Improve admission, transfer and discharge with AR-compatible glasses

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In accordance with NIH, the population aged 65 and over in the US is expected to almost double over the next three decades, from 48 to 88 million by 2050. Population aging is an inevitable burden for health care with the number growing number of Medicare and Medicaid patients who need it. of special assistance from hospitals, assisted living centers, home care agencies and other providers.

Therefore, health professionals will be the ones to face the challenges related to the growing workload, and the first to feel the change are the ADT nurses. They will have to deal with the growing number of patients admitted to the facility keeping up to date with formal procedures, standards and processes.

How nurses will address ADT’s challenges with emerging technologies

Currently, nurses can now delegate a routine portion of their ADT workflows to mobile applications. But this is not a definitive option, as nurses still need hands-free to help patients, making tablets, smartphones and watches a temporary outlet.

The emerging era of AR devices, especially glasses, can be a promising tool to overcome the drawbacks related to other mobile devices. The specialized applications created only for AR compatible glasses are the type of custom medical software to simultaneously streamline nursing workflows and improve the quality of care by turning tedious procedures into a casual conversation with a patient and system.

As a result, the ADT application for AR-compatible glasses can help caregivers achieve the following ADT-related goals:

  • Decreases the workload of ADT nurses by automating some of the routine tasks and introducing the hands-free experience
  • Improve patient satisfaction by eliminating certain paperwork, missed steps, or action items that arise due to gaps in paper-based or desktop workflows, for EHR only
  • Ensure more timely and organized processes with all important notifications sent directly to the nurse’s glasses

Application functionality

The functionality of the ADT solution can be divided into three main groups:

  • The ADT process
  • Programming and reservation
  • Patient identification

The ADT process

Functionality for patient admission with emergency and / or hospitalization settings (for acute care or short-stay hospitals) to document patient initial data during the admission process. Includes booking a room or bed, registration of vital states, filling out the admission questionnaire and more.

Functionality for patient discharge. It allows you to guide, consult and support nurses with the preconfigured management list.

Functionality for patient follow-up. It guarantees quality care from admission to discharge through functions such as monitoring the time and location of care, monitoring the tasks assigned and performed and informing relatives and / or companions of a patient about any important event.

ADT process

Each functional set also includes smart checklists of process steps, expandable and configurable using the server. Nurses could interact with smart checklists through voice recognition and control features, ticking checkboxes, and receiving tips on the next steps and more. There can be a variety of numerous checklists, depending on the needs of the caregiver.

Programming and reservation

Voice and gesture control. Nurses can use their voices and gestures to facilitate multiple tasks. For example, they can raise their hand to make the list with options appear, choose the item from the list, and activate it with the push gesture. At the same time, a health care professional can ask the ADT app to call someone on the care team, check insurance information, and more.

The patient grid and nursing shifts. This functionality is useful for a senior nurse on duty and the head of nursing to keep in touch with nursing schedules.

Bed / room reservation. Nurses can ask the ADT app to show the list of free beds or pavilions, check the items ready to be booked in real time, and book the chosen bed / room. This feature is especially beneficial for emergency or acute care admissions.

Ask for help. In case an ADT nurse needs a specialist consultant to help him in any problem or difficulty, the system can contact another nurse or doctor.

Patient identification

Patient registration and rapid identification. During admission, nurses can use their voices and gestures to register the patient in the EHR system without even touching it. They can create and edit each patient’s information, such as name, address, gender, age, ID, and so on. Nurses can also record various patient biometric data and quickly identify them during the next admission or when needed. The biometric identification of the application allows the patient to be recognized by fingerprints, a voice sample, iris scan or facial recognition.

Fusion of patients. This functionality involves mechanisms for preventing duplication with phonetic validation of name, gender, date of birth, and other unique identifiers (e.g., SSN or NHS number). It also allows you to merge two clinical histories of the same patient, as long as an error record is created.

Cross-referenced patients. The feature supports the correlation of patients across multiple facilities without the need to define or commit to any specific organization policy using the Patient Identifier Cross-Reference System (PIX).

The ADT application: a use case

Admission

Emergency admission

If a patient is admitted to an acute care hospital in critical condition, health professionals must first stabilize him. Using the AR device with the solution installed, nurses can record vital signs and identify the patient using the information provided by relatives, the patient’s SSN, fingerprints, and more. The ADT nurse then selects a bed / room, which initiates a new assignment for another nurse to prepare or check the accommodation conditions. The nurse in charge of the wards / beds receives the task in real time and prepares / checks a normal bed or makes sure that a makeshift bed is prepared.

The whole process is carried out in accordance with standard procedures and appropriate checklists. The ADT application automatically records video / photo / voice data, the nurse ticks the checklist boxes using voice or gestures. Once the preparations are completed, the bed / room gets green and the ADT nurse receives a notification. The ADT nurse then receives the hospitalized patient when their condition is stable.

Expected entry

When a patient arrives at the hospital reception room or admission office for short-stay care, the nurse already enters the planned ADT data into the ADT system. Consequently, the ADT nurse (or the floor nurse, depending on the workflow) already has the bed or room reserved, is prepared and monitored in the same way as in the entry stage of urgency. The ADT nurse also receives notification of the patient’s arrival and meets with the person in the reception room.

The ADT nurse welcomes the patient and their relatives, confirming the patient’s identity (name, gender, date of birth, SSN or NHS). In addition, the nurse can also offer the patient to record biometrics for rapid identification of the patient in the future. The patient is examined, vital signs are recorded, CBC and urine tests are performed. The nurse also fills out the admission questionnaire.

The health specialist is guided through all stages of the procedure and marks the stages as complete through voice or gestures.

The nurse then accompanies the patient to the ward, answering questions and reporting on the hospital’s internal rules, use of the intercom, TV remote control, bed control, and so on. At the end of the procedure, the nurse marks the admission checklist as done.

Transfer

The process of planning and preparing for the transfer from one patient to another patient / unit or nursing facility is similar to admission with bed / straw reservation, assignment of tasks, and more. The difference is that the ADT nurse must also request additional equipment (e.g., a wheelchair), schedule transportation, and assign the task of cleaning the room. In addition, the patient would not need additional examination.

High

When planning your discharge, the ADT nurse also has a preconfigured checklist / to-do list and a list of arrangements within the ADT application. The health specialist reviews the documentation to make sure the forms and signatures are correct, reserves the medical equipment (for example, a wheelchair), and informs the patient’s relatives, all with the help of the patient. ADT application.

After the patient (or their relative) receives the discharge documents, the nurse assists the staff in accompanying the patient out of the facility. The ADT nurse then marks the bed / room for disinfection and preparation for the next admission and assigns this task to another nurse according to the workflow.

When the ADT nurse marks the discharge procedure as complete, the ADT system automatically generates a discharge report with the date and time of discharge, special medical instructions for the patient, and other information. The ADT nurse verifies the report and, if necessary, edits it. The ADT system then saves this report and marks the complete final download stage.

ADT app adoption: custom vs

While there are currently no packaged ADT applications available for AR-compatible glasses, the issue of build versus buy is always relevant. When the market for RA health applications will receive alternatives, caregivers will have to decide.

Given the custom medical software option, providers may reject it due to the time and budget required. However, even the most functional solution of the box will need an adaptation. The adaptation process involves a number of yes and no: a vendor may refuse to add some necessary functional elements, other functions may require additional code. Adjustment also takes time, which can lead to unwanted delays in application adoption. In other words, vendors can end up with everything they really wanted to escape by buying a packaged solution.



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