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Florida Hospital Tracks Nurses Footsteps, Work Patterns
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David F. Carr
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David F. Carr,
User Rank: Author
3/17/2014 | 10:30:23 AM
Tracking people politely
What's the best way to introduce this kind of personal motion detection tech so it seems useful rather than intrusive? Will be interesting to see if this hospital is able to make the jump from nurses using the tech to getting doctors to accept it.
bozozozo
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bozozozo,
User Rank: Apprentice
4/16/2014 | 11:25:13 AM
Re: Tracking people politely
not sure this is as applicable to doctors as to nurses and other on-floor personnel. 

if this system just tracks movement, rather than associating movement with specific tasks, not sure how useful it is to identify whether it is demanding patients (need several actions during a shift that cannot be aggregated), or less efficient nurses (goes to a room once for each of several tasks, rather than going to a room once for several tasks that could be aggregated), or a less efficient resource layout (has to go too far to get materiels needed for specific tasks), or some combination of these and other factors.

would be interesting to apply to hospital design, if these factors could be elucidated.
Whoopty
IW Pick
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Whoopty,
User Rank: Ninja
3/17/2014 | 12:51:49 PM
Efficiency vs humanity
While the inner data nerd in me gets all excited at the idea of optimising a person's workflow to make them more efficienct, in a very "customer" focused business like healthcare, it needs to be taken into consideration that while not all of a nurse's duties contribute to the physical rehabilitation of patients, some of the polite bed side manner enquiries or questions can really help people through a tough time. Often times nurses act as part counsellors during rough experiences so it'll be important to see beyond the data when implementing any changes. 
Laurianne
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Laurianne,
User Rank: Author
3/17/2014 | 3:59:59 PM
Nurse's POV?
I'd love to hear from a nurse here on the pros and cons of such an arrangement. This story reports the amount of running nurses were doing was underestimated. To me that is not surprising.
David F. Carr
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David F. Carr,
User Rank: Author
3/17/2014 | 5:57:32 PM
Heat map image created by Florida Hospital IT
A representative of Florida Hospital asked me to clarify that the "heat map" visualization was created by the hospital IT staff -- it uses the data from the Stanley Healthcare AeroScout system, but it's not something you get out of the box with the product.
ChrisMurphy
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ChrisMurphy,
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3/18/2014 | 8:25:18 AM
Re: Heat map image created by Florida Hospital IT
Custom coding isn't dead, as your example shows, David. It's very hard for companies to get the exact "solution" they want even from industry-specific vendors. As companies dig into Internet of things & people like this, they can't expect vendors will know their needs. Those needs are just too industry, company, process specific. 
Shane M. O'Neill
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Shane M. O'Neill,
User Rank: Author
3/18/2014 | 9:49:57 AM
the greater good
It sounds like the location tracking system is measuring general workflow patterns for the greater good of the staff and patients. I hope that'll always be the goal and tracking doesn't become a lazy way to judge an individual nurse's work performance. There are too many intangibles in the job -- like bedside manner and emotional support -- that count for a lot.
MichaelD759
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MichaelD759,
User Rank: Apprentice
3/24/2014 | 9:57:36 AM
Effective Utilization of Resources
Recognizing patterns of activity is important. Equally important is recognizing the task performed as this will present the opportunity to match the appropriate personnel to the task. Responding to a call light for a glass of water or assistance to the bathroom can be matched differently than a request for pain meds. Also, analyzing travel patterns for needed supplies can be an opportunity for time and dollar savings by supply relocation.
David F. Carr
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David F. Carr,
User Rank: Author
3/24/2014 | 10:23:35 AM
Re: Effective Utilization of Resources
Good point. To some extent, correlating activity with EHR records might help, although that's not typically going to be a minute-by-minute record of what was going on in a given room. Probably the data will be most useful to supervisors who already have some knowledge of what's going on in the nursing unit and can interpret it correctly, make staffing adjustments as needed.
asksqn
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asksqn,
User Rank: Ninja
3/25/2014 | 4:51:44 PM
Unicorns & Rainbows
Since corporately managed healthcare facilities don't pay attn to nurse to patient ratios (unless state mandated) I don't see it bothering with GPS trackers either despite the unicorns & rainbows theory of efficiency. It's not about patient care OR efficiency. The bottom line is the cost to pay the appropriate number of nursing personnel that will adequately be able to provide patient care. Status quo is hospitals don't care to schedule the requisite number of needed nurses bc of the price tag.
David F. Carr
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David F. Carr,
User Rank: Author
3/25/2014 | 6:04:05 PM
Re: Unicorns & Rainbows
They did say that they had not yet used the data to adjust schedules, but they were thinking about it. Maybe you're right that the result won't be a net gain in number of nurses employed, but it could be a matter of shifting people from one shift or unit to another based on a better analysis of where the greatest need is.
bozozozo
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bozozozo,
User Rank: Apprentice
4/16/2014 | 11:30:50 AM
sometimes when you are in the middle of it...
the techs told the staff that "too much was going on." when they were exchanging @ 6am.  is this the best available example of a good result from using this system?  If so, not sure this is gonna be useful.


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