Abstract
Early Warning Score (EWS) systems are utilized in hospitals by health-care professionals to interpret vital signals of patients. These scores are used to measure and predict amelioration or deterioration of patients’ health status to intervene in an appropriate manner when needed. Based on an earlier work presenting an automated Internet-of-Things based EWS system, we propose an architecture to analyze and enhance data reliability and consistency. In particular, we present a hierarchical agent-based data confidence evaluation system to detect erroneous or irrelevant vital signal measurements. In our extensive experiments, we demonstrate how our system offers a more robust EWS monitoring system.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
We note that the consequence of an anomaly detection should be/is decided by higher levels of the system. Regardless, the observation unit needs to alert the higher levels.
- 2.
http://research.omicsgroup.org/index.php/List_of_weather_records, accessed on July 2016.
- 3.
We remark that to ascertain a signal’s rate of change, a history is needed. As a preparatory work, history has to get smoothed before calculating the rates of change, otherwise, noise could affect this measurement.
References
Morgan, R., Williams, F., Wright, M.: An early warning scoring system for detecting developing critical illness. Clin. Intensive Care 8(2), 100 (1997)
Azimi, I., Anzanpour, A., Rahmani, A.M., Liljeberg, P., Tenhunen, H.: Self-aware early warning score system for IoT-based personalized healthcare. In: Proceedings of International Conference on IoT and Big Data Technologies for HealthCare (2016)
Jantsch, A., Tammemäe, K.: A framework of awareness for artificial subjects. In: 2014 International Conference on Hardware/Software Codesign and System Synthesis (CODES+ISSS), pp. 1–3. IEEE (2014)
Götzinger, M., Rahmani, A., Pongratz, M., Liljeberg, P., Jantsch, A., Tenhunen, H.: The role of self-awareness and hierarchical agents in resource management for many-core systems. In: Many-core Systems-on-Chip (MCSoC) (2016)
TaheriNejad, N., Jantsch, A., Pollreisz, D.: Comprehensive observation and its role in self-awareness; an emotion recognition system example. In: The Federated Conference on Computer Science and Information Systems (FedCSIS), September 2016
Rinner, B., Esterle, L., Simonjan, J., Nebehay, G., Pflugfelder, R., Fernandez Dominguez, G., Lewis, P.R.: Self-aware and self-expressive camera networks. Computer 48(7), 21–28 (2015)
Dutt, N., Jantsch, A., Sarma, S.: Toward smart embedded systems: a self-aware system-on-chip (SoC) perspective. ACM Trans. Embed. Comput. Syst. (TECS) 15(2), 22 (2016)
Hoffmann, H., Maggio, M., Santambrogio, M.D., Leva, A., Agarwal, A.: SEEC: a framework for self-aware computing. MIT, Technical report. MIT-CSAIL-TR-2010-049, October 2010
Teich, J., Henkel, J., Herkersdorf, A., Schmitt-Landsiedel, D., Schröder-Preikschat, W., Snelting, G.: Invasive computing: an overview. In: Hübner, M., Becker, J. (eds.) Multiprocessor System-on-Chip, pp. 241–268. Springer, New York (2011)
Pasquier, M., Moix, P.-A., Delay, D., Hugli, O.: Cooling rate of 9.4 \(^\circ \)C in an hour in an avalanche victim. Resuscitation 93, e17–e18 (2015)
Urban, R.W., Mumba, M., Martin, S.D., Glowicz, J., Cipher, D.J.: Modified early warning system as a predictor for hospital admissions and previous visits in emergency departments. Adv. Emerg. Nurs. J. 37(4), 281–289 (2015)
Groarke, J., Gallagher, J., Stack, J., Aftab, A., Dwyer, C., McGovern, R., Courtney, G.: Use of an admission early warning score to predict patient morbidity and mortality and treatment success. Emerg. Med. J. 25(12), 803–806 (2008)
Brown, D.J., Brugger, H., Boyd, J., Paal, P.: Accidental hypothermia. N. Engl. J. Med. 367(20), 1930–1938 (2012)
Putzer, G., Schmid, S., Braun, P., Brugger, H., Paal, P.: Cooling of six centigrades in an hour during avalanche burial. Resuscitation 81, 1043–1044 (2010)
Oberhammer, R., Beikircher, W., Hörmann, C., Lorenz, I., Pycha, R., Adler-Kastner, L., Brugger, H.: Full recovery of an avalanche victim with profound hypothermia and prolonged cardiac arrest treated by extracorporeal re-warming. Resuscitation 76(3), 474–480 (2008)
Fauci, A.S., et al.: Harrison’s Principles of Internal Medicine, vol. 2. McGraw-Hill, Medical Publishing Division, New York (2008)
McCullough, L., Arora, S.: Diagnosis and treatment of hypothermia. Am. Fam. Phys. 70(12), 2325–2332 (2004)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
About this paper
Cite this paper
Götzinger, M., Taherinejad, N., Rahmani, A.M., Liljeberg, P., Jantsch, A., Tenhunen, H. (2017). Enhancing the Early Warning Score System Using Data Confidence. In: Perego, P., Andreoni, G., Rizzo, G. (eds) Wireless Mobile Communication and Healthcare. MobiHealth 2016. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 192. Springer, Cham. https://doi.org/10.1007/978-3-319-58877-3_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-58877-3_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-58876-6
Online ISBN: 978-3-319-58877-3
eBook Packages: Computer ScienceComputer Science (R0)