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Reliability of human and machine measurements in patient monitoring

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Summary

In a study on 29 patients for 152 hours a continuous monitoring system has been shown to have a reliability of 90.53 % for pulse rate and 82.20% for arterial blood pressure, but for approximately half of the period of unreliable monitoring a not obviously artifactual reading was being displayed. The relevance of this to possible incorrect diagnosis and management is discussed. The monitor and a nurse using traditional chart keeping methods gave equivalent charts with respect to average levels and trends, but the monitor assisted chart showed a much greater variability. The latter tended to obscure underlying trends and render clinical diagnosis from the chart more difficult

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References

  • Arbeit, S. R., Rubin, I. L., Gross, H.: ”Danger of interpreting E.C.G's from oscilloscopes.” Journal of the American Medical Association 211, 453–456 (1970)

    Google Scholar 

  • Ashworth, P. M.: “Intensive Care.” Nursing Mirror 128, 20–21 (1968)

    Google Scholar 

  • Davenport, W. B., Root, W. L.: “An Introduction to the Theory of Random Signals and Noise.” New York: McGraw-Hill 1958

    Google Scholar 

  • Evans, T. R., Clarke, T. J. H.: “Reliability of patient monitoring apparatus.” British Medical Journal 2, 734–736 (1971)

    Google Scholar 

  • Feinstein, A. R.: In: “Clinical Judgement”, p. 291. Baltimore: Williams & Williams 1967

    Google Scholar 

  • Gump, F. E.: “Physiological measurements and their interpretation.” Medical Clinics of North America 55, 1141–1155 (1971)

    Google Scholar 

  • Hope, C. E., Lewis, C. D., Perry, I. R., Gamble, A.: “Computer trend analysis in automated patient monitoring systems.” British Journal of Anaesthesia 45, 440–448 (1973)

    Google Scholar 

  • Lewis, C. D.: “Statistical monitoring techniques.” Medical Biological Engineering 9, 315–323 (1971)

    Google Scholar 

  • Lewis, G. N.: “Monitoring of patients in Intensive Care Units.” Surgical Clinics of North America 51, 15–23 (1971)

    Google Scholar 

  • Maloney, J. V.: “The trouble with patient monitoring.” Annals of Surgery 168, 605–619 (1968)

    Google Scholar 

  • Neumann, J. von, Kent, R. H., Bellinson, N. R., Hart, B. I.: Annals of Mathematical Statistics 12, 153 (1941)

    Google Scholar 

  • Otterman, J.: “The properties and methods of computation of exponentially mapped past statistical variables.” Institute of Radio Engineers Transactions on Automatic Control AC-5, 11–17 (1960)

    Google Scholar 

  • Taylor, D. E. M.: “Computer assisted patient monitoring.” Biomedical Engineering 6, 560–566 (1971)

    Google Scholar 

  • Taylor, D. E. M.: “Interaction of Men and Machines in Intensive Care Units.” In: “Intensive Care”, Proceedings of 8th International Pfizer Symposium. D. E. M. Taylor, J. Walker (Eds.). Edinburgh and London: Churchill-Livingstone 1975

    Google Scholar 

  • Taylor, D. E. M., Hitchings, D. J.: The development and assessment of a computer assisted monitor alarm and warning system (PAWS). Bio-medical Engineering (1974). In press.

  • Taylor, D. E. M., Whamond, Joan S., Hitchings, D. J., Hulliger, M., Begg, D.: Short term variability of pulse rate and blood pressure in post-operative cardiac surgical patients. Cardiovasc. Res. (1975). In press.

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Taylor, D.E.M., Whamond, J.S. Reliability of human and machine measurements in patient monitoring. Europ. J. Intensive Care Med 1, 53–59 (1975). https://doi.org/10.1007/BF00626426

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  • DOI: https://doi.org/10.1007/BF00626426

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