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J Am Med Inform Assoc 15:44-53 doi:10.1197/jamia.M2016
  • The Practice of Informatics

SMART—An Integrated Wireless System for Monitoring Unattended Patients

Table 2

Table 2 Alarms Detected

Alarm Total True Positive False Positive Unclear Comment
High HR (SpO2 sensor) 79 75 1 3 Occasionally reported HR value did not exceed threshold
Low HR (SpO2 sensor) 21 15 3 3 Occasionally reported HR value did not exceed threshold
Low SpO2 44 35 5 4 Occasionally reported SpO2 value did not exceed threshold
Asystole 79 0 79 0 No SpO2 sensor present + noise or no signal
Ventricular Fibrillation 46 0 46 0 No SpO2 sensor present + noise
Ventricular Tachycardia 0 0 0 0
Tachycardia (ECG) 124 61 31 32 Noise often mistaken for tachycardia
Bradycardia (ECG) 18 12 5 1 Occasionally reported HR value did not exceed threshold
Irregular rhythm 116 43 34 39 Noise often mistaken for irregular
Mismatch 59 59 0 0
Noisy 59 47 12 0
Leads Off 56 49 2 5 Noise sometimes mistaken for leads off
No Signal 0 0 0 0
SpO2 sensor off 86 85 1 0
AWOL 329 309 16 4 Occasionally periodic battery message from PDA lost
Battery 16 15 1 0
  • Unclear indicates that the alarm condition may or may not have been true, e.g., when a signal showing tachycardia is noisy, it can be difficult to see tachycardia. In other situations involving readings vs. thresholds, the reported number was near the threshold, but not over it, indicating either a race or a software bug in the reporting mechanism.

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