Analysis of the Drop Sensors Accuracy in Central Peristaltic Infusion Monitoring Displayed on PC Based Wireless (TCRT5000 Drop Sensor)

Hanna Firdaus; Bambang Guruh  Irianto; Sumber; Jing Lu

doi:10.35882/jeeemi.v4i1.5

Hanna Firdaus Department of Electromedical Engineering Health Polytechnic of Surabaya
Bambang Guruh Irianto Department of Electromedical Engineering. Poltekkes Kemenkes Surabaya
Sumber Department of Electromedical Engineering. Poltekkes Kemenkes Surabaya
Jing Lu School of Physics and Electronic Engineering, Taishan University, China

DOI: https://doi.org/10.35882/jeeemi.v4i1.5

Keywords: Infusion Pump, Central Monitoring, TCRT 5000 Module Sensor, Wireless

Abstract

In some hospitals the infusion is still done manually, medical staff observes ﬂuid drip directly and then controls its rate using a mechanical resistor (clamp), this method is certainly far from the level of accuracy. Infusion pump is a medical aid that has functions to control and ensure the correct dose of infusion fluid that is given to patients under treatment. The purpose of this study is to analyze the accuracy of the TCRT5000 as a drop sensor, based on readings of the infusion pump monitoring system. This module consists of a TCRT5000 drop sensor module, comparator circuit, monostable circuit, stepper motor, L298N motor driver, and ATmega328 microcontroller. The droplets are detected by the TCRT 5000 sensor, then amplified by a comparator and monostable circuit, then the flow rate and remaining volume readings are generated by the ATmega328 microcontroller. Furthermore, this data is sent to the Personal Computer (PC) via wireless HC-11. The results of the flow rate module measurement show that the highest error value is 4% at the 30 ml/hour setting, and the lowest error value is 1% at the 60 ml/hour setting. While the results of the flow rate measurement using an Infuse Device Analyzer, the highest error value is 2,2% at the 30 ml/hour setting, and the lowest error value is 0,58% at the 100 ml/hour setting. This infusion pump monitoring is designed centrally to facilitate the nurse's task in monitoring the infusion dose accurately that is given to the patient.

Downloads

Download data is not yet available.

References

M. Nunnally, C. P. Nemeth, A. Member, V. Brunetti, and R. I. Cook, “Lost in Menuspace : User Interactions With Complex Medical Devices,” IEEE Trans. Syst. Man. Cybern., vol. 34, no. 6, pp. 736–742, 2004.

E. Abu-haydar et al., “User-Centered Design : Developing the RELI Delivery System – a Low-Cost , Non-Electric , Pneumatic Infusion Pump,” Med. DevicesEvidence Res., vol. 14, pp. 185–192, 2021.

T. Skryabina, Elena; Dunn, “Disposable infusion pumps,” Am J Heal. Pharm, vol. 63, pp. 1260–1268, 2006.

E. T. Pierce, V. Kumar, H. Zheng, and R. A. Peterfreund, “Medication and Volume Delivery by Gravity-Driven Micro-Drip Intravenous Infusion: Potential Variations During ‘Wide-Open’ Flow,” Annesthesia Patient Saf. Found., vol. D, no. 3, pp. 614–618, 2013.

P. Y. Han, i d; Coombes, and B. Green, “Factors Predictive of Intravenous Fluid Administration Errors in Australian Surgical Care Wards,” Qual Saf Heal. Care, vol. 14, pp. 179–184, 2005.

V. Wirtz, K. Taxis, and N. D. Barber, “An Observational Study of Intravenous Medication Errors in the United Kingdom and in Germany,” Pharm World Sci, vol. 25(3), pp. 104–111, 2003.

d h; Cousins, B. Sabatier, D. Begue, C. Schmitt, and t hoppe; Tichy, “Medication Errors in Intravenous Drug Preparation and Administration: A Multicentre Audit in The UK, Germany and France,” Qual Saf Heal. Care, vol. 14, pp. 190–195, 2005.

J. I. Westbrook, M. I. Rob, A. Woods, and D. Parry, “Errors in The Administration of Intravenous Medications in Hospital and The Role of Correct Procedures and Nurse Experience,” BMJ Qual Saf, vol. 20, pp. 1027–1034, 2011.

K. Wright, “Do Calculation Errors by Nurses Cause Medication Errors in Clinical Practice ? A Literature Review,” Nurse Educ. Today, vol. 30, no. 1, pp. 85–97, 2010.

K. K. Giuliano and C. Niemi, “The Urgent Need For Innovation in I.V. Smart Pumps,” Nurs Manag., vol. 46, no. 3, pp. 17–19, 2016.

I. Subiyanto, “Dampak Pengaturan Cairan pada Pasien yang Mendapat Terapi Cairan Intravena di Ruang Intensif Care Unit Rumah Sakit Denkesyah Bandar Lampung,” J. Kesehat., vol. 91, pp. 1–91, 2009.

K. K. Giuliano, “IV Smart Pumps: The Impact of A Simplified User Interface on Clinical Use,” Biomed Instrum Technol, vol. 13, pp. 13–21, 2016.

M. Husch et al., “Insights From The Sharp end of Intravenous Medication Errors: Implications for Infusion Tump technology,” Qual Saf Heal. Care, vol. 14, pp. 80–86, 2005.

National Quality Forum, Critical Paths for Creating Data Platforms : Patient Safety : Intravenous Infusion Pump Devices. 2012.

P. A. R. Arimbawa and I Made Aditya Nugraha, “Efektivitas Penggunaan Infuse Pump Terhadap Kenyamanan Rumah Sakit Prima Medika Denpasar,” Bali Heal. J., vol. 2, no. November, p. 69, 2018.

W. Wadianto and Z. Fihayah, “Simulasi Sensor Tetesan Cairan, pada Infus Konvensional,” J. Kesehat., vol. 7, no. 3, p. 394, 2016.

septian prasetyo; aji, “Alat Monitoring Tetesan Infus Menggunakan Web Secara Online Berbasis ESP8266 Ddengan Pemrogaman Arduino IDE,” Electronic, vol. 87, no. 1,2, pp. 149–200, 2017.

J. W. C. Blake, K. K. Giuliano, and L. Harrington, “Flow Accuracy of IV Smart Pumps Outside of Patient Rooms During COVID-19,” AACN Adv. Crit. Care, vol. 31, no. 4, pp. 357–363, 2020.

U.S. Department of Health and Human Services Food and Drug Administration, Enforcement Policy for Infusion Pumps and Accessories During the Coronavirus Disease 2019 ( COVID-19 ) Public Health Emergency Guidance for Industry and Food and Drug Administration Staff, vol. 21, no. April. 2020.

J. Lu, Y. Wang, X. Li, J. Zhang, and L. Chen, “Design of an infusion set based on pulse control and gravitational potential energy speed regulation,” in 2021 IEEE 5th Advanced Information Technology, Electronic and Automation Control Conference (IAEAC), 2021, vol. 5, pp. 1531–1535.

B. P. Rahardjo, S. Lutfiyah, and T. Hamzah, “Analisa Sistem Sentral Monitor Infus Dengan Parameter Deteksi Volume dan Tetesan Permenit Tampil PC Dengan Ssistem Pengiriman Berbasis Wireless,” Teknokes, vol. D, p. 9, 2017.

D. K. Abadi, A. Kholiq, and Sumber, “Monitoring Infus Pump Berbasis Wireles (‘Lock Door ’),” Teknokes, vol. 1, no. 1, pp. 1–8, 2019.

P. T. E. Alwa Fanah Shinta, “Rancang Bangun Sistem Monitoring Volume Dan Laju Tetes Infus Pasien Menggunakan Nodemcu Esp8266,” Electro, vol. 89, pp. 1–89, 2020.

M. Taylor and R. Jones, “Risk of Medication Errors With Infusion Pumps,” Patient Saf., vol. 8, no. December, pp. 61–69, 2019.

M. C. Layson, “Intravenous ( IV ) Monitoring and Refilling System,” IJEAT, vol. 5, no. 1, pp. 3038–3043, 2019.

P. Carayon, ann schoofs; Hundt, and tosha b; Wetterneck, “Nurses Acceptance of Smart IV Pump Technology Pascale,” Int J Med Inf., vol. 79, no. 6, pp. 401–411, 2011.

N. Staggers, D. Kobus, and C. Brown, “Nurses Evaluations of A Novel Design for an Electronic Medication Administration Record,” CINComputers, Informatics, Nurs., vol. 25, no. 2, pp. 67–75, 2007.

F. D. Davis, “Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology,” MIS Q., vol. 13, no. October, pp. 319–340, 2015.

J. C. Campos and M. D. Harrison, “Modelling and Analysing The Interactive Behaviour of An Infusion Pump,” Electron. Commun. EASST, vol. 45, pp. 1–16, 2011.

L. L. Leape et al., “Systems Analysis of Adverse Drug Events,” JAMA, vol. 274, pp. 35–43, 2016.

K. K. Thariyan, S. Verma, S. R. Taneja, R. C. Gupta, and S. S. Ahluwalia, “Design and Development of A Unique Drop Sensing Unit For Infusion Pump,” J. Sci. Ind. Res. (India)., vol. 61, no. 10, pp. 798–801, 2002.

N. Sholihah and A. Kholiq, “Monitoring Infuse Pump Via Wireless (Oclusion),” IJEEMI, vol. 1, no. 1, pp. 1–7, 2019.

S. R. Jannah, B. G. Irianto, and Sumber, “Analysis of the accuracy drop sensors On Central Monitoring Infuse Peristaltik Appeared Pc Based Wireless ( Sensor Photodiode-Infrared ),” IJEEMI, vol. 9, pp. 1–9, 2021.

M. Bowcutt et al., “Implementation of An Intravenous Medication Infusion Pump System : Implications For Nursing,” J. Nurs. Manag., vol. 16, pp. 188–197, 2008.

P. T. Lee, F. Thompson, and H. Thimbleby, “Analysis of Infusion Pump Error Logs and Their Significance For Health Care,” Br. J. Nurs., vol. 21, no. 64, pp. 12–20, 2012