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Smart sensor technology accurately monitors patient microclimate and movement, correlating strongly with nursing assessments. This innovation supports personalized care and improves efficiency in preventing pressure injuries (PIs).

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Area of Science:

  • Biomedical Engineering
  • Clinical Nursing
  • Patient Safety Technology

Background:

  • Pressure injuries (PIs) are influenced by modifiable factors like posture, temperature, and moisture.
  • Microclimate, the interface of temperature and humidity between a patient and support surface, is crucial.
  • Real-time, simultaneous measurement of these parameters using sensor technology for PI prevention is novel.

Purpose of the Study:

  • To assess a smart surface platform's capability for simultaneous real-time monitoring of patient movement and microclimate.
  • To compare sensor-generated data with nursing observations for algorithm development and validation.
  • To evaluate the accuracy and agreement between the smart surface system and traditional nursing assessments.

Main Methods:

  • A prospective, descriptive, single-site trial at a Canadian tertiary care facility.
  • Patients at risk for PIs were placed on a smart surface, with data collected every four seconds.
  • Nursing assessments were conducted hourly and compared retrospectively with sensor data.

Main Results:

  • Sensor data showed strong correlation with nurse-collected data (94.7% for moisture, 87.1% for temperature, 92% for posture).
  • The system accurately identified moisture events and patient postures, aligning with nursing records.
  • 1,407 hours of monitoring generated over 1.1 million data frames, validating the system's data capture capabilities.

Conclusions:

  • The smart surface technology effectively captures critical pressure injury risk factors, supporting nursing practice.
  • Real-time data offers actionable insights for personalized care, workflow efficiency, and reduced interventions.
  • Collected data will serve as a foundation for AI applications in clinical decision-making.