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w7

(jon)

After all the fuss, here's where we left off with thursday's class (10.05.2006)

Get with your group and try to come up with a one page summary/budget/proposal of how you will approach your project. If possible, include budget, details, etc.

SuperBed ??
RL ??

Patient Comm
Travis (CS)
Camilo (ID)
Taryn (ENGR)

Comm Electro
Phil (PSY)
Alexis (ENGR)

Patient Zone
Jenna (ID)
Jason (ARCH)
Patient Room Design Project.doc

Family Zone
Joe (ENGR)
Cheri (NURSE)
Bo (ARCH)

Bathroom
Josh (ID)
Jon (ID)
Young Mi (ID)
Bathroom Proposal.doc

Nursing Zone
Ted (ID)
Michelle (NURSE)
Rini (ID)

Monitoring Patients
Selen (ARCH)
Clarissa (ARCH)

Pics DeKalb Medical Center.zip
!! IGNORE BELOW !!


PatientRoom_evalform_A.doc
Post project proposals here by Wedesday 9:30 pm. (including all past group proposals, and any new proposal you may have)_


PLEASE SIGN UP FOR YOUR FIRST CHOICE AND SECOND CHOICE UNDER THE PROJECT DESCRIPTIONS THAT YOU ARE INTERSTED IN BY TYPING YOUR NAME AND EMAIL ADRESS!

NOTE1 : EACH PERSON IS REQUIRED TO SIGN UP (1) FIRST CHOICE AND (1) SECOND CHOICE!
NOTE2 : MAX 3 PEOPLE CAN SIGN UP UNDER FIRST OR SECOND CHOICE PART.
NOTE3 : IF THE PROPOSAL YOU ARE INTRESTED IN HAS ALREADY BEEN SIGNED UP BY #3 PEOPLE, PLEASE EMAIL TO PROF. ELLEN DO.




Patient Communication System



Problems:
• Aging trends;
• Recovery & rehabilitation make it hard to move & communicate
• Changes in physical, cognitive and psychological function
• Communication breakdowns/linguistic differences
• Problem with patient isolation/satisfaction
• Legal & regulatory requirements: CARF, ADA Requirement for ‘effective communication’

Process:
• Pt & family interviews
• Nurse Interviews
• Literature Review

Solution:
• Mock up interface (perhaps a Web site) that can be tested
• To improve overall communication among all those involved in pt care: patient, family, medical assistants, therapists, MDs, etc.
• Provide health information, record vital signs, post questions from pt/family to staff, etc.


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: Travis Fischer
2.PERSON: Taryn Davis
3.PERSON: Camilo Vargas

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:




Super Bed


The patient bed is an integral part of the hospital patient room. The patient spends a great majority of their time there. Nurses, doctors, and family members interact with the patient at the bedside. Currently, the patient bed does not sufficiently meet the needs of the patient. Upon evaluating the current system and options for patient beds, we propose a Super Bed which would incorporate several necessary functions. Health/safety: patient scale, converts to chair, waterproof mattress; Comfort: wider & longer, Sleep Number mattress; Commmunication: tablet PC to interface with tv/computer monitor; Portability: improved casters to ease mobility;


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON: Cheri Mullen cheri_mullen@yahoo.com
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:Young Mi Choi christina.choi@gatech.edu
2.PERSON:
3.PERSON:



Storage Ledge/Space for Personal Items


Space is in high demand in the patient room. Nurses and Doctors need space for devices and equipment. Patients need space for personal items to make them feel more at home and comfortable. We propose a storage ledge for the patient room that will suit the patients storage needs without encroaching on doctors' and nurses' needs.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:



Bathroom Space as the Product


Current bathroom designs have become unsafe or awkward for patients to use by themselves and these designs are now hindering healthcare. The primary job of nurses is to provide healthcare to patients. Toiletry is a burdensome, time consuming and unpleasant task for nurses. If a design can provide ways to limit, if not remove, the ¡§bathroom duty¡¨ from the nurse¡¦s responsibility, they would have more time to focus on patient needs. Different patients have different needs and new bathroom designs need to take these into account. Ultimately, the design needs to balance the desire to maintain the privacy, dignity and independence of the patient while ensuring their safety.

In this proposal, the bathroom space is designed as a whole instead of separate components in the room. This proposal would develop a set of criteria or design guides for bathroom layout depending on the needs of a patient group (similar to the Dreyfuss Human Scale).

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:Camilo Vargas
3.PERSON:



Space in the Bathroom Product



Current bathroom designs have become unsafe or awkward for patients to use by themselves and these designs are now hindering healthcare. The primary job of nurses is to provide healthcare to patients. Toiletry is a burdensome, time consuming and unpleasant task for nurses. If a design can provide ways to limit, if not remove, the ¡§bathroom duty¡¨ from the nurse¡¦s responsibility, they would have more time to focus on patient needs. Different patients have different needs and new bathroom designs need to take these into account. Ultimately, the design needs to balance the desire to maintain the privacy, dignity and independence of the patient while ensuring their safety.

The medical community has benefited previously from NASA technology and this proposal looks at new technologies to integrate. Specifically, this project would look at using NASA technology to redesign the bathroom facilities into flush-less, water-less vacuum-based systems. This could be used either for the toilet facility in the restroom or for other toiletry systems such as catheters. This would remove the need for nurse handling and disposal of catheter bags. The system could also automate outflow measurements. The waste water could be disposed into the normal sewer system or NASA reclamation technologies could be used to purify the water to be reused for green space to improve patient psychological health.


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:



Changing the Bathroom Space


Current bathroom designs have become unsafe or awkward for patients to use by themselves and these designs are now hindering healthcare. The primary job of nurses is to provide healthcare to patients. Toiletry is a burdensome, time consuming and unpleasant task for nurses. If a design can provide ways to limit, if not remove, the ¡§bathroom duty¡¨ from the nurse¡¦s responsibility, they would have more time to focus on patient needs. Different patients have different needs and new bathroom designs need to take these into account. Ultimately, the design needs to balance the desire to maintain the privacy, dignity and independence of the patient while ensuring their safety.

Design the bathroom space so that all components in it are adjustable. Based on the individual needs of the patient that currently occupies the room, the bathroom space can be adjusted to fit the patient needs. Concrete examples could include adjustable height toilet seats, hidden rails on walls that can be pulled out, or fold-down shower seats. This design would allow maximum flexibility for all while allowing maximum functionality for the individual.


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Jon Jowers
2.PERSON:
3.PERSON:



Nurse Zone
Problem:
The goal of this project is to analyze the workflow of the RN to best orient counterspace, space at foot of bed, location of bed/sink, sharps, gloves, hand wash, and computer.
Potential Issues

Process:
Nurse Interviews
Literature Review
Mock up that can be tested

Solution:
Provide spacial recommendations for optimal organization of the RN zone


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: TED
2.PERSON: Clarissa (clarissa@gatech.edu)
3.PERSON: Bo Seo

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Alexis Wismer (awismer@gatech.edu)
2.PERSON: Joe Attokaren (gte512z@mail.gatech.edu)
3.PERSON:Michelle Ossmann (mossmann3@gatech.edu)(actually my first choice)



Family Zone
Problem:
Families experience loss of control and great anxiety associated with illness. Concurrently, they must continue current activities of daily living (ADLs). This project attempts to best address those needs.

Process:
Family Interviews
Focus group of current families
Questionnaire to families
"ask, observe, and engage"

Solution:
Provide spacial recommendations for an optimal family zone.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: Joe Attokaren (gte512z@mail.gatech.edu)
2.PERSON: Michelle Ossmann (mossmann3@gatech.edu
3.PERSON: Clarissa (clarissa@gatech.edu)

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:



Patient Room Medical Waste Solution

Objective:
To develop a concept of cleaning and disposing medical waste in the patient room

Problem definition:
Medical waste, also known as clinical waste, refers to biological products which are essentially useless. Disposal of such waste is an environmental concern, since many medical wastes are infectious or biohazardous, and can spread infectious diseases. Each year, the hospitals over the nation can generate more than two million tons of wastes.
Three categories of medical waste are considered in this project:¡§Sharps";Bulk blood and body fluids; Solid waste.

Solution:
A trash bin or medical waste collecting station in the patient room
Features: 1.Prevent re-opening without a special security tool. It is secure, using a fill level indicator and a baffle to prevent spillage. 2.Separate different types of waste at the point of generation and keep them isolated from each other. It is customizable. 3. Recovery and reuse materials from the waste stream. „Ï 4.Fashion, smart, and a nice match with the patient room.
Other innovative features will be defined after research.

Method:
Research: literature review, on site observation (mapping), interview
Design: concept sketch, 3D model, (prototype), testing and improve.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: TED
2.PERSON: Jon Jowers
3.PERSON: Xiaoyi ye

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:



Universal User Interface

The many devices that are utilized in a patient room often display ambiguous information, have varying alarms, the probability of programming errors, and inconsistent user interfaces. All of these issues increase the training time necessary to learn each device as well as increase the possibility of a potentially fatal error. A universal interface would have consistent interactive behavior and would display all of the patient’s information in one location.

This proposal would review human-computer interaction literature as well as the current technologies available. In addition, nurses/doctors/care givers would be interview, surveyed, and observed. Finally, the design would be tested through the use of prototypes. The outcome would be a prototype that would identify the information to be displayed, as well as detail how the single interface interacts with all equipment in the room.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:



Interface for Family Involvement in Patient Care

Problem
With increasing demands on the healthcare system, particularly with end-of-life and geriatric care, technology should be leveraged to support family involvement in patient care. Such a system could provide education about the patient’s condition, a simplified vital signs monitor and activity display (patient activity history for family visiting after work, etc.), and a communication system for the patient – family and caregiver – family (e.g., leave notes, email, text message, etc.). The need for this product has its roots not only in the future state/context of healthcare but also a survey of extant technology and hospital settings, which seem to provide less-than-optimal support for the family. There are also documented cases of family involvement: “patient’s mother reported that the pump had a blank screen and no motor noise” (FDA, 5/16/06).

Process
To complete this project, we will start with a literature review and conduct survey research, focus groups, or interviews (whatever is possible) with a representative sample of users to determine their needs. This would include caregivers, patients, and people who have had family members hospitalized, since direct observation will likely be difficult (IRB issues). With the resulting data, we will be able to determine and prioritize functions to be included in the system (i.e., function allocation). Finally, through iterative design and user testing, we will arrive at a mockup of the software and possibly the hardware (e.g., laptop, touchscreen kiosk, etc.) as well.

Outcome
Due to modernization (and busy schedules), it is increasingly difficult for family members to remain bedside, despite their natural desire to (c.f., Cho & Kim, 2006) and obvious need (i.e., caregivers' are overburdened). Hence, the proposed system promises to improve quality of patient care, by facilitating communication between the family member and the caregiver and patient, enabling greater involvement. It also has the potential to be extended beyond this semester, looking at applications outside the patient room (e.g., hospice care), wherever family members, caregivers, and patients may interact to improve quality of patient care and life.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: Phil Chung
2.PERSON: Alexis Wismer (awismer@gatech.edu)
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Travis Fischer
2.PERSON: Selen Okcu [okcuse@yahoo.com]
3.PERSON: xiaoyi ye



Physical and technological investigations in "watching" the patients

Problem

The concept of “watching the patients” is one of the most important issues in quality of patient care. The process of watching the patient from central nurse station happens in two ways: one is literally [visually] watching the patient; the other is following up the patients` real time digital medical records.

(1) The first problem I will draw is about physical design that is the spatial relation between nurse station and patient room. Between central nurse stations and the patient rooms, there is a considerable amount of physical distance which negatively affects the nurse’s ability to watch their patients.

(2) The second problem that I want to address is related with the process of watching the patient’s real time medical records [digital heart rate, blood pressure ..etc]. Caregivers have to physically exist at the nurse station to visually follow the patient’s digital real time records from the monitor. Nurses have limited time to spend at the nurse station because they have to leave the station to take care of their other responsibilities. Therefore, there are interruptions that do not allow the care givers to watch their patient’s records continuously.

Process

1. problem:
Reconsideration of current design solutions [architectural or industrial design solutions]
Interview with care givers
Observation

2. problem:
interview with care givers
reconsideration of the possible ways of receiving information when one is mobile [seeing, hearing..etc]
deciding the level of patient’s medical information [how much detailed] that the care giver needs when they are mobile.
exploration of appropriate technology
modification of the current hardware solutions

Outcome
1. problem: physical design solution [[architectural or industrial design solutions]]
2. problem: wireless technological devices that will convey information to care-givers about the general health status of the patient continuously even when the care-givers are mobile.


1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:Selen Okcu[okcuse@yahoo.com]
2.PERSON:Young Mi Choi christina.choi@gatech.edu
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Phil Chung
2.PERSON: Bo Seo
3.PERSON:





This is all BLUE because it is one proposal

The following proposes a whole new way to proceed, by combining what everyone has come-up with into logical groupings. This is bound to happen in the long run, so let it happen now! Why eliminate when good ideas will naturally override? All 15 ideas are represented below.

It will proceed with a system framework in mind; each group will communicate with the others, creating one unified patient room of the future. No individual projects that don't relate to the whole. Instead, this advocates for one look and feel because we're all on the same team, collaborating. Everyone is encouraged to join; find others who are doing something similar to what you find interesting and join-up with them to strengthen each other's ideas, perspectives, and skills. Limit to 3 per group.

It is proposed that the nurses act as floating advisors, and the faculty act as group co-leaders.

Nurse Zone/Work Station/Disposability Center/Waste Disposal
Problem: Creating a flexible work area for nurses; combining what the nurses encounter in the patient room space; grouping disposal items for ease of servicing; addressing waste disposal needs.
Process: Consolidation, space re-purposing
Solution: disposal station, nurse work surface.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: TED
2.PERSON: Jon Jowers
3.PERSON: xiaoyi ye

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Cheri Mullen (cheri_mullen@yahoo.com)
2.PERSON:
3.PERSON:



Family Zone/Sleeper Storage/Shelf
Problem: Hard to accomodate overnight visitors. Sofa takes up a large % of open space.
Process: Interview nurses, take inventory and measure existing sofa and window, develope sketches and design solutions that would create a bed, seat, and storage all in one piece.
Solution: build a full scale mock up in a room that includes functional headwall partition and disposability center

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:Jason Dooley ajd@snp-studio.com
2.PERSON:
3.PERSON:


Patient Zone/Headwall Partition/Redefining Spaces
Problem:
The patient room is a multi-purpose machine that needs to be adaptable to and designed with the patient in mind. The problem with this fact is that currently this customization is achieved by simply bringing in numerous items and pieces of equipment into and out of the room to help monitor and care for the patient. Many of these items have their own wheeling stands or carts associated with them. This aggregation creates clutter in the room, impeads the traffic flow within the room, and can be bothersome or annoying to the patient and family.

Process:

Solution:
The solution here is simple consolidation for spacial and user efficiency: Creation of a modular/adaptable/customizable piece of furniture centered around the patient but usable and servicable by the Nurse and Family.

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON: Jason Dooley ajd@snp-studio.com
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:
2.PERSON:
3.PERSON:


Bathroom Space
Problem:
Process:
Solution:

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON: Jon Jowers
2.PERSON:
3.PERSON:




Communication Electronics/Consistent User Interfaces
Problem:
Process:
Solution:

1st CHOICE [sign up under this part if this proposal is your first choice]
1.PERSON:Camilo Vargas
2.PERSON:
3.PERSON:

2nd CHOICE [sign up under this part if this proposal is your second choice]
1.PERSON:Taryn Davis
2.PERSON:
3.PERSON:



Each project proposal should have 3 parts (1) problems, (2) process, and (3) outcome

Everyone can then indicate their choice for projects (not more than 3) on the projects starting Thursday morning
..

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