scholarly journals Clinical Requirements of Future Patient Monitoring in the Intensive Care Unit: Qualitative Study

10.2196/13064 ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. e13064 ◽  
Author(s):  
Akira-Sebastian Poncette ◽  
Claudia Spies ◽  
Lina Mosch ◽  
Monique Schieler ◽  
Steffen Weber-Carstens ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
Patient Monitoring ◽  
Future Patient

scholarly journals Clinical Requirements of Future Patient Monitoring in the Intensive Care Unit: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Akira-Sebastian Poncette ◽  
Claudia Spies ◽  
Lina Mosch ◽  
Monique Schieler ◽  
Steffen Weber-Carstens ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Qualitative Study ◽  
Patient Monitoring ◽  
Digital Health ◽  
Alarm Management ◽  
Novel Technology ◽  
Future Patient

BACKGROUND In the intensive care unit (ICU), continuous patient monitoring is essential to detect critical changes in patients’ health statuses and to guide therapy. The implementation of digital health technologies for patient monitoring may further improve patient safety. However, most monitoring devices today are still based on technologies from the 1970s. OBJECTIVE The aim of this study was to evaluate statements by ICU staff on the current patient monitoring systems and their expectations for future technological developments in order to investigate clinical requirements and barriers to the implementation of future patient monitoring. METHODS This prospective study was conducted at three intensive care units of a German university hospital. Guideline-based interviews with ICU staff—5 physicians, 6 nurses, and 4 respiratory therapists—were recorded, transcribed, and analyzed using the grounded theory approach. RESULTS Evaluating the current monitoring system, ICU staff put high emphasis on usability factors such as intuitiveness and visualization. Trend analysis was rarely used; inadequate alarm management as well as the entanglement of monitoring cables were rated as potential patient safety issues. For a future system, the importance of high usability was again emphasized; wireless, noninvasive, and interoperable monitoring sensors were desired; mobile phones for remote patient monitoring and alarm management optimization were needed; and clinical decision support systems based on artificial intelligence were considered useful. Among perceived barriers to implementation of novel technology were lack of trust, fear of losing clinical skills, fear of increasing workload, and lack of awareness of available digital technologies. CONCLUSIONS This qualitative study on patient monitoring involves core statements from ICU staff. To promote a rapid and sustainable implementation of digital health solutions in the ICU, all health care stakeholders must focus more on user-derived findings. Results on alarm management or mobile devices may be used to prepare ICU staff to use novel technology, to reduce alarm fatigue, to improve medical device usability, and to advance interoperability standards in intensive care medicine. For digital transformation in health care, increasing the trust and awareness of ICU staff in digital health technology may be an essential prerequisite. CLINICALTRIAL ClinicalTrials.gov NCT03514173; https://clinicaltrials.gov/ct2/show/NCT03514173 (Archived by WebCite at http://www.webcitation.org/77T1HwOzk)

scholarly journals Intensive care unit nurses' perception of the barriers to effective in-service education: A qualitative study

2020 ◽  
Vol 7 (4) ◽  
pp. 241
Author(s):  
Noushin Mousazadeh ◽  
Shahrzad Yektatalab ◽  
Marzieh Momennasab ◽  
Soroor Parvizy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Unit Nurses

scholarly journals Epidemiology of patient monitoring alarms in the neonatal intensive care unit

2018 ◽  
Vol 38 (8) ◽  
pp. 1030-1038 ◽  
Author(s):  
Taibo Li ◽  
Minoru Matsushima ◽  
Wendy Timpson ◽  
Susan Young ◽  
David Miedema ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Patient Monitoring

scholarly journals Job Satisfaction Challenges Of Nurses In The Intensive Care Unit: A Qualitative Study

2019 ◽  
Vol Volume 12 ◽  
pp. 233-242
Author(s):  
Somayeh Mousazadeh ◽  
Shahrzad Yektatalab ◽  
Marzieh Momennasab ◽  
Soroor Parvizy
Keyword(s):  
Job Satisfaction ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study

scholarly journals Mobile extracorporeal membrane oxygenation service for severe acute respiratory failure – A review of five years of experience

2019 ◽  
Vol 21 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Ada M Krzak ◽  
Jo-Anne Fowles ◽  
Alain Vuylsteke
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Qualitative Study ◽  
Extracorporeal Membrane Oxygenation ◽  
Acute Respiratory Failure ◽  
Equipment Failure ◽  
Quality And Safety ◽  
Regular Reflection ◽  
Membrane Oxygenation

Provision of extracorporeal membrane oxygenation as part of support escalation in severe refractory acute respiratory failure in England is provided by five specialist centres that operate within a well-defined quality and safety framework. We conducted a qualitative study of the extracorporeal membrane oxygenation retrieval service provided by one of the five centres. We analysed 176 consecutive debrief reports written between October 2013 and April 2018 by the consultant. Main identified issues were short delays in retrieval predominantly due to insufficient communication or equipment failure. All issues were addressed in subsequent practice. Our results suggest a need for improved communication between the referring intensive care unit and retrieving team. Our findings highlight the value of regular reflection-based evaluation to ensure continued provision of safe and efficient service.

scholarly journals A qualitative study of undergraduate clerkships in the intensive care unit: It’s a brand new world

2017 ◽  
Vol 6 (3) ◽  
pp. 173-181 ◽  
Author(s):  
Enda O’Connor ◽  
Michael Moore ◽  
Walter Cullen ◽  
Peter Cantillon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
New World
Sign in / Sign up

Export Citation Format

Share Document