Monitoring Hospital Patients Using Ambient Displays

Monitoring Hospital Patients Using Ambient Displays

Monica Tentori (CICESE, Mexico), Daniela Segura (CICESE, Mexico) and Jesus Favela (CICESE, Mexico)
Copyright: © 2009 |Pages: 16
DOI: 10.4018/978-1-60566-332-6.ch008
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Abstract

Hospital work is characterized by intense mobility, a frequent switching between tasks, and the need to collaborate and coordinate activities among specialists. These working conditions impose important demands on hospital staff, whose attention becomes a limited and important resource to administer. Nurses in particular, need to constantly monitor the status of patients in order to assess their condition, assist them and/or notify physicians or specialists. Given their work load, it is not rare for them to miss important events, such as a catheter being disconnected due to the patient movement or the need to change a urine bag that has been filled. Pervasive technologies by being able to continuously monitor patients could provide awareness of the patients’ health condition. This awareness must be subtle, expressive, and unobtrusive without intruding on hospital workers’ focal activity. In this chapter the authors explore the use of ambient displays to adequately monitor patient’s health status and promptly and opportunistically notify hospital workers of those changes. To show the feasibility and applicability of ambient displays in hospitals they designed and developed two ambient displays that can be used to provide awareness patients’ health status to hospital workers. The first display takes into account the mobility experienced by nurses during their work to supervise the activities of daily living (ADL) conducted by patients. The second display is a flower vase that notifies nurses the urine output of patients and the status of their urine bag.
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Introduction

Hospital staff face working conditions that are substantially different from those of office workers, for which traditional desktop computers were developed (Bardram, J. E., & Bossen, C., 2003; Bardram, J. E., & Bossen, C., 2005; Moran, E. B., Tentori, M., González, V. M., Martinez-Garcia, A. I., & Favela, J., 2006). Most hospital staff need to move continuously around the premises to access people, knowledge, and resources in order to perform their work effectively (Bardram, J. E., et al, 2005). Thus, mobility characterizes work in these environments. For instance, physicians make daily rounds to assess and diagnose patients, changing their location to find colleagues or locate artifacts (patient records, x-ray images, medications) placed in bed wards, laboratories or offices. Therefore, information in hospitals is not generally concentrated in a single place, but distributed among a collection of artifacts in different locations. Consequently, hospitals can be seen as an information space and it is by “navigating” this space that hospital staff can access the information required to support their goal (Bossen, C., 2002).

Indeed, nowadays highly mobile hospital workers spend more than 50% of their time on-the-move, making it difficult for them to be aware of the status of the patients they are responsible for (Moran, E. B., et al., 2006). For instance, sometimes hospital workers have patients placed in different rooms or even in different areas of the hospital. Consequently, hospital workers have been held liable for their failure to monitor and promptly respond to patients needs (Smith, K. S., & Ziel, S. E., 1997). This has motivated the introduction of pervasive technologies in hospitals to allow hospital workers to closely monitor patients. For instance, a hospital in Boston is testing an ultrasound tracking system that can determine the location and vital signs of patients (O’Connor, M. C., 2006). These pervasive technologies being introduced range from wireless networks, PDAs (Chin, T., 2005), RFID tags for patient tracking (O’Connor, M. C., 2006), voice-activated communication devices (Stanford, V., 2003), and sensors for patient monitoring (Pentland, A., 2004). Indeed, widespread adoption of sensors that monitor the patients’ vital signs and other indicators promise to improve care and reduce medical costs.

Thus, pervasive technologies for hospitals are increasingly supporting heterogeneous devices that range from handheld computers that can be used to capture and access limited amounts of information, to PCs that can be used at fixed sites for longer periods of time, and semi-public displays located at convenient places that can be used to share and discuss information with colleagues (Favela, J., Rodríguez, M. D., Preciado, A., & Gonzalez, V. M., 2004; Markarian, A., Favela, J., Tentori, M., & Castro, L. A., 2006). Hence, hospital workers today need to interact with different devices with a wide range of functionality (Bardram, J. E., 2005). Consequently, carrying out a single activity typically involves the use of several systems that call for the user’s undivided attention where several information sources battle for a piece of space in the already limited screen real state.

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Table of Contents
Chapter 1
Katie A Siek, Kay H Connelly, Beenish Chaudry, Desiree Lambert, Janet L. Welch
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Chapter 2
Ana Ferreira, Luis Barreto, Pedro Brandao, Ricardo Correia
Virtual electronic patient records (VEPR) enable the integration and sharing of healthcare information within large and heterogeneous organizations... Sample PDF
Accessing an Existing Virtual Electronic Patient Record with a Secure Wireles Architecture
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Chapter 3
Phillip Olla, Joseph Tan
This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application... Sample PDF
Personal Health Records Systems Go Mobile: Defining Evaluation Components
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Chapter 4
Ing Widya, HaiLiang Mei, Bert-Jan Beijnum, Jacqueline Wijsman, Hermie Hermens
In mobile healthcare, medical information are often expressed in different formats due to the local policies and regulations and the heterogeneity... Sample PDF
Medical Information Representation Framework for Mobile Healthcare
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Chapter 5
Daniel Ruiz-Fernandez, Antonio Soriano-Paya
The incorporation of computer engineering into medicine has meant significant improvements in the diagnosis-related tasks. This chapter presents an... Sample PDF
A Distributed Approach of a Clinical Decision Support System Based on Cooperation
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Chapter 6
Teppo Räisänen, Harri Oinas-Kukkonen, Katja Leiviskä, Matti Seppänen, Markku Kallio
Incorporating healthcare information systems into clinical settings has been shown to reduce medication errors and improve the quality of work in... Sample PDF
Managing Mobile Healthcare Knowledge: Physicians' Perceptions on Knowledge Creation and Reuse
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Chapter 7
Yousef Jasemian
Recording of physiological vital signs in patients’ real-life environment could be especially useful in management of chronic disorders; for example... Sample PDF
Patient Monitoring in Diverse Environments
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Chapter 8
Monica Tentori, Daniela Segura, Jesus Favela
Hospital work is characterized by intense mobility, a frequent switching between tasks, and the need to collaborate and coordinate activities among... Sample PDF
Monitoring Hospital Patients Using Ambient Displays
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Chapter 9
Javier Espina, Heribert Baldus, Thomas Falck, Oscar Garcia, Karin Klabunde
Wireless body sensor networks (BSNs) are an indispensable building stone for any pervasive healthcare system. Although suitable wireless... Sample PDF
Towards Easy-to-Use, Safe, and Secure Wireless Medical Body Sensor Networks
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Chapter 10
Yousef Jasemian
People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain... Sample PDF
Sensing of Vital Signs and Transmission Using Wireless Networks
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Chapter 11
Nuria Oliver, Fernando Flores-Mangas, Rodrigo de Oliveira
In this chapter, we present our experience in using mobile phones as a platform for real-time physiological monitoring and analysis. In particular... Sample PDF
Towards Wearable Physiological Monitoring on a Mobile Phone
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Chapter 12
Giovanni Russello, Changyu Dong, Naranker Dualy
In this chapter, the authors describe a new framework for pervasive healthcare applications where the patient’s consent has a pivotal role. In their... Sample PDF
A Framework for Capturing Patient Consent in Pervasive Healthcare Applications
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Chapter 13
Filipe Meneses, Adriano Moreira
The increasing availability of mobile devices and wireless networks, and the tendency for them to become ubiquitous in our dally lives, creates a... Sample PDF
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Chapter 14
Bjorn Gottfried
This chapter introduces spatial health systems, identifies fundamental properties of these systems, and details for specific applications the... Sample PDF
Modeling Spatiotemporal Developments in Spatial Health Systems
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Chapter 15
Hailiang Mei, Bert-Jan van Beijnum, Ing Widya, Val Jones, Hermie Hermens
Building context-aware mobile healthcare systems has become increasingly important with the emergence of new medical sensor technologies, the fast... Sample PDF
Context-Aware Task Distribution for Enhanced M-health Application Performance
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