Problems may emerge based on the sheer volume of new devices, the complexity of the devices, the poor interface between multiple technologies at the bedside, and the haphazard introduction of new devices at the bedside. 6 For example, nurses and other health care providers can be so focused on data from monitors that they fail to detect potentially important subtle changes in clinical status. Technology has been described as both part of the problem and part of the solution for safer health care, and some observers warned of the introduction of yet-to-be errors after the adoption of new technologies. While technology has the potential to improve care, it is not without risks. Now pulse oxymetry allows nurses to identify decreased oxygenation before clinical symptoms appear, and thus more promptly diagnose and treat underlying causes.
Before its widespread use, nurses relied on subtle changes in mental status and skin color to detect early changes in oxygen saturation, and they used arterial blood gasses to confirm their suspicions. Over time, the nurses’ unaided senses were replaced with technology designed to detect physical changes in patient conditions. Before extensive application of technology, nurses relied heavily on their senses of sight, touch, smell, and hearing to monitor patient status and to detect changes. Patient care technology has become increasingly complex, transforming the way nursing care is conceptualized and delivered. 2 While technology holds much promise, the benefits of a specific technology may not be realized due to four common pitfalls: (1) poor technology design that does not adhere to human factors and ergonomic principles, 3 (2) poor technology interface with the patient or environment, 3 (3) inadequate plan for implementing a new technology into practice, and (4) inadequate maintenance plan. 1 Given that nearly 5,000 types of medical devices are used by millions of health care providers around the world, device-related problems are inevitable. However, few people consider that these same technologies may also introduce errors and adverse events. The general public believes that technology will improve health care efficiency, quality, safety, and cost.