Rich communication in the hospital* Some first ideas
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Transcript of Rich communication in the hospital* Some first ideas
Norsk RegnesentralNorwegian Computing Center
Rich communication in the hospital*Some first ideas
Lill Kristiansen
Senior Research Scientist Norsk Regnesentral
www.nr.no/~lill
[email protected] Mob. 97 72 72 27
* Illustrations from the web: Aker, Ullevaal, Rikshospitalet, Nokia, Ericsson and other sources
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Related ideas
• Rich communication between patient and nurse• Rich communication between doctors
– 1 doc with patient and 1 mobile expert – e.g. from operation to mobile expert
• Rich communication for patients (children etc.)– between patient and his friends and relatives (voice, email,..)– between several patients (chat, email,voice?…)– and/or between patient and school (video, e-learning,..)
• Rich health information from hospital to patients– enhancing todays web-pages and TV-info
multi-channelling/multi-modal interfaces
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Todays situationpatient and nurse:
• Patient is in bed• Patient pushes ‘ring
button’ for help
• Patient may have pain
• Nurse give medicine to patient
• Nurse walks to his bed to find out the problem
• Nurse walks back to check journal and get medicine
• Nurse walks away to next...
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Todays situation cont’ddoctors
• Need for unplanned assistance by 2nd doctor– Doctors are mobile (not in office)
• somewhere on the hospital– use: pager + phone + PC (not integrated)
– or even at home (‘bakvakt’ / ’backup doctor’)
• Doctors may not have time to phonecalls – calls requires the 2 docs to talk simultanously– message based systems sometimes better (ref. Current radiology
multimedia messaging system – Multimedia IP-telephony may offer the best from both worlds, See:
• Internet telephony offers new opportunities for telemedicine, Y. Zhao, I Nakajima and H Juzoji, J.Telemed.&Telecare pp.307-309 Vol.7, No.5, 2001
• Video from surgery (streamed and realtime)
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Some ideas for wearable devices for nurse/doctor(must be adopted to suitable radio interface)
Existing products and futuristic concepts
(Modem)
(Futuristic Ericsson)1) Wrist-terminal2) PDA in pocket
Existing Cybiko
Existing Palm
ExistingNokia 7650(GSM+GPRS)
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’Virtual terminals’: devices in several pieces
• either planned in several pieces– Futuristic concept –
phone – from Ericsson
webpages
• or ad hoc combinations– Illustration of ‘session handover’ to
a bigger screen. – (Pictures from:
• Knowmobile report, Intermedia, UiO
• RiT IT strategy 1999)
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Some devices for patients(in bed or on table)
Such devices can also be used for:•intranet information pages (FAQ etc)•email friends (with pictures of newborn child...)•chat between patients or between patient and school/friends•phonecalls (in/out to friends/family)
Phone has slot for smartcardISDN accessLan accessIP-telephony
Concept phone Freepad Cybiko ‘toy’
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Patient give more information about their context to the system or nurse
• Icons for frequent occuring events:• @føden
– Breast feeding– breast/milk, other (pump)– pain, uterus related
• General– WC help– pain– food
• May add voice for further informationbetween patient and nurse
• May communicate not only with nurse:midwife, assistant (‘barnepleier’),others, (doctor?),….
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Rich communication and context
• Patient contexts:– health monitoring info
– med-info from journal
– info from patient(icons, text, voice,..)
• Nurse context– nurse busy with patient
– in meeting,...
• Location¤ patient
+ nurse¤+
+ + + + ¤
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Rich communication for long term patients (children etc.)
• Tele-education(e.g. full conference-system)
• Education via internet, email etc• Communication with friends and family
(email, voice,..)
• Communication between patients(chat, voice, games,..)www.starbright.org: virtual patient community
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Rich interactive health information from hospital to patients
• Video /interactive info– TV
– Screenpad, info-kiosk, Screenphone, interactive TV
– WAP
– On SMS
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Icons, text and video as information source (web++)• Interactive FAQ
(ofte stilte spørsmål)• Video /interactive info
– On TV
– On screenpad
– On Screenphone
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Pasienten først!?
Midwife??? Doc??? Florence Nurse??
Jeg har hvit frakk!!
Prosjektet bør inneholde: både teknologiog systemarbeidsakspekter
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• For 2002 er det spesielt interessant å støtte prosjekter rettet mot anvendelser av bredbåndsteknologi i grunn- og videregående skoler, sykehus og helseinstitusjoner, samt kommunale virksomheter.
• Eksempler på anvendelsesområder er: – helse- og omsorgstjenester, særlig rettet mot effektivisering og
kvalitetsforbedringer i primær-helsetjenesten
– innholdsrike (f.eks. multimedia, video, GIS) og brukerorienterte digitale tjenester - så vel innen offentlig sektor som i samspill med næringsliv og publikum, herunder kulturtilbud og informasjonstjenester
– interaktiv, nettbasert læring med bruk av fullkvalitets videokonferanseløsninger og digitale læremidler
– kommunale eller regionale nettverk for felles drift og håndtering av krevende IKT-behov eller kommunal-tekniske oppgaver
– tiltak for spredning av og veiledning om anvendelser og muligheter
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About myself
• Dr.Scient,1993
• Researcher Telenor R&D ‘93-’98– middleware– multimedia
• System Architect at Ericsson ‘98-’01 – Architecture for IP-telephony (Voice over IP / VoIP)– Architecture for multimedia-telephony (MuMe over IP, – standardisation co-ordinator handling ETSI Tiphon, 3GPP UMTS
Rel.5, IMS (UMTS All-IP)
• Today– senior researcher at NR– 2x2 days as patient in hospital + 2x5 days birth of child