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Challenges of Close Loop Electronic Medical Systems

机译:闭环电子医疗系统的挑战

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摘要

As technology level increases, modern medicine becomes inconceivable without complex electronic devices and their systems, and these become more and more reliable and sophisticated. Modern electronic devices are reliable, they rarely brake down, and the risk of electric shock or any other injury for the patient and caregiver is vanishingly small. On the other hand, the problem of personnel working with electronic equipment becomes relevant [1]. It is impossible to "improve" the operator; therefore the amount of mistakes he makes will always be relevant. For example, major part of patient deaths occurs due to wrong administration of drugs - about 50% of all deaths [2], so only increasing the reliability of electronic medical systems software and hardware will not solve the problem. It is needed to reduce the amount of tasks the operator performs in order to reduce the amount of mistakes the operator makes, and this can be reached by creating closed loop systems. Closed loop systems would mostly be beneficial to these cases, where manual constant parameter checking and adequate response is required, such as anesthesia, glycaemic control, blood pressure control and others. Closed loop systems allowing nurses spend more time for care, where human contact between nurse and patient is very important.
机译:随着技术水平的提高,没有复杂的电子设备及其系统,现代医学就变得不可想象,并且它们变得越来越可靠和复杂。现代电子设备是可靠的,它们几乎不会制动,并且对患者和护理人员造成电击或任何其他伤害的风险正在大大降低。另一方面,使用电子设备的人员问题变得很重要[1]。无法“改善”操作员;因此,他犯的错误的数量永远是相关的。例如,患者死亡的主要部分是由于错误用药引起的-占所有死亡的50%[2],因此仅提高电子医疗系统软件和硬件的可靠性并不能解决问题。需要减少操作员执行的任务数量以减少操作员犯的错误数量,这可以通过创建闭环系统来解决。对于需要手动恒定参数检查和充分响应的情况,例如麻醉,血糖控制,血压控制等,闭环系统将最有利。闭环系统使护士可以花更多的时间进行护理,而护士和患者之间的人际交往非常重要。

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