
At a San Francisco hospital, nurses will soon be using Tablet PC (called C5) to assist with patient care according to this CNET article.
Nurses at UCSF and other hospitals around the country currently measure a patient’s vital signs with one medical device. But they have to manually transfer the data to one of several rolling notebook PCs–referred to as COWs, or computers on wheels–so it can be captured in a patient’s medical history file and made available to other doctors.
This low-tech approach can lead to transcription errors by fatigued nurses and potentially serious medical problems for patients, said Ann Williamson, nursing director at UCSF. The C5 is directly connected to the other medical equipment used to take a patient’s pulse or measure their blood pressure, so data is instantly recorded by the C5 directly off the medical device and transferred to a hospital server.
This also allows nurses to spend more time with patients, because they don’t have to leave the patient to find the nearest COW or deal with having to log in to the shared COW every time, Williamson said.
As noted in one of the comments, a Jan/Feb 2005 Washington Monthly article entitled “The Best Care Anywhere” about veterans hospitals attributed these laptops on wheels being beneficial to patient and helping improve the profitability and quality of care to one of the best of the USA.
In the old days, pharmacists did their best to decipher doctors’ handwritten prescription orders, while nurses, she says, did their best to keep track of which patients should receive which medicines by shuffling 3-by-5 cards.
Today, by contrast, doctors enter their orders into their laptops. The computer system immediately checks any order against the patient’s records. If the doctors working with a patient have prescribed an inappropriate combination of medicines or overlooked the patient’s previous allergic reaction to a drug, the computer sends up a red flag. Later, when hospital pharmacists fill those prescriptions, the computer system generates a bar code that goes on the bottle or intravenous bag and registers what the medicine is, who it is for, when it should be administered, in what dose, and by whom.
Within the UK, a CNET article yesterday discussed the London clinic which is using WiFi in conjunction with wireless chip technology to be able to find/track items or even people throughout the hospital. There were apparently successful trials in December. I am curious as to how staff or even patients would feel being tracked?
Roberts said that workers will be able to view plans of the hospital on computer screens throughout the facility that show the location of items equipped with the chips, from syringe pumps to blood gas monitors.
The tracking system is due to be rolled out over the next few months, following successful trials in December.
Roberts also plans to find other ways to use the tracking technology to improve the experience of patients and to make medical workers’ jobs easier.
For instance, the system could be used to locate staff when equipment needs to be retrieved, to log when patients go in and out of surgery, or to guide outpatients to appointments via “intelligent” ID badges equipped with chips that show patients their location in the building.
Another possible application: tracking assets and staff as they move between the clinic and new sites it is opening in the Harley Street area.
Relevance: It is interesting how ubiquitous computing technology is progressing within the health profession. I wonder if mobile phones (perhaps with the ability to project on a wall) or PDAs will become more prevalent in the health profession rather than Tablets due to their weight and size? I also wonder how common mobile technology is within the Canadian health system?