무선 네트워크 기반의 실시간 환자 모니터링 시스템 구축 사례 연구

A Case Study on the Implementation of a Real-time Patient Monitoring System based on Wireless Network

  • 최종수 (삼성서울병원 정보전략팀, 숭실대학교 산업.정보시스템공학과) ;
  • 김동수 (숭실대학교 산업.정보시스템공학과)
  • Choi, Jong-Soo (Department of IT Planning, Samsung Medical Center, Department of Industrial and Information Systems Engineering, Soongsil University) ;
  • Kim, Dong-Soo (Department of Industrial and Information Systems Engineering, Soongsil University)
  • 투고 : 2010.01.28
  • 심사 : 2010.04.23
  • 발행 : 2010.09.01

초록

As wireless and mobile technologies have advanced significantly, lots of large sized healthcare organizations have implemented so called mobile hospital (m-Hospital) which provides a location independent and point of care (POC) clinical environment. Implementation of m-Hospital enhances quality of care because health professionals such as physicians and nurses can use hospital information systems at the very place where patients are located without any delay. This paper presents a real-time patient monitoring system based on wireless network technologies. A general framework for the patient monitoring process is introduced and the architecture and components of the proposed monitoring system is described. The system collects and analyzes biometric signals of in-patients who suffer from cancer. Specifically, it continuously monitors oxygen saturation of patients in bed and alarms health professionals instantly when an abnormal status of the patient is detected. The monitoring system has been used and clinically verified in a university hospital.

키워드

참고문헌

  1. Al-Ali, A-R., Al-Rousan, M., and Ozkul, T. (2006), Implementation of experimental communication protocol for health monitoring of patients, Computer Standards & Interfaces, 28(5), 523-530, doi : 10.1016/j.csi.2005. 01.021.
  2. Baker, S. D. and Hoglund, D. H. (2008), Medical-grade, mission-critical wireless networks, IEEE Eng Med Biol Mag, 27(2), 86-95, PMID : 18463024.
  3. Choi, J-W., Kim, Y-H., Lee, S-G., Lee, J-O., Oh, B-H., and Cho, H-I. (1997), A Telemedicine System Using B-ISDN, Journal of Korean Society of Medical Informatics, 3(2), 141-146.
  4. Do, H-H. and Kim, I-K. (2007), The Remote Health System utilizing Wireless Communication of Personal Health Information, Journal of Korean Society of Medical Informatics, 13(4), 403-416.
  5. Inderscience Publishers (2009), Ubiquitous health: Enabling telemedicine to cut hospital visits, save money, ScienceDaily, Retrieved January 23, 2010, from http://www.sciencedaily.com/releases/2009/12/091209134644.htm.
  6. Ji, K-Y. (2007), The innovative marketing of Hospital in the ubiquitous environment, Journal of the Korean Hospital Association, Sep-Oct, 63-73.
  7. Jung, W-S. and Oh, Y-H. (2008), Patient Monitering System Base on UHealthcare, Journal of Korea Information and Communication Society, 33(7), 575-582.
  8. Kundu, S., Mukherjee, J., and Majumdar, A. K. (2005), Patient's data browsing in wireless LAN in TELEMEDIK, ICPWC, New Delhi, 272-275, DOI : 10.1109/ICPWC.2005. 1431347.
  9. Lee, J-H., Kim, K-K., Kim, H-S., Jeong, P-S., Jung, W-S., and Oh, Y-H. (2008), Implementation of U-Healthcare Monitoring System based on USN, Journal of Korea Information and Communication Society, 33(2), 75-81.
  10. Lee, M-H. (2006), The national technical trend at e(u)-Healthcare industry, u-Healthcare seminar based on wearable computer.
  11. Loh, P. K. K. and Allan, L. (2005), Medical Informatics System with Wireless Sensor Network-enabled for Hospitals, Intelligent Sensors, Sensor Networks and Information Processing Conference, 2005. Proceedings of the 2005 International Conference on, 265-270.
  12. Moron, M. J., Casilari, E., Luque, R., and Gazquez, J. A. (2005), A wireless monitoring system for pulse-oximetry sensors, Wireless Technologies/High Speed Networks/Multimedia Communications Systems/Sensor Networks, International Conference on, 79-84, DOI : 10.1109/ICW.2005.20.
  13. Pollard, J. K., Rohman, S., and Fry, M. E. J. (2001), A web-based mobile medical monitoring system, Intelligent Data Acquisition and Advanced Computing Systems : Technology and Applications, International Workshop on, 32-35.
  14. Rashvand, H. F. et al. (2008), "Ubiquitous wireless telemedicine," Special Issue on TELEMEDICINE AND E-HEALTH COMMUNICATION SYSTEMS, IET Com., 2(2).
  15. Reddy, M. C., McDonald, D. W., Pratt, W., and Shabot, M. M. (2005), Technology, work, and information flows : Lessons from the implementation of a wireless alert pager system, Journal of Biomedical Informatics, 38(3), 229-238, doi : 10.1016 /j.jbi.2004.11.010. https://doi.org/10.1016/j.jbi.2004.11.010
  16. redOrbit.com (2006), Wireless Patient Monitoring Promises Reduced Hospital Costs By Freeing Expensive Critical Care Areas, redOrbit, Retrieved January 23, 2010, from http://www.redorbit.com/news/health/407062/wireless_patient _monitoring_promises_reduced_hospital_costs_by_freeing_expensive/index.html.
  17. Sneha, S. and Varshney, U. (2009), Enabling ubiquitous patient monitoring: Model, decision protocols, opportunities and challenges, Decision Support Systems, 46(3), 606-619, doi : DOI : 10.1016/j.dss.2008.11.014.
  18. Straka, K. (2008), Wireless Telephone Systems and the Impact on Patient Satisfaction Scores : A Pilot Study, Journal of Pediatric Nursing, 25(1), 33-34, doi : 10.1016/j.pedn.2008.06.002.
  19. Varshney, U. (2006), Patient monitoring using infrastructure-oriented wireless LANs, International Journal of Electronic Healthcare, 2(2), 149-163. https://doi.org/10.1504/IJEH.2006.008829
  20. Varshney, U. (2008), A framework for supporting emergency messages in wireless patient monitoring, Decis. Support Syst., 45(4), 981-996, doi : 10.1016/j.dss.2008.03.006.