Wearable Patient and Health Worker Monitoring: Opportunities for Improved Outcomes and Open Source Sensing

Abstract

Wearable multi-modal monitoring systems, capable of robust real-world recording during the activities of daily life, have the potential to provide rich objective experiential and well-being accounts. Sensing systems have wide clinical application in rehabilitation, pre- and post-surgical assessment, monitoring of the acute medical patient [1] and management of chronic conditions [2] [3], among others. They also provide new opportunities for insights into the workplace activities, processes and stressors of clinical staff and health workers [4] [5]. In prior work [6] of The Quantified Outpatient Project (http://quantifiedoutpatient.com), a prototype 24-hour wearable and ambient monitoring system was developed, and opportunities and challenges identified. A new and evolved “Sense247” design is now presented that addresses data and usability challenges identified in interview feedback and participant assessments. The underpinning vision is for a generic and expandable “core” sensing system to provide objective sensed recordings that supplement, not supplant, subjective reports. To this end, continuously-sensed physiological, environmental and actigraphy recordings are combined with quantified subjective reports

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