Curtis Dorothy W, Pino Esteban J, Bailey Jacob M, Shih Eugene I, Waterman Jason, Vinterbo Staal A, Stair Thomas O, Guttag John V, Greenes Robert A, Ohno-Machado Lucila
Massachusetts Institute of Technology, Computer Science and Artificial Intelligence Laboratory, 77 Massachusetts Ave., BLDG 32-G914, Cambridge, MA 02139, USA.
J Am Med Inform Assoc. 2008 Jan-Feb;15(1):44-53. doi: 10.1197/jamia.M2016. Epub 2007 Oct 18.
Monitoring vital signs and locations of certain classes of ambulatory patients can be useful in overcrowded emergency departments and at disaster scenes, both on-site and during transportation. To be useful, such monitoring needs to be portable and low cost, and have minimal adverse impact on emergency personnel, e.g., by not raising an excessive number of alarms. The SMART (Scalable Medical Alert Response Technology) system integrates wireless patient monitoring (ECG, SpO(2)), geo-positioning, signal processing, targeted alerting, and a wireless interface for caregivers. A prototype implementation of SMART was piloted in the waiting area of an emergency department and evaluated with 145 post-triage patients. System deployment aspects were also evaluated during a small-scale disaster-drill exercise.
对某些类别的门诊患者进行生命体征和位置监测,在人满为患的急诊科以及灾难现场(包括现场和运输过程中)可能会很有用。为了发挥作用,这种监测需要便于携带且成本低廉,并且对急救人员的不利影响最小,例如不会引发过多警报。SMART(可扩展医疗警报响应技术)系统集成了无线患者监测(心电图、血氧饱和度)、地理定位、信号处理、定向警报以及面向护理人员的无线接口。SMART的一个原型在急诊科的候诊区进行了试点,并对145名分诊后的患者进行了评估。在一次小规模灾难演练中还对系统部署方面进行了评估。