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Reliable clinical monitoring using wireless sensor networks: experiences in a step-down hospital unit

Published: 03 November 2010 Publication History

Abstract

This paper presents the design, deployment, and empirical study of a wireless clinical monitoring system that collects pulse and oxygen saturation readings from patients. The primary contribution of this paper is an in-depth clinical trial that assesses the feasibility of wireless sensor networks for patient monitoring in general hospital units. We present a detailed analysis of the system reliability from a long term hospital deployment over seven months involving 41 patients in a step-down cardiology unit. The network achieved high reliability (median 99.68%, range 95.21% -- 100%). The overall reliability of the system was dominated by sensing reliability of the pulse oximeters (median 80.85%, range 0.46% -- 97.69%). Sensing failures usually occurred in short bursts, although longer periods were also present due to sensor disconnections. We show that the sensing reliability could be significantly improved through oversampling and by implementing a disconnection alarm system that incurs minimal intervention cost. A retrospective data analysis indicated that the system provided sufficient temporal resolution to support the detection of clinical deterioration in three patients who suffered from significant clinical events including transfer to Intensive Care Units. These results indicate the feasibility and promise of using wireless sensor networks for continuous patient monitoring and clinical deterioration detection in general hospital units.

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cover image ACM Conferences
SenSys '10: Proceedings of the 8th ACM Conference on Embedded Networked Sensor Systems
November 2010
461 pages
ISBN:9781450303446
DOI:10.1145/1869983
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Publication History

Published: 03 November 2010

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Author Tags

  1. implementation
  2. patient monitoring
  3. reliability
  4. wireless sensor networks

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  • (2021)A robust guaranteed time slots allotment scheme for real-time and reliable communication in WBANsInternational Journal of Ad Hoc and Ubiquitous Computing10.1504/ijahuc.2021.11338336:2(101-113)Online publication date: 1-Jan-2021
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