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Non-contact vital sign monitoring of patients in an intensive care unit: A human factors analysis of staff expectations.
Applied Ergonomics ( IF 3.2 ) Pub Date : 2020-08-28 , DOI: 10.1016/j.apergo.2020.103149
Jody Ede 1 , Sarah Vollam 1 , Julie L Darbyshire 1 , Oliver Gibson 2 , Lionel Tarassenko 1 , Peter Watkinson 1
Affiliation  

Background

Infra-red and thermal imaging enable wireless systems to monitor patients’ vital signs and absence of wires may improve patient experiences. No studies have explored staff perceptions of the concept of this specific type of technology in the adult population. Understanding existing working systems before introducing technology could improve adoption.

Methods

We conducted semi-structured interviews with Intensive Care Unit (ICU) staff exploring perceptions of wireless patient monitoring. We used the Systems Engineering Initiative for Patient Safety (SEIPS) model to guide thematic analysis.

Results

We identified usability themes relating to staff perceptions of current patient monitoring experiences, staff perceptions of patient/relative expectations of ICU care, troubleshooting, hierarchy of monitoring, and consensus of trust.

Conclusion

The concept of wireless monitoring has perceived benefits for patients and staff. The Systems Engineering Initiative for Patient Safety model guided a systems-based exploratory evaluation. Results highlight the social and environmental factors which may influence usability, adoption, or abandonment of wireless technology in the ICU.



中文翻译:

重症监护病房患者的非接触式生命体征监测:工作人员期望的人为因素分析。

背景

红外和热成像使无线系统能够监测患者的生命体征,而且没有电线可能会改善患者体验。没有研究探讨工作人员对成年人群中这种特定类型技术概念的看法。在引入技术之前了解现有的工作系统可以提高采用率。

方法

我们对重症监护室 (ICU) 工作人员进行了半结构化访谈,探讨了对无线患者监测的看法。我们使用患者安全系统工程计划 (SEIPS) 模型来指导主题分析。

结果

我们确定了与员工对当前患者监测体验的看法、员工对 ICU 护理的患者/相关期望的看法、故障排除、监测等级和信任共识相关的可用性主题。

结论

无线监控的概念已经为患者和工作人员带来了好处。患者安全系统工程计划指导了基于系统的探索性评估。结果突出了可能影响 ICU 中无线技术的可用性、采用或放弃的社会和环境因素。

更新日期:2020-08-28
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