Wireless Biomedical Sensors

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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 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

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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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Just be still Jim.
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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 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,
  OReilly, ODonoghue, Sammon, Gundersen, 2009)

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ECG SensorImage from Journal of Medical Systems
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Software-EMR/EHR

• Centricity
• http//www.softwareadvice.com/medical/ge-centricit
  y-emr-profile/
• InSync
• http//www.softwareadvice.com/medical/Intivia-insy
  nc-profile/
• 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 1-
• Cerner meets axiom 1 because Cerner partners
  with clinicians and staff to individualize its
  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 determined by needs of facility
• Data 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 problems
• Power supply must be recharged
• Security
• Privacy
• Varying patient response to interaction with
  technology

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Ethical/Legal Issues

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

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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

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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 privacy and ensuring security of
  patient information

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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 improved patient outcomes
• Data 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
  ? jid966accno2004161946

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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. 508518.
  doi10.1049/iet-cdt20050206

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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.
  doi10.1016/ 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/ refsvc? jid772accno200
  9539646

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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

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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