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63. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V. (GMDS)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie

02. - 06.09.2018, Osnabrück

MeSiB – More safety for ventilated patients in intensive home care

Meeting Abstract

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  • Myriam Lipprandt - Carl von Ossietzky Universität, Oldenburg, Deutschland
  • Stefanie Gacek - Carl von Ossietzky Universität, Oldenburg, Deutschland
  • Rainer Röhrig - Carl von Ossietzky Universität, Oldenburg, Deutschland
  • MeSiB Research Group

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. 63. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS). Osnabrück, 02.-06.09.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocAbstr. 4

doi: 10.3205/18gmds149, urn:nbn:de:0183-18gmds1498

Published: August 27, 2018

© 2018 Lipprandt et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Introduction: The development of suitable home ventilation equipment combined with outpatient intensive care often allows patients to return to the familiar home environment. This contributes significantly to the quality of life and the autonomy of the family. Medical and technological complications require expertise among professional and informal caregivers. The decision to consult a doctor or the ambulance lies with the caregivers and, if misjudged, can have significant consequences for the patient. Therefore, in emergencies a decision support system is needed to ensure patient safety and relief of the caregivers.

Method: Through the challenges described in the introduction, an in-depth analysis of the socio-technical context and incident reports in intensive care were carried out. A review of the literature and a context interview with an intensive care physician were conducted to highlight the weaknesses and potential risks of home ventilation.

Results: The analysis show that there is a need in the field of escalation detection (safety box) in case of medical emergencies and that a specialist should be involved through a tele-medical support. In addition, there is a need for training of nurses in a real environment like a simulation laboratory and an analysis of the ethical and legal implications. The safety-box consists of a rule engine that incorporates the data from the vital monitor device, the ventilation device and ambient room sensor that detect how close the caregivers is to the patient.

Discussion and Conclusion: In this project, a comprehensive safety and protection concept for the caregivers in home ventilation is developed. In this ongoing work, a safety box and the usability of telemedical support in the context of home ventilation will be evaluated [1]. The education training is developed for caregivers, which aims to better cope with the challenges in the home environment also stated in [2].

The following ones are members of MeSiB Research Group (German BMBF Project on Safety for Ventilated Patients in Intensive Home Care (MeSiB 16SV772xx)): Tim Binar (Triage, Germany), Ralf Eckert (oldntec, Germany), Thomas Frenken (oldntec, Germany), Marten Schmied (IQ medworks, Germany), Alexander Gerka (OFFIS, Germany), Klaus Graf (IQ medworks, Germany), Andreas Hein (OFFIS, Germany), Tanja Kröger (Pius, Germany), Christian Lüpkes (OFFIS, Germany), Christian Lins, Wenke Liedke (University Greifswald), Martin Langanke (University Greifswald)

The authors declare that they have no competing interests.

The authors declare that a positive ethics committee vote has been obtained.


Ambrosino N, Vitacca M, Dreher M, Isetta V, Montserrat JM, Tonia T, et al. Tele-monitoring of ventilator-dependent patients - A European Respiratory Society Statement. The European respiratory journal. 2016;48(3):648-63. DOI: 10.1183/13993003.01721-2015 External link
King A. Long-term home mechanical ventilation in the United States. Respiratory care. 2012;57(6):921-30; discussion 930-2. DOI: 10.4187/respcare.01741 External link