Wireless remote patient monitoring on general hospital wards.

A novel approach which has potential to improve quality of patient care on general hospital wards is proposed. Patient care is a labour-intensive task that requires high input of human resources. A Remote Patient Monitoring (RPM) system is proposed which can go some way towards improving patient monitoring on general hospital wards. In this system vital signs are gathered from patients and sent to a control unit for centralized monitoring. The RPM system can complement the role of nurses in monitoring patients’ vital signs. They will be able to focus on holistic needs of patients thereby providing better personal care. Wireless network technologies, ZigBee and Wi-Fi, are utilized for transmission of vital signs in the proposed RPM system. They provide flexibility and mobility to patients. A prototype system for RPM is designed and simulated. The results illustrated the capability, suitability and limitation of the chosen technology

Wireless remote patient monitoring on general hospital wards

A novel approach which has potential to improve quality of patient care on general hospital wards is proposed. Patient care is a labour-intensive task that requires high input of human resources. A Remote Patient Monitoring (RPM) system is proposed which can go some way towards improving patient monitoring on general hospital wards. In this system vital signs are gathered from patients and sent to a control unit for centralized monitoring. The RPM system can complement the role of nurses in monitoring patients’ vital signs. They will be able to focus on holistic needs of patients thereby providing better personal care. Wireless network technologies, ZigBee and Wi-Fi, are utilized for transmission of vital signs in the proposed RPM system. They provide flexibility and mobility to patients. A prototype system for RPM is designed and simulated. The results illustrated the capability, suitability and limitation of the chosen technology.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Wireless Remote Patient Monitoring System: Effects of Interference

Wireless remote patient monitoring has the scope to improve patient experience while enabling data transmission to support effective patient care. Dash7 and ZigBee are potential wireless technologies which can facilitate this. Dash7 or ZigBee, when integrated with a mobile phone accompanied by the patient, can overcome the problem of range limitation imposed by traditional wireless patient monitoring solutions. A wireless remote monitoring system using integrated Dash7 or ZigBee and mobile phone technologies is proposed. Reliability is a key requirement in patient monitoring systems. Signal interference can affect the reliability of wireless systems. This paper investigates signal interference on Dash7 and ZigBee in a multi-technology environment. We further consider some of the the ethical implications of using Context Aware systems and their impact upon privacy and show that such tracking systems are ethically feasible but may require additional patient consent

Energy Optimization of ZigBee Based WBAN for Patient Monitoring

AbstractThis paper proposes an energy efficient wireless telemonitoring scenario of cardiac patients through ZigBee, based on variable duty cycle being rendered to sensors. In an intra hospital telemedicine scenario, Electrocardiogram (ECG) signals of patients are acquired through ECG sensor nodes having transmission capability and these ECG signals are received by Personal Digital Assistant (PDA) kept at nursing station through ZigBee network. ECG signals are further transmitted to Doctor's PDA. If the duty cycle is varied as per the load or number of active sensors, total energy consumed in idle mode can be avoided and total energy consumed by sensors is reduced hence increasing total network lifetime. This paper, comparatively analyzes the energy efficiency of ZigBee sensors with different percentage of duty cycle on the basis of energy consumption parameter under variable load conditions. The matrices used in performance evaluation are energy consumption in transmit mode, energy consumption in received mode and energy consumption in idle mode using Qualnet 5.0.2 simulator

Experimental evaluation of IEEE 802.15.4/ZigBee for multi-patient ECG monitoring

IEEE 802.15.4/ZigBee wireless sensor networks (WSNs) are a promising alternative to cabled systems for patient monitoring in hospitals. Some areas where monitoring systems based on WSNs can be successfuly used are ambulatory, waiting and triage rooms, post-op, and emergency rooms. The low power and small size ZigBee devices have the ability to form self-configuring networks that can extend themselves through a hospital wing or floor. Using spatially distributed networks, it is possible to cover an extended area and serve several patients. However, the low data rate protocols provided by IEEE 802.15.4 poses several challenges, mainly because its protocols were primarily designed to operate in low traffic load scenarios but some vital signs sensors generate a large volume of data. This work presents an experimental evaluation of the performance of multi-hop ZigBee networks comprised of several nodes that carry the traffic of wearable electrocardiogram (ECG) sensors. The results indicate that star networks can relay 100% of the traffic generated by at least 12 ECG nodes. In tree topologies, the increase of the network traffic load reduces the performance but even these networks can reliably relay the traffic of a considerable number of ECG nodes.Fundação para a Ciência e a Tecnologia (FCT)Grupo AMI – Assistência Médica Integral (Casa de Saúde Guimarães, SA

REAL TIME HEALTH MONITORING SYSTEM OF REMOTE PATIENT USING ARM7

Care of critically ill patient, requires spontaneous & accurate decisions so that life-protecting & lifesaving therapy can be properly applied. Statistics reveal that every minute a human is losing his/her life across the globe. More close in India, everyday many lives are affected by heart attacks and more importantly because the patients did not get timely and proper help .This paper is based on monitoring of remote patients, after he is discharged from hospital. I have designed and developed a reliable, energy efficient remote patient monitoring system. It is able to send parameters of patient in real time. It enables the doctors to monitor patient’s parameters (temp, heartbeat, ECG) in real time. Here the parameters of patient are measured continuously (temp, heartbeat, ECG) and wirelessly transmitted using Zigbee

A Review on Requirement of Wireless Sensor Network in Healthcare Applications

An assortment of uses depend on Wireless AdHoc and Sensor Networks (WASN) which has pulled in individuals from a wide number of regions demonstrating its utility extents from protection to farming, climate guaging to pre-fiasco discovery, geography to mineralogy, catastrophe alleviation frameworks to medicinal care, vehicle following to territory checking, and a considerable measure many. In the field of therapeutic sciences the uses of WASN are new however have left an incredible effect on the psyches of the two analysts and specialists. Medicinal determination and test examination like observing the patients, detecting exceptional and basic indications physically and rationally should be possible utilizing sensor systems for the therapeutic care. The potential restorative utilizations of WASN are 'Constant, nonstop patient observing', 'Home checking for interminable and elderly patients', 'Gathering of long haul databases of clinical information'. Alternate applications can be giving therapeutic supervision to individuals in remote zones and for detecting vast mischances, fires, fear based oppressor assaults and remote crucial sign checking facilitating the activity of specialists. In this paper we have attempted to make an overview of all the conceivable utilizations of WASN in the field of therapeutic Sciences

Towards end-to-end security in internet of things based healthcare

Healthcare IoT systems are distinguished in that they are designed to serve human beings, which primarily raises the requirements of security, privacy, and reliability. Such systems have to provide real-time notifications and responses concerning the status of patients. Physicians, patients, and other caregivers demand a reliable system in which the results are accurate and timely, and the service is reliable and secure. To guarantee these requirements, the smart components in the system require a secure and efficient end-to-end communication method between the end-points (e.g., patients, caregivers, and medical sensors) of a healthcare IoT system. The main challenge faced by the existing security solutions is a lack of secure end-to-end communication. This thesis addresses this challenge by presenting a novel end-to-end security solution enabling end-points to securely and efficiently communicate with each other. The proposed solution meets the security requirements of a wide range of healthcare IoT systems while minimizing the overall hardware overhead of end-to-end communication. End-to-end communication is enabled by the holistic integration of the following contributions. The first contribution is the implementation of two architectures for remote monitoring of bio-signals. The first architecture is based on a low power IEEE 802.15.4 protocol known as ZigBee. It consists of a set of sensor nodes to read data from various medical sensors, process the data, and send them wirelessly over ZigBee to a server node. The second architecture implements on an IP-based wireless sensor network, using IEEE 802.11 Wireless Local Area Network (WLAN). The system consists of a IEEE 802.11 based sensor module to access bio-signals from patients and send them over to a remote server. In both architectures, the server node collects the health data from several client nodes and updates a remote database. The remote webserver accesses the database and updates the webpage in real-time, which can be accessed remotely. The second contribution is a novel secure mutual authentication scheme for Radio Frequency Identification (RFID) implant systems. The proposed scheme relies on the elliptic curve cryptography and the D-Quark lightweight hash design. The scheme consists of three main phases: (1) reader authentication and verification, (2) tag identification, and (3) tag verification. We show that among the existing public-key crypto-systems, elliptic curve is the optimal choice due to its small key size as well as its efficiency in computations. The D-Quark lightweight hash design has been tailored for resource-constrained devices. The third contribution is proposing a low-latency and secure cryptographic keys generation approach based on Electrocardiogram (ECG) features. This is performed by taking advantage of the uniqueness and randomness properties of ECG's main features comprising of PR, RR, PP, QT, and ST intervals. This approach achieves low latency due to its reliance on reference-free ECG's main features that can be acquired in a short time. The approach is called Several ECG Features (SEF)-based cryptographic key generation. The fourth contribution is devising a novel secure and efficient end-to-end security scheme for mobility enabled healthcare IoT. The proposed scheme consists of: (1) a secure and efficient end-user authentication and authorization architecture based on the certificate based Datagram Transport Layer Security (DTLS) handshake protocol, (2) a secure end-to-end communication method based on DTLS session resumption, and (3) support for robust mobility based on interconnected smart gateways in the fog layer. Finally, the fifth and the last contribution is the analysis of the performance of the state-of-the-art end-to-end security solutions in healthcare IoT systems including our end-to-end security solution. In this regard, we first identify and present the essential requirements of robust security solutions for healthcare IoT systems. We then analyze the performance of the state-of-the-art end-to-end security solutions (including our scheme) by developing a prototype healthcare IoT system

Postoperative Remote Automated Monitoring:Need for and State of the Science

Worldwide, more than 230 million adults have major noncardiac surgery each year. Although surgery can improve quality and duration of life, it can also precipitate major complications. Moreover, a substantial proportion of deaths occur after discharge. Current systems for monitoring patients postoperatively, on surgical wards and after transition to home, are inadequate. On the surgical ward, vital signs evaluation usually occurs only every 4-8 hours. Reduced in-hospital ward monitoring, followed by no vital signs monitoring at home, leads to thousands of cases of undetected/delayed detection of hemodynamic compromise. In this article we review work to date on postoperative remote automated monitoring on surgical wards and strategy for advancing this field. Key considerations for overcoming current barriers to implementing remote automated monitoring in Canada are also presented

M-health review: joining up healthcare in a wireless world

In recent years, there has been a huge increase in the use of information and communication technologies (ICT) to deliver health and social care. This trend is bound to continue as providers (whether public or private) strive to deliver better care to more people under conditions of severe budgetary constraint