Bush Babies Broadband: On-Demand Virtual Neonatal Intensive Care Unit Support for Regional Australia

McGregor, Carolyn; Kneale, Bruce; Tracy, Mark

doi:10.1109/icita.2005.89

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…In addition, 15 percent of neonatal intensive care admissions are transferred after delivery from smaller regional or remote hospitals without intensive care facilities to larger tertiary referral or children's hospitals with Neonatal Intensive Care Units (NICUs). Similar conditions apply within Australia, New Zealand, Canada, and the USA where small non-tertiary units are spread throughout the country (McGregor, Kneale et al, 2006).…”

Section: Neonatal Inter and Intra Organizational Patient Journeysmentioning

confidence: 81%

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A Framework for the Design of Web Service Based Clinical Management Systems to Support Inter and Intra Organizational Patient Journeys

McGregor

2007

International Journal of Healthcare Information Systems and Informatics

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The clinical management of premature and ill term babies is challenged by the necessity of several inter and intra organizational patient journeys. Premature and ill-term babies born in regional Australia and Canada must be moved to another hospital with Neonatal Intensive Care Unit (NICU) facilities. NICU babies requiring surgery must be moved to a Level IV NICU for surgery. Current clinical management supports the transfer of limited patient data via paper or telephone exchange. In this article a framework for the design of Web-service-based clinical management systems to support inter and intra organizational patient journeys is presented. A series of Web services are described and integrated and coordinated through BPEL processes enabling greater support for inter-and intra-organizational transfer of patient data. This framework is demonstrated through a NICU case study. A key benefit of this framework is that it enables the establishment of "on demand" patient journeys eliminating the need to establish permanent point-to-point connections.

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Section: Neonatal Inter and Intra Organizational Patient Journeysmentioning

confidence: 81%

“…This research is part of the larger "e-Baby" research project (Foster & McGregor, 2006;McGregor, 2005;McGregor, Bryan, Curry, & Tracy, 2002;McGregor, Heath, & Wei, 2005;McGregor, Kneale, & Tracy, 2005, 2006. The broad aims of the e-Baby project are to develop:…”

Section: Related Workmentioning

confidence: 99%

A Framework for the Design of Web Service Based Clinical Management Systems to Support Inter and Intra Organizational Patient Journeys

McGregor

2007

International Journal of Healthcare Information Systems and Informatics

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“…Transferred pre-term and critically ill term babies have higher mortality rates and much higher rates of long term disability than similar babies born in hospitals with NICU facilities. An additional aim of this research is to enhance not only the clinical management of patients located locally within a Neonatal Intensive Care Unit, but remotely at a rural or remote hospital [19,20]. This paper presents case study based research in progress supporting the development of a distributed event stream processing framework to enable high frequency distributed data stream event correlation to improve neonatal clinical management.…”

Section: Introductionmentioning

confidence: 99%

High frequency distributed data stream event correlation to improve neonatal clinical management

McGregor¹,

Stacey²

2007

Proceedings of the 2007 Inaugural International Conference on Distributed Event-Based Systems

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“…A few studies have reported generally favourable results. [7][8][9][10][11][12] However, there has been no rigorous evaluation of the clinical and cost-effectiveness of teleconsultation between a tertiary NICU and other health facilities. In particular, there has been no evaluation of the minimum image quality (IQ) and frame rate (FR) required to complete basic assessments of sick neonates using realtime video.…”

Section: Introductionmentioning

confidence: 99%

Preliminary evaluation of a system for neonatal teleconsultation

et al. 2007

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We assessed the efficacy of a system for teleconsultation in the care of newborns via real-time video (NEMO, Neonatal Examination and Management Online). The study was conducted in the controlled environment of a tertiary neonatal intensive care unit (NICU) before deployment for trial in remote hospitals. Eight ventilated infants were studied (their parents providing consent). A range of clinical tasks were completed by 14 medical staff. These included visual assessment of respiratory rate and perfusion, gathering of data from cot-side equipment, and the capture and interpretation of an X-ray image from an LCD screen. In total, 854 tests were completed using the system. In the visual infant assessment phase, 100% of participants read the endotracheal tube taped distance accurately within 1 cm, while agreement between participants and control on respiration rate (within 5 breaths/min) was 93%. When reviewing an X-ray image captured from an LCD screen, 85% of participants agreed with the control regarding endotracheal tube placement (high, normal or low). The results show that the NEMO system provides an efficacious means of presenting tertiary neonatal specialists with timely information beyond that currently available by ordinary telephone.

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Bush Babies Broadband: On-Demand Virtual Neonatal Intensive Care Unit Support for Regional Australia

Cited by 5 publications

References 6 publications

A Framework for the Design of Web Service Based Clinical Management Systems to Support Inter and Intra Organizational Patient Journeys

A Framework for the Design of Web Service Based Clinical Management Systems to Support Inter and Intra Organizational Patient Journeys

High frequency distributed data stream event correlation to improve neonatal clinical management

Preliminary evaluation of a system for neonatal teleconsultation

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