Satisfaction with and reliability of in-hospital video-EEG monitoring systems in epilepsy diagnosis - A German multicenter experience

被引：7

作者：

Willems, Laurent M. ^{[1
,2
]}

Baier, Hartmut ^{[3
]}

Bien, Christian G. ^{[4
]}

Boesebeck, Frank ^{[5
,6
]}

Duempelmann, Matthias ^{[7
]}

Hamer, Hajo M. ^{[8
]}

Kellinghaus, Christoph ^{[9
]}

Knake, Susanne ^{[2
,10
,11
]}

Schreiber, Melanie ^{[12
]}

Staack, Anke Maren ^{[13
]}

Surges, Rainer ^{[14
]}

Tergau, Frithjof ^{[15
]}

von Podewils, Felix ^{[16
,17
]}

Weber, Yvonne ^{[18
,19
]}

Wehner, Tim ^{[20
,21
]}

Winter, Yaroslav ^{[10
,22
]}

Zollner, Johann Philipp ^{[1
,2
]}

Strzelczyk, Adam ^{[1
,2
]}

Rosenow, Felix ^{[1
,2
]}

机构：

[1] Goethe Univ, Univ Hosp Frankfurt, Epilepsy Ctr Frankfurt Rhine Main, Dept Neurol, Frankfurt, Germany

[2] Goethe Univ, LOEWE Ctr Personalized Translat Epilepsy Res CePT, Frankfurt, Germany

[3] Ctr Psychiat, Dept Epileptol, Weissenau, Germany

[4] Bielefeld Univ, Med Sch, Dept Epileptol Krankenhaus Mara, Bielefeld, Germany

[5] AGAPLESION Diakonie Hosp Rotenburg, Epilepsy Ctr, Rotenburg, Wumme, Germany

[6] AGAPLESION Diakonie Hosp Rotenburg, Dept Neurol, Rotenburg, Wumme, Germany

[7] Univ Freiburg, Dept Neurosurg, Fac Med, Epilepsy Ctr,Med Ctr, Freiburg, Germany

[8] Univ Hosp Erlangen, Epilepsy Ctr, Dept Neurol, Erlangen, Germany

[9] Klinikum Osnabruck, Dept Neurol, Epilepsy Ctr Munster Osnabruck, Osnabruck, Germany

[10] Philipps Univ Marburg, Dept Neurol, Marburg, Lahn, Germany

[11] Philipps Univ Marburg, Epilepsy Ctr Hessen, Marburg, Lahn, Germany

[12] Univ Hosp Tubingen, Dept Neurol, Tubingen, Germany

[13] Epilepsy Ctr Kork, Kork, Germany

[14] Univ Hosp Bonn, Dept Epileptol, Bonn, Germany

[15] St Bernward Hosp, Dept Neurol & Clin Neurophysiol, Hildesheim, Germany

[16] Univ Hosp Greifswald, Epilepsy Ctr, Greifswald, Germany

[17] Univ Hosp Greifswald, Dept Neurol, Greifswald, Germany

[18] Univ Aachen, Dept Epileptol & Neurol, Aachen, Germany

[19] Univ Tubingen, Hertie Inst Clin Brain Res, Dept Neurol & Epileptol, Tubingen, Germany

[20] Univ Hosp, Ruhr Epileptol, Knappschaftskrankenhaus Bochum, Bochum, Germany

[21] Univ Hosp, Dept Neurol, Knappschaftskrankenhaus Bochum, Bochum, Germany

[22] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Mainz Comprehens Epilepsy & Sleep Med Ctr, Dept Neurol, Mainz, Germany

来源：

CLINICAL NEUROPHYSIOLOGY | 2021年 / 132卷 / 09期

关键词：

EEG; Medical technology; Telemedicine; Safety; Quality; KNOWLEDGE; SAFETY; UNIT;

D O I：

10.1016/j.clinph.2021.04.020

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: To analyze satisfaction with and reliability of video-electroencephalography-monitoring systems (VEMS) in epilepsy diagnostics. Methods: A survey was conducted between December 2020 and January 2021 among German epilepsy centers using well-established customer satisfaction (CS) and quality assurance metrics. Results: Among 16 participating centers, CS with VEMS was low, with only 13% of customers actively recommending their system. Only 50% of users were satisfied with the overall performance of their VEMS, and a low 18% were satisfied with the manufacturer's customer service. User interface, software stability, lack of regular updates, and missing customer-oriented improvements were reported as frequent problems jeopardizing diagnosis in approximately every 10th patient. The greatest potential for improvement was identified for software and hardware stability as well as customer service. Conclusion: Satisfaction with VEMS and their customer service was low, and diagnostics were regularly affected by software or hardware errors. Even if this can be partly explained by the technical complexity of VEMS, there is an urgent need for improvements with regard to the reliability and durability of system components as well as signal synchrony and data management. Significance: This analysis highlights low consumer satisfaction of users with VEMS and uncovers frequent problems and potential for improvement. (C) 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

引用

页码：2317 / 2322

页数：6

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