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Revised: ?Updated March 9, 2015 ?PHFTable of Contents TOC \o "1-3" \h \z \u HYPERLINK \l "_Toc413762800" Introduction: PAGEREF _Toc413762800 \h 2 HYPERLINK \l "_Toc413762801" OR1 ??? Staff Identification: (Stanley) PAGEREF _Toc413762801 \h 2 HYPERLINK \l "_Toc413762802" OR2??? OR Platform Infrastructure: (Skytron) PAGEREF _Toc413762802 \h 2 HYPERLINK \l "_Toc413762803" OR3??? Temperature and Humidity Monitoring (AiRista) PAGEREF _Toc413762803 \h 3 HYPERLINK \l "_Toc413762804" OR4??? Integrated Management System (Extreme Networks) PAGEREF _Toc413762804 \h 3 HYPERLINK \l "_Toc413762805" “Pre-op” Preparation: PAGEREF _Toc413762805 \h 4 HYPERLINK \l "_Toc413762806" OR6A OR Device Preparation, locating and tracking (Borda Tech) PAGEREF _Toc413762806 \h 4 HYPERLINK \l "_Toc413762807" OR25??? ??? Automated Usage Capture Track Low Value Assets DeRoyal PAGEREF _Toc413762807 \h 4 HYPERLINK \l "_Toc413762808" OR15??? ??? Case Supply Management Integrated with ORIS (Omnicell) ** Updated Mar 6 PAGEREF _Toc413762808 \h 4 HYPERLINK \l "_Toc413762809" OR9??? Surgical Tray (Cardinal) PAGEREF _Toc413762809 \h 5 HYPERLINK \l "_Toc413762810" Start Procedure: PAGEREF _Toc413762810 \h 5 HYPERLINK \l "_Toc413762811" OR6??? Nurse Call communication and workflow utilization (ASCOM) PAGEREF _Toc413762811 \h 5 HYPERLINK \l "_Toc413762812" OR10??? ??? RFID Personnel & Workflow Tracking (Zebra) ** Updated Mar 6 PAGEREF _Toc413762812 \h 6 HYPERLINK \l "_Toc413762813" OR8 Information System (TBD Skytron) screen shot PAGEREF _Toc413762813 \h 6 HYPERLINK \l "_Toc413762814" OR13??? RFID Tagged Equipment (Intelligent Insites, Hospira) PAGEREF _Toc413762814 \h 6 HYPERLINK \l "_Toc413762815" OR14??? Infusion Pump: (Hospira) PAGEREF _Toc413762815 \h 6 HYPERLINK \l "_Toc413762816" Hospira PAGEREF _Toc413762816 \h 6 HYPERLINK \l "_Toc413762817" OR16??? ??? Anesthesia Delivery System (Draeger) PAGEREF _Toc413762817 \h 7 HYPERLINK \l "_Toc413762818" OR17 ?Anesthesia Workstation and Control in OR (Omnicell Codonics) ** Updated Mar 4 PAGEREF _Toc413762818 \h 7 HYPERLINK \l "_Toc413762819" OR 17a IV Bolus Injection Management (BD) PAGEREF _Toc413762819 \h 8 HYPERLINK \l "_Toc413762820" OR18??? ???Connectivity / Capnography monitoring in OR: (Nuvon) ** Mar 6 PAGEREF _Toc413762820 \h 8 HYPERLINK \l "_Toc413762821" Start Procedure: PAGEREF _Toc413762821 \h 8 HYPERLINK \l "_Toc413762822" OR19??? ??? Remote Collaboration Platform (Intouch Health) PAGEREF _Toc413762822 \h 8 HYPERLINK \l "_Toc413762823" OR 19 A: Sample Collection Positive ID: (Sunquest, Zebra) PAGEREF _Toc413762823 \h 9 HYPERLINK \l "_Toc413762824" OR20??? ??? Pneumatic Tube System (Swisslog) ** Updated Mar 6 PAGEREF _Toc413762824 \h 9 HYPERLINK \l "_Toc413762825" OR22??? ??? Usage Capture Station (Cardinal Health) PAGEREF _Toc413762825 \h 9 HYPERLINK \l "_Toc413762826" OR 22a Eliminating Transfusion Errors and Increasing Efficiencies using Sunquest Transfusion Manager (Sunquest) ** Updated Mar 6 PAGEREF _Toc413762826 \h 9 HYPERLINK \l "_Toc413762827" OR21??? ??? Family Notification (ASCOM) PAGEREF _Toc413762827 \h 10 HYPERLINK \l "_Toc413762828" OR23??? ??? Housekeeping Update (ASCOM) PAGEREF _Toc413762828 \h 10 HYPERLINK \l "_Toc413762829" Conclusion PAGEREF _Toc413762829 \h 10Use Cases to be added:3Introduction:3OR1 ??? Staff Identification: (Sponsor to be Determined)3OR2??? OR Platform Infrastructure: (Skytron)4OR3??? Temperature and Humidity Monitoring (Pending Sponsor)4OR4??? Integrated Management System (Extreme Networks)4OR5??? Environmental Metrics (Planned Removal)4“Pre-op” Preparation:5OR15??? ??? Case Supply Management Integrated with ORIS (Omnicell)5OR9??? Surgical Tray (Cardinal)5Cardinal Health5Start Procedure Patient Ready:5OR6??? Nurse Call communication and workflow utilization (ASCOM)5OR7??? Wireless Communications ( Vocera)5Ascom/Vocera5OR10??? ??? RFID Personnel Tracking (Sponsor to be Determined)6OR11??? Wireless Messaging (Vocera)6OR8 Information System (TBD / Sunquest / Skytron)6Or12??? Central Line Kit (Cardinal) (Update required supplies Dr Landa)6Cardinal Health6Or13??? RFID Tagged Equipment (Intelligent Insites) Should be with Hospira !!7OR14??? Infusion Pump: (Hospira)7Hospira7OR16??? ??? Anesthesia Delivery System (Drager)8OR17 ?Anesthesia Workstation and Narcotic Control in OR (Omnicell Codonics)88OR18??? ??? Capnography monitoring in OR: (Nuvon **)8OR19??? ??? Remote Collaboration Platform (Intouch Health)9Intouch Health9OR 19 A: Sample Collection Positive ID: (Sunquest)9Positive/Accurate Patient Identification and Container Labeling using Mobile Specimen Collection System9OR20??? ??? Pneumatic Tube System (Swisslog)10Swisslog10OR21??? ??? Family Notification (ASCOM)10Ascom10OR22??? ??? Usage Capture Station (Cardinal)10Cardinal Health10OR 22a Eliminating Transfusion Errors and Increasing Efficiencies using Sunquest Transfusion Manager (Sunquest **)11OR23??? ??? Housekeeping Update (ASCOM)11Ascom11OR24??? ??? Surgical Instrument Management11Cardinal Health11OR25??? ??? Track Low Value Assets11DeRoyal11DeRoyal: ?Automated Usage Capture of OR Materials12Conclusion12Business Intelligence - Room Utilization Reporting (Intelligent Insites)12Intelligent InSites12Use Cases to be possibly added: Name:??? ??? Robert GrantAge:??? ??? 62 years Condition:??? Mid-sternal chest pain radiating to his left jaw??? ??? Aortic Stenosis??? ??? Type II Diabetes, Hypertension, Hypercholesterolemia, ObesityIntroduction:Welcome to the Intelligent Hospital Pavilion Advanced Perioperative Suite developed by the Intelligent Health Association. This advanced perioperative environment is supported through our partnerships with industry leaders in perioperative and healthcare solutions. Through our collaborative efforts, we share with you today a modern vision of an integrated OR environment that offers seamless connectivity and communications. Both quality of care and patient safety are enhanced utilizing advanced clinical applications and cutting edge medical devices, enabling unparalleled information access and real-time clinical staff awareness. The clinical scenario that follows is integrated with other Intelligent Hospital Pavilion departments, as you will find throughout your tour of our facility.Patient Demographics Robert Allen is a 62 year old male admitted through the ED who has undergone an emergency cardiac catheterization and was discovered to have aortic stenosis requiring valve replacement as well as a coronary bypass. ?Mr Allen a previous patient of the Intelligent Hospital has a documented history of type II Diabetes, hypertension, hypercholesterolemia and obesity. ?OR 01: ActivID Tap: NFC Tablet and Mobile Phone authentication with ID Badge (HID Global) As hospitals increaseing their dependence on mobile and wireless devices there becomes an increasing requirement for heightened security to protect system access and patient specific information. The Intelligent Hospital has implemented a two factor authentication process for access to cloud-based or Microsoft ADFS services. Staff simply Tap their enabled ID Badge to any Windows or Android phone or tablet verifiying access authority. OR1 ??? Staff Identification: (Stanley)As you can see, I was automatically identified as I entered the room through my real-time location system or RTLS, tag. (Actor 1 motions to the ?large screen when their picture appears) The OR unit combines a robust network and wireless infrastructure coupled with real time operational intelligence from multiple RTLS / RFID systems with integrations including several modalities of communication and visualization that provide rapid enterprise level interaction as observed on the large screen, or a handheld device. (Actors point to large screen, hold up Tablet) OR2??? OR Platform Infrastructure: (Skytron)Within this advanced OR suite, we find the foundation of a modern OR infrastructure. This hybrid surgical environment has state-of-the-art Ultra-slide surgical tables and high intensity, advanced optic, LED surgical lighting systems (Touch table and aim surgical lights onto surgical field). The integrated precision HD camera system offers a brilliant view of the surgical field via the boom mounted video routing and control platform (Walk over to Skyvision system and route camera to display 4). By utilizing the intuitive touch interface, our Intelligent OR medical staff is able to display, share, and archive digital media and many other clinical information sources effortlessly. (Touch the equipment boom) The OR is capable of routing surgical video feeds and any visual display sources to other areas of the hospital for central planning and monitoring. ???The OR platform integrates with a C-Arm X-ray imaging system enabling ?dynamic imaging to be performed within the surgical field minimizing surgery time. ?These images are routed to the hospital PACS system and available anywhere in the institution for consultation. Additionally this ?hybrid OR is designed to support multiple surgical modalities and incorporates minimally invasive surgical platform including a endoscopic devices, ?video camera, lights, insufflators, and scopes all mounted on one of the booms to support advanced laparoscopy equipment and procedures (Stryker). The OR also incorporates a surgical navigation systems enabling a fully integrated computer assisted surgery solution. A dedicated digital camera tracks instrumentation and provides tracking information to endoscopes, fluoroscopes and surgical microscopes. (Stryker)OR3??? Temperature and Humidity Monitoring (AiRista)The Intelligent Hospital OR suite is equipped with solutions for centralized temperature and humidity monitoring coupled with the RFID systems providing event driven alerts to aid in the management of regulation compliance and required reporting for the Joint Commission. ?? [Tech points out temperature and humidity modules) ??These real-time environmental conditions within the OR suites are fed to the OR control area ?for automated limit monitoring ?which sends alarms or text messages to the communication badges of designated parties ?if room temp and/or humidity nears ‘breach’ levels, (Actor holds up badge) helping prevent patient care issues before they occur. ? OR4??? Integrated Management System (Extreme Networks)A versatile array of modular switches supporting everything from an enterprise/campus connectivity right up to cloud data centers. ?The system provides Terabit-class performance, high availability and redundancy, our simple, scalable and intelligent switching and routing products as required by the hospital. ??A integrated management system that provides wired/wireless visibility and control from the IT data center enabling the IT organization to optimize the efficiency of network operations OR5 Hands-Free Communication (Vocera) Intelligent communication solutions enable care team members on their device of choice; smartphones and with our hands-free badge pre-designed messaging options, and vocal responses to answer calls, all care team members benefit from an efficient and consistent communications experience.OR 6: Real Time Schedule Optimization: (CreatAsoft)Scheduling and management of OR operations is critical to provide an optimized utilization of the OR resources. OR tracking utilizes RTLS technology coupled with real-time predictive analytics and integrated optimization engine to maintain on-time procedure completion and increase operating department efficiency. Dynamic real-time dashboards present dynamic schedule adherence views comparing planned, actual and forecasted schedules along with real-time staff notifications. This toolset empowers the OR department staff to proactively increase efficiency and reduce scheduling delays.“Pre-op” Preparation: OR6A OR Device Preparation, locating and tracking (Borda Tech) In preparation for the surgical procedure the OR’s required portable equipment complement is gathered and setup for the specific case. The use of real time location system enables the required devices to really located. Using a hybrid system that multiple technologies combining NFC, UHF passive RFID and active RFID to merged into a single platform, enables a devices across the institution to monitored across a wide base of applications. This system provides a seamless integration with many OR systems providing real time availability, tracking and utilization to monitored and dynamically determined. OR25??? ??? Automated Usage Capture Track Low Value Assets DeRoyalDuring the course of the procedure general supplies are routinely required.tracked utilizing RFID / Barcode coupled Kiosks are strategically mounted within the Operating Room or available on movable stands. Required supplies are scanned and associated to the patient eliminating the manual recording process which links or documents supply utilization directly into electronic medical record, ERP & Financial systems. This information is available in real-time and documented into the case file as the procedure case is closed. The nurse will select the appropriate patient from a list of cases received from the OR IT Scheduling system (nurse points towards the screen). RFID tagged supplies picked in preparation for the surgical procedure are linked to the specific patient prior to entry into the OR. As the nurse opens the surgical supplies, the wrappers or packaging is tossed into the cloud based Continuum Safe where the usage and other pertinent information is confirmed. Any items that were not picked prior to the surgical procedure will also be captured and linked to the patient by tossing the opened wrappers into the Safe. The nurse will also be alerted to any expired item introduced into the surgical procedure. Usage information is automatically sent the OR IT clinical record. ??Any items that were picked but not used in the procedure are scanned and returned to stock for chain of custody and tracking purposes. (The nurse picks up a supply, opens the package, content falls onto back table, wrapper is thrown away in the Continuum Safe (bin), and the nurse will see that the item is now displayed on the screen.)OR15??? ??? Case Supply Management Integrated with ORIS (Omnicell) ** Updated Mar 6<screen shot of issued items list- will provide PPT slide 1>The OR also includes an Anesthesia Work Station (AWS) that provides an automated system that securely stores all the medications and supplies needed for a full day of cases in one convenient place.<screen shot of post case reconciliation- will provide PPT slide 2>The AWS aids in diversion control by providing visibility of high volume narcotic inventory and dispensing transactions. Also, it automates reconciliation of controlled substances and eliminates countbacks.<image of user scanning drug in codonics SLS with label printing –will provide PPT slide 3>Our anesthesia provider is removing propofol and scanning the vial into the integrated Safe Label System, which subsequently prints a color coded label, adjusts the inventory, and charges the patient.<image of integrated AWS and Codonics SLS – will provide PPT slide 4>These systems enhance workflow efficiencies in the OR while enhancing patient safety and increasing accuracy. ; Improving communication between systems and reducing redundant tasks helps create an efficient OR environment.OR9??? Surgical Tray (Cardinal) In preparation, the surgical technician immediately proceeds to the pre-op area containing sterile instrument storage area and pulls an open heart surgical tray in anticipation of surgery.(Actor picks up tray in back of the OR brings to the surgical field and points out the RFID tags) ?The tray, prepared in central processing, is equipped with active RFID tags and surgical instruments integrated with passive RFID tags or bar code etched enabling institutional tracking and confirmation of the tray availability within the OR.Start Procedure:OR6??? Nurse Call communication and workflow utilization (ASCOM)Reliable and uninterrupted communication between patients and staff is vital within the OR environment. Complementary systems such as RTLS, Patient Monitoring, LIS and Order Entry can be integrated to effectively streamline information flow and improve response time. In our clinical scenario using the workflow station, a notification has just been routed via the?OR nurse call system, (Actor points to the Nursecall system) to the OR from the preop area (Presses ready for patient button and starts the timer) indicating that?Mr. Allen is ready to transferred?to the OR. ??OR7?& OR 11?? Care Team Communication & Collaboration ( Vocera) ** Update Mar 6Members of the care team can communicate with one another using their device of choice that best addresses the clinical situation.? For example, when hands-free communication is necessary, the care team can communicate using voice communication on a hands-free Badge (motions to the badge, presses button and places a call).? When hands-free is not required, the care team can use an integrated voice and secure messaging smartphone application to send a ?secure text messaging, leveraging templates for instant and consistent communication both inside and outside of the hospital.? (shows nurse or doctor using a smartphone to send a chat message to other members of the care team).OR10??? ??? RFID Personnel & Workflow Tracking (Zebra) ** Updated Mar 6You will notice that our OR staff are also wearing RFID tags (Point to and/or hold up your personnel RFID tag). The Intelligent Hospital RFID asset and personnel tracking system enables improved surgical environment awareness as to staff location and status, critical to ensuring effective care delivery in a timely manner. OR workflow management system (Zebra / Awarepoint) tracks assets and personnel and orchestrates optimized processes within the OR environment using lean six-sigma methods. Patients and caregivers have the benefit of enhanced efficiency, patient safety, adherence to clinical quality protocols, and customer satisfaction. All workflow data is automatically captured and metrics can be processed for later review and analysis to effectively achieve process improvement goals. OR8 Information System (TBD Skytron) screen shotUpon notification of Mr. Allen’s readiness for surgery, the operating room staff uses the OR Information system (TBD) as well as the electronic medical record (TBD) route the appropriate displays to the screens within the OR ?to view and confirm perioperative data, other patient information). (Note: Screen / Video Capture on the Skytron Boom)OR13??? RFID Tagged Equipment (Intelligent Insites, Hospira)RFID tagged equipment such as IV pumps are managed utilizing the hospitals RTLS system. (Actor walks out of OR to get IV pump, Actor 1 will already be standing next to the Intelligent Insites?dashboard)We can see that the IV pump has been identified as present in the OR on our equipment RTLS platform interface. (Actor points to the Intelligent Insites ?Dashboard ) The ability to track items throughout the facility results in dramatic improvements in equipment utilization for our hospital. The OR staff is able to quickly prepare and deploy the vast number of items needed for surgery thanks to our implementation of a robust inventory and materials management RFID solutionOR14??? Infusion Pump: (Hospira)HospiraThe Intelligent Hospital has deployed an advanced infusion system operating wirelessly and with interoperability to the EMR system. This Infusion pump has onboard safety software providing a defense for the patient to guard against an incorrect dose or typo during infusion setup. ? In the OR, pharmacy-verified physician orders are not always available. When no order is available, infusion pumps can be pre-programmed with multiple protocols that allow clinicians to quickly and correctly administer the IV medications most commonly used. If an order is available, the infusion pump can be fully 5 Rights Auto-Programmed with the physician's order by scanning the patient's wristband, the IV medication and the infusion pump with the clinical vendor's Barcode Medication Administration handheld device.In this case the order is available. The physician has ordered a Dopamine IV infusion (400 mg / 250 mL) at a Dose of 5 mcg/kg/min. To ensure the complete 5 Rights administration of this powerful medication the nurse first scans the patient wristband with the clinical vendor's Barcode Medication Administration device to verify his identity, then, using the same device, scans the barcoded IV medication, and finally scans a permanent barcode on the IV pump. These actions associate the patient, the IV medication and the infusion pump, and automatically program the IV pump to the pharmacy verified, physician order. The nurse then verifies the order, as displayed on the pump, and starts the device. With this IV pump integration, not only is the device Auto-Programmed, but Auto Documentation to the patient's eMAR and I&O Flowsheet is a seamless by-product of the administration; enhancing patient safety, improved outcomes, and workflow efficiency.As anesthesia prepares the patient for surgery the perioperative antibiotics are administered. ?These are taken from the drug dispensing cabinet and using the embedded bar code reader the clinician scans the product GTIN (global trade item number). ?? On administration?tThe patient is also scanned establishing the association of the drug to the patient and admistation is documented by_____. ?This validation scanning is supported by the OR information system and electronic medical record, and ?confirms confirming that the correct drug is dispensed and administered, providing clinical decision support with drug-drug, drug-allergy, and five rights checking. ?OR16??? ??? Anesthesia Delivery System (Draeger)(Walk over to the anesthesia machine and touch) The anesthesia team is supported by an advanced anesthesia delivery system, integrating the latest in physiologic and vital signs monitoring. This advanced system is interfaced with anesthesia specific analytics software to continuously analyze anesthesia related perioperative data. The Anesthesia Information Management System (AIMS) delivers the perioperative information anesthesia providers need – including data points from the physiological monitors facilitated by monitor data aggregation systems to avoid redundant documentation. ?With unique workflow wizards and an easy-to-use touch screen application, the system facilitates pre-op and intra-op documentation to ensure provider focus remains on the patient. ?Utilizing the powerful interconnectivity features offered in this modern anesthesia platform, we are able transmit data into the EHR achieving real time surgical care documentation and provide a summary of all on-going procedures within the Intelligent hospital OR suites as seen on the central monitor typically located in the anesthesia central monitoring location. (actor points to the monitor) tOR17 ?Anesthesia Workstation and Control in OR (Omnicell Codonics) ** Updated Mar 4Anesthesiologist scans vial with barcode scanner. ?Machine records medication and reports use to the system. (scanning vial)The OR also includes an Anesthesia Workstation (AWS) that provides an automated system that securely stores all the medications and supplies needed for a full day of cases in one convenient place. The AWS aids in diversion control by providing visibility of high volume narcotic inventory and dispensing transactions. Also, it automates reconciliation of controlled substances and eliminates countbacks. The anesthesiologist removes fentanyl and scanning the vial in the Safe Label System (Codonics) that simultaneously prints a color coded label, adjusts the inventory, and charges the patient.These systems focus on creating workflow efficiencies in the OR while enhancing patient safety and increasing accuracy. Improving communication between systems and reducing redundant tasks helps create an efficient OR environment.OR 17a IV Bolus Injection Management (BD) The real time management of IV bolus injections at the point of administration enables an enhanced surgeon workflow. The system includes a Syringe Labeler which automatically prints and applies barcode labels to the luer tip of syringes for compatibility with the injection site. The device also prints full-color syringe barrel labels based on Joint Commission, ASTM and ASA labeling guidelines. A tablet PC that contains proprietary software to display injection information, generate alerts, and transfer information wirelessly to a software application that integrates with existing hospital information systems to transmit data to hospital records or printers providing safety checks and documentation. OR18??? ???Connectivity / Capnography monitoring in OR: (Nuvon) ** Mar 6(Note: Demonstration of physiologic value notifications displayed on iPad when thresholds are exceeded using measurements obtained from patient in OR.)All devices within the OR are integrated through the hospital’s Medical Device Integration (MDI) connectivity solution which provides access to vital signs and other data from connected devices within the environment. In addition to supporting the clinical needs of patient charting, access to medical device data promotes remote monitoring of the vital signs of intra-operative patients. The MDI enables access to much-needed data to assist anesthesia staff throughout the ongoing monitoring of multiple cases through visual access to and notifications of trends and changes in vital signs measurements that merit closer attention. Examples of measures that are key to patient stability and general wellnesscare quality include respiratory and oxygenation monitoring, including respiration rate, tidal volume, end-tidal carbon dioxide and pulse oximetry. Measurements of blood pressure and heart rate as well as four-channel electroencephalography are increasingly used duringfor surgical procedures to assist in identifying cardiovascular performance status as well as level of sedation. Real-time knowledge of these parameters can help clinicians detect impending under- or over-sedation and respiratory depression, which improves overall patient safety and patient outcome.Start Procedure: OR19??? ??? Remote Collaboration Platform (Intouch Health)During the course of the procedure the surgeon identifies a pericardial mass. (Walk over to the Intouch robot and touch) The remote presence surgical collaboration platform enables unprecedented reach and expert consults between surgeons and specialists at distant locations. By merging of unique visualization and telecommunications technologies, barriers of time and distance are eliminated. The pathologist is able to peer into the surgical field and visualize a pericardial mass identified intraoperatively. ?Pathology recommends biopsy of the mass. ?OR 19 A: Sample Collection Positive ID: (Sunquest, Zebra) Specimen evaluation requires a sample to be provided to the laboratory for STAT pathologic review. Patient is identified in accordance to the National Patient Safety Goals and specimen labels are printed and placed on containers at the bedside. (Actor/Actress uses handheld device to scan patient ID / identify patient. Using the same device, sends bar code labels to the label printer. Samples are collected and the label is placed on specimen container(s) within the OR. Containers are sent off to the lab.) This ensures that all the required samples are verified and, associated with the correct patient minimizing the chance of mislabeling errors; such as unidentified or and missing specimens containersOR20??? ??? Pneumatic Tube System (Swisslog) ** Updated Mar 6The hospital pneumatic tube system enables rapid delivery of samples from the OR to the appropriate laboratory for review and analysis. Pathology results are electronically delivered back to the OR, enabling the surgeon and pathologist to discuss and review the slides and determine the next steps. OR22??? ??? Usage Capture Station (Cardinal Health) Returning to the original valve replacement procedure, the nurse walks over and starts a case on the usage capture station. (Actor walks over to the Wavemark XPOS and starts new case). The ADT feed automatically populates the procedure and patient information. ?The smart cabinet solution delivers the benefit of shared visibility, efficient inventory distribution, enhanced implant tracking, and improved regulatory compliance. Utilizing RFID tagged inventory and cabinets with embedded RFID readers, simply removing items from the cabinet enables advanced inventory management and supply control. (The nurse walks over to the RFID coupled cabinet) Using the RIFD coupled cabinet, an artificial heart valve is retrieved from the SmartShelf and quickly waved past the usage capture station (XPOS). ?This system aids in tracking expired products and will immediately identify an expired product in order to ensure it is not used. The staff is notified of the expired product status through the touch screen interface. All products used during the procedure are “waved” using RFID or scanned using barcode for complete usage capture, and the information is sent via interfaces to hospital core clinical documentation systems, materials management, and charge capture systems – making all data available for subsequent analysis and optimization. Returning to the original valve replacement procedure OR 22a Eliminating Transfusion Errors and Increasing Efficiencies using Sunquest Transfusion Manager (Sunquest) ** Updated Mar 6During the course of these surgical procedures Allen Grant requires the transfusion of blood products. To ensure transfusion related errors are minimized the Transfusion Manager, a 501(k) cleared medical device, is used to positively identify patient and ensure the correct blood is given to the patient. Its full matching capability only allows the user to continue if the unit has been uniquely issued to that patient by the blood bank. (Actor/Actress uses handheld device to scan patient ID and carries out positive patient identification.OR21??? ??? Family Notification (ASCOM)Earlier in the scenario, a timer was set on the work flow station that the procedure was started on to remind staff when to give the family an update. [Timer elapses and rings device, which actor should silence]. ?As per the protocol of the Intelligent Hospital, the nurse updates the family. ?This notification ensures compliance with family communication initiatives and results in improved satisfaction. The staff member can then send the status update to the family member through an RTLS Badge Tag assigned to the Patient’s Family. [At this point the actor will press a button on a tag they are carrying and points to the Family member receiving the message-verbiage]. ?Since this is a portable device, the family member can receive the status update while they move throughout the facility (TBD). This information can also be sent to the large screen in the waiting room, which automatically updates with the patient information to allow the family to see the progress. (TBD ) <actor to receive time out from ASCOM>OR23??? ??? Housekeeping Update (ASCOM)After the procedure is completed and As the patient is transferred from the OR, housekeeping is made of aware of a status update of to the OR suite. The OR RTLS platform is able to automatically notify the housekeeping staff that an OR cleaning and is needed. <ASCOM Via Nurse call workflow station or v>OR24 Business Intelligence - Room Utilization Reporting (Intelligent Insites)The OR’s are continuously monitored to assess the OR performance, utilization status providing metric to the optimize OR operations. The Room Utilization reporting dynamically identify the percentage of time that the room is occupied by a patient and also the percentage of time the room has a patient and provider/clinic staff in the room together. This information can be used to improve your patient workflow and staff efficiency. (actor points to screen 3-5 different reports)ConclusionThe Intelligent Hospital Perioperative Team concludes this session with thanks to all of our dedicated vendor partners for their collaboration in delivering to you this state-of-the-art vision of the enhanced perioperative care delivery environment. ?Please follow this patient’s recovery in the Intelligent Medical Home. ?Thank you all for your time and attention and please visit the other Intelligent Hospital ??Pickup the OR Tour Guide and visit the kiosks in the Pavilion to learn more about these technologies. ................
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