Saturday, April 26, 2014

Creative Collaborations in Medicine

GOOGLE GLASS EYES the Wonders of Modern Medical Technology

                                                                                     

History was Made!!!

Dr. Rafael Grossmann is a trauma surgeon at Eastern Maine Medical Center in Bangor.

BOLD and CREATIVE
An innovator who pioneered teletrauma – a method of providing trauma care expertise using mobile technology, first using an iPod and later via smartphone.

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Dr. Paul SZOTECK--- 

Trauma Surgeon

Indianapolis INDIANA

Google Glass As A Teaching Tool

Szotek says the real potential he sees for Google Glass is in the classroom.
He says the Glass can help students see a surgery and learn how to do the procedure through the doctor’s perspective. He says using the Glass from a first-person perspective provides a view students haven’t seen before.
At IU Health Methodist Hospital, IU School of Medicine students learn in simulation rooms that feature medical equipment paired with mannequins.
With the Glass, Szotek says he is able to record a video of himself performing a procedure on a mannequin, then make that video available to students for a first-person experience.


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 SIM Man WEARS GLASS!

CPR, SURGERY, INJECTIONS, CENTRAL LINE PLACEMENTS,HEMATOLOGY & MORE!


Patient care 
See test results on the Google Glass screen then transmit the results to a tablet or laptop, so the patient can see them.
  • Reviewing patient test results 
  • Ordering tests or medications – A doctor or nurse working with a patient can contact the lab or pharmacy and send an order directly, without having to step away to use a computer or relaying the order through someone else.
  • Charting – Patient data or care information can be dictated and recorded by the Glass, instead of typed on a laptop.
  • Specialty services – Applications can provide step-by-step guidance for life support, cardiopulmonary resuscitation and protocols for high-stress code events. The Glass could provide information, hands-free, for situations that may come up rarely.
  • Communication between health care providersSurgery – A surgeon live-streaming an operation can provide an instant view of what she sees to other surgeons at a remote location for consultation.
  • Consulting specialists – A rural family doctor could live-stream a consultation with a patient to a specialist at another location. First responders at the scene of an accident communicate verbally and visually with hospital staff for advice on starting advanced care in the field.

Patients at Home

google glass 03Dr. Adam Robinson wears google glass at DeVos Children's Hospital Friday, January 17, 2014. (Chris Clark | MLive.com) 
Guiding patients, family  Special tools, a CPR APP, can provide instruction for family members caring for a loved one. Face-recognition software could help a person with dementia.

  • Taking medication – The Google Glass can provide medication reminders by showing a picture of the drug, the dose and timing. It can monitor compliance by using sensors to track head movement as a person takes a pill. It also can provide information on side effects and instructions such as whether to take the medication with food.
  • Appointments – The Glass can be programmed to provide appointment reminders, directions to the doctor’s office or hospital and a voice-activated way to call the office. 
  • Communication with the doctor – A patient discussing a skin rash or other concern with a doctor could use the Glass to provide a video or photo of what he sees.

“The ways Glass will be used in medicine will only be limited by our imaginations,” he said. “I feel so strongly it’s going to change things dramatically. It’s an incredible project.”

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But you probably already knew that: a November 2013 article in the American Journal of Emergency Medicine (AJEM) found that community emergency physicians spend 44 percent of their time interacting with EMRs and click up to 4,000 times in a 10-hour shift.


Slow Death by EMR or: How I Learned to Stop Clicking and Love Google Glass

Abstract 

Objective

We evaluate physician productivity using electronic medical records in a community hospital emergency department.

Methods

Physician time usage per hour was observed and tabulated in the categories of direct patient contact, data and order entry, interaction with colleagues, and review of test results and old records.

Results

The mean percentage of time spent on data entry was 43% (95% confidence interval, 39%-47%). The mean percentage of time spent in direct contact with patients was 28%. The pooled weighted average time allocations were 44% on data entry, 28% in direct patient care, 12% reviewing test results and records, 13% in discussion with colleagues, and 3% on other activities. Tabulation was made of the number of mouse clicks necessary for several common emergency department charting functions and for selected patient encounters. Total mouse clicks approach 4000 during a busy 10-hour shift.

Conclusion

Emergency department physicians spend significantly more time entering data into electronic medical records than on any other activity, including direct patient care. Improved efficiency in data entry would allow emergency physicians to devote more time to patient care, thus increasing hospital revenue.

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