论文标题
预防和管理医疗保健相关感染和暴发的技术平台
Technological Platform for the Prevention and Management of Healthcare Associated Infections and Outbreaks
论文作者
论文摘要
医院获得的感染是住院期间患者发生的感染,该感染在入院时不存在。它们是世界各地医疗保健中最常见的不良事件之一,导致死亡率和发病率提高,住院期延长以及医院和患者的经济负担很大。已经制定了预防指南和法规,但是对这些指南和法规的遵守往往很差,并且有很大的改进空间。本文介绍了根据欧盟资金开发的可扩展,可配置的网络物理系统的原型,该系统将有助于预防医院感染和暴发。将无线传感器网络与围绕工作流引擎构建的可配置的监视软件进行监视,以作为关键组件的可配置监控软件,我们的解决方案检测到与已建立的卫生实践的偏差,并在发现感染风险时提供实时信息和警报。从硬件和软件的角度描述了该平台,重点是无线网络的元素以及最重要的软件组件。此外,详细介绍了系统原型中包含的两个不同复杂性的临床工作流程。预计最终确定的系统将促进与90%以上医院感染相关的临床工作流程的创建和自动监测。
Hospital acquired infections are infections that occur in patients during hospitalization, which were not present at the time of admission. They are among the most common adverse events in healthcare around the world, leading to increased mortality and morbidity rates, prolonged hospitalization periods and considerable financial burden on both hospitals and patients. Preventive guidelines and regulations have been devised, however compliance to these is frequently poor and there is much room for improvement. This paper presents the prototype of an extensible, configurable cyber-physical system, developed under European Union funding, that will assist in the prevention of hospital infections and outbreaks. Integrating a wireless sensor network for the surveillance of clinical processes with configurable monitoring software built around a workflow engine as key component, our solution detects deviations from established hygiene practices and provides real-time information and alerts whenever an infection risk is discovered. The platform is described from both hardware and software perspective, with emphasis on the wireless network's elements as well as the most important software components. Furthermore, two clinical workflows of different complexity, which are included in the system prototype are detailed. The finalized system is expected to facilitate the creation and automated monitoring of clinical workflows that are associated with over 90% of hospital infections.