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The thoughts of the patients and the nursing staff involved were surveyed before and after the introduction of the device.

Analysis of the results indicated that the device achieved 100% and 98.9% accuracy rates on the phantom arm test and clinical test, respectively.

Due to the unique roles and importance of clinical nursing staff, excessive pressure not only affects their personal health, but also the quality of the clinical services they provide.

Hence, medical institutions worldwide strive to improve working conditions for nursing staff and mitigate their stress without sacrificing nursing quality.

Moreover, when blood leakage occurs from a VND, the machines usually require 3−5 minutes to detect it, and sometimes they even fail to detect it at all because the puncture is small and the leakage is slow.

As a consequence, the patients may sustain varying degrees of injury.

After the arm was punctured, a syringe was used to eject blood to simulate blood leakage.

This system consisted of a single-phase 110 V/60 Hz adjustable-speed motor (100−500 m L/min) (Orientalmotor, Speed Control Motor, New Taipei, Japan), and an AC110/60 Hz adjustable timer (ANLY, TRD-NC relay, Taipei, Taiwan) relay with a 0.2 s reset time (adjustable range of 0.2–5 s), enabling the system to simulate pulses of 50−180 beats per minute.Patients on HD must receive treatment 3 times per week and for 4 hours per treatment session, in order to maintain the basic kidney function necessary for survival [3].HD is a common alternative treatment in Taiwan, and medical personnel are well-practiced at intravenous insertion; however, venous needle dislodgement (VND) still occurs occasionally, which can lead to blood leakage.In addition, it was reported that HD-related device dislodgement alone accounted for 357 incidents in 2016 [4]. [5] reported that up to 76.6% of respondents had witnessed VND during HD in the previous 5 years, 57.9% indicated that they were concerned about VND very often or often, and 85.3% considered education material beneficial for the reduction of VND risk.Two studies published in 2005 warned that although VND is not an extremely common occurrence, it could be life-threatening or even cause death [6,7].

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