Evaluation of a real-life experience with a digital fluid balance monitoring technology.

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Lisbeth R Leinum, Anders O Baandrup, Ismail Gögenur, Marianne Krogsgaard, Nessn Azawi
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引用次数: 0

Abstract

Background: Innovations in healthcare technologies have the potential to address challenges, including the monitoring of fluid balance.

Objective: This study aims to evaluate the functionality and accuracy of a digital technology compared to standard manual documentation in a real-life setting.

Methods: The digital technology, LICENSE, was designed to calculate fluid balance using data collected from devices measuring urine, oral and intravenous fluids. Participating patients were connected to the LICENSE system, which transmitted data wirelessly to a database. These data were compared to the nursing staff's manual measurements documented in the electronic patient record according to their usual practice.

Results: We included 55 patients in the Urology Department needing fluid balance charting and observed them for an average of 22.9 hours. We found a mean difference of -44.2 ml in total fluid balance between the two methods. Differences ranged from -2230 ml to 2695 ml, with a divergence exceeding 500 ml in 57.4% of cases. The primary source of error was inaccurate or omitted manual documentation. However, errors were also identified in the oral LICENSE device.

Conclusions: When used correctly, the LICENSE system performs satisfactorily in measuring urine and intravenous fluids, although the oral device requires revision due to identified errors.

数字体液平衡监测技术的真实体验评估。
背景:医疗保健技术的创新有可能解决包括体液平衡监测在内的各种挑战:本研究旨在评估一项数字技术的功能性和准确性,并将其与真实环境中的标准手动记录进行比较:数字技术 LICENSE 的设计目的是利用尿液、口服液和静脉注射液测量设备收集的数据计算体液平衡。参与研究的患者与 LICENSE 系统相连,该系统通过无线方式将数据传输到数据库。这些数据与护理人员根据惯例在电子病历中记录的人工测量结果进行了比较:我们对泌尿科 55 名需要绘制体液平衡图的患者进行了平均 22.9 小时的观察。我们发现,两种方法在总体液平衡方面的平均差异为-44.2 毫升。差异范围从-2230 毫升到 2695 毫升不等,57.4% 的病例差异超过 500 毫升。错误的主要原因是手工记录不准确或遗漏。然而,在口服 LICENSE 设备中也发现了错误:结论:如果使用得当,LICENSE 系统在测量尿液和静脉输液方面的表现令人满意,但口服装置因发现错误而需要修改。
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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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