A Clinical Trial of the Effect of a Blood Leakage Detection Device for Patients during Hemodialysis

Abstract

In hemodialysis, vascular access is usually achieved through an arteriovenous fistula, and a dislodged needle can cause varying degrees of injury to patients. In severe cases, the loss of blood can prove to be fatal. This study proposed a blood leakage detection device for patients during hemodialysis (HD). First, the device was tested on a phantom arm, and later in a clinical test on patients receiving HD. The thoughts of the patients and the nursing staff involved were surveyed before and after the introduction of the device. Analysis of the results indicated that the device achieved 100% and 98.9% accuracy rates on the phantom arm test and clinical test, respectively. The results suggested that patients believed the device could reduce their mental anxiety, and the nursing staff considered the device reliable and that it would enhance the quality of care. The proposed detection device can be extended to similar applications for preventing catheter dislodgement, and to improve patient safety and reduce the stress of clinical nursing staff.

Classification of wearables use cases in the mirror of JCAHO patient safety goals for Hospitals

“…It should be noted communication among health staff can help the treatment of patients in hospitals; therefore, it needs to be taken into account much more in future research toward developing and using wearables in this domain. 2, two out of the seven goals of JCAHO (i.e., (1) better-identifying patient safety risks by measuring multiple or single parameters [13,14,[22][23][24][25][26][27][28][29] and (2) reducing harm associated with clinical alarm systems [14,[22][23][24][25][26][27][28]) are highlighted in the included studies, but a limited number of papers have focused on the other goals. Therefore, the JCAHO goals for patient safety should be used as a guide for developing wearable technology and deploying them in hospitals.…”

“…Some challenges have been reported for wearable technology in included studies. [13,14,[22][23][24][25][26][27][28][29]. For example, wearables have issues related to network connections, such as network failure, instability of Wi-Fi, and missing values [22,27].…”

“…It can improve processes such as diagnosis, monitoring, and prevention. For example, wearable technology can be used in cardiopulmonary monitoring, detecting cerebrospinal shunt malfunction, improving the precise identi cation of health personnel, or continuous monitoring of vital signs)[13,14,[22][23][24][25][26][27][28][29]. Accordingly, Bonacaro et al(2019) illustrated that there is increasing interest in using wearable devices to monitor the health of patients with long-term conditions and prevent falls[31].…”

Hemodialysis taping styles and their effect on reducing the chance of venous needle dislodgement

“…10 For example, Huang reports an integrated wireless flexible sensor and virtual internal impedance model to detect blood leakage during dialysis therapy 11 ; successful experimental results show the feasibility and potential of commercial design. Similarly, Ou 12 reported the successful test of a blood leakage device using flexible-array sensing technology, which also improved the HD experience for the patient, by giving them reassurance of safety in the process. Wu 13 used photocell sensors and an associative memory machine learning model in their (clinically un-tested) device.…”