1. Penfield Virtual Hospital University of Huddersfield 1 Penfield Virtual Hospital Keith Ward & Jim Hartley University of Huddersfield

2. Penfield Virtual Hospital University of Huddersfield 2 Background to developments Overview of Penfield VLE Extensibility to other disciplines Purpose

3. Penfield Virtual Hospital University of Huddersfield 3 Informatics is keyboard/software driven rather than practice driven Consequently Viewed by many as being irrelevant to practice Need to engage students in informatics No integration across curricula ‘bolted on’ No apparent unifying theme Background:

4. Penfield Virtual Hospital University of Huddersfield 4 What is it? Computer software that:- – models some of the features of an acute General Hospital Information Systems –identifies key principles underpinning Nursing Informatics –enbodies some of the core principles set out in the Information for Health strategy document Overview: Penfield

5. Penfield Virtual Hospital University of Huddersfield 5 What does the system Do? Allows users to:- –explore informatics through interacting with the system: data in context = Information; Information in context = knowledge –add, edit and view data held in patient records –problem solve through ‘what ifs’ Overview: Penfield

6. Penfield Virtual Hospital University of Huddersfield 6 Scenarios Interaction with Penfield is through: Scenes Scenarios are built from: Scenes are built from: Tasks} All require Components Are completed by users

7. Penfield Virtual Hospital University of Huddersfield 7 A scenario contains the entire range of user interactions with Penfield over a period of five Penfield days. Penfield runs in its own time 'Penfield Time'. On initial log on Penfield sets its internal clock to n time Monday of the week initial log on occurred. Once set Penfield time elapses sequentially as the scenario progresses. Scenarios

8. Penfield Virtual Hospital University of Huddersfield 8 Scenes determine the series and sequence of user interactions with Penfield at a particular point in Penfield Time. Typically scenes will introduce, illustrate or reinforce informatic principles. Scenes

9. Penfield Virtual Hospital University of Huddersfield 9 From time to time users will be given information about the scene and what informatics principles are being explored; in addition users will be prompted to give answers to questions relating to the scene These answers will accrue as evidence that the scenario has been completed. Scenes are an aggregation of tasks Scenes

10. Penfield Virtual Hospital University of Huddersfield 10 Tasks are specific user interactions with Penfield at a particular point in Penfield Time. Users must complete the task as instructed to continue e.g. enter a temperature reading. Tasks

11. Penfield Virtual Hospital University of Huddersfield 11 Ward Activity with underlying records Admission = X Discharge = 0 34521 X0 34521 X0X00 X 34521 XXXXX00000 Theatre X-Ray Significant Event

12. Penfield Virtual Hospital University of Huddersfield 12 Scenarios will determine the range of components that will be required to enact/complete the scenario. Available Components:- –The Off Duty Manager - Observation charts and records –Nursing Record- Nursing Assessment –POPR- Care Plan –Browser- Qualification Bank –Investigations- Prescription sheet –Learning Management System- Admission form Components

13. Penfield Virtual Hospital University of Huddersfield 13 Software components: Extensibility The User Interface –the buttons, the menus, the pictures The User Interface Manager –the brain The Data Manager –the ‘gopher’ The Relational Database –and, of course, the database

14. Penfield Virtual Hospital University of Huddersfield 14 The scenario will be mapped onto Penfield components/control system using the clock and controller entities Clock & Controller

15. Penfield Virtual Hospital University of Huddersfield 15 Penfield’s patients have pertinent clinical data pre-loaded. This data is revealed as Penfield time clocks and thus gives an impression of ongoing patient activity. Smoke & Mirrors