Guiding Principles for a Pediatric Neurology ICU (neuroPICU) Bedside Multimodal Monitor

Grinspan, Zachary M.; Eldar, Yonina C.; Gopher, Daniel; Gottlieb, Amihai; Lammfromm, Rotem; Mangat, Halinder S.; Peleg, Nimrod; Pon, Steven; Rozenberg, Igal; Schiff, Nicholas D.; Stark, David E.; Yan, Paul; Pratt, Hillel; Kosofsky, Barry E.

doi:10.4338/aci-2015-12-ra-0177

Cited by 9 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent progress has been made to address the technology and workflow issues in the ICU. For example, concepts have been developed for improving a neurological bedside monitor display, which highlights the importance of presenting data in dynamic and flexible formats to support clinicians from different disciplines in different clinical situations [22] ; for assessing the use of an interactive visual aid to improve cardiac ICU team communication processes [23] ; for evaluating an ICU-wide dashboard for tracking compliance with patient safety activities [24] ; and for the design and preliminary testing of an electronic tool to improve the efficiency of ICU rounds [25] .…”

Section: Introductionmentioning

confidence: 99%

Clinician-Driven Design ofVitalPAD–An Intelligent Monitoring and Communication Device to Improve Patient Safety in the Intensive Care Unit

Flohr

Beaudry

Johnson

et al. 2018

IEEE J. Transl. Eng. Health Med.

View full text Add to dashboard Cite

The pediatric intensive care unit (ICU) is a complex environment, in which a multidisciplinary team of clinicians (registered nurses, respiratory therapists, and physicians) continually observe and evaluate patient information. Data are provided by multiple, and often physically separated sources, cognitive workload is high, and team communication can be challenging. Our aim is to combine information from multiple monitoring and therapeutic devices in a mobile application, the VitalPAD, to improve the efficiency of clinical decision-making, communication, and thereby patient safety. We observed individual ICU clinicians, multidisciplinary rounds, and handover procedures for 54 h to identify data needs, workflow, and existing cognitive aid use and limitations. A prototype was developed using an iterative participatory design approach; usability testing, including general and task-specific feedback, was obtained from 15 clinicians. Features included map overviews of the ICU showing clinician assignment, patient status, and respiratory support; patient vital signs; a photo-documentation option for arterial blood gas results; and team communication and reminder functions. Clinicians reported the prototype to be an intuitive display of vital parameters and relevant alerts and reminders, as well as a user-friendly communication tool. Future work includes implementation of a prototype, which will be evaluated under simulation and real-world conditions, with the aim of providing ICU staff with a monitoring device that will improve their daily work, communication, and decision-making capacity. Mobile monitoring of vital signs and therapy parameters might help improve patient safety in wards with single-patient rooms and likely has applications in many acute and critical care settings.

show abstract