Staff shortages and an increasingly aging population are straining the ability of emergency departments to provide high quality care. At the same time, there is a growing concern about hospitals' ability to provide effective care during disaster events. For these reasons, tools that automate patient monitoring have the potential to greatly improve efficiency and quality of health care. Towards this goal, we have developed MEDiSN , a wireless sensor network for monitoring patients' physiological data in hospitals and during disaster events. MEDiSN comprises Physiological Monitors (PMs), which are custom-built, patient-worn motes that sample, encrypt, and sign physiological data and Relay Points (RPs) that self-organize into a multi-hop wireless backbone for carrying physiological data. Moreover, MEDiSN includes a back-end server that persistently stores medical data and presents them to authenticated GUI clients. The combination of MEDiSN's two-tier architecture and optimized rate control protocols allows it to address the compound challenge of reliably delivering large volumes of data while meeting the application's QoS requirements. Results from extensive simulations, testbed experiments, and multiple pilot hospital deployments show that MEDiSN can scale from tens to at least five hundred PMs, effectively protect application packets from congestive and corruptive losses, and deliver medically actionable data.

Staff shortages and an increasingly aging population are straining the ability of emergency departments to provide high-quality care. Moreover, there is a growing concern about the ability of hospitals to provide effective care during disaster events. Tools that automate patient monitoring would greatly improve efficiency, quality of care, and the volume of patients treated. Towards this goal, we have developed MEDiSN, a wireless sensor network for monitoring patients' vital signs in hospitals and disaster events. MEDiSN consists of Patient Monitors which are custom-built, patient-worn motes that sample, compress and secure medical data, and Relay Points that form a static multi-hop wireless backbone for carrying patient data. Moreover, MEDiSN includes a back-end server that persistently stores medical data and presents them to multiple GUI clients. MEDiSN's heterogeneous architecture enables it to address the compound challenge of reliably delivering large volumes of data while meeting the application's QoS requirements.