인공호흡기 중앙감시시스템 소프트웨어의 사용적합성 총괄평가
Summative Usability Assessment of Software for Ventilator Central Monitoring System
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초록
According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software devel- opment standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can iden- tify hazardous situations and evaluate potential hazards and confirms the implementation of cyberse- curity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user sat- isfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenariotasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces asso- ciated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.
Abstract
According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software devel- opment standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can iden- tify hazardous situations and evaluate potential hazards and confirms the implementation of cyberse- curity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user sat- isfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenario tasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces asso- ciated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.
참고문헌 (25)
- Thobaity AA, "Nurses on the frontline against the COVID-19 pandemic : an integrative review", Dubai Medical Journal, 3(3), pp.87~92 (2020)
- 정지용, "인공호흡기 원격 통합 모니터링 및 제어 시스템 개발을 위한 소프트웨어 위험관리 및 사이버보안", 의공학회지, 44(2), pp.99~108 (2023), 대한의용생체공학회
- MFDS, "Guideline on the Review and Approval of Digital Therapeutics(DTx)" (2020), Ministry of Food and Drug Safety
- Resnic FS, "Medical devices in the real world", New England Journal of Medicine, 378(7), pp.595~597 (2018)
- Jandoo T, "WHO guidance for digital health : What it means for researchers", Digital health, 6, pp.1~4 (2020)
- Schmettow M, "An extended protocol for usability validation of medical devices : Research design and reference model", Journal of biomedical informatics, 69, pp.99~114 (2017)
- McCarthy AD, "Usability engineering in practice : developing an intervention for post-stroke therapy during a global pandemic", Journal of Medical Engineering & Technology, 46(6), pp.433~447 (2022)
- 이예진, "다기준 의사결정 방법을 활용한 사용자 경험의 평가 방법", 대한인간공학회지, 41(2), pp.141~150 (2022), 대한인간공학회
- Wronikowska MW, "Systematic review of applied usability metrics within usability evaluation methods for hospital electronic healthcare record systems: Metrics and Evaluation Methods for eHealth Systems", Journal of Evaluation in Clinical Pracitce, 27(6), pp.1403~1416 (2021)
- IEC, "IEC 62366-1 : 2015, Medical devices-Part 1 : Application of usability engineering to medical devices", International Electrotechnical Commission, ~ (2015)
- IEC, "IEC TR 62366-2, Medical devices-Part 2 : Guidance on the application of usability engineering to medical devices", International Electrotechnical Commission, ~ (2016)
- Sauer J, "Extra-laboratorial usability tests : An emirical comparison of remote and classical field testing with lab testing", Applied ergonomics, 74, pp.85~96 (2019)
- "ANSI", AAMI HE 75 : Human Factors Engineering-Design of Medical Devices, 2009
- Haig F, "Usability assessment of Versius, a new robot-assisted surgical device for use in minimal access surgery", BMJ Surgery, Interventions, &Health Technologies, 2(1) (2020)
- Rochat J, "Usability Testing of a Patient-Centered Mobile Health App for Supporting and Guiding the Pediatric Emergency Department Patient Journey : Mixed Methods Study", JMIR Pediatrics and Parenting, 5(1), pp.e25540~ (2022)
- Bird M, "A novel hospital-to-home system for children with medical complexities : usability testing study", JMIR Formative Research, 6(8), pp.e34572~ (2022)
- Hinricher N, "Effect of virtual reality and test environment on user experience, usability, and mental workload in the evaluation of a blood pressure monitor", Frontiers in Virtual Reality, 4, pp.115119~ (2023)
- Templier F, "Evaluation of the ventilator-user interface of 2 new advanced compact transport ventilators", Respiratory care, 52(12), pp.1701~1709 (2007)
- South L, "Effective use of likert scales in visualization evaluations : a systematic review", Computer Graphics Forum, 41(3), pp.43~55 (2022)
- Shin JH, "Optimal Usability Test Procedure Generation for Medical Devices", Healthcare, 11(3), pp.296~ (2023)
- ISO, "ISO 14971, Medical devices – Application of risk management to medical devices", International Organization for Standardization, ~ (2019)
- "Johns Hopkins University &Medicine" (2021)[URL]
- 하동석, "PC 원격 제어 애플리케이션의 터치 인터페이스 방식 개발", 대한인간공학회지, 40(4), pp.235~248 (2021), 대한인간공학회
- Umair M, "Impact of COVID-19 on IoT adoption in healthcare, smart homes, smart buildings, smart cities, transportation and industrial IoT", Sensors, 21(11), pp.3838~ (2021)
- Scott JB, "Mechanical ventilation alarms and alarm fatigue", Respiratory Care, 64(10), pp.1308~1313 (2019)
