1. Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

2. Noise Problems Noise Problems Problems from Input Problems from Input Design and Layout Design and Layout Patient Accessibility Patient Accessibility Communications Communications Other Problems Other Problems 2

3. Not every ICU has noise problems. It depends on how they design it. Not every ICU has noise problems. It depends on how they design it. ICUs in Northside Hospital are very quiet ICUs in Northside Hospital are very quiet ICUs in Piedmont Hospital are noisy. Alarms, People Talking, and etc. ICUs in Piedmont Hospital are noisy. Alarms, People Talking, and etc. NICU and PICU in Scottish Rite are a bit noisy. NICU and PICU in Scottish Rite are a bit noisy. ED in Emory Hospital has noise problem. ED in Emory Hospital has noise problem. 3

4. 1.Keyboard and mouse are dirty. 2.Especially in ICU room 3.Cause high possibilities of infection 4

5. 1.Nurses often forget to scan medicines when grab it 2.Hard to monitor the usage of medicine 3.The central pharmacy doesn’t when to restock 5

6. Information in ICU is basically text, especially records of medicine 6

7. 1. Input of text use mouse and keyboard 2. Display is for one person. They cannot share 3. Upgrading computer is slow, because it takes time to get used to new input device 7

8. Chart as things happen versus chart at the end of the day 8

9. Information from different sources are in different formats. 9

10. Typing and scanning are not the only way to input information into computer. Typing and scanning are not the only way to input information into computer. Tablet computer or digital pen Tablet computer or digital pen Speech recording and recognition are alternative ways to do it. Speech recording and recognition are alternative ways to do it. Video recording is another choices Video recording is another choices Vision-based computing provides more possibilities Vision-based computing provides more possibilities 10

11. Concrete is adequate structure for big building like hospital, but it has little adaptability. 11

12. 1. They need much more money to change circulation of telephone codes. 2. In order to get visualization of patients’ room, they need to set up extra cameras. 12

13. Texture of wall is really important for children, because they would touch everything. Texture of wall is really important for children, because they would touch everything. Wall and floors need to be easy to wash Wall and floors need to be easy to wash 13

14. Design of Patient Room Doors 14

15. Original designs are not always followed through. Original designs are not always followed through. 15

16. Emory University Hospital ED Four rooms specifically for intensive care Located right across from main nurses’ and doctors’ station Walk-In Entrance EMS Entrance Life Flight Entrance Staff Station ICU Rooms 16

17. Layout Problems Patient and staff congestion is greatest in the hallway outside these rooms Noise is also the greatest in these areas 17

18. Layout Problems Round Layout ICUs in Piedmont Hospital 18

19. Layout Solutions Divert some hallway traffic to other areas, move ICU rooms to new location Add more restrooms to rooms so patients and visitors are not in the hallway excessively Sound absorption walls 19

20. 1.Outboard layout for ICU patient room 2.Lack of accessibility to outside environment 3.Lose track of time 20

21. 1.Patient ability to handle his/her own daily life in ICU 2.Access to TV remote or the alarm to nurse station 3.Control the lighting conditions in the room 4.Cause fall problem Courtesy of Akash Shah 21

22. The integrated central control systems for patients The integrated central control systems for patients Control the devices in patient room by using another ways, such as gestures and light pens. Control the devices in patient room by using another ways, such as gestures and light pens. Speech recognition may be another candidate. Speech recognition may be another candidate. 22

23. Nurses, physicians, patients and family have different goals. Nurses, physicians, patients and family have different goals. All the communications between staffs All the communications between staffs Communications between nurse and patients Communications between nurse and patients 23

24. 1.It is hard to give equal services. 2.Regulations for visitors’ mobile technology 24

25. Other Problems Communicable Disease – any family and friends are allowed in Transfer of knowledge of patient after patient has been stabilized 25

26. Other Solutions Visual cues to remind visitors to wash hands and wear masks Locate cleansers outside each room 26