1. Problem Refinement and Possible Solutions Too many different devices are used to input data  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future Busra Ergun-Industrial Engineering (Health System) Ran Zhou-Industrial Design Grace Shin-Computer Science Musheer Ahmed-Computer Science 1

2. General Background A great amount of evidence link the availability of more nursing time per patient-day with better patient outcomes. [1], [2], [3], [4]. However, increased nurse workload and the growing nursing workforce shortage [5] reduce the amount of nursing time available for patient care activities. To add to the problem, nurses have to deal with several different devices to input data. Therefore, reducing the number of devices nurses have to interact with and automating the input of data to a larger extent will maximize the efficiency and effectiveness of nurses. Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 2  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS)

3. Information from different sources should go into computer as documentation PDA Printed charts Monitor Notes Mobile Clinical Assistant[1] PDA [9] Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 3  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS)

4. Information from different sources should go into computer as documentation computer Printed charts PDA Monitor Notes Mobile Clinical Assistant[1] computer Not each kind of record talks to each other. Electronic medical records do not all talk to each other Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 4  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS)

5.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 5  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Nurses have so many different equipments to manipulate Spend too much time adapting new technologies even though they are willing to Nurses could only do the documentation long after their observations Nurses have no chance to document records in patient room Too many equipments shared will result in infection Hands are occupied carrying the portable device

6.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 7  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Solutions Requirements Nurses need not carry devices in their hands Data input should be automated as much as possible Minimize infections from spreading across rooms Preliminary Solutions Data input stations available inside every ICU room Wearable Computing Device Solutions

7.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 7  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Room Integrated Computing Device In-Wall Docking System Solutions - Device(Mobile Clinical Assistant) mounts in the wall - After device is inserted, if the user press send button, the patient information send to nurse station automatically - Available pull out the device from the wall

8.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 7  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Room Integrated Computing Device Benefit Solutions 1.Hands free 2. Minimize equipment (Several devices) to record information 3. Cost-effective solution that is simple to install

9.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 8  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Wearable Computing Device Hands are free Helps control infections between different rooms...'SixthSense' Solutions

10.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 9  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS) Wearable Computing Device Sixth Sense Developed By MIT's Media Lab Automatically can read and input information from non-communicating devices Cost: $350 Solutions http://www.youtube.com/watch?v=mzKmGTVmqJs#t=5m28s

11.  Team: Grace Shin(CS) Ran Zhou(ID) Busra Ergun(HS) 1. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. “Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.” JAMA 2002 Oct 23;288(16):1987–93. 2. Kovner C, Jones C, Zhan C, Gergen PJ, Basu J.” Nurse staffing and post-surgical adverse events: an analysis of administrative data from a sample of US hospitals, 1990–1996.” Health Serv Res 2002 Jun;37(3):611–29. 3. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. “Nurse staffing levels and the quality of care in hospitals.” N Engl J Med 2002 May 30;346(22):1715–22. 4. Anderson S. “Deadly consequences: the hidden impact of America’s nursing shortage” Arlington, VA: National Foundation for American Policy; 2007 Sep Available from: www.nfap.com/pdf/0709deadlyconsequences.pdf 5. O’Neil E. “Healthcare workforce in the US economy.” San Francisco: Health Workforce Solutions LLC; 2007. 6. Lundgren S, Segesten K. “Nurses’ use of time in a medical-surgical ward with all-RN staffing.” Nurs Management 2001 Jan;9(1):13–20. 7. Hendrickson G, Doddato TM, Kovner CT. “How do nurses use their time?” Nurs Adm 1990 ;20(3):31–7. 8. Quist BD. “Work sampling nursing units.” Nurse Manage 1992 Sep;23(9):50–1.www.nfap.com/pdf/0709deadlyconsequences.pdf 9. figure http://www.motioncomputing.com/products/tablet_pc_c5.asp 10. figure http://www.ergotron.com/Products/TabletPCMounts/tabid/546/Default.aspxhttp://www.motioncomputing.com/products/tablet_pc_c5.asphttp://www.ergotron.com/Products/TabletPCMounts/tabid/546/Default.aspx 11. Susan K. Newbold, MS RNBC, FAAN New uses for wireless technology clinicians stay connected with tools that offer real-time data, including personal digital assistants, patient care robots, network voice communication badges, and telehealth. Reference Class: COA-8823 CS 8803 HS 8300 Healthy environment in the future 12  Team: Grace (CS) Ran (ID) Busra (HS) Musheer(CS)