NACAS

The Nurse Alarming and Context Awareness System to reduce alarm fatigue for neonatal IC nurses.

Project type: Master Individual Project

Duration: 20 weeks

Tasks: Conceptualisation, cognitive ergonomics complex system design, electronic systems prototyping, machine learning prototyping   

Sophia Logo
Erasmus MC Logo
Critical Alarms Lab Logo

SHIFTING THE ALARMING CULTURE

The current neonatal intensive care unit (NICU) has up to 500 alarms going off per neonate per day. With annoyance high and attentativeness low, alarm fatigue becomes a serious problem.

Where the NICU would overload a nurse, NACAS unobtrusively offers direction through personal and personalised alarming. 

Overload before
Overload after
Before
After

A HUMANE ENVIRONMENT

Giving the nurses back a sense of meaning and humaneness requires the systems to not only be understandable, but also to be non-disturbing and reliable. Key challenges follow these factors. 

Cognitively ergonomic system function & feedback

Alarm form and distribution handling

Proof of design principles

CONTEXT AWARE

Each step in the design process was focussed around creating unobtrusive but understandable alarms.

Through an context aware system the activity of the nurse is perceived and used to create personalised alarms or pass alarms on to available nurses.

Initial adaptive system idea

Intermediate concept data flow of adaptive system

Later concept alarm adaptations

Final system design data flow

MORE IS LESS

Existing alarming systems rely on increasingly prominent auditory alarms to stand out. 

By use of specific combinations of not only auditory alarms but also haptic and visual alarming, the system becomes less obtrusive and more understandable. 

NACAS Early arduino

FEEL, HEAR AND SEE

Detailing on the alarm feedback has been tested for with users using lo-fi functional prototypes. 

The onfiguration of visual feedback placement, auditory strength and haptic prominence was optimised

Chest clip-on design

Arm pager

Arm alarmer design

Final concept direction

COMPLEX, NOT COMPLICATED

With UWB connectivity, an LRA haptic engine, modulated 44kHz directional speakers and an angled OLED display, the design is embodied with the nurse and fellow nurses in mind. 

Audio proto perspective

Prototyped machine learning models show a proof of concept for the context awareness system.

FINE-TUNED TO REALITY

Desirability and usability of the personalised alarms and forms of alarming is validated through tests using a fully functional higher fidelity wireless prototype.