IEEE J Biomed Health Inform - A distributed approach to alarm management in chronic kidney disease.

Tópicos

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{ implement(1333) system(1263) develop(1122) }
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{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
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Resumo

This paper presents the feasibility study of using a distributed approach for the management of alarms from chronic kidney disease patients. In a first place, the key issues regarding alarm definition, classification, and prioritization according to available normalization efforts are analyzed for the main scenarios addressed in hemodialysis. Then, the middleware proposed for alarm management is described, which follows the publish/subscribe pattern, and supports the Object Management Group data distribution service (DDS) standard. This standard facilitates the real-time monitoring of the exchanged information, as well as the scalability and interoperability of the solution developed regarding the different stakeholders and resources involved. Finally, the results section shows, through the proof of concept studied, the viability of DDS for the activation of emergency protocols in terms of alarm prioritization and personalization, as well as some remarks about security, privacy, and real-time communication performance.

Resumo Limpo

paper present feasibl studi use distribut approach manag alarm chronic kidney diseas patient first place key issu regard alarm definit classif priorit accord avail normal effort analyz main scenario address hemodialysi middlewar propos alarm manag describ follow publishsubscrib pattern support object manag group data distribut servic dds standard standard facilit realtim monitor exchang inform well scalabl interoper solut develop regard differ stakehold resourc involv final result section show proof concept studi viabil dds activ emerg protocol term alarm priorit person well remark secur privaci realtim communic perform

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