Mobile Medicine and Mobile Emergency, see also them on Apple Store


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Mobile Medicine and Mobile Emergency, see also them on Apple Store

  1. 1. Mobile Emergency:shortening communications in hospital Pierfrancesco Bellini Ph.D. Eng.^, Sergio Boncinelli MD* , Francesco Grossi MD* , Marco Mangini MD*, Luca Malandrino Eng.^, Paolo Nesi Ph.D. Eng. ^ * Careggi University Hospital, Florence, Italy ^ Distributed Systems and Internet Technology Laboratory,Department of Systems and Informatics University, University of Florence, Italy tel: +39-055-4796523, fax: +39-055-4796363, cell: +39-335-5668674 DISIT - Paolo Nesi - March 2011 1
  2. 2.  Hospital in Numbers  182 acres,  13 departments, 100 bildings,  1.660 beds,  5.900 employees,  135.000 patients per year admitted Careggi Emergency manual  The application use the Emergency manual as a coded configuration. DISIT - Paolo Nesi - March 2011 2
  3. 3.  solution and mobile application to manage communication exchange during maxi emergencies in hospital and large areas  cut down intervention and communication time  improve coordination and organization of medical personnel.  facilitate access to logistic and operative information  inform personnel about emergency status and/or its inception/occurrence,  recall of personnel from other areas. emergencies can be related to  internal events (such as fire, broken pipes, etc.),  external events (for example the sudden arrival in the hospital of hundreds of new patients due to a terrorist attack, a natural disaster, etc.) DISIT - Paolo Nesi - March 2011 3
  4. 4.  based on a mobile device (Phone, iPad, iPod) and a server to be used by the medical and paramedical staff to  communicate inception of emergencies,  communicate with the central emergency services,  organize groups of intervention and support,  get the closest exits, planned and dynamically adapted (with and without connection, in the first case),  create collaborations, to obtain help by skilled people,  access prescriptions and guidelines regarding procedures, dosages, and thus a decision support system via Mobile Medicine DISIT - Paolo Nesi - March 2011 4
  5. 5. Segnalling of an emergencyGet Position, Request of exit DISIT - Paolo Nesi - March 2011 5
  6. 6.  INDIRIZZO: N° 23 EDIFICIO: 10A ALA: sinistra PIANO: 0 REPARTO: anatomia STANZA: D456 USCITA DI SICUREZZA A:  visualizza immagine USCITA DI SICUREZZA B:  visualizza immagine DISIT - Paolo Nesi - March 2011 6
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  8. 8.  collect and manage inception of emergencies  ………. help medical personnel in finding colleagues  updating personnel about evolving situation organize groups of intervention and support  find assembly point  assigning responsible for each team  create collaborations Automated update of information in the mobile provides documentation to personnel (see MobMed)  getting help from skilled colleagues  guidelines and checklist procedures  access prescriptions DISIT - Paolo Nesi - March 2011 8
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  12. 12.  technologies of: artificial intelligence, semantic computing, mobile system, grid and social media A video about Mobile Emergency can be seen from: and on youtube. Mobile Emergency application is accessible on the Apple Store: emergency/id409326454?mt=8 See also other our Apps: MobileMedicine and Content Organizer DISIT - Paolo Nesi - March 2011 12
  13. 13. • Estendere il riconoscimento dei codici a barre da parte dei dispositivi• Permettere all’utente di inviare contributi multimediali circa lo stato dell’emergenza• Estendere la comunicazione esistente tra dispositivo e Centrale Operativa anche tra i dispositivi stessi• Mappa sinottica delle posizione degli utenti a disposizione della Centrale Operativa• Estendere le funzionalità del sistema anche agli utenti non strutturati• Porting su altre piattaforme mobili 13
  14. 14. Mobile Medicine:Cross Media Intelligent Content for Medical Training and Support P. Bellini, I. Bruno, D. Cenni, A. Fuzier, P. Nesi, M. Paolucci Department of Systems and Informatics University of Florence Via S. Marta 3, 50139, Firenze, Italy tel: +39-055-4796523, fax: +39-055-4796363, cell: +39-335-5668674 DISIT - Paolo Nesi - March 2011 14
  15. 15. -PC, MACos, linux, …Automated -iPhone, iPad,Back office -Windows Mobile, -windows Phone 7 -Android ….Complex content DISIT - Paolo Nesi - March 2011 15
  16. 16. a collaborative social portal and mobile applicationintelligent content, provides support to:  simplify and accelerate the adoption of medical procedures and checklists,  accelerate the process of taking decisions in emergency conditions and not only,  support medical personnel in estimating the dosages of medicines,  facilitate access to user manuals of tool and medicine indications, CME  facilitate access to educational content items such as: video, slides, reports, images, etc.  Help to assess the patients’ health conditions  Automated update of this information on the mobile device  Automated information to personnel about new content in their profile DISIT - Paolo Nesi - March 2011 16
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  19. 19.  Simple files:  audio, video, images, documents,  slides and animations, tutorials…..  more than 500 different file formats  very effective for CME Smart Applications  See next slide DISIT - Paolo Nesi - March 2011 19
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  21. 21.  interactive guidelines/procedures to help users to remind of the correct procedures and help them in taking decisions on the specific cases and pathologies.  examples are: ECMO, BLS, Triage, ACLS, EGA, Nasogastric, Tachycardia, neurological classification, antibiotic therapy, etc. calculators and tools which are interactive applications where the user may insert data/info collected out of the patient/context (such as: age, weight, pressure, temperature, habits, symptoms, conditions, reactions, etc.) to obtain from the device/content some estimations/suggestions to be used to take decisions.  Example: drug dosages, APACHE2 score, SAPS Score, SOFA Score, “Profilassi Ulcere”, the estimation about the probability of pulmonary emboli, the estimation of a dosage on the basis of patient weight, the estimation of fat percentage, the suggestion of a prescription about what you could eat, the assessment of neurological conditions on the basis of standard quantitative models, dosages for cardiac disease, etc. Questionnaire  … DISIT - Paolo Nesi - March 2011 21
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  23. 23.  The activation (from local) or a download or play, if accessible via connection, is performed by QR or GPS:  QR: for example the SOFA score  Associated to device  Documents  Escape, etc.  GPS, see next slide DISIT - Paolo Nesi - March 2011 23
  24. 24. Back office User: upload automated single file adaptation content ADMIN, validates, Put in publication User: study and designe of miniapplications to be uploaded on the portal Produces in assisted manner procedures nadmini applications DISIT - Paolo Nesi - March 2011 24
  25. 25. -PC, MACos, linux, …Automated -iPhone, iPad,Back office -Windows Mobile, -windows Phone 7 -Android ….Complex content DISIT - Paolo Nesi - March 2011 26
  26. 26.  Social Networking: groups, forum, blog, etc… Suggestions to entities:  UU, CU, CC, GC, G U, ….  Several Semantic Computing Techniques  AXCP grid computing platform.  artificial intelligence technologies,  semantic computing, media grid computing, social media. Users modeling:  Static: User Profile as provided  Dynamic: play, UGC post, friends, votes, comments, .. Smart Content Modeling (Objects):  Technical description + semantics  Metadati + semantic description as Taxonomy DISIT - Paolo Nesi - March 2011 27
  27. 27. AXCP backoffice Grid Scheduler Grid Node Grid Node Grid Node contributions,Rule based system User Profile Local User Profile actions onAutomated formatting Dynamic User Profile Local Dynamic User Profile content, Inferential engine User behavior Local User behavior Use data Local Use data social actions, processing Content Content preferences, Adaptation DC+IDs DC+IDs queries, enrichment AXInfo: ver, prod., rights,.. AXInfo: ver, prod, rights, use data,..Multilingual index and Descriptors Groups: users, content.. Descriptors Text Analyzers Ontology/Taxonomy Domain Groups Indexer Taxonomy classification Fuzzy searchSuggestions Suggestions on the basis of: Similarity distances Static and dynamic user profile, decriptors, domain Content Organiser Clustering Local Suggestions on the basis of user profiles, local content, AXCP BackOffice Front End Portal local collected data Content Organizer and Player Users
  28. 28.  under trial at the major Florence (Italy) medical center:  the best practice network for mobile medicine content and guidelines production can be found on A video about Mobile Medicine can be seen from: and on youtube. Apple App can be downloaded at:  medicine/id359865882?mt=8,  versions for Windows PDA can be downloaded from the portal.  Other versions are coming: Android, WP7, iPad 2 DISIT - Paolo Nesi - March 2011 29
  29. 29.  on App Store:  EN: organizer-lite/id469941163?ls=1&mt=8  IT: lite/id469941163?ls=1&mt=8 on Microsoft MarketPlace:  EN: US/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36  IT: IT/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36 on Android (beta)  Ask to me DISIT - Paolo Nesi - March 2011 30
  30. 30.  Content Organizer  Multi portale, multi hospital  DRM, CAS  Registrazione diretta, profilazione utente  Echo su VGA cable esterno New  Accesso e scarico play list, collection, corsi  Caricamento video, audio dal campo, invio in centrale in archivio  Registrazione/autenticazione dell’utente  Visione diretta dei vicini, modelli collaborativi diretti  Comunicazione diretta fra vicini, etc.  Scambio diretto di contenuti fra utenti  Update automatica dei contenuti  …. DISIT - Paolo Nesi - March 2011 31