The development of computerised continuous and multi-modality monitoring in the intensive care environment of a district general hospital
The development of computerised continuous and multi-modality monitoring in the intensive care environment of a district general hospital
The purpose of this research has been to test the hypothesis that a continuous and multi-modality approach to the monitoring of vital life sign data may provide additional useful information for overall management of the patient in the general intensive care environment. The emphasis of this work has been to carry out research into a novel approach for continuous, multi-modality monitoring, focusing on the design and development of a physiological profiling system. The profiling system was designed to provide a more useful data presentation format than that currently offered by the traditional manual paper chart-based system.
The hypothesis has been tested by the development of hardware and software for a profiling system consisting of data collection and display and analysis modules and a rudimentary clinical vital sign trend indictor. This has been tested on models and patient data retrospectively. Technical and clinical evaluation of this system design has been undertaken in terms of preliminary clinical work carried out and presented in the form of example case studies.
Overall, the research has fulfilled the aims stated in this thesis, and has supported the hypothesis proposed.
The resulting profiling system produced has the capability of: a) providing a useful clinical indicator that could be used for future patient management, b) earlier detection of events, c) providing a realistic picture of events/trend changes, d) quantifying anecdotal events, e) detecting simple artefacts, and f) being user-friendly and inexpensive.
The profiling system concept has the potential to: g) improve the number of significant incidents, events or trends detected, h) accurately identify slow and subtle changes taking place in the condition of a patient, i) quantify the physiological status of the patient in an innovative way, j) calculate the number and duration of patient events, k) act as a visual aid to clinical staff of summarise the patients' condition, and l) complement that existing intensive care practices and procedures used.
This research has established which parameters the clinical staff considered to be important in monitoring adults in intensive care and their acceptable ranges.
University of Southampton
Powell, Shirley A
72c629ee-70cb-4b0b-83a0-3fcf0d4f7010
2002
Powell, Shirley A
72c629ee-70cb-4b0b-83a0-3fcf0d4f7010
Powell, Shirley A
(2002)
The development of computerised continuous and multi-modality monitoring in the intensive care environment of a district general hospital.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
The purpose of this research has been to test the hypothesis that a continuous and multi-modality approach to the monitoring of vital life sign data may provide additional useful information for overall management of the patient in the general intensive care environment. The emphasis of this work has been to carry out research into a novel approach for continuous, multi-modality monitoring, focusing on the design and development of a physiological profiling system. The profiling system was designed to provide a more useful data presentation format than that currently offered by the traditional manual paper chart-based system.
The hypothesis has been tested by the development of hardware and software for a profiling system consisting of data collection and display and analysis modules and a rudimentary clinical vital sign trend indictor. This has been tested on models and patient data retrospectively. Technical and clinical evaluation of this system design has been undertaken in terms of preliminary clinical work carried out and presented in the form of example case studies.
Overall, the research has fulfilled the aims stated in this thesis, and has supported the hypothesis proposed.
The resulting profiling system produced has the capability of: a) providing a useful clinical indicator that could be used for future patient management, b) earlier detection of events, c) providing a realistic picture of events/trend changes, d) quantifying anecdotal events, e) detecting simple artefacts, and f) being user-friendly and inexpensive.
The profiling system concept has the potential to: g) improve the number of significant incidents, events or trends detected, h) accurately identify slow and subtle changes taking place in the condition of a patient, i) quantify the physiological status of the patient in an innovative way, j) calculate the number and duration of patient events, k) act as a visual aid to clinical staff of summarise the patients' condition, and l) complement that existing intensive care practices and procedures used.
This research has established which parameters the clinical staff considered to be important in monitoring adults in intensive care and their acceptable ranges.
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Published date: 2002
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Local EPrints ID: 464702
URI: http://eprints.soton.ac.uk/id/eprint/464702
PURE UUID: 8b3341d2-bbb4-4a3c-8c66-ead4919a50ff
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Date deposited: 04 Jul 2022 23:57
Last modified: 16 Mar 2024 19:42
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Author:
Shirley A Powell
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