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Arlen Brickman



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    EP01 - Technology Innovation, Telehealth (ID 8)

    • Event: e-Health 2019 Virtual Meeting
    • Type: ePoster Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Area 6
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      EP01.03 - Shared Cognition Mobile Rounding Tool (ID 342)

      Arlen Brickman, Biomedical Informatics, University at Buffalo; Buffalo/US

      • Abstract

      Purpose/Objectives:
      The goal is to make working rounds efficient, to share relevant data with the team more effectively, to process the data and arrive at diagnostic and therapeutic considerations for each patient every day in a more timely manner than presently implemented.


      Methodology/Approach:
      Clinical (“work”) rounds, can take anywhere from 3-4hrs in length depending upon the complexity and the number of patients being managed by the medical team. The primary goal is for the central core of providers to use distribution or sharing of cognition to create and follow a plan for each patient while giving effective continuity of care. Multiple levels of staff will have obtained data from: a) sign-out from covering house staff, b) review of paper and EMR; and, c) direct questioning and examination of the patient. We propose to increase efficiency and effectiveness of walking rounds, through a simple modification of existing hardware tools used during rounds, i.e. the mobile battery powered EMR computer carts, found in most hospitals today. Modifications include; the addition of a digital projector for projecting onto existing walls or curtains and/or by adding dual 30” monitors to the cart. In addition to the hardware modifications, the creation and use of a web application will be designed to navigate the EMR by creating a simple face-sheet in an easy to read user interface (UI) with all pertinent information laid out using the space available intelligently.shared cognition.jpg


      Finding/Results:
      Working memory has limitations, EMR tools will assist in the process. One of the tools most commonly utilized during rounds is a battery powered mobile computer cart for EMR access. There are several restrictions and limitations with this approach including; a) suboptimal computer arrangement ? with screen size limitations and; b) requirement to have most meaningful data held in working memory, c) fragmented nature of rounds, with multiple distractions and interruptions, and, d) lack of closure relating to patient plans. These changes will accomplish multiple goals; increasing actual image size allows for easier reading and sharing of information in a group setting; visual representation of relevant information cuts redundant and inappropriate information from the EMR during rounds, and including visual memory tools and cues i.e. a picture of the patient and other types relevant infographics make for better working memory utilization.


      Conclusion/Implications/Recommendations:
      Ultimately, we predict these changes will ease the cognitive burdens on the clinical team, reduce medical error and improve the quality of patient care. Multiple problems may arise in this type of public sharing of information including possible HIPAA concerns and social ramifications and will be addressed in the poster.


      140 Character Summary:
      Shared cognition tool to increase efficiency, share relevant data effectively, diagnose & arrive at therapeutic considerations in the most timely manner.