Division of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Anesthesiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Sensors (Basel). 2023 Jul 27;23(15):6736. doi: 10.3390/s23156736.
Incorporating technology into healthcare processes is necessary to ensure the availability of high-quality care in the future. Wearable sensors are an example of such technology that could decrease workload, enable early detection of patient deterioration, and support clinical decision making by healthcare professionals. These sensors unlock continuous monitoring of vital signs, such as heart rate, respiration rate, blood oxygen saturation, temperature, and physical activity. However, broad and successful application of wearable sensors on the surgical ward is currently lacking. This may be related to the complexity, especially when it comes to replacing manual measurements by healthcare professionals. This report provides practical guidance to support peers before starting with the clinical application of wearable sensors in the surgical ward. For this purpose, the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework of technology adoption and innovations in healthcare organizations is used, combining existing literature and our own experience in this field over the past years. Specifically, the relevant topics are discussed per domain, and key lessons are subsequently summarized.
将技术融入医疗保健流程对于确保未来提供高质量的医疗服务至关重要。可穿戴传感器就是这样一种技术，它可以减轻工作量，实现对患者病情恶化的早期检测，并为医疗保健专业人员的临床决策提供支持。这些传感器可以实现对生命体征的连续监测，如心率、呼吸频率、血氧饱和度、体温和身体活动。然而，可穿戴传感器在外科病房中的广泛和成功应用目前还很缺乏。这可能与复杂性有关，尤其是在由医疗保健专业人员替代手动测量时。本报告旨在为同行提供实用指导，以便在外科病房中开始临床应用可穿戴传感器之前做好准备。为此，使用了医疗保健组织中技术采用和创新的非采用、放弃、扩展、传播和可持续性（NASSS）框架，结合了现有文献和我们在过去几年中在该领域的经验。具体来说，每个领域都讨论了相关主题，随后总结了关键经验教训。
