Wearable sensors to improve detection of patient deterioration

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Title: Wearable sensors to improve detection of patient deterioration
Author(s): Joshi, M
Ashrafian, H
Aufegger, L
Khan, S
Arora, S
Cooke, G
Darzi, A
Item Type: Journal Article
Abstract: INTRODUCTION: Monitoring a patient's vital signs forms a basic component of care, enabling the identification of deteriorating patients and increasing the likelihood of improving patient outcomes. Several paper-based track and trigger warning scores have been developed to allow clinical evaluation of a patient and guidance on escalation protocols and frequency of monitoring. However, evidence suggests that patient deterioration on hospital wards is still missed, and that patients are still falling through the safety net. Wearable sensor technology is currently undergoing huge growth, and the development of new light-weight wireless wearable sensors has enabled multiple vital signs monitoring of ward patients continuously and in real time. Areas covered: In this paper, we aim to closely examine the benefits of wearable monitoring applications that measure multiple vital signs; in the context of improving healthcare and delivery. A review of the literature was performed. Expert commentary: Findings suggest that several sensor designs are available with the potential to improve patient safety for both hospital patients and those at home. Larger clinical trials are required to ensure both diagnostic accuracy and usability.
Publication Date: 6-Jan-2019
Date of Acceptance: 21-Dec-2018
URI: http://hdl.handle.net/10044/1/65464
DOI: https://dx.doi.org/10.1080/17434440.2019.1563480
ISSN: 1743-4440
Publisher: Taylor & Francis
Journal / Book Title: Expert Review of Medical Devices
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
National Institute for Health Research
Royal College Of Surgeons Of England
Funder's Grant Number: RDB04
RP-2016-07-012
WSSS_P69080
Copyright Statement: © 2019 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Review of Medical Devices on 6th Jan 2019, available online: https://dx.doi.org/10.1080/17434440.2019.1563480
Keywords: Continuous monitoring
Hospital
Patient deterioration
Vital signs
Ward patients
Wearable sensors
Continuous monitoring
Hospital
Patient deterioration
Vital signs
Ward patients
Wearable sensors
0903 Biomedical Engineering
Biomedical Engineering
Publication Status: Published online
Conference Place: England
Embargo Date: 2019-12-22
Online Publication Date: 2019-01-06
Appears in Collections:Division of Surgery
Department of Medicine
Faculty of Medicine



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