In this video, two hospital managers present an extended and intriguing view of major design changes that bring in state-of-the-art technology making sure that it “fades into the background” while clinical care takes the focus.
Kara Tomlinson is Executive Director of System Care Delivery and Innovation and Ron Carson is Executive Director of Enterprise Applications at Nebraska Medicine. They have not let the age of their building—more than 50 years old—or the presence of legacy technologies keep them from dreaming big and “redefining what the hospital of the future means.”
One major example is replacing the traditional dry erase board, a staple in many hospital wards, with the Insight Digital Whiteboard, part of the Vibe Health platform by eVideon. Although easy to use, the old boards limited efficiency and accuracy, were prone to human error, and—most important—weren’t integrate with other systems.
The digital boards are updated in real-time, accurately reflect patient records, and can be used to support decision making. The nursing station is now called a “health care hub” and coordinates multi-disciplinary teams.
Similarly, instead of magnets and signs on the patient’s door, a digital sign immediately reflects when a clinician has entered into the EHR that the patient has a fall risk, risk of self-harm, diet restrictions, visit restrictions, and so forth.
At the same time, Carson says, the physical act of placing a magnet or writing something would help a nurse remember to do other things such as lay out a mat, so the hospital uses the clinician’s wearable tags to remind them what they need to do.
Carson says that technologies have advanced to make smart hospital rooms and the hospital-at-home possible.
Kara said that the hospital spent 2 to 3 years creating their “innovation design unit” that talked frequently with front-line staff and reconsidered everything. They couldn’t change basic plumbing or the location of the elevator, but they could redesign doors so that, for instance, a hoist can bring a patient right into the bathroom. Kara speaks of “flexible spaces that could adopt to the evolving needs of healthcare” and optimize workflows.
Virtual nurses are a key part of the hospital staff. Patients can ask questions and stay engaged with the virtual nurses, freeing on-site nurses for more complex tasks.
Hospital rooms are bigger now, and contain space for family members as well as beds that are comfortable for sitting on and conveniences such as charging stations. The room should be a “hospitable place,” while the family members become part of the care team and can even join rounds virtually.
Patient technologies include a tablet to allow communication with families and friends, and a digital picture frame—all to keep patients attached to their relatives and the outside world. Eventually, Carson wants virtual assistants to let patients control their rooms with voice activation.
Tags allow the hospital to know who comes into the patient’s room (a physical therapist, for instance) and to adapt the technology to that staff person.
Future plans include robotics (perhaps exoskeletons to support PT), more spaces for researchers and students, and ambient documentation. Tomlinson says that the latter will be a “game-changer” because nurses spend so much time on documentation that they could spend instead on their patients.
Learn more about Nebraska Medicine: https://www.nebraskamed.com/
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发布者：Dr.Durant，转转请注明出处：https://robotalks.cn/nebraska-medicine-prepares-for-problems-that-are-30-years-out/
