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Contents

Project #1 - Literature survey

Project Group 1

Topic 1: Noise

Topic 2: Admission and Discharge Criteria

Members: Karsten M. Jensen, Chih-Pin Hsiao, Mandar Samant, Mengdie Hu, Thomas Roh and Ameya Nerurkar

Topic 1 Report: Media:Group1_Noise_paper.pdf

Topic 2 Report: Media:Group1_Admission_paper.pdf

Our Presentation Media:Group_1_Powerpoint.ppt

Group1:Problem List

Project Group 2

  • Topic 1: Universal Room
  • Topic 2: E-ICU

Members: Lesley-Anne Harris, Musheer Ahmed, Wassa R Panont, Shayna Brownstein, Pradnyesh Gore, Asmita Karandikar


Topic 1 Report: File:Group2 Universal Room paper.pdf

Topic 2 Report: File:Group2 eICU paper.pdf

Our Presentation Media:Group_2_Powerpoint.ppt

Problems:

1. Patient hand-offs: Transition not always done well. Difficult for the provider who is taking over to get accurate picture of patient's history quickly.

2. Lack of standardized collection/presentation of patients' vital signs-- difficult to get a quick snapshot of a patient's condition. The reporting from the multitude of monitoring devices is not interoperable.

3. Family-centered care: Transmittal of data between Doctors, Nurses, and Family. Difficult to find balance between family members wanted to be present but getting in the way of care, stressing out providers.

Project Group 3

  • Topic 1: Transforming care at the bedside
  • Topic 2: How nurses spend time

Members: Maxim Spivakovsky, Ran Zhou, Nikhil Bagewadi, Samrudhi Patil, Grace Shin, Busra Ergun


Topic 1 Report: File:TCAB.pdf

Topic 2 Report:File:HNST.pdf

PRESENTATION: Media:PresentationTeam3.pdf

Problems:Media:Problems.pdf

Project Group 4

  • Topic 1: Patient Visibility
  • Topic 2: Infections

Members - Kushal Waghmare, Wanlin Xiang, Siming Mao, Satyajit Deshmukh, Ann Rogers, Pallavi Dheram

Papers:

Infections: File:Group 4 Paper Infections.pdf

Patient Visibility: media:Patient_Visibility_Report_Group_4.pdf

Presentations:

Infections:media:Group_4_Infections.ppt‎‎

Patient Visibility: media:Patient_Visibility_presentation_Group_4.ppt

Problems identified:

Some current ICU layouts prevent direct sightlines or require that nurses walk long distances between patients and supply/support areas; Family members can block views into the room; Visibility of nurses as they observe may adversely affect their performance; Patients in non-visible rooms have a higher mortality rate than patients in visible rooms.

How do you allow for transparency of nurse process while preventing them from feeling on display?

Project Group 5

  • Topic 1: Visitors/Family/Patient centered care
  • Topic 2: Acuity adaptable rooms

Members - Lauren Hess, Frank Crittenden, Victor Ondego, Kruti Shah, Akshay Joglekar, Akash Shah

Presentation: media:Group 5 presentation.ppt

Report: media:Lit survey report - group 5.pdf

Problem Statement: Media:Grp-5 problem statement.ppt

Problem Statements

1. How do we facilitate family involvement in ICU care and decision-making, and how do we convince clinical staff that this involvement is of sufficient benefit to outweigh the accompanying burden of coordinating this involvement?

2. Can we use the information contained in the EMR or eICU systems to communicate patient status information to family members and other caregivers?

3. How do we allow families to participate in the information exchange that occurs during rounding and shift changes?

Project Group 6

  • Topic 1: Clinical Documentation
  • Topic 2: Critical Care Beds

Members: Sarah Manning, Sukanya Bhattacharya, Surabhi Satam, Temidayo Yembra, Stephanie Allen

Group 6 - Problem List

Project Group 7

  • Topic 1: Light Impact
  • Topic 2: Communication with Patients and Family

Members: Adriana Fuentes, Geetanjali Ningappa, Jeffrey Jopling, Luxmi Saha, Lars Christensen

Project Group 8

media:Group8ProblemDefinition.ppt

Problem 1: Nurses are not always responding to critical alarms. A key aspect is that there are an excessively high percentage of false alarms. Problem 2: There is a lack of information from alarms, no distinction of what it is for or how critical the alarm may be. Problem 3: Proven infection control processes are not always followed when inserting central line catheters.


Members - Leang Chhun, Siddharth Gupta, Priyal Mehta, Ross Westlake, Chauncey Myshkin

Project #2 - Problem Statements

Project Group 1

Group1:Problem List

Project Group 2

Problems:

1. Patient hand-offs: Transition not always done well. Difficult for the provider who is taking over to get accurate picture of patient's history quickly.

2. Lack of standardized collection/presentation of patients' vital signs-- difficult to get a quick snapshot of a patient's condition. The reporting from the multitude of monitoring devices is not interoperable.

3. Family-centered care: Transmittal of data between Doctors, Nurses, and Family. Difficult to find balance between family members wanted to be present but getting in the way of care, stressing out providers.

Project Group 3

Problems:Media:Problems.pdf

Project Group 4

  • Problem 1: Infection outbreaks in hospitals and strategies to avoid them
  • Problem 2: The risks for healthcare workers
  • Problem 3: The need for the consistent application of guidelines


Project Group 5

Problem Statements

1. How do we facilitate family involvement in ICU care and decision-making, and how do we convince clinical staff that this involvement is of sufficient benefit to outweigh the accompanying burden of coordinating this involvement?

2. Can we use the information contained in the EMR or eICU systems to communicate patient status information to family members and other caregivers?

3. How do we allow families to participate in the information exchange that occurs during rounding and shift changes?

Acuity adaptable room:

  • Problem 1: How to ensure cross-training of nurses so that they can effectively cater to all levels of acuity.

Project Group 6

Group 6 - Problem List

Project Group 7

Project Group 8

Problem 1: Nurses are not always responding to critical alarms. A key aspect is that there are an excessively high percentage of false alarms. Problem 2: There is a lack of information from alarms, no distinction of what it is for or how critical the alarm may be. Problem 3: Proven infection control processes are not always followed when inserting central line catheters.


Project Group 10

- Visibility is difficult in rooms with inboard toilets (common in non-ICU rooms which are converted to ICU rooms).

- Round ICU layouts are difficult to fit with rectilinear furniture.

- Nurses feel out of touch with patients because of having to "nurse" the abundance of machines.

- Nurses feel un comfortable with aspects of family involvement, including being seen causing pain to the patient and being interrupted by the family asking questions or talking to them while they are performing duties such as charting.

Project #3 - Field Observation and Analysis

  • to include Problem (80%) and Initial Solutions (20%)
  • you can stay with the original group or form new group
  • please include your group member names

Project Group 1

Group members: Musheer Ahmed, Shayna Brownstein, Lesley-Anne Harris, Wassa Panont

File:FieldObservations Group1.pdf

media:Field Observation and Solution Proposal_G1.ppt

Project Group 2

Group members: Ramakrishnan C H, Mandar Samant, Siddharth Gupta

Report : media:ICUVisit.pdf

media:Piedmont visit.pdf

Project Group 3

Group members: Asmita Karandikar, Ameya Nerurkar, Nikhil Bagewadi, Pradnyesh Gore, Satyajit Deshmukh

Slides media:Scottish_Brite_Visit.pdf Report media:Scottish_Brite_Visit_Report.pdf

Project Group 4

Group members: Chauncey Myshkin, Leang Chhun, Ross Westlake

  • Problems: A, B, C, images
  • Solutions: A, B, C.

File:Writeup Chauncey.doc

File:ICUVisit Leang.pdf

File:Scottish Rite Notes Ross.pdf

media:Group_4_Visits.ppt

Project Group 5

Group members: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh

Presentation:

media:fieldstudy5.ppt

Reports:

File:MengdieFieldObservation.pdf

File:ICU Visit Report-Chihpin Hsiao.pdf

File:ICU observation report taka.pdf

Project Group 6

Group members: Maxim Spivakovsky, Ran Zhou, Nikhil Bagewadi, Samrudhi Patil, Grace Shin, Busra Ergun

Presentation: media:presentation_field_final.ppt

Reports: media:field_obser_final.pdf

Project Group 7

Group members: Priyal Mehta, Akash Shah

Presentation:

media:FieldObservations_Group7.ppt

Reports:

File:FieldObservations Group7.pdf

Project Group 8

Group members: Adriana Fuentes , Geetanjali Ningappa , Jeffrey Jopling, Luxmi Saha, Lars Christensen , Akshay Joglekar, Karsten M. Jensen


Presentation:

media:ICU_Visits.ppt

Reports:

File:ICU Visits.pdf

Project Group 9

Group members: Frank Crittenden, Lauren Hess, Victor Ondego

Reports:

Presentation:

media:Observation Presentation group 9.ppt

media:Observation Presentation group 9.pdf

Project Group 10

Group Members: Ann Rogers, Kushal Waghmare, Wanlin Xiang, Siming Mao

Presentation: media:Project 3 presentation group 10.ppt

Report: media:FieldObservationReport.pdf

Project Group 11

Group Members: Temi Yembra, Sarah Manning, Stephanie Allen, Sukanya Bhattacharya, Surabhi Satam, and Kruti Shah


Presentation: media:Piedmont_SR.ppt

Report:File:ICU Recap Peidmont & Scotish rite.pdf Report:File:FieldObservationReport.pdf

Project Group 12

Group members: Maxim Spivakovsky, Samrudhi Patil, Pallavi

Report media:Hospital_visit_observations.pdf Presentation media:HS8300NorthsidePiedmont3.ppt

Project #4 - Problem Articulation

Team 1

Musheer Ahmed, Shayna Brownstein, Lesley-Anne Harris, Wassa R Panont

Problem 1 - Level of Family Involvement with Care

Problem 2 - Information Overload - The multitude of monitoring equipment

File:Team 1 - ICU Problems.pdf

Team 2

Members: Ramakrishnan C H, Siddharth Gupta

Problem statement:Media:ProblemStatement.pdf

Problem 1 – Simple Communication Tool

Problem 2 – unified medical record system

Team 4

Team Members : Pradnyesh Gore, Mandar Samant , Satyajit Deshmukh , Ameya Nerurkar, Asmita Karandikar , Nikhil Bagewadi

Problem 1 : Family member connection with Patient in ICU.

Problem 2 : There is a need for faster and detailed notification system for physicians , in case of emergencies

PDF with both ideas : Pleae Read

File:ICU Proposal.pdf


Media:ICU_Proposal.pdf‎

Team 5

Team Members : Mengdie Hu, Chih-Pin Hsiao , Takahiro Ito, Thomas Roh

Problem 1 : Miscommunication between patients and family

Problem 2 : Difficult to multitask while charting

Media:ICU_Proposal_5.pdf‎


Team 6

Ran Zhou, Grace Shin, Busra Ergun

PROBLEM 1. Documentation system PROBLEM 2. ICU Layout

Media:ProblemProposal.pdf‎

Team 7

Priyal Mehta, Akash Shah

  • Problem 1 - Information center for families
  • Problem 2 - Intercommunication between various digital stores of data

Media:ProblemProposalG7.pdf

Team 8

Group members: Adriana Fuentes, Geetanjali Ningappa, Jeffrey Jopling, Luxmi Saha, Lars Christensen, Akshay Joglekar, Karsten M. Jensen

File:ProblemsProject4.pdf

Team 9

Team Members: Frank Crittenden, Victor Ondego, Lauren Hess

Problem: Family involvement in the care of patients

File:Team9Problems.pdf

Team 10

Team Members: Kushal Waghmare, Ann Rogers Problem Articulation:

Problem 1 -- Patient Visibility in Renovating rooms with inbound restrooms for use as ICUs

Problem 2 -- Family Inclusion v. Intrusion

Media:Problem Articulation.pdf

Team 11

Team Members: Sarah Manning,Sukanya Bhattacharya, Temidayo Yembra, and Stephanie Allen-Wang

Problem Articulation Abstracts:

File:Group11 Problem Abstracts.doc

Problem 1: Parent-Clinician Communication in Neonatal and Pediatric Intensive Care Units

File:Quality of Care at a Children's Hospital.pdf

File:Parental Anxiety and Medical Comprehension Within 24 Hrs of a Child's Admission to the Pediatric Intensive Care Unit.pdf

File:Information Management in Families Who Have a Child With a Genetic Condition.pdf

File:Improving Parent Satisfaction An Intervention to Increase Neonatal Parent -- Provider Communication.pdf

File:Gaps in Doctor-Patient Communication.pdf

File:Computer-Based Documentation Effects on Parent Provider Communication During Pediatric Health Maintenance Encounters.pdf

Problem 2: Reducing Frequency of Trips to the Storage Facilities

Team 12

Team Members: Surabhi Satam, Kruti Shah

File:HEF Problem Articulation.pdf


Team 13

Geetanjali, Jeff, Laxmi, Lars, Karsten, Adriana, Akshay File:1

Project #4B - Topics

Family Involvement & Communication

1. How do you include families in the care process w/o disrupting nurse workflow?

2. Lack of remote connection

3. 2-way communication between clinician and family

4. Provide real time care status to family

5. Distant Communication between patient and family

6. Frustration with parent/clinician in NICU or PICU


After Craig narrowed down.........

1. Families are not often effective care team participants.

2. Patients and family members lack effective ways of communication if not present.

3. Clinician and family members lack effective ways of communication if not present.

Design & Layout

1. Lack of Integrated Waste Disposal: mill-work-integrated waste disposal and storage

2. How do we renovate and existing ICU room to be more family and patient focused?

3. How can we provide patient visibility in renovated spaces that previously did not offer it?

4. Insufficient storage of surplus supplies in patient rooms

5. How ICU design impacts nurses' work

6. Frequent trips to supply room cause an increase in fatigue and a reduction in patient visibility for nursing staff

7. How do we create a secure, welcoming atmosphere?

Other

1. Current systems create opportunities for possible medication mis-treatment

2. Secured entry into the ICU requires access cards, which can be lost or stolen, or codes which can be forgotten or improperly shared

3. There is no central database that maintains PHR (personal health records), causing inefficiency in repeated data gathering and data entry

4. There are insufficiently detailed emergency notifications to doctors and nurses of ICU patients


Problem consolidation and team forming

Each person should go to the http://www.hsi.gatech.edu/icu/index.php/Topics_Sign-up to sign up for 2 topics.

Project #5 - Solutions

Team 2

Group Members: Lesley-Ann Harris,Kruti Shah,Ross Westlake

Topic: ICU Entrance

Problem: It's difficult for the entry of Intensive Care Units to be welcoming, secure, and easily findable.

File:ICUentrance2.ppt

Team 3

Group Members: Shayna Brownstein, Wassa Panont, Akash Shah, Priyal Mehta

Topic: Clinician and Family Communication

Problem: Delivery of care adversely affected by family members asking so many questions

Presentation: File:Team3project5.ppt

Team 5

Group members: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh

Problem: Distant communication between patient and family

Presentation: File:Team5project5.ppt

Team 6

Team Members: Mandar Samant, Pradnyesh Gore, Asmita Karandikar

Problem: Patients and family members lack effective ways of communication if not present.

Presentation: Media:HEF_Solutions.ppt

PDF Version :Media:HEF_Solution_PDF.pdf


Team 7

Group members: Geetanjali Ningappa, Maxim Spivakovsky, Luxmi Saha, Akshay Joglekar

Problem: ICU Storage is inefficient

Presentation: File:Solution1.ppt

Budget estimate: File:Budget estimate.pdf


Team 8

Group members: Adriana Fuentes, Jeffrey Jopling, Lars Christensen, Karsten M. Jensen

Presentation: File:TeamFAproject5.ppt

Team 9

Group Members: Frank Crittenden, Victor Ondego, Lauren Hess

Problem: Families are not often effective care team participants

Presentation: File:Problem and two solutions.pdf

Team 10

Team Members: Kushal Waghmare, Ann Rogers (October 21)

Problem: Renovation poses problems for patient visibility

Presentation: Media:Solutions(Renovation).ppt

Team 11

Group members: Sarah Manning,Sukanya Bhattacharya, Temidayo Yembra, and Stephanie Allen-Wang

Problem: It's hard to keep track of supplies. How to maintain convenient access and storage and not waste supplies.

Presentation: File:Team11project5.ppt

Team 12

Team Members: Siddharth Gupta, Surabhi Satam, Ramakrishnan C H

Problem: Scattered sources of data and applications in a hospital

Presentation:PDF: File:HEF Presentation.pdf

Presentation:PPT: File:HEF Presentation.ppt

Team 13

Team Members: Siming Mao, Wanlin Xiang, Pallavi Dheram.

Problem: Infection Control in NICU

Presentation PDF: media:Infection Control in NICU.pdf‎

Team 14

Team Members: Busra Ergun, Ran Zhou, Grace Shin, Musheer Ahmed

Problem: Too many different devices are used to input data

Presentation PPT: File:Problem refine solution.ppt

Team 15

Team Members: Satyajit Deshmukh, Ameya Nerurkar, Nikhil Bagewadi

Problem: Communicating context relevant information across care teams during transfer of care

Presentation:PDF: File:HEF Presentation Team15.pdf

Presentation:PPT: File:HEF Presentation Team15.ppt


Project #6 - Problem - Solution Refinement

Team Family Matters!

Group Members: Lauren Hess, Frank Crittenden, Victor Ondego

Problem: Family members are not effective care team participants

Solution: Create a tool to facilitate family-clinician communication

See atteched document for a detailed description of solution, budget, and work plan

File:ICU.pdf

Team EduCare

Group Members: Shayna Brownstein, Priyal Mehta, Wassa Panont, Akash Shah

Topic: Clinician - Family Communication

Problems and Solution: File:Clinician Fam Comm Proj 6.pdf

Budget: File:Project Cost Estimation.pdf

Team Close the Loop

Group Members: Ann Rogers, Kushal Waghmare

Topic: ICU Nurse Interruption Strategies

Problem: Intrusions by other people, a major cause of nurse interruption, have been shown to increase medication errors, raise stress levels and decrease productivity in task completion, yet current intrusion prevention strategies are limited in scope, performance, and understandability.

Solution: A wearable indicator of nurse availability status, digital or analog option; information placards in room for family members; staff education.

Media:Solutions_ProblemAnalysis.pdf

Touch-less Hygiene Supply Dispenser

Group Members: Akshay Joglekar, Maxim Spivakovsky, Geetanjali Ningappa, Luxmi Saha

Topic: Touch-less Hygiene Supply Dispenser

Problem: The storage in the patient room leads to wastage of lot of supplies in the patient room as the stored supplies are discarded once a patient is discharged, since they get contaminated during the patient’s stay. The reason for the supply to be considered contaminated is due to the following reasons.

· Nurses/ Attendants touch the supplies with their hands

· The supply is exposed to the patient room environment directly

Solution: We are proposing to provide a storage system that acts as the supply dispenser system. The storage system should be easily accessible but isolated from the atmosphere. Following are the some of the requirements that need to be satisfied by the solution:

· Flexibility to change supplies as per patient need

· Infection free

· Accessible in the patient room

· More economical than a cabinet system

· More flexibility with the patient room layout

· Can be incorporated with any existing ICU room infrastructure


Team From Family with Love

Group Members: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh

Topic: From Family with Love

Problem: The patient’s family cannot stay with the patient at all times because of work, errands, etc. The icu patient’s emotional attachment needs are not satisfied when family and friends are away. Patients feel loneliness; they need to know that someone cares about them and empathizes with them. Synchronous communication can interfere with patient’s care, and it is hard to time the schedule of the patient with schedule of the family.

Solution: -simple enough to require little manipulation to use

-drinking water bottle, daily habits activate the messages

-twitter or facebook account

-digitalized thank you card

-everybody has a support group

-message device

-audio vs. visual

Team Infection Control

Group Members: Siming Mao, Pallavi Dheram, Wanlin Xiang

Topic: Transition space Design for NICU

Problem:

Due to neonates' immature immune system, NICU is a high risk area for developing infections. Family visiting management is an important part of infection control in NICU. According to field observation, the existing infection control measures in NICU have not fully considered the special restrictions on light and noise in NICU and the needs from family visitors.

Solutions:

Design a transition space which serves as

- A welcome room in which family visitors could stay here waiting for nurses when they come to visit for the first time and family visitors would be informed with basic information about expectations in NICU.

- A separate space with adequate light for nurses to do related tasks (documentation, re-education, screening, etc.)

- Temporary storage area for family visitors’ belongings

- A hands-free hand washing station

Improving and Verifying Patient Handoff

Group Members: Surabhi Satam, Siddharth Gupta, Ramakrishnan C H

Problem: Improving and Verifying Patient Handoff

Solution: Create an application/software that verifies patient handoffs in a time efficient way

See attached document for a detailed description of problem statement, proposed solution and work plan.

File:HEF Group12.pdf

Patient Connect

Group Members : Asmita Karandikar, Mandar Samant, Pradnyesh Gore

Problem: Lack of personal connect between the patients and family members

Solution: Create a two-way communication means between the patient and the family members with control over the desired level of communication

See attached document for detailed description of problem statement, proposed solution and work plan.

File:HEF Patient Connect.pdf

House in a Box

Group Members : Satyajit Deshmukh, Nikhil Bagewadi, Ameya Nerurkar

Problem: Doctors have to go through a tonne of collected data to isolate relevant and critical data at the right time to influence their medical decisions

See attached document for detailed description of problem statement, proposed solution and work plan.

File:HEF House In Box.pdf

Project #7 - Action Plan

Each group provide: 1) current group name; 2) group members and emails; 3) Current problem statement--succinct "elevator" talk that provides the specific problem that you're solving; 4)Description of the solution with relevant sketches; 5) Work plan: milestones for each class between now and Dec 9, with a description of what each person will do; 6) Resources needs: materials, input, expertise and who on your team will be responsible for acquiring them; 7) Main faculty coach you request

RFID in the ICU

Touch-less Hygiene Supply Dispenser - Media:Action_Plan_-_Touch-less_Hygiene_Supply_Dispenser.pdf

Virtual Concierge: Visitor Orientation and Access

iParameters

Nurse Digital Assistant

Transition Space Design for NICU

EduCare

From Family with Love

Family Matters!

Patient Connect

Close the Loop

Correctness of Handoffs

House In a Box

Waste Solution