 7 October 2016

ER -

A Patient Deterioration Warning System for Boosting Situational Awareness of Monitored Patients

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Keywords

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