PatientCareandMonitoringSystems.pptVIP

Patient Care and Monitoring Systems Patient care Patient care Discipline in patient care: Information to Support Patient Care History Patient Care Components in Selected Information Systems Cont. HELP System at LDS Hospital Conclusions: What is Patient Monitoring? History of Physiological data measurements: 1625 Santorio-measure body temperature with spirit thermomoeter. Timing pulse with pendulum. Principles were established by Galileo. These results were ignored. 1707 Sir John Foyer publ;ished pulse watch. 1852 Ludwig Taube Course of patient’s fever measurement At this time Temperature, pulse rate respiratory rate had become standard vital signs. 1896 Scipione Riva-Rocci introduced the sphygmomanometer (blood pressure cuff). (4th vital sign). Nikolai koroktoff applied the cuff with the stethoscope (developed by Renne Lannec-French Physician) to measure systolic and diastolic blood pressures. 1900s Harvey Cushing applied routine blood pressure in operating rooms. He raised at that time the questions: (1) Are we collecting too much data? (2) Are the instruments used in clinical medicine too accurate? Would not approximated values be just as good? Cushing answered his own questions by stating that vital-sign measurement should be made routinely and that accuracy was important [Cushing, 1903]. History (Cont.) 1903 Willem Einthoven devised the string galvanometer to measure ECG (Nobel Prize 1924) World war II Development of transducers. 1950 The ICU’s were established To meet the increasing demands for more acute and intensive care required by patients with complex disorders. 1963 Day reported that treatment of post–myocardial-infarction patients in a coronary-care unit reduced mortality by 60 percent. 1968 Maloney suggested that having the nurse record vital signs every few hours was “only to assure regular nurse–patient contact”. Late ‘60s and early ‘70 bedside monitors built around bouncing balls or conventional oscilloscope. ‘90 Computer-based patient monitor