1. Close the Loop The Nurse Interruption Management Uniform Kushal WaghmareAnn Rogers COA 8823/CS 8803 ICU of the Future Fall 2010, Georgia Institute of Technology 10/23/20151

2. Interruptions – A major problem for ICU nurses They cause errors in medication administration, decreasing patient safety. 2"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015 They increase the cognitive load of the interruptee, impairing performance on complex tasks. They increase stress levels of the interruptee. They increase the completion time of interrupted task.

3. Existing Strategies and their shortcomings Vests and Sashes worn over scrub: Nurses have initial reluctance to adopt due to aesthetics: associations with beauty queens and construction workers Use of red color excludes color-blind people, and use of text excludes those who do not read English. 3"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015

4. Existing Strategies and their shortcomings No Interruption Zones: Immobile *All existing solutions fail to address other areas of nursing that may benefit from management of interruptions 4 "Close the Loop" – Kushal Waghmare, Ann Rogers 10/23/2015

5. Nurse scrub with an integrated availability indicator. Fabric and Digital Versions offer different benefits. Indicates three levels of availability, based on 5"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015

6. Symbols – indicate availability status Busy in a task of high acuity Medication Administration, Charting, Assessment of vital signs, Care Coordination Busy in a task of medium acuity Providing Education, Talking to Patient / Family, Transporting Patients, Admission and Discharge Routines No symbol -> Task of low acuity Walking, Cleaning 6"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015

7. Fabric Solution Patch on the sleeve Multiple layers of clothing to display symbols Nurse can flip through the symbols Inexpensive, convenient to store, wash X Sanitation issues 7 "Close the Loop" – Kushal Waghmare, Ann Rogers 10/23/2015

8. Digital Solution LEDs, Lilypad Arduino, Switches Press a switch to display symbols through LEDs Washable, durable Easy to operate, quick, X Expensive 8"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015

9. Enhancements Full scale ethnographic study to ascertain exact effects of interruptions on nursing tasks Touchless sensor Robust sewing for digital version, hidden conductive thread 9"Close the Loop" – Kushal Waghmare, Ann Rogers10/23/2015

10. Thank You. Team “Close the Loop” – Kushal Waghmare, Ann Rogers 1010/23/2015