Mobile Medicine and Mobile Emergency, see also them on Apple Store

Mobile Emergency: shortening communications

in hospitalPierfrancesco Bellini Ph.D. Eng.^, Sergio Boncinelli MD* ,

Francesco Grossi MD* , Marco Mangini MD*, Luca Malandrino Eng.^, Paolo Nesi Ph.D. Eng. ^

* Careggi University Hospital, Florence, Italy^ Distributed Systems and Internet Technology Laboratory,

Department of Systems and Informatics University, University of Florence, Italy

tel: +39-055-4796523, fax: +39-055-4796363, cell: +39-335-5668674

[email protected] http://www.disit.dsi.unifi.it/

1DISIT - Paolo Nesi - March 2011

Hospital in Numbers 182 acres, 13 departments, 100 bildings, 1.660 beds, 5.900 employees, 135.000 patients per year admitted

Careggi Emergency manual The application use the Emergency manual as a coded

configuration.

DISIT - Paolo Nesi - March 2011 2

solution and mobile application to manage communication exchange during maxi emergencies in hospital and large areas cut down intervention and communication time improve coordination and organization of medical personnel. facilitate access to logistic and operative information inform personnel about emergency status and/or its

inception/occurrence, recall of personnel from other areas.

emergencies can be related to internal events (such as fire, broken pipes, etc.), external events (for example the sudden arrival in the hospital

of hundreds of new patients due to a terrorist attack, a natural disaster, etc.)


based on a mobile device (Phone, iPad, iPod) and a server to be used by the medical and paramedical staff to communicate inception of emergencies, communicate with the central emergency

services, organize groups of intervention and

support, get the closest exits, planned and dynamically adapted

(with and without connection, in the first case), create collaborations, to obtain help by skilled people, access prescriptions and guidelines regarding

procedures, dosages, and thus a decision support system via Mobile Medicine


Segnalling of an emergency

Get Position, Request of exit5DISIT - Paolo Nesi - March 2011

INDIRIZZO: N° 23 EDIFICIO: 10A ALA: sinistra PIANO: 0 REPARTO: anatomia STANZA: D456

USCITA DI SICUREZZA A: visualizza immagine

USCITA DI SICUREZZA B: visualizza immagine



collect and manage inception of emergencies ……….

help medical personnel in finding colleagues updating personnel about evolving situation

organize groups of intervention and support find assembly point assigning responsible for each team create collaborations

Automated update of information in the mobile provides documentation to personnel (see MobMed)

getting help from skilled colleagues guidelines and checklist procedures access prescriptions



10


technologies of: artificial intelligence, semantic computing, mobile system, grid and social media

A video about Mobile Emergency can be seen from: http://www.disit.dsi.unifi.it/ and on youtube.

Mobile Emergency application is accessible on the Apple Store: http://itunes.apple.com/us/app/mobile-emergency/id409326454?mt=8

See also other our Apps: MobileMedicine and Content Organizer


• Estendere il riconoscimento dei codici a barre da parte dei dispositivi

• Permettere all’utente di inviare contributi multimediali circa lo stato dell’emergenza

• Estendere la comunicazione esistente tra dispositivo e Centrale Operativa anche tra i dispositivi stessi

• Mappa sinottica delle posizione degli utenti a disposizione della Centrale Operativa

• Estendere le funzionalità del sistema anche agli utenti non strutturati

• Porting su altre piattaforme mobili13


Mobile Medicine:Cross Media Intelligent

Content for Medical Training and Support

P. Bellini, I. Bruno, D. Cenni, A. Fuzier, P. Nesi, M. Paolucci

Department of Systems and Informatics University of Florence

Via S. Marta 3, 50139, Firenze, Italytel: +39-055-4796523, fax: +39-055-4796363,

cell: [email protected] http://www.disit.dsi.unifi.it/

Automated Back office

Complex content

-PC, MACos, linux, …-iPhone, iPad,-Windows Mobile, -windows Phone 7-Android ….


a collaborative social portal and mobile application intelligent content, provides support to:

simplify and accelerate the adoption of medical proceduresand checklists,

accelerate the process of taking decisions in emergency conditions and not only,

support medical personnel in estimating the dosages of medicines,

facilitate access to user manuals of tool and medicine indications, CME

facilitate access to educational content items such as: video, slides, reports, images, etc.

Help to assess the patients’ health conditions Automated update of this information on the mobile device Automated information to personnel about new content in

their profile


17DISIT - Paolo Nesi - March 2011 17


Simple files: audio, video, images, documents, slides and animations, tutorials….. more than 500 different file formats very effective for CME

Smart Applications See next slide



interactive guidelines/procedures to help users to remind of the correct procedures and help them in taking decisions on the specific cases and pathologies. examples are: ECMO, BLS, Triage, ACLS, EGA, Nasogastric, Tachycardia,

neurological classification, antibiotic therapy, etc.

calculators and tools which are interactive applications where the user may insert data/info collected out of the patient/context (such as: age, weight, pressure, temperature, habits, symptoms, conditions, reactions, etc.) to obtain from the device/content some estimations/suggestions to be used to take decisions. Example: drug dosages, APACHE2 score, SAPS Score, SOFA Score,

“Profilassi Ulcere”, the estimation about the probability of pulmonary emboli, the estimation of a dosage on the basis of patient weight, the estimation of fat percentage, the suggestion of a prescription about what you could eat, the assessment of neurological conditions on the basis of standard quantitative models, dosages for cardiac disease, etc.

Questionnaire …



The activation (from local) or a download or play, if accessible via connection, is performed by QR or GPS: QR: for example the SOFA score Associated to device Documents Escape, etc.

GPS, see next slide


User: upload single file content

ADMIN, validates,

Put in publication

Produces in assisted manner procedures nad

mini applications

Back office automatedadaptation

User: study and designe of mini

applications to be uploaded on the

portal


Automated Back office

Complex content

-PC, MACos, linux, …-iPhone, iPad,-Windows Mobile, -windows Phone 7-Android ….


Social Networking: groups, forum, blog, etc… Suggestions to entities:

UU, CU, CC, GC, G U, …. Several Semantic Computing Techniques AXCP grid computing platform. artificial intelligence technologies, semantic computing, media grid computing, social media.

Users modeling: Static: User Profile as provided Dynamic: play, UGC post, friends, votes, comments, ..

Smart Content Modeling (Objects): Technical description + semantics Metadati + semantic description as Taxonomy


User ProfileDynamic User Profile

User behaviorUse data

Content DC+IDsAXInfo: ver, prod., rights,..Descriptors

Groups: users, content..Ontology/Taxonomy Domain

Suggestions on the basis of:Static and dynamic user profile,

decriptors, domain

Local User ProfileLocal Dynamic User Profile

Local User behaviorLocal Use data

Content DC+IDsAXInfo: ver, prod, rights, ....Descriptors

GroupsTaxonomy classification

Local Suggestions on the basis of user profiles, local content, local collected data

contributions, actions on content, social actions,preferences, queries, use data,..

Front End Portal Content Organizer and Player

Users

Grid SchedulerGrid Node

Grid Node

Grid Node

AXCP backoffice

Rule based systemAutomated formatting

Inferential engine processingAdaptationenrichment

Multilingual index and search

Text AnalyzersIndexerFuzzy search

SuggestionsSimilarity distancesClustering

AXCP BackOffice

Content Organiser

under trial at the major Florence (Italy) medical center: the best practice network for mobile medicine content

and guidelines production can be found on http://mobmed.axmedis.org

A video about Mobile Medicine can be seen from: http://www.disit.dsi.unifi.it/ and on youtube.

Apple App can be downloaded at: http://itunes.apple.com/it/app/mobile-

medicine/id359865882?mt=8, versions for Windows PDA can be downloaded from the

portal. Other versions are coming: Android, WP7, iPad 2


on App Store: EN: http://itunes.apple.com/us/app/content-

organizer-lite/id469941163?ls=1&mt=8 IT: http://itunes.apple.com/it/app/content-organizer-

lite/id469941163?ls=1&mt=8 on Microsoft MarketPlace:

EN: http://www.windowsphone.com/en-US/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36

IT: http://www.windowsphone.com/it-IT/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36

on Android (beta) Ask to me [email protected]


Content Organizer Multi portale, multi hospital DRM, CAS Registrazione diretta, profilazione utente Echo su VGA cable esterno

New Accesso e scarico play list, collection, corsi Caricamento video, audio dal campo, invio in centrale in

archivio Registrazione/autenticazione dell’utente Visione diretta dei vicini, modelli collaborativi diretti Comunicazione diretta fra vicini, etc. Scambio diretto di contenuti fra utenti Update automatica dei contenuti ….


Date post:	28-Jan-2015
Category:	Health & Medicine
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Mobile Medicine and Mobile Emergency, see also them on Apple Store

Health & Medicine