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Parsimonious Model for Blood Glucose Level Monitoring in Type 2 Diabetes patients 被引量:2
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作者 ZHAO Fang MA Yan Fen +3 位作者 WEN Jing Xiao DU Yan Fang LI Chun Lin LI Guang Wei 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2014年第7期559-563,共5页
To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were ran... To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were randomized to receive rapid-acting or sustained-release gliclazide therapy for 12 weeks. 展开更多
关键词 SMBG HBALC Parsimonious Model for Blood Glucose Level monitoring in Type 2 Diabetes patients
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Patient Centered Real-Time Mobile Health Monitoring System
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作者 Won-Jae Yi Jafar Saniie 《E-Health Telecommunication Systems and Networks》 2016年第4期75-94,共20页
In this paper, we introduce a system architecture for a patient centered mobile health monitoring (PCMHM) system that deploys different sensors to determine patients’ activities, medical conditions, and the cause of ... In this paper, we introduce a system architecture for a patient centered mobile health monitoring (PCMHM) system that deploys different sensors to determine patients’ activities, medical conditions, and the cause of an emergency event. This system combines and analyzes sensor data to produce the patients’ detailed health information in real-time. A central computational node with data analyzing capability is used for sensor data integration and analysis. In addition to medical sensors, surrounding environmental sensors are also utilized to enhance the interpretation of the data and to improve medical diagnosis. The PCMHM system has the ability to provide on-demand health information of patients via the Internet, track real-time daily activities and patients’ health condition. This system also includes the capability for assessing patients’ posture and fall detection. 展开更多
关键词 patient Remote Health monitoring Real-Time Sensor Data Processing Wireless Body Sensor Network Fall Detection Heart monitoring
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Automated Patient Discomfort Detection Using Deep Learning 被引量:1
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作者 Imran Ahmed Iqbal Khan +2 位作者 Misbah Ahmad Awais Adnan Hanan Aljuaid 《Computers, Materials & Continua》 SCIE EI 2022年第5期2559-2577,共19页
The Internet of Things(IoT)has been transformed almost all fields of life,but its impact on the healthcare sector has been notable.Various IoTbased sensors are used in the healthcare sector and offer quality and safe ... The Internet of Things(IoT)has been transformed almost all fields of life,but its impact on the healthcare sector has been notable.Various IoTbased sensors are used in the healthcare sector and offer quality and safe care to patients.This work presents a deep learning-based automated patient discomfort detection system in which patients’discomfort is non-invasively detected.To do this,the overhead view patients’data set has been recorded.For testing and evaluation purposes,we investigate the power of deep learning by choosing a Convolution Neural Network(CNN)based model.The model uses confidence maps and detects 18 different key points at various locations of the body of the patient.Applying association rules and part affinity fields,the detected key points are later converted into six main body organs.Furthermore,the distance of subsequent key points is measured using coordinates information.Finally,distance and the time-based threshold are used for the classification of movements associated with discomfort or normal conditions.The accuracy of the proposed system is assessed on various test sequences.The experimental outcomes reveal the worth of the proposed system’by obtaining a True Positive Rate of 98%with a 2%False Positive Rate. 展开更多
关键词 Artificial intelligence patient monitoring discomfort detection deep learning
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Wearable Healthcare and Continuous Vital Sign Monitoring with IoT Integration
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作者 Hamed Taherdoost 《Computers, Materials & Continua》 SCIE EI 2024年第10期79-104,共26页
Technical and accessibility issues in hospitals often prevent patients from receiving optimal mental and physical health care,which is essential for independent living,especially as societies age and chronic diseases ... Technical and accessibility issues in hospitals often prevent patients from receiving optimal mental and physical health care,which is essential for independent living,especially as societies age and chronic diseases like diabetes and cardiovascular disease become more common.Recent advances in the Internet of Things(IoT)-enabled wearable devices offer potential solutions for remote health monitoring and everyday activity recognition,gaining significant attention in personalized healthcare.This paper comprehensively reviews wearable healthcare technology integrated with the IoT for continuous vital sign monitoring.Relevant papers were extracted and analyzed using a systematic numerical review method,covering various aspects such as sports monitoring,disease detection,patient monitoring,and medical diagnosis.The review highlights the transformative impact of IoTenabled wearable devices in healthcare,facilitating real-time monitoring of vital signs,including blood pressure,temperature,oxygen levels,and heart rate.Results from the reviewed papers demonstrate high accuracy and efficiency in predicting health conditions,improving sports performance,enhancing patient care,and diagnosing diseases.The integration of IoT in wearable healthcare devices enables remote patient monitoring,personalized care,and efficient data transmission,ultimately transcending traditional boundaries of healthcare and leading to better patient outcomes. 展开更多
关键词 Wearable healthcare IoT integration patient care remote patient monitoring real-time data transmission health technology
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Design and Implementation of an IoT Based Remote Health Monitoring System
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作者 Taslim Arefin Abul Kalam Azad 《Journal of Computer and Communications》 2024年第11期37-52,共16页
Considering the quality of life, manpower, and expenditure, an IoT-based health monitoring system has been proposed and implemented. Devices are placed on the human body to collect data, which is then uploaded to an o... Considering the quality of life, manpower, and expenditure, an IoT-based health monitoring system has been proposed and implemented. Devices are placed on the human body to collect data, which is then uploaded to an online data server. Specialist doctors can access this data as needed, allowing them to assess the patient’s initial condition and provide advice at any time. This approach enhances the quality and reach of health services. The module, designed and installed using modern technology, minimizes latency and maximizes data accuracy while reducing delay and battery drain. An accompanying app motivates public acceptance and ease of use. Various sensors, including ECG, SpO2, gyroscope, PIR, temperature-humidity, and BP, collect data processed by an Arduino microcontroller. Data transmission is handled by a WiFi module, with ThingSpeak and Google Sheets used for data processing and storage. The system has been fully tested, and patient data from two hospitals compared with the proposed model shows 97% accuracy. 展开更多
关键词 IOT patient monitoring MPU Sensors ACCURACY DELAY Power Consumption
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IoT Based Nurse Activities Monitoring and Controlling System
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作者 Ahsan Ullah Md. Emtiaz Ahammed +3 位作者 Md. Mohiuddin Bhuiyan Sourob Chandra Dasgupta Kazi Hassan Robin Nazmus Sakib 《Advances in Internet of Things》 2023年第3期63-82,共20页
IoT technology has emerged as a valuable tool in modern healthcare, providing real-time monitoring of patients, effective management of healthcare, and proper administration of patient information. The proposed system... IoT technology has emerged as a valuable tool in modern healthcare, providing real-time monitoring of patients, effective management of healthcare, and proper administration of patient information. The proposed system aims to develop a system that can prevent backward blood flow from stopping saline fluid, as well as monitor the temperature, heart rate, and oxygen level of patients by using multiple sensors like weight, temperature and heart rate, etc. Additionally, the proposed system can monitor the room temperature and humidity for contributing to the patient’s overall comfort. In emergency situations, it includes an emergency push button for quick alert medical staff and initiates timely interventions. It is designed to support nurses and doctors in monitoring patients and providing timely interventions to prevent complications. 展开更多
关键词 IOT Nursing Activities patient monitoring IV Saline Bag Arduino UNO NodeMCU (ESP8266) LM35 DHT11 MAX30102
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无线体温传感器iThermonitor■在手术病人核心体温监测中的应用 被引量:16
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作者 温娜 刘常清 +4 位作者 任宏飞 王辰 谭永琼 罗艳丽 龚仁蓉 《护理研究》 北大核心 2020年第12期2068-2072,共5页
[目的]探讨无线体温传感器iThermonitor■在手术病人核心体温监测中的应用效果。[方法]选取2018年6月—12月胸外科、神经外科手术病人226例,术前在病人腋窝处粘贴无线体温传感器iThermonitor■监测病人的核心体温,记录手术病人低体温发... [目的]探讨无线体温传感器iThermonitor■在手术病人核心体温监测中的应用效果。[方法]选取2018年6月—12月胸外科、神经外科手术病人226例,术前在病人腋窝处粘贴无线体温传感器iThermonitor■监测病人的核心体温,记录手术病人低体温发生率、围术期体温变化及相关因素、术后住院时间及医疗费用。[结果]胸外科手术病人低体温发生率为70.83%,体温跌幅范围为0.008~2.883℃;神经外科手术病人低体温发生率为73.59%,体温跌幅范围为0.007~2.789℃。回归分析显示,手术时长、体质指数(BMI)、年龄是胸外科手术病人体温的影响因素;手术时长、BMI是神经外科手术病人体温的影响因素。胸外科手术病人发生低体温,术后住院时间与费用增高;神经外科手术病人发生低体温,术后住院时间与费用减少。[结论]手术室护理人员应根据手术病人情况,采用智能化监测方法进行全程链式体温管理,保证手术病人的安全。 展开更多
关键词 低体温 手术病人 无线体温传感器iThermonitor 围术期 体温监测 科室
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Heart Disease Detection by Using Machine Learning Algorithms and a Real-Time Cardiovascular Health Monitoring System 被引量:1
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作者 Shadman Nashif Md. Rakib Raihan +1 位作者 Md. Rasedul Islam Mohammad Hasan Imam 《World Journal of Engineering and Technology》 2018年第4期854-873,共20页
Cardiovascular diseases are the most common cause of death worldwide over the last few decades in the developed as well as underdeveloped and developing countries. Early detection of cardiac diseases and continuous su... Cardiovascular diseases are the most common cause of death worldwide over the last few decades in the developed as well as underdeveloped and developing countries. Early detection of cardiac diseases and continuous supervision of clinicians can reduce the mortality rate. However, accurate detection of heart diseases in all cases and consultation of a patient for 24 hours by a doctor is not available since it requires more sapience, time and expertise. In this?study, a tentative design of a cloud-based heart disease prediction system had been proposed to detect impending heart disease using Machine learning techniques. For the accurate detection of the heart disease, an efficient machine learning technique should be used which had been derived from a distinctive analysis among several machine learning algorithms in a Java Based Open Access Data Mining Platform, WEKA. The proposed algorithm was validated using two widely used open-access database, where 10-fold cross-validation is applied in order to analyze the performance of heart disease detection. An accuracy level of 97.53% accuracy was found from the SVM algorithm along with sensitivity and specificity of 97.50% and 94.94%respectively. Moreover, to monitor the heart disease patient round-the-clock by his/her caretaker/doctor, a real-time patient monitoring system was developed and presented using Arduino, capable of sensing some real-time parameters such as body temperature, blood pressure, humidity, heartbeat. The developed system can transmit the recorded data to a central server which are updated every 10 seconds. As a result, the doctors can visualize the patient’s real-time sensor data by using the application and start live video streaming if instant medication is required. Another important feature of the proposed system was that as soon as any real-time parameter of the patient exceeds the threshold, the prescribed doctor is notified at once through GSM technology. 展开更多
关键词 Data MINING Machine Learning IoT (Internet of Things) patient monitoring System HEART DISEASE DETECTION and Prediction
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A New Social and Technological Paradigm to Assess Chronic Patient Management Process: Preliminary Results
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作者 Marco Benvenuto Carmine Viola 《Management Studies》 2017年第6期525-540,共16页
The present research intends to address in a comprehensive, transversal, and interdisciplinary manner the chronic patient management process in the research project named "PRO DOMO SUD" in order to identify operatio... The present research intends to address in a comprehensive, transversal, and interdisciplinary manner the chronic patient management process in the research project named "PRO DOMO SUD" in order to identify operational inefficiencies, thus demonstrating that these are largely attributable to incurred costs and, thus, evaluate possible solutions for providing effective and appropriate responses by healthcare and social services. Can patients/older people be treated, monitored, and managed successfully with mobile and wearable technologies? The project involved three different groups of patients/participants: Patients with heart failure shock in "Home Monitoring Scenario"; Patients with different pathologies in "Virtual Ward Scenario"; Patients with limited mobility due to Neurological and Orthopaedic disease in "Rehabilitation Scenario". Due to the complexity of the issue, the methodological approach adopted must be multidimensional and interdisciplinary, addressing the complexity of the chronic patient from all viewpoints, not reducing it, yet analysing, understanding, rearranging, and managing it in an organic manner. The three different scenarios were allowed to identify several impacts on organizational and clinic management of chronic diseases, the tests showed significant improvements in quality of life of patients enrolled in the project. The data deriving from the three scenario demonstrate that wearable divide and ICT, in general, can empower both patients and physician personnel allowing them to be active part in the chronic disease management process. The PRO DOMO SUD experience derived from the Living Lab, this is a new paradigm for industrial research and development activities which allows the final users to actively collaborate with the designers and technicians in the development and test of new products and services aimed to them. The Living Labs stimulate social innovation by transferring research results from the closed industrial laboratory towards real life contexts where citizens and users become co-developers. 展开更多
关键词 CO-CREATION cost efficiency HTA chronic patients monitoring home monitoring hospital monitoring social innovation
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Health Behaviors and Outcomes of Mobile Health Apps and Patient Engagement in the USA
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作者 Md Wali Ullah Rukshanda Rahman +2 位作者 Sadia Islam Nilima Afia Fairooz Tasnim Mustakim Bin Aziz 《Journal of Computer and Communications》 2024年第10期78-93,共16页
Mobile health applications, or mHealth apps, have gained popularity due to their practical functions and strengthening the connection between patients and healthcare professionals. These apps are designed for managing... Mobile health applications, or mHealth apps, have gained popularity due to their practical functions and strengthening the connection between patients and healthcare professionals. These apps are designed for managing health and well-being on portable devices, allowing individuals to self-manage their health or healthcare practitioners to enhance patient care. Key features include personalized recommendations, data synchronization with other health devices, and connectivity with healthcare professionals. The research describes how mobile health applications support healthy behaviors, facilitate communication between patients and physicians, and empower individuals in the United States to take charge of their health. This study also examines how adults in the US use mobile health applications, or mHealth apps, on their tablets or smartphones for health-seeking purposes. The information was taken from Cycle 4 of the Health Information National Trends Survey (HINTS 4). The challenges regarding these mobile health apps have also been evaluated with possible remedies. Around 100 university students participated in a cross-sectional study by answering questions on their eating habits, physical activity, lifestyle choices related to health, and use of mobile health apps. The data was then analyzed and concluded as a result. Mobile health applications have brought about a significant shift in the way patients connect with their healthcare providers by providing them with convenient access to health services and information. By keeping track of health markers like diet, exercise, and medication compliance, patients may use these tools to help better manage their chronic conditions. Mobile health applications can improve patient outcomes and save healthcare costs by empowering patients to take charge of their health. Through the facilitation of communication between patients and healthcare professionals, mobile health apps also offer virtual consultations and remote monitoring. 展开更多
关键词 mHealth App SELF-MANAGEMENT patient MARS monitoring
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Multi-outcome predictive modelling of anesthesia patients
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作者 Le Yi Wang George MMcKelvey Hong Wang 《The Journal of Biomedical Research》 CAS CSCD 2019年第6期430-434,共5页
Conjunctive use of anesthetic agents results in drug interactions which can alter or influence multiple patient outcomes such as anesthesia depth,and cardiorespiratory parameters which can also be altered by patient c... Conjunctive use of anesthetic agents results in drug interactions which can alter or influence multiple patient outcomes such as anesthesia depth,and cardiorespiratory parameters which can also be altered by patient conditions and surgical procedures.Using artificial intelligence technology to continuously gather data of drug infusion and patient outcomes,we can generate reliable computer models individualized for a patient during specific stages of particular surgical procedures.This data can then be used to extend the current anesthesia monitoring functions to include future impact prediction,drug administration planning,and anesthesia decisions. 展开更多
关键词 anesthesiology monitoring anesthesia depth patient model outcome prediction computer-assisted decision
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急诊信息系统的心电监护报警参数自动计算与预警模块的开发及应用研究 被引量:1
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作者 包芸 潘慧斌 +1 位作者 李芳 周勤学 《护士进修杂志》 2025年第4期348-353,共6页
目的开发急诊信息系统的心电监护报警参数自动计算与预警模块,并探讨其在急诊危重患者安全管理中的应用效果。方法成立危重患者心电监护报警参数设置的改进团队,设计研发急诊信息系统心电监护报警范围自动计算模块与预警模块。选取2023... 目的开发急诊信息系统的心电监护报警参数自动计算与预警模块,并探讨其在急诊危重患者安全管理中的应用效果。方法成立危重患者心电监护报警参数设置的改进团队,设计研发急诊信息系统心电监护报警范围自动计算模块与预警模块。选取2023年3—12月浙江省某三甲医院急诊抢救室使用心电监护的危重患者作为研究对象,将报警范围自动计算与预警模块应用前后分为对照组(2023年3—5月)和观察组(2023年10—12月),比较2组患者心电监护报警参数设置正确率、报警设置错误同时期患者基本情况,观察实践效果。结果应用心电监护仪报警参数设置与预警模块后,心电监护报警参数设置正确率由75.53%提高至90.89%(χ2=400.57,P<0.01);应用心电监护仪报警参数设置及预警模块前后监护仪参数设置错误患者基本信息比较发现,模块应用后同时期护士管理急危重患者数明显增加[(5.66±0.41)例vs(7.98±0.67)例,t=-4.46,P<0.01],预检分诊Ⅰ、Ⅱ级危重患者参数设置错误例数明显减少(44例vs 26例,χ2=15.60,P<0.01);2组患者在入抢时改良早期预警评分(modified early warning score,MEWS)差异无统计学意义[(4.38±0.16)分vs(4.46±0.36)分,t=-0.20,P=0.84]。结论应用心电监护报警参数自动计算与预警模块能够提升急诊抢救室报警参数设置正确率,大大提升了护理工作效率,更好地保障护理安全,值得临床推广。 展开更多
关键词 心电监护 报警 危重患者 信息化 护理
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Deep Learning in Biomedical Image and Signal Processing:A Survey
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作者 Batyrkhan Omarov 《Computers, Materials & Continua》 2025年第11期2195-2253,共59页
Deep learning now underpins many state-of-the-art systems for biomedical image and signal processing,enabling automated lesion detection,physiological monitoring,and therapy planning with accuracy that rivals expert p... Deep learning now underpins many state-of-the-art systems for biomedical image and signal processing,enabling automated lesion detection,physiological monitoring,and therapy planning with accuracy that rivals expert performance.This survey reviews the principal model families as convolutional,recurrent,generative,reinforcement,autoencoder,and transfer-learning approaches as emphasising how their architectural choices map to tasks such as segmentation,classification,reconstruction,and anomaly detection.A dedicated treatment of multimodal fusion networks shows how imaging features can be integrated with genomic profiles and clinical records to yield more robust,context-aware predictions.To support clinical adoption,we outline post-hoc explainability techniques(Grad-CAM,SHAP,LIME)and describe emerging intrinsically interpretable designs that expose decision logic to end users.Regulatory guidance from the U.S.FDA,the European Medicines Agency,and the EU AI Act is summarised,linking transparency and lifecycle-monitoring requirements to concrete development practices.Remaining challenges as data imbalance,computational cost,privacy constraints,and cross-domain generalization are discussed alongside promising solutions such as federated learning,uncertainty quantification,and lightweight 3-D architectures.The article therefore offers researchers,clinicians,and policymakers a concise,practice-oriented roadmap for deploying trustworthy deep-learning systems in healthcare. 展开更多
关键词 Deep learning biomedical imaging signal processing neural networks image segmentation disease classification drug discovery patient monitoring robotic surgery artificial intelligence in healthcare
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特殊人群患者左乙拉西坦药动学特点及其药物浓度监测进展
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作者 刘燕 肖勇 +2 位作者 华芳 谢毕阳 虞佳 《中国医院用药评价与分析》 2025年第8期1020-1024,共5页
左乙拉西坦为第2代广谱抗癫痫药,在治疗多种不同类型癫痫时具有良好的临床疗效,该药在特殊人群(如儿童、老年人、妊娠期妇女和肾功能损伤患者等)中使用时观察到较大的药动学变异,因此,在此类患者中进行治疗药物监测有助于将左乙拉西坦... 左乙拉西坦为第2代广谱抗癫痫药,在治疗多种不同类型癫痫时具有良好的临床疗效,该药在特殊人群(如儿童、老年人、妊娠期妇女和肾功能损伤患者等)中使用时观察到较大的药动学变异,因此,在此类患者中进行治疗药物监测有助于将左乙拉西坦浓度维持在参考范围内,提高治疗安全性和有效性。该文对特殊人群患者应用左乙拉西坦的药动学及血药浓度监测相关研究进展进行综述,为临床特殊人群个体化用药提供参考。 展开更多
关键词 左乙拉西坦 特殊患者 药动学 治疗药物监测
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基于毫米波雷达技术的非接触式安全监测系统在老年病房夜间患者安全监测中的应用价值
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作者 云洁 何梦雪 +4 位作者 吴婷婷 张曼 毛雨婷 何沁芮 程春芳 《现代临床医学》 2025年第5期336-339,共4页
目的:探讨基于毫米波雷达技术的非接触式安全监测系统在老年病房夜间患者安全监测中的应用价值。方法:选取2022年12月30日至2023年1月30日于成都中医药大学附属医院老年科住院的60例接受一级护理和心电监护的患者为研究对象,随机分为对... 目的:探讨基于毫米波雷达技术的非接触式安全监测系统在老年病房夜间患者安全监测中的应用价值。方法:选取2022年12月30日至2023年1月30日于成都中医药大学附属医院老年科住院的60例接受一级护理和心电监护的患者为研究对象,随机分为对照组和试验组,各30例。对照组采用床旁心电监护仪监测生命体征,试验组在对照组的基础上采用基于毫米波雷达技术的非接触式安全监测系统监测生命体征。两组观察时间为每日01:00-05:00,持续观察21 d。统计并比较两组护士夜间巡视病房总人次数和监测系统异常报警发现总次数。结果:试验组护士夜间巡视病房总人次数多于对照组,其中,因监测系统异常报警导致的巡视次数多于对照组;因床旁呼叫器呼叫、家属到护士站呼叫导致的巡视次数少于对照组(P<0.05)。试验组监测系统异常报警发现总次数多于对照组,因呼吸/心率异常导致的异常报警次数多于对照组(P<0.05)。结论:基于毫米波雷达技术的非接触式安全监测系统采集患者生命体征信息速度快、准确性高,能及时反映患者的动态变化,护士能及时发现患者的安全问题,其应用前景广阔。 展开更多
关键词 毫米波雷达技术 非接触式安全监测系统 患者安全 巡视 异常报警
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老年患者伏立康唑血药浓度监测及影响因素分析
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作者 李鸽 钱磊 +3 位作者 王磊 王冉冉 魏灿 方玲 《中国感染与化疗杂志》 北大核心 2025年第5期487-492,共6页
目的探讨影响老年患者伏立康唑血药浓度的因素,为提高药物有效浓度达标率提供参考。方法选取2022年1月-2023年12月在安徽医科大学第一附属医院住院接受伏立康唑血药浓度监测且年龄≥65岁的患者,收集其伏立康唑血药浓度结果以及临床资料... 目的探讨影响老年患者伏立康唑血药浓度的因素,为提高药物有效浓度达标率提供参考。方法选取2022年1月-2023年12月在安徽医科大学第一附属医院住院接受伏立康唑血药浓度监测且年龄≥65岁的患者,收集其伏立康唑血药浓度结果以及临床资料。以中国药理学会指南推荐的0.5~5.0 mg/L为有效浓度标准,按药物浓度分为达标和未达标组,采用多因素logistic回归分析影响血药浓度达标率的主要因素。结果共纳入202例患者,进行伏立康唑血药浓度检测244次。其中男性139例,女性63例,年龄65~95岁,中位数为74岁。伏立康唑血药浓度监测结果0.08~13.38 mg/L,平均浓度为(4.10±2.45)mg/L。血药浓度达标率为65.35%(132/202)。logistic回归结果显示,给药方案、体重和低蛋白血症(血浆白蛋白<25 g/L)是影响伏立康唑血药浓度的主要因素。结论老年患者伏立康唑血药浓度个体差异大,给药方案、体重和低蛋白血症是主要影响因素,临床用药时应充分考虑相关因素,以确保用药安全有效。 展开更多
关键词 老年患者 伏立康唑 血药浓度监测 影响因素
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基于德尔菲法与层次分析法的医用监护仪附件评价指标体系构建
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作者 邢东林 李伟 +7 位作者 潘纯 万宇 夏科 卢贞燕 邓禹 张琥 王腾飞 李刚 《中国医学装备》 2025年第8期22-28,共7页
目的:基于德尔菲法与层次分析法构建医用监护仪附件的评价指标体系,为医用监护仪附件临床管理、设备采购及技术改进提供依据。方法:通过文献研究、专家咨询和实际调研,确定医用监护仪心电图(ECG)、脉搏血氧饱和度(SpO_(2))和无创血压(NI... 目的:基于德尔菲法与层次分析法构建医用监护仪附件的评价指标体系,为医用监护仪附件临床管理、设备采购及技术改进提供依据。方法:通过文献研究、专家咨询和实际调研,确定医用监护仪心电图(ECG)、脉搏血氧饱和度(SpO_(2))和无创血压(NIBP)3类监测设备的相关附件初选指标,选取四川省人民医院、西南医科大学附属医院等医疗机构以及成都市计量检定测试院医疗所的临床医学、生物医学工程等领域的34名专家,采用德尔菲法进行两轮问卷咨询,筛选并优化评价指标,运用层次分析法(AHP)计算各指标权重,并通过一致性比率检验方法验证评价指标体系的合理性。结果:医用监护仪附件评价指标体系包含临床价值、成本价值和管理价值3个一级指标,评价指标体系的ECG、SpO_(2)和NIBP二级指标分别为10、9和8个,三级指标分别为20、19和14个。一级指标中临床价值权重最高,ECG为72.49%、SpO_(2)为70.88%、NIBP为70.32%,其二级指标准确性(ECG为28.70%、SpO_(2)为38.13%、NIBP为43.03%)和安全性(ECG为27.47%、SpO_(2)为26.48%、NIBP为23.06%)为核心指标;成本价值和管理价值权重分别为14.62%~17.41%和12.27%~12.89%。结论:医用监护仪附件评价指标体系整合了多维度专家意见与定量分析,突出临床性能优先原则,能够为医疗机构优化附件选型,提升监测质量和促进行业标准化管理提供理论支持。 展开更多
关键词 医用监护仪附件 评价指标体系 德尔菲法 层次分析法(AHP) 权重分析
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基于大语言模型的患者病历药物警戒画像技术研究 被引量:1
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作者 吴正善 张纾 +4 位作者 林翼旻 雷毅 王青 孙志刚 张琳 《医药导报》 北大核心 2025年第4期554-560,共7页
目的通过研究基于大语言模型的患者病历药物警戒画像技术,旨在提高我国药品上市后安全性监测评价的效率和准确性,为保障广大患者的用药安全提供科学方法和技术支持。方法构建包含患者个体差异、用药细节和不良反应表现的药物警戒画像,... 目的通过研究基于大语言模型的患者病历药物警戒画像技术,旨在提高我国药品上市后安全性监测评价的效率和准确性,为保障广大患者的用药安全提供科学方法和技术支持。方法构建包含患者个体差异、用药细节和不良反应表现的药物警戒画像,利用药物警戒领域知识图谱对大语言模型进行增强,并设计针对性的提示词来引导模型输出药物警戒画像。结果大语言模型在主动监测中展现出显著优势,能够有效处理和分析医疗文本数据,提高药品不良反应监测和预测能力。通过提示词的设计,模型能够更加准确地描绘患者药物警戒画像,为医疗专业人员提供决策支持。结论基于大语言模型的患者病历药物警戒画像技术研究为早期发现和预防药品不良反应的发生提供了科学依据和技术支持,有助于降低医疗成本,改善医疗结局或预后,为保障患者用药安全开辟了新的路径。 展开更多
关键词 药物警戒 主动监测 患者画像 大语言模型 知识图谱
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多参数监护仪现场检定常见问题分析及对策 被引量:1
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作者 马文慧 《科技风》 2025年第12期145-147,共3页
2019年11月,多参数监护仪被列入国家强制检定目录。多参数监护仪集多种生命体征参数测量为一体,广泛应用于医院、社区卫生中心等各级医疗卫生机构。由于多参数监护仪的生产厂家及型号不一,具体操作方法方面存在一定差异,因此,计量机构... 2019年11月,多参数监护仪被列入国家强制检定目录。多参数监护仪集多种生命体征参数测量为一体,广泛应用于医院、社区卫生中心等各级医疗卫生机构。由于多参数监护仪的生产厂家及型号不一,具体操作方法方面存在一定差异,因此,计量机构在实际检定工作中面临着仪器种类、数量繁多和实际操作复杂等问题。本文从笔者现场计量检定工作中遇到的实际问题出发,归纳总结了多参数监护仪的常见问题,并提出了针对性的优化措施,以期为多参数监护仪计量检定工作提供参考。 展开更多
关键词 多参数监护仪 现场检定 问题处理
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