This document discusses mobile computing initiatives in hospitals. It describes projects at hospitals in New Zealand and Canada to implement mobile access to patient records and diagnostic results. The initiatives aim to replace paper-based systems and improve clinical workflows. Challenges discussed include change management, training, security, and moving from paper-based notes. Benefits cited include time savings for clinicians and improved patient care.
SriSeshaa's Healthcare offerings address the ever-evolving needs of the Healthcare domain.Our consulting and development services are designed to help healthcare organizations transform operations by reducing costs, streamlining processes and enhancing patient care services.
Urgent Care services are a valid bridge between ER and Primary Care
Lower costs
Significantly shorter wait times
Walk-In accepted. No appointment needed
Accept both Insurance and self-pay
Board-Certified Physicians & extended business timings including after-hours and weekends
Projections show urgent care segment will grow by almost 40%, to $18 billion, by 2017
E- Healthcare is a web based project system which deals with online checkup through video conferencing & doctor gives online prescription.
People can book appointments online by approaching the website of E- healthcare. And people can also download their lab reports. people can discuss their health related issues via video conferencing and get doctor useful prescription.
The main motive of introducing these “E - HEALTHCARE” system is to promote online health care services. Because lack of specialists is major problem in small towns. But E-healthcare provides online services like online treatment. It will be beneficial for all those peoples located in Small towns and the patients who have to take regular treatment, travel a lot where there is a lack of medical facilities.
E- Healthcare is a web based project system which deals with online checkup through video conferencing & doctor gives online prescription. The project is very helpful to doctor, receptionist and public.
Presented at UKRC 2013, this presentation discusses healthcare needs, what vendor neutral archives are, and how to choose the right VNA supplier.
For more information on Carestream's Vue for VNA, visit http://carestream.com/vna
SriSeshaa's Healthcare offerings address the ever-evolving needs of the Healthcare domain.Our consulting and development services are designed to help healthcare organizations transform operations by reducing costs, streamlining processes and enhancing patient care services.
Urgent Care services are a valid bridge between ER and Primary Care
Lower costs
Significantly shorter wait times
Walk-In accepted. No appointment needed
Accept both Insurance and self-pay
Board-Certified Physicians & extended business timings including after-hours and weekends
Projections show urgent care segment will grow by almost 40%, to $18 billion, by 2017
E- Healthcare is a web based project system which deals with online checkup through video conferencing & doctor gives online prescription.
People can book appointments online by approaching the website of E- healthcare. And people can also download their lab reports. people can discuss their health related issues via video conferencing and get doctor useful prescription.
The main motive of introducing these “E - HEALTHCARE” system is to promote online health care services. Because lack of specialists is major problem in small towns. But E-healthcare provides online services like online treatment. It will be beneficial for all those peoples located in Small towns and the patients who have to take regular treatment, travel a lot where there is a lack of medical facilities.
E- Healthcare is a web based project system which deals with online checkup through video conferencing & doctor gives online prescription. The project is very helpful to doctor, receptionist and public.
Presented at UKRC 2013, this presentation discusses healthcare needs, what vendor neutral archives are, and how to choose the right VNA supplier.
For more information on Carestream's Vue for VNA, visit http://carestream.com/vna
Health professionals should record clinical care information in order to provide adequate patient assistance. Such recording process requires an Electronic Health Record (EHR) with complete and integral information adjusted to treatments performed on a patient. Moreover, availability and access to EHR are key features supporting decision making and improve patient care. Nevertheless, designing an EHR fulfilling a set of quality attributes is not an easy task. In fact, an EHR with low usability causes deficient clinical services and poor data quality on medical records. In this paper, an interpretation of the ISO 9241-210 standard, in the context of patients' care in an emergency situation, is presented. It considers three mid-level objectives: understanding, designing and evaluating. In this way, an alignment between high-level guidelines, offered by usability standards, and low-level activities to be followed during an EHR design, is achieved.
Q&A: The Internet of Everything in Clinical TrialsCRF Health
The Internet of Everything (IoE) is being applied to more sectors, including clinical trials. IPT asks Rauha Tulkki-Wilke at CRF Health how this is happening and what the effects are.
TiaImage is the best radiology software developed by TiaTech which can be integrated with the hospital management software. Schedule a free demo : https://www.tiatech.net/
The “meaningful use” journey can progress through various twists, turns, stalls, restarts, frustrations, elations and finally relief and satisfaction from a job well done. Proof abounds that project tenacity trumps despair and that early adopters are enthusiastic about electronic health records (EHR), and even eagerly anticipate the next stages of Meaningful Use objectives.
What are the barriers preventing widespread real-time location system (RTLS) implementation in health care facilities? We have compiled case studies of RTLS implementations in medical facilities. By examining the documented successes and failures of existing applications we have isolated three main obstacles that seem to deter industry change.
Whitepaper : The Bridge From PACS to VNA: Scale Out Storage EMC
This whitepaper discusses how a vendor-neutral archive (VNA) for image archive and management requires a phased storage approach due to the capital and operational expenditures involved. The EMC Isilon scale-out approach provides a simple, predictable, and manageable path from PACS (Picture Archiving and Communications System) to VNA.
This ethnographic research study found that inefficient or poorly designed healthcare workflow processes can be a contributing factor in many implementation failures.
Clinical Data Collaboration Across the EnterpriseCarestream
In addition to the CARESTREAM Vue PACS installed in 2003, the hospital has implemented full electronic ADT and paperless Ancillaries, EMR Adoption, full electronic medication CPOE and a Structured and Document Clinical Repository (connected to regional EHR).
Despite the completeness of this IT infrastructure, the hospital was still searching for an optimal solution for an integrated clinical image repository and distribution system.
Presentation given at the European Congress of Radiology, ECR 2015 in Vienna, March 4th. About usage of mobile devices in radiology, current changes in radiology due to increasing use of mobile devices and growing wireless connectivity. About mobile radiology, m-Health & social media in radiology and medicine
Health professionals should record clinical care information in order to provide adequate patient assistance. Such recording process requires an Electronic Health Record (EHR) with complete and integral information adjusted to treatments performed on a patient. Moreover, availability and access to EHR are key features supporting decision making and improve patient care. Nevertheless, designing an EHR fulfilling a set of quality attributes is not an easy task. In fact, an EHR with low usability causes deficient clinical services and poor data quality on medical records. In this paper, an interpretation of the ISO 9241-210 standard, in the context of patients' care in an emergency situation, is presented. It considers three mid-level objectives: understanding, designing and evaluating. In this way, an alignment between high-level guidelines, offered by usability standards, and low-level activities to be followed during an EHR design, is achieved.
Q&A: The Internet of Everything in Clinical TrialsCRF Health
The Internet of Everything (IoE) is being applied to more sectors, including clinical trials. IPT asks Rauha Tulkki-Wilke at CRF Health how this is happening and what the effects are.
TiaImage is the best radiology software developed by TiaTech which can be integrated with the hospital management software. Schedule a free demo : https://www.tiatech.net/
The “meaningful use” journey can progress through various twists, turns, stalls, restarts, frustrations, elations and finally relief and satisfaction from a job well done. Proof abounds that project tenacity trumps despair and that early adopters are enthusiastic about electronic health records (EHR), and even eagerly anticipate the next stages of Meaningful Use objectives.
What are the barriers preventing widespread real-time location system (RTLS) implementation in health care facilities? We have compiled case studies of RTLS implementations in medical facilities. By examining the documented successes and failures of existing applications we have isolated three main obstacles that seem to deter industry change.
Whitepaper : The Bridge From PACS to VNA: Scale Out Storage EMC
This whitepaper discusses how a vendor-neutral archive (VNA) for image archive and management requires a phased storage approach due to the capital and operational expenditures involved. The EMC Isilon scale-out approach provides a simple, predictable, and manageable path from PACS (Picture Archiving and Communications System) to VNA.
This ethnographic research study found that inefficient or poorly designed healthcare workflow processes can be a contributing factor in many implementation failures.
Clinical Data Collaboration Across the EnterpriseCarestream
In addition to the CARESTREAM Vue PACS installed in 2003, the hospital has implemented full electronic ADT and paperless Ancillaries, EMR Adoption, full electronic medication CPOE and a Structured and Document Clinical Repository (connected to regional EHR).
Despite the completeness of this IT infrastructure, the hospital was still searching for an optimal solution for an integrated clinical image repository and distribution system.
Presentation given at the European Congress of Radiology, ECR 2015 in Vienna, March 4th. About usage of mobile devices in radiology, current changes in radiology due to increasing use of mobile devices and growing wireless connectivity. About mobile radiology, m-Health & social media in radiology and medicine
Data Management Considerations for Decentralized Clinical Trial ImplementationMMS Holdings
In this webinar, MMS data managers will review the basics of decentralized clinical trials and expand on how to address challenges that may arise when working on a DCT.
https://info.mmsholdings.com/dct-webinar-sep
This project explored the literature regarding the mobile delivery of health care information and its impact on health sciences library collection management
This is a re-boot of a presentation originally given on the potential role of cloud infrastructure in healthcare delivery from eHealth Canada 2012.
Key concepts are the drivers of change in healthcare, how hospitals can protect themselves when using of cloud, the potential use of enterprise content management as part of healthcare delivery and the current models that we are seeing in Canada and the US.
Decentralized Monitoring in Clinical TrialsClinosolIndia
Decentralized monitoring (DM) in clinical trials is a relatively new approach to monitoring that is becoming increasingly popular. DM involves the use of technology and remote monitoring methods to monitor the conduct of clinical trials, as opposed to the traditional on-site monitoring approach.
Under DM, monitoring activities are conducted remotely using electronic data capture (EDC) systems, risk-based monitoring tools, and other technologies. This allows the monitoring team to access and review trial data in real-time, without the need to be physically present at the trial site. DM can include a range of activities, such as remote source data verification, central review of imaging data, and remote monitoring of electronic health records.
There are several benefits to DM. First, it can reduce the burden and costs associated with on-site monitoring, such as travel expenses and time spent away from the office. DM can also allow for more frequent monitoring and earlier detection of issues, as monitoring activities can be conducted in real-time. Additionally, DM can increase patient safety and improve data quality, as remote monitoring tools can be used to identify potential safety concerns or data inconsistencies more quickly.
However, there are also some challenges associated with DM. For example, there may be concerns about the security and confidentiality of trial data when accessed remotely. Additionally, DM may not be suitable for all types of clinical trials, and there may be regulatory or legal requirements that need to be considered when implementing DM.
Similar to Clinicians' Challenge 2012 Update - Mobile Computing in the Hospital (20)
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. Clinicians Challenge
• 2011 Early Warning System
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–
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–
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Alex Psirides CCDHB
Replace Paper Based System
Record Observations
Calculate Early Warning Score
Send Notifications based on score
• 2012 Enhancing Medical Record Creation for Ward Rounds
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Angus Turnbull HVDHB
Using Tablet Device
Allow Staff to Use their Own Device (BYOD)
Incorporate viewing of laboratory and radiology results
Enable Progress Note Taking during Ward Rounds
Open Source Collaborative Document Editor EtherPad
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2013
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3. The Ward Round
Mobility Suite Access to Ward Patient List
• Select Ward
• Select Order. Bed, Name, Unit or Doctor
• Touch Patient to open Medical Record View
Select View
Ward
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4. The Medical Record View
Positive Patient
Identification
With Photo ID
Alerts and Allergies
Highlighted when
Medical Record
Opened
Access to
components of the
record can be
configured based on
the users security
profile
Tabs colors and
naming can be
configured to match
common medical
record layout
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2013
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5. 2011 Viewing and Recording Observations
• System Performs Calculations and Notifications
• Touch Slider Controls used for Data Entry
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6. 2012 Collaborative Document Editing
Menu Action Configured to
use Etherpad-Lite to Record
Ward Round Notes.
Collaborative
Document.
with Patient and Users
Context passed to
document.
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December 4,
2013
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7. 2012 Social Media Approach to Progress Notes
A simple alternative to the Collaborative Document Editor
Multiple
Users Adding
Note at same time
When shown
as age and
date/time
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2013
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8. The Wider Context
Not just about recording the observations or progress notes
• Viewing and Ordering Diagnostics
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9. The Wider Context
•
•
•
•
•
Access Anywhere/Anytime
Home
Coffee Shop
Hotel Room
Mac Donald Free WiFi
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10. The Study Tour - Ottawa 2013
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2013
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11. Ottawa Hospital
iPad Rollout and Usage
• Purchased soon after launch March 2010
• 1st use November, piloted 150 in Feb 2011
• Now 3000 over 3 medical wards
– Providing them free = Popular with users!
– Many staff proved to be “mobile”
– Benefits of bringing imaging or visual
procedural explanations to bedside
• Not locked down
– Benefits of YouTube tutorials etc.
– Staff can install own apps
– “Watch and wait” strategy
• Staff often prefer to desktops
– Quicker to access
– Carried in satchels etc. on wards
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12. Ottawa Hospital
The Application
• Developed iPad app in house
– Platform lock-in vs. HTML5 approach
• Backend is now 70% custom code
– Vendor: “You’re on your own”
– Code escrow agreement for base package
– All hospitals still “siloed” like NZ
• Access to patient info, labs, radiology
• Concept of “circle of care”
– Medical, nursing, allied health automatically linked
• Can find & communicate with relevant team member
• SMS and FaceTime capability
– Real-time communication of changes in estimated discharge dates
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13. Ottawa Hospital
Challenges and the Future
• Challenges
–
–
–
–
Privacy
Infection control: glass screens are easy to clean
Network outages
Each hospital reinventing the wheel much like NZ
• Future Steps
– ePrescribing
– Realtime streaming of observations to EHR
• Limited by device manufacturers, update cycle
– Printing: AirPrint
– Medication dispensing and blood labelling: ?RFID
• May face challenges from busy nurses
• Aim to have infusion pumps etc. recognize patient + drug
– Medical notes
• Still paper based, trialling dictation + voice recognition
• Paperless may give great flexibility/mutability
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14. The Study Tour
• Canada eHealth Conference (Ottawa May 2013)
– Mobile Devices Are they secure enough for our patient data?
• Arron Hendricks University Health Network Toronto
• Extensive Study of different devices iOS / Android
• 15 Slides Covering the Dangers the need for MDM, remote wipe, training,
dangerous applications, jail breaking, hacking.
• Last Slide Alternatives
– Web Based Applications
– Remote Desktop
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15. Clinician Challenge
Implementation Challenges
• All Care Providers Need Access
– Change Management
– Training
– Devices/Desktop/Mobile/Bedside/COWS
– The “what if” questions
• Initial Target Closed Loop Areas
– Defined Handover Points (Print Notes for Medical Record)
– Emergency Department
– Home Care Units
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16. Clinician Challenge
Implementation Challenges
• Engages Vendor and Clinician
– How do we get the organizations engaged?
• Current Hospital Approach to ICT
– Large / long procurement cycles / regional focus
– Revolution rather than Evolution
– Waterfall Specification/Fixed Price Quote/Delivery
– How do we move to a Agile Approach?
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18. “Better Care for Patients and their Families”
• Results at Cabrini
• 12,800 clinician hours annually Based on each doctor saving 10
minutes per day
• 792 nursing hours annually Based on only 2% of results viewed
through system instead of provided over the phone
• 480 bed days annually Based on only 0.2% of results viewed through
system resulting in the investigation being initiated on that day instead
of the next
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2013
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