Can the Standard Configuration of a Cardiac Monitor Lead to Medical Errors under a Stress Induction?

Abstract

The essential factor that enables medical patient monitoring is the vital signs monitor, whereas the key in communication with the monitor is the user interface. The way the data display on the monitors is standard, and it is often not changed; however, vital signs monitors are now configurable. Not all the data have to be displayed concurrently; not all data are necessary at a given moment. There arises a question: is the standard monitor configuration sufficient, or can it lead to mistakes related to delays in perceiving parameter changes? Some researchers argue that mistakes in life-saving activities is not mainly due to medical mistakes but due to poorly designed patient life monitor interfaces, among other reasons. In addition, it should be emphasized that the activity that saves the patient’s life is accompanied by stress, which is often caused by the chaos occurring in the hospital emergency department. This raises the following question: is the standard user interface, which they are used to, still effective under stress conditions? Therefore, our primary consideration is the measure of reaction speed of medical staff, which means the perception of the changes of vital signs on the patient’s monitor, for stress and stressless situations. The paper attempts to test the thesis of the importance of the medical interface and its relation to medical mistakes, extending it with knowledge about the difference in speed of making decisions by the medical staff with regard to the stress stimulus.