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WardInHand. Pilot tests in HCPB Felip Burgos, RPFT, RN. HCPB. Area served by the HCPB: 400000 inhabitants Mixture of private/public health care providers. HCPB. Area served by the HCPB: 400000 inhabitants Mixture of private/public health care providers
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WardInHand Pilot tests in HCPB Felip Burgos, RPFT, RN
HCPB • Area served by the HCPB: • 400000 inhabitants • Mixture of private/public health care providers
HCPB • Area served by the HCPB: • 400000 inhabitants • Mixture of private/public health care providers • Public organisation including: • 3 Hospitals • 16 Primary Care Units • 2 Transplant Services companies • Biomedical Research Foundation
HCPB Institutional strategy Translational Research Integrated care services Innovation in curricula
HCPB Institutional strategy Innovation IT Platform Integrated care services Cooperation across levels
Pilot environment • Business case: • Pharmacy prescription • Prescription • Validation of prescription • Reactions & adverse effects • Nurse collection of vital signs • Vital signs • Fluids, biological tests • Nurse comments • Localisation • Ward 9.2. Internal Medicine • 19 rooms (36 beds) • 2 Access points. • Ward 10.4. Internal Medicine (control) • Users • Physicians, Pharmacists, Nurses, Administrator
PC-CLIENT - Internet Acces point Intranet vlan-12 Firewall HCPB DMZ Acces point Firewall European projects Remote connections DMZ WIH SERVER Architecture
Main Features: Workflow • Track actions planned by ward staff and dispatch tasks.
Evaluation • Verify the completeness of the specifications (functionality) • Verify the adequacy of non-functional characteristics, in particular usability, configurability, stability, and impact on existing Information Systems. • To get feedback from the pilot users on cost of ownership, organisational and skill requirements. • To quantify the benefits and verify the return on investments made by customers that will adopt WIH in the future.
Conclusions • Clear screen displays, big fonts and data entry boxes • Sequential ordering of screens as an aid to navigation • Judicious use of workflow tools to avoid hampering creativity. • Incremental strategy for successful introduction • Always choose a very specific procedure and move it, completely, to the PDA platform (ex: vital signs collection) • Be clear about the fact that benefits are to be expected from a global vision of the procedure rather than in the particulars of single tasks. However, be cautious and try to keep a correct effort/benefits balance. • Think about the current organisation of the procedure chosen and change it, if necessary, before the introduction of new IT applications.
Market analysis • Utility and acceptance • Impact on provision of healthcare • Impact on productivity • Impact of the system on work reorganisation process. • Accuracy