Project
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
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
Project Group 6
- Topic 1: Clinical Documentation
- Topic 2: Critical Care Beds
Members: Sarah Manning, Sukanya Bhattacharya, Surabhi Satam, Temidayo Yembra, Stephanie Allen
- Topic 1: File:Group6 CriticalCareBeds Report.pdf
- Topic 2: File:Clinical Documentation.pdf
- Presentation:Media:Critical_Care_Beds_Clinical_Documentation.ppt
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
- Topic 1: File:Group 7 1.pdf
- Topic 2: File:Group 7 2.pdf
- Presentation: Media:Group_7_Powerpoint.ppt
Project Group 8
- Topic 1: Central Line Infections
- Topic 2: Alarm Fatigue
- Presentation: media:Group8Presentation.ppt
- Topic 1 Report: File:Group8 CentralLineInfectionPaper.pdf
- Topic 2 Report: File:Group8WriteupPart2.pdf
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
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
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
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
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:Scottish Rite Notes Ross.pdf
Project Group 5
Group members: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh
Presentation:
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:
Reports:
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
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
Team 6
Ran Zhou, Grace Shin, Busra Ergun
PROBLEM 1. Documentation system PROBLEM 2. ICU Layout
Team 7
Priyal Mehta, Akash Shah
- Problem 1 - Information center for families
- Problem 2 - Intercommunication between various digital stores of data
Team 8
Group members: Adriana Fuentes, Geetanjali Ningappa, Jeffrey Jopling, Luxmi Saha, Lars Christensen, Akshay Joglekar, Karsten M. Jensen
Team 9
Team Members: Frank Crittenden, Victor Ondego, Lauren Hess
Problem: Family involvement in the care of patients
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:Information Management in Families Who Have a Child With a Genetic Condition.pdf
File:Gaps in Doctor-Patient Communication.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.
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
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.
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.
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.
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
Touch-less Hygiene Supply Dispenser - Media:Action_Plan_-_Touch-less_Hygiene_Supply_Dispenser.pdf
Virtual Concierge: Visitor Orientation and Access
