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Multimedia paging device for alarms - ESC | Congresses
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Multimedia paging device for alarms M.J.B. van Ettinger, J.A. Lipton, S.P. Nelwan, T.B. van Dam, N.H.J.J. van der Putten Erasmus MC, Rotterdam, The Netherlands
Transcript of Multimedia paging device for alarms - ESC | Congresses
Multimedia paging device for alarms
M.J.B. van Ettinger, J.A. Lipton, S.P. Nelwan,
T.B. van Dam, N.H.J.J. van der Putten
Erasmus MC, Rotterdam, The Netherlands
Introduction
24/7 monitoring provides a lot of alarms
Over a six-month period, starting 1 January 2010:
ICCU (14 beds) 460 / dag ICTH (12 beds) 546 / dag
MC-HTU (16 beds) 190 / dag MC-ZUID (16 beds) 240 / dag
Alarms can be caused by physiological and technical events
Alarms must be reviewed to determine acuteness
Source: Computers in Cardiology 2009
Alarms on the Intensive Cardiac Care Unit
JA Lipton, MJB van Ettinger, RJ Barendse, TB van Dam, NHJJ van der Putten, SP Nelwan
Department of Cardiology, Erasmus Medical Center, Netherlands
Introduction
24/7 monitoring provides a lot of alarms
Over a six-month period, starting 1 January 2010:
ICCU (14 beds) 460 / dag ICTH (12 beds) 546 / dag
MC-HTU (16 beds) 190 / dag MC-ZUID (16 beds) 240 / dag
Alarms can be caused by physiological and technical events
Alarms must be reviewed to determine acuteness
Goal
Review latest alarms of a care unit in the hallway
Make the system independent of platform
System Architecture
Typical Paging solution (use of a dedicated paging system)
Alarm Paging
System
ASYS~@ICCU01
Patient Monitor
System Architecture
New solution: add multimedia paging system
Patient Monitor
Multimedia Paging
WebApp
Alarm Paging
System
Smartphone
Alarm DB
72 hour
Review System
System Architecture
New solution: add multimedia paging system
Patient Monitor
Multimedia Paging
WebApp
Alarm Paging
System
Smartphone
Alarm DB
72 hour
review system
Application
Clinical use by Physician or Nurse
Easy reviewing of cause of alarm
Decide action based on provided information
Primary device pager or hallway speaker
Application designed to assist primary device
Reviewing of Alarm (Android)
Reviewing of Alarm (Android)
Reviewing of Alarm (iPad)
Discussion: Usability
System is easy to bring up on a wide variety of mobile devices
System provides no audible or visual notification for alarms
System provides easy reviewing of alarms
Discussion: Security
Assuring delivery of alarms (keep old systems up)
User/password-based protection
No data is kept on the mobile device
System provides patient sensitive data
Network issues due to WIFI use
(prevent network issues by using Telco solutions)
Future work
Testing of system by Nurses and Physicians
Adding other time dependent information to system
Lab Results
Real-time visual feedback from patient by using a webcam
Allow communication with patient using voice channel
Allow remote silencing of alarm (from mobile device)
Conclusion
The technology has been around for a while
iPhone: (29 June 2007)
Android (5 November 2007)
Many people carry Smartphone's nowadays
No need for a dedicated devices
Providing relevant data for an alarm directly to care provider
Reviewing of Alarm
