rich communication in the hospital* some first ideas

Norsk RegnesentralNorwegian Computing Center

Rich communication in the hospital*Some first ideas

Lill Kristiansen

Senior Research Scientist Norsk Regnesentral

www.nr.no/~lill

[email protected] Mob. 97 72 72 27

* Illustrations from the web: Aker, Ullevaal, Rikshospitalet, Nokia, Ericsson and other sources


Related ideas

• Rich communication between patient and nurse• Rich communication between doctors

– 1 doc with patient and 1 mobile expert – e.g. from operation to mobile expert

• Rich communication for patients (children etc.)– between patient and his friends and relatives (voice, email,..)– between several patients (chat, email,voice?…)– and/or between patient and school (video, e-learning,..)

• Rich health information from hospital to patients– enhancing todays web-pages and TV-info

multi-channelling/multi-modal interfaces


Todays situationpatient and nurse:

• Patient is in bed• Patient pushes ‘ring

button’ for help

• Patient may have pain

• Nurse give medicine to patient

• Nurse walks to his bed to find out the problem

• Nurse walks back to check journal and get medicine

• Nurse walks away to next...


Todays situation cont’ddoctors

• Need for unplanned assistance by 2nd doctor– Doctors are mobile (not in office)

• somewhere on the hospital– use: pager + phone + PC (not integrated)

– or even at home (‘bakvakt’ / ’backup doctor’)

• Doctors may not have time to phonecalls – calls requires the 2 docs to talk simultanously– message based systems sometimes better (ref. Current radiology

multimedia messaging system – Multimedia IP-telephony may offer the best from both worlds, See:

• Internet telephony offers new opportunities for telemedicine, Y. Zhao, I Nakajima and H Juzoji, J.Telemed.&Telecare pp.307-309 Vol.7, No.5, 2001

• Video from surgery (streamed and realtime)


Some ideas for wearable devices for nurse/doctor(must be adopted to suitable radio interface)

Existing products and futuristic concepts

(Modem)

(Futuristic Ericsson)1) Wrist-terminal2) PDA in pocket

Existing Cybiko

Existing Palm

ExistingNokia 7650(GSM+GPRS)


’Virtual terminals’: devices in several pieces

• either planned in several pieces– Futuristic concept –

phone – from Ericsson

webpages

• or ad hoc combinations– Illustration of ‘session handover’ to

a bigger screen. – (Pictures from:

• Knowmobile report, Intermedia, UiO

• RiT IT strategy 1999)


Some devices for patients(in bed or on table)

Such devices can also be used for:•intranet information pages (FAQ etc)•email friends (with pictures of newborn child...)•chat between patients or between patient and school/friends•phonecalls (in/out to friends/family)

Phone has slot for smartcardISDN accessLan accessIP-telephony

Concept phone Freepad Cybiko ‘toy’


Patient give more information about their context to the system or nurse

• Icons for frequent occuring events:• @føden

– Breast feeding– breast/milk, other (pump)– pain, uterus related

• General– WC help– pain– food

• May add voice for further informationbetween patient and nurse

• May communicate not only with nurse:midwife, assistant (‘barnepleier’),others, (doctor?),….


Rich communication and context

• Patient contexts:– health monitoring info

– med-info from journal

– info from patient(icons, text, voice,..)

• Nurse context– nurse busy with patient

– in meeting,...

• Location¤ patient

+ nurse¤+

+ + + + ¤


Rich communication for long term patients (children etc.)

• Tele-education(e.g. full conference-system)

• Education via internet, email etc• Communication with friends and family

(email, voice,..)

• Communication between patients(chat, voice, games,..)www.starbright.org: virtual patient community


Rich interactive health information from hospital to patients

• Video /interactive info– TV

– Screenpad, info-kiosk, Screenphone, interactive TV

– WAP

– On SMS


Icons, text and video as information source (web++)• Interactive FAQ

(ofte stilte spørsmål)• Video /interactive info

– On TV

– On screenpad

– On Screenphone


Pasienten først!?

Midwife??? Doc??? Florence Nurse??

Jeg har hvit frakk!!

Prosjektet bør inneholde: både teknologiog systemarbeidsakspekter


• For 2002 er det spesielt interessant å støtte prosjekter rettet mot anvendelser av bredbåndsteknologi i grunn- og videregående skoler, sykehus og helseinstitusjoner, samt kommunale virksomheter.

• Eksempler på anvendelsesområder er: – helse- og omsorgstjenester, særlig rettet mot effektivisering og

kvalitetsforbedringer i primær-helsetjenesten

– innholdsrike (f.eks. multimedia, video, GIS) og brukerorienterte digitale tjenester - så vel innen offentlig sektor som i samspill med næringsliv og publikum, herunder kulturtilbud og informasjonstjenester

– interaktiv, nettbasert læring med bruk av fullkvalitets videokonferanseløsninger og digitale læremidler

– kommunale eller regionale nettverk for felles drift og håndtering av krevende IKT-behov eller kommunal-tekniske oppgaver

– tiltak for spredning av og veiledning om anvendelser og muligheter


About myself

• Dr.Scient,1993

• Researcher Telenor R&D ‘93-’98– middleware– multimedia

• System Architect at Ericsson ‘98-’01 – Architecture for IP-telephony (Voice over IP / VoIP)– Architecture for multimedia-telephony (MuMe over IP, – standardisation co-ordinator handling ETSI Tiphon, 3GPP UMTS

Rel.5, IMS (UMTS All-IP)

• Today– senior researcher at NR– 2x2 days as patient in hospital + 2x5 days birth of child

rich communication in the hospital* some first ideas

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