Institute for Data, Systems, and Society (IDSS), E18-407A, 50 Ames Street, Cambridge, MA 02142, USA.
Respiratory Therapy, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Crit Care Clin. 2023 Oct;39(4):795-813. doi: 10.1016/j.ccc.2023.02.005. Epub 2023 Mar 27.
Critical care data contain information about the most physiologically fragile patients in the hospital, who require a significant level of monitoring. However, medical devices used for patient monitoring suffer from measurement biases that have been largely underreported. This article explores sources of bias in commonly used clinical devices, including pulse oximeters, thermometers, and sphygmomanometers. Further, it provides a framework for mitigating these biases and key principles to achieve more equitable health care delivery.
重症监护数据包含有关医院中生理最脆弱的患者的信息,这些患者需要进行大量监测。然而,用于患者监测的医疗设备存在测量偏差,但这些偏差在很大程度上被低估了。本文探讨了常用临床设备(包括脉搏血氧计、温度计和血压计)中的偏差来源。此外,它还提供了减轻这些偏差的框架和实现更公平医疗服务的关键原则。