Abstract
Internet of Things (IoT) is changing the way many sectors operate and special attention is paid to promoting healthy living by employing IoT based technologies. In this paper, a novel approach is developed with IoT prototype of Wireless Sensor Network and Cloud based system to provide continuous monitoring of a patient’s health status, ensuring timely scheduled and unscheduled medicinal dosage based on real-time patient vitals measurement, life-saving emergency prediction and communication. The designed integrated prototype consists of a wearable expandable health monitoring system, Smart Medicine Dispensing System, Cloud-based Big Data analytical diagnostic and Artificial Intelligence (AI) based reporting tool. A working prototype was developed and tested on few persons to ensure that it is working according to expected standards. Based on the initial experiments, the system fulfilled intended objectives including continuous health monitoring, scheduled timely medication, unscheduled emergency medication, life-saving emergency reporting, life-saving emergency prediction and early stage diagnosis. In addition, based on the analysis reports, physicians can diagnose/decide, view medication side effects, medication errors and prescribe medication accordingly. The proposed system exhibited the ability to achieve objectives it was designed using IoT to alleviate the pressure on hospitals due to crowdedness in hospital care and to reduce the healthcare service delays.
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Obama, B. (2016). United States health care reform: Progress to date and next steps. JAMA,316(5), 525–532.
Grissinger, Matthew. (2012). Physical environments that promote safe medication use. Pharmacy and Therapeutics,37(7), 377.
John Hopkings Medicine. (2016). Study suggests medical errors now third leading cause of death in the U.S. - 05/03/2016. John Jopkins Medicine-News and Publications (pp. 1–3).
Kaushal, R., Bates, D. W., Landrigan, C., McKenna, K. J., Clapp, M. D., Federico, F., et al. (2001). Medication errors and adverse drug events in pediatric inpatients. JAMA,285(16), 2114–2120.
Perez-Moreno, M. A., Villalba-Moreno, A. M., Santos-Rubio, M. D., Galvan-Banqueri, M., Chamorro-De Vega, E., & Cotrina-Luque, J. (2014). PS-073 Analysis of the most common drugs involved in medicines errors in the dispensing process in a tertiary hospital. European Journal of Hospital Pharmacy: Science and Practice,21(Suppl 1), A173.
Frydenberg, K., & Brekke, M. (2012). Poor communication on patients’ medication across health care levels leads to potentially harmful medication errors. Scandinavian Journal of Primary Health Care,30(4), 234–240.
Samaranayake, N. R., Cheung, S. T. D., Chui, W. C. M., & Cheung, B. M. Y. (2012). Technology-related medication errors in a tertiary hospital: A 5-year analysis of reported medication incidents. International Journal of Medical Informatics,81(12), 828–833.
Bond, C. A., Raehl, C. L., & Franke, T. (2001). Medication errors in United States hospitals. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy,21(9), 1023–1036.
Barker, K. N., Flynn, E. A., Pepper, G. A., Bates, D. W., & Mikeal, R. L. (2002). Medication errors observed in 36 health care facilities. Archives of Internal Medicine,162(16), 1897–1903.
Treiber, L. A., & Jones, J. H. (2010). Devastatingly human: An analysis of registered nurses’ medication error accounts. Qualitative Health Research,20(10), 1327–1342.
Cheragi, M. A., Manoocheri, H., Mohammadnejad, E., & Ehsani, S. R. (2014). Types and causes of medication errors from nurse’s viewpoint. Iranian Journal of Nursing and Midwifery Research,18(3), 228–231.
Callen, J., McIntosh, J., & Li, J. (2010). Accuracy of medication documentation in hospital discharge summaries: A retrospective analysis of medication transcription errors in manual and electronic discharge summaries. International Journal of Medical Informatics,79(1), 58–64.
Poon, E. G., Keohane, C. A., Yoon, C. S., Ditmore, M., Bane, A., Levtzion-Korach, O., et al. (2010). Effect of bar-code technology on the safety of medication administration. New England Journal of Medicine,362(18), 1698–1707.
Fontan, J. E., Maneglier, V., Nguyen, V. X., Brion, F., & Loirat, C. (2003). Medication errors in hospital: Computerized unit dose drug dispensing system versus ward stock distribution system. Pharmacy World & Science,25(3), 112–117.
Khdour, M. R., Hawwa, A. F., Kidney, J. C., Smyth, B. M., & McElnay, J. C. (2012). Potential risk factors for medication non-adherence in patients with chronic obstructive pulmonary disease (COPD). European Journal of Clinical Pharmacology,68(10), 1365–1373.
Marcum, Z. A., Zheng, Y., Perera, S., Strotmeyer, E., Newman, A. B., Simonsick, E. M., et al. (2013). Prevalence and correlates of self-reported medication non-adherence among older adults with coronary heart disease, diabetes mellitus, and/or hypertension. Research in Social and Administrative Pharmacy,9(6), 817–827.
Fallis, B. A., Dhalla, I. A., Klemensberg, J., & Bell, C. M. (2013). Primary medication non-adherence after discharge from a general internal medicine service. PLoS ONE,8(5), e61735.
Gadkari, A. S., & McHorney, C. A. (2012). Unintentional non-adherence to chronic prescription medications: How unintentional is it really? BMC Health Services Research,12(1), 1.
Tomaszewski, M., White, C., Patel, P., Masca, N., Damani, R., Hepworth, J., et al. (2014). High rates of non-adherence to antihypertensive treatment revealed by high-performance liquid chromatography-tandem mass spectrometry (HP LC-MS/MS) urine analysis. Heart. https://doi.org/10.1136/heartjnl-2013-305063.
Ahmad, N. S., Ramli, A., Islahudin, F., & Paraidathathu, T. (2013). Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia. Patient Preference Adherence,7(6), 525–530.
Shrivastava, A. (2015). Exploring the smartwatch as a tool for medical adherence (Master dissertation). Uppsala University, Sweden
Baqir, W., Jones, K., Horsley, W., Barrett, S., Fisher, D., Copeland, R., et al. (2015). Reducing unacceptable missed doses: Pharmacy assistant-supported medicine administration. International Journal of Pharmacy Practice,23(5), 327–332.
Serdaroglu, K., Uslu, G., & Baydere, S. (2015). Medication intake adherence with real time activity recognition on IoT. In 2015 IEEE 11th international conference on wireless and mobile computing, networking and communications (WiMob) (pp. 230–237). IEEE.
Islam, S. R., Kwak, D., Kabir, M. H., Hossain, M., & Kwak, K. S. (2015). The internet of things for health care: A comprehensive survey. IEEE Access,3, 678–708.
Lee, N. E., Lee, T. H., Seo, D. H., & Kim, S. Y. (2015). A smart water bottle for new seniors: Internet of things (IoT) and health care services. International Journal of Bio-Science and Bio-Technology,7(4), 305–314.
Fernández-Cardeñosa, G., de la Torre-Díez, I., López-Coronado, M., & Rodrigues, J. J. (2012). Analysis of cloud-based solutions on EHRs systems in different scenarios. Journal of Medical Systems,36(6), 3777–3782.
Poulymenopoulou, M., Malamateniou, F., & Vassilacopoulos, G. (2012). Emergency healthcare process automation using mobile computing and cloud services. Journal of Medical Systems,36(5), 3233–3241.
Puri, C., Ukil, A., Bandyopadhyay, S., Singh, R., Pal, A., & Mandana, K. (2016). iCarMa: Inexpensive cardiac arrhythmia management—An IoT healthcare analytics solution. In Proceedings of the first workshop on IoT-enabled healthcare and wellness technologies and systems (pp. 3–8). ACM.
Rathore, M. M., Ahmad, A., Paul, A., Wan, J., & Zhang, D. (2016). Real-time medical emergency response system: Exploiting IoT and big data for public health. Journal of Medical Systems,40(12), 283.
Chen, Y. Y., Lu, J. C., & Jan, J. K. (2012). A secure EHR system based on hybrid clouds. Journal of Medical Systems,36(5), 3375–3384.
Siddiqui, Z., Abdullah, A. H., Khan, M. K., & Alghamdi, A. S. (2014). Smart environment as a service: Three factor cloud based user authentication for telecare medical information system. Journal of Medical Systems,38(1), 1–14.
Badamasi, Y. A. (2014). The working principle of an Arduino. In 2014 11th international conference on electronics, computer and computation (ICECCO) (pp. 1–4). IEEE.
Upton, E., & Halfacree, G. (2014). Raspberry Pi user guide. New York: Wiley.
Narula, S., & Jain, A. (2015). Cloud computing security: Amazon web service. In 2015 fifth international conference on advanced computing and communication technologies (pp. 501–505). IEEE.
Güvenir, H. A., & Kurtcephe, M. (2013). Ranking instances by maximizing the area under ROC curve. IEEE Transactions on Knowledge and Data Engineering,25(10), 2356–2366.
Kurtcephe, M., & Güvenir, H. A. (2013). A discretization method based on maximizing the area under receiver operating characteristic curve. International Journal of Pattern Recognition and Artificial Intelligence,27(01), 1350002.
Stensbo-Smidt, K., Igel, C., Zirm, A., & Pedersen, K. S. (2013). Nearest neighbour regression outperforms model-based prediction of specific star formation rate. In 2013 IEEE international conference on big data (pp. 141–144). IEEE.
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Latif, G., Shankar, A., Alghazo, J.M. et al. I-CARES: advancing health diagnosis and medication through IoT. Wireless Netw 26, 2375–2389 (2020). https://doi.org/10.1007/s11276-019-02165-6
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DOI: https://doi.org/10.1007/s11276-019-02165-6