Pilot Testing of Mobile Tablet Computers in Multiple Departments in a Hospital Setting: Lessons Learned

2011 ◽  
Vol 55 (1) ◽  
pp. 818-822
Author(s):  
J. Wagner ◽  
D. L. Moore
Keyword(s):  
Hospital Setting ◽  
Lessons Learned ◽  
Tablet Computers ◽  
Pilot Testing

scholarly journals Delirium screening anchored in child development: The Cornell Assessment for Pediatric Delirium

2014 ◽  
Vol 13 (4) ◽  
pp. 1005-1011 ◽  
Author(s):  
Gabrielle Silver ◽  
Julia Kearney ◽  
Chani Traube ◽  
Margaret Hertzig
Keyword(s):  
Child Development ◽  
Screening Tool ◽  
Hospital Setting ◽  
Lessons Learned ◽  
Hospitalized Children ◽  
Bedside Nurse ◽  
Symptom Domains ◽  
Anchor Points ◽  
Bedside Nursing ◽  
And Training

AbstractObjective:The recently validated Cornell Assessment for Pediatric Delirium (CAPD) is a new rapid bedside nursing screen for delirium in hospitalized children of all ages. The present manuscript provides a “developmental anchor points” reference chart, which helps ground clinicians' assessment of CAPD symptom domains in a developmental understanding of the presentation of delirium.Method:During the development of this CAPD screening tool, it became clear that clinicians need specific guidance and training to help them draw on their expertise in child development and pediatrics to improve the interpretative reliability of the tool and its accuracy in diagnosing delirium. The developmental anchor points chart was formulated and reviewed by a multidisciplinary panel of experts to evaluate content validity and include consideration of sick behaviors within a hospital setting.Results:The CAPD developmental anchor points for the key ages of newborn, 4 weeks, 6 weeks, 8 weeks, 28 weeks, 1 year, and 2 years served as the basis for training bedside nurses in scoring the CAPD for the validation trial and as a multifaceted bedside reference chart to be implemented within a clinical setting. In the current paper, we discuss the lessons learned during implementation, with particular emphasis on the importance of collaboration with the bedside nurse, the challenges of establishing a developmental baseline, and further questions about delirium diagnosis in children.Significance of Results:The CAPD with developmental anchor points provides a validated, structured, and developmentally informed approach to screening and assessment of delirium in children. With minimal training on the use of the tool, bedside nurses and other pediatric practitioners can reliably identify children at risk for delirium.

scholarly journals (P2-43) Utilizing a Unified Health Command Structure for Mass Gathering Preparedness and Response: Lessons Learned from the 2008 Pacific Arts Festival

2011 ◽  
Vol 26 (S1) ◽  
pp. s149-s150
Author(s):  
D.B. Bouslough ◽  
S. Lemusu ◽  
F. Avegalio
Keyword(s):  
Public Health ◽  
Interpersonal Violence ◽  
Hospital Setting ◽  
Respiratory Illness ◽  
American Samoa ◽  
Lessons Learned ◽  
Surveillance Data ◽  
Population Increase ◽  
Mass Gathering ◽  
Arts Festival

BackgroundThe Pacific Arts Festival is a mass-gathering event occurring every four years in Oceania. The 10th festival in American Samoa, July 20 to August 2, 2008, brought 2200 performers and 2500 tourists (a 15% population increase) from 27 Pacific nations to the island. Anticipated healthcare concerns included hospital surge (175% in 2004), HIV/STI transmission, imported/communicable diseases, food/water/sanitation-borne illness, interpersonal violence, and healthcare resource utilization.ObjectiveTo describe the preparedness and response efforts for this mass gathering event by emergency medical services, the hospital, and the department of health.MethodsA retrospective review of after-action reports, public health and emergency department surveillance records, and key-informant interviews was conducted. Descriptive statistics were used to evaluate data.ResultsA Unified Command structure was utilized for pre-/post-event response. Patient surveillance data was collected daily. During the festival 217 participants (42% female, 58% male, Average age 36) sought medical care. Acute illness (n = 166), injury (n = 39), other (n = 15), routine follow up (n = 9), chronic conditions (n = 6), mental health (n = 1), OB/GYN (n = 1) were complaints addressed. Predominant acute illnesses included headache (n = 49, 23%), respiratory illness (n = 30, 14%), musculoskeletal pain (n = 26, 12%), and gastroenteritis (n = 17, 8%). One fatality occurred among delegates. No public health outbreaks were reported. Visits per healthcare venue demonstrated a decentralization of patient surge from the hospital setting (37.4% venue aid stations, 28.1% delegation medical staff, 24% DOH clinic, 10.6% hospital).ConclusionA unified health command structure was effective in responding to this mass gathering event. Surveillance data was rapidly gathered and utilized to direct healthcare resources. Efforts to decentralize healthcare from the hospital were successful. Public health emergencies were avoided.

scholarly journals Building Trust: A Cross-Cultural Narrative Process

2021 ◽  
pp. IJCBIRTH-D-20-00025
Author(s):  
Yordanka Berg Blanc ◽  
William Tilmouth ◽  
Chris Perry ◽  
Curtis Haines ◽  
Ricky Mentha ◽  
...  
Keyword(s):  
First Nations ◽  
Local Community ◽  
Hospital Setting ◽  
Lessons Learned ◽  
Cultural Traditions ◽  
Cultural Narrative ◽  
Expectant Fathers ◽  
Narrative Process ◽  
First Nations People ◽  
Transition To Fatherhood

The transition to fatherhood is a complex journey scarcely researched in Australian First Nations populations. Historical and political legacy, along with cultural traditions must be taken into consideration before exploring the experiences of Australia’s First Nations expectant fathers, especially when the experience is related to the millennia honored “women’s business.” This article shares the challenges, opportunities, and rewards the authors experienced while researching with Australia’s First Nations men who supported their partners during childbirth in a hospital setting. Ethical insights and input from all members of the research team ensured that culturally safe strategies were used to address all encountered difficulties. Building a trusting relationship with the local community was fundamental to the legitimacy, richness, and success of this research project. Lessons learned from this experience can provide an insight to Non-Indigenous researchers choosing to conduct or support research with Australia’s First Nations people in a respectful and meaningful manner.

scholarly journals Establishing a residency program for a chiropractic specialty in a public hospital system: Experiences from Denmark

2019 ◽  
Vol 34 (2) ◽  
pp. 164-171
Author(s):  
Søren F. D. O'Neill ◽  
Mikkel B. Konner ◽  
Rene Fejer ◽  
Susanne V. Vesterager
Keyword(s):  
Residency Program ◽  
Hospital Setting ◽  
Lessons Learned ◽  
Educational Goals ◽  
Hospital System ◽  
Specialized Hospital ◽  
Semistructured Interviews ◽  
Pilot Programs ◽  
To Come ◽  
Public Hospital System

Objective We describe the experiences and lessons learned from establishing a 5-year postgraduate hospital-based residency program for chiropractors in Denmark. The program was established with the aim of qualifying those chiropractors to undertake common and several specialized functions in relation to musculoskeletal disorders, at the highest professional level, within the particular conditions of a hospital setting. Methods We provide an overall description of this unique program, examples of specific educational goals, and the process used to develop the program. Results Three pilot programs were conducted between 2009 and 2016. The internship program and educational goals were revised extensively during this period. Between revisions and semistructured interviews with key medical officers following the pilot program, the program was well received and considered appropriate for further qualifying chiropractors for specialized, hospital-based practice. Conclusion The structure and content of the program will likely require further improvements in years to come, but currently forms the basis of the first regular 5-year, postgraduate in-hospital residency program for chiropractors in Denmark and perhaps elsewhere.

scholarly journals Using Mobile Technology to Help Eliminate Malaria in Zanzibar

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Gordon M. Cressman ◽  
Michael V. McKay ◽  
Abdul-wahid Al-Mafazy ◽  
Mahdi M. Ramsan ◽  
Abdullah S. Ali ◽  
...  
Keyword(s):  
Hot Spots ◽  
Mobile Application ◽  
Lessons Learned ◽  
Rapid Response ◽  
Quality Data ◽  
Secondary Case ◽  
Tablet Computers ◽  
High Quality Data ◽  
Notification System ◽  
Case Notification

Decision support systems for malaria elimination must support rapid response to contain outbreaks. The integrated mobile system in Zanzibar has been recognized as one of the most advanced in the world. The system consists of a simple facility-based case notification system that uses common feature phones, and a mobile application for Android tablet computers. The resulting system enables rapid response to new cases, helps to rapidly diagnose and treat secondary case, and provides high-quality data for identifying hot spots, trends, and transmission patterns. This presentation will review the history, technology, results, lessons-learned, and applicability to other contexts.

scholarly journals Insulin Bolus Calculator: Lessons Learned from Institutional Experience

2020 ◽  
pp. 193229682095072
Author(s):  
Valerie D. Nolt ◽  
Adrian Araya ◽  
Mohammed B. Ateya ◽  
Ming Chen ◽  
Jennifer Kelley ◽  
...  
Keyword(s):  
Hospital Setting ◽  
Unintended Consequences ◽  
Lessons Learned ◽  
Multidisciplinary Teams ◽  
Bolus Administration ◽  
Record System ◽  
Variation In Care ◽  
Effective Care ◽  
Order Sets ◽  
Institutional Experience

Insulin bolus calculators have proven effective in improving glycemia and patient safety. Insulin calculators are increasingly being implemented for inpatient hospital care. Multidisciplinary teams are often involved in the design and review of the efficacy and utilization for these calculators. At times, unintended consequences and benefits of utilization are found on review. Integration of our insulin calculator into our electronic health record system was a multidisciplinary effort. During implementation, several obstacles to effective care were identified and are discussed in the following manuscript. We describe the barriers to utilization and potential pitfalls in clinical integration. We further describe benefits in patient education, time of insulin administration versus meal delivery, variations in insulin bolus for ketone correction, variation in care, and maximum bolus administration. Sharing lessons learned from experiences using electronic insulin calculator order sets will further our goals of improved patient care in the hospital setting.

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