Effectiveness of Nurse Intervention in Improving Follow-Up Data Transmission Rate in Remote Monitoring System (RMS)
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<B>Background:</B> The RMS device has two types: wireless and wired. With the wired device, the patient has to handle the transmission and frequently necessitates intervention by medical stuff. <B>Objective:</B> To examine the success rate of RMS follow-up data transmission by comparing the wired and wireless devices, and whether nurse intervention increases the success rate. Subjects: 213 patients (pts) using the RMS, who had completed the initial transmission and the first follow-up transmission. <B>Methods:</B> For the wireless device (153 pts), since transmission was tried for 3 days from the scheduled day, the status of transmission was checked in the morning of day 3. If not transmitted, a nurse telephoned the patient and again checked for transmission on the same day. For the wired device (60 pts), the same checking procedure was conducted on day 1 after the scheduled transmission day. The success rate of the first transmission with or without nurse intervention was analyzed in both groups. <B>Results:</B> The success rate of follow-up transmission was 94% for the wireless and 75% for the wired device, and was significantly (p=0.0001) higher for the wireless device. By nurse intervention, transmission rates increased for both wireless and wired devices (97% vs. 87%; p=0.0023), but the improvements were not significant. <B>Discussion:</B> Wired device has a lower success rate than wireless device, suggesting that an wireless devise is preferrable for more reliable RMS follow-up.
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