Hospital Technology

8675309Katie Johnson

Maria Khan

Hallie Pedersen

Marlo Owczarzak

Topics Covered• Robots in Surgery

• The Use of Pagers

• Medical X-Rays

• Radio-Frequency Identification

Robotic Surgeryhttp://robotic-surgery.med.nyu.edu/for-patients/what-robotic-surgery/how-da-vinci-si-works

Life Before

•Robot-free

• larger incisions

http://medicalandhealthcare.com/wp-content/uploads/2014/04/Surgeons.jpg

The Present Day

• three components

•3D viewing

http://robotic-surgery.med.nyu.edu/for-patients/what-robotic-surgery/how-da-vinci-si-works

Current Robots

• Four arms

•1.5 million surgeries

•Screens

http://robotic-surgery.med.nyu.edu/for-patients/what-robotic-surgery/how-da-vinci-si-works

Positives

•Relaxed

•Small

•Precise

•Wrist Movement

•Recovery

• Less trauma

• Four

http://intuitivesurgical.com/company/media/images/standard/camera_arm_lr.jpg

Negatives• Lawsuits

•Slower

•Not for all

•Tissue damage

• FDA trouble

•Expense

•Training

•Negligencehttp://static.cdn-seekingalpha.com/uploads/2014/7/28/3099651-14065580421013517-Andy-Batts.jpg

Amelioration of the Negatives

•Training

•Publicity

•Money

Pagers

http://i2.cdn.turner.com/money/dam/assets/130506111031-doctor-hospital-pagers-620xa.jpg

Before Pagers

•Telephones

•Different Environment

http://www.ideal-homes.org.uk/__data/assets/image/0006/350745/guys-00615-640.jpg

Use of Pagers Today

•Majority of hospitals

•Operator necessity

•Unique to location

http://mobihealthnews.com/wp-content/uploads/2011/08/Doc_Pager-300x199.jpg

Positives• Size

• Reliability

• Privacy

• Loud

• Widespread Coverage

• HIPPA

• Safteyhttp://mediad.publicbroadcasting.net/p/wuwm/files/201304/news_040912163641_1_large.jpg

Negatives

• “Old” Technology

• Short, Lack of Audit Trail

• Specificity

• Limited Purpose

• Slowhttp://www.pagersdirect.net/images/alpha-wCradle.jpg

Solutions

• Smartphones• Onset Technology

• Medxnote

• Renovating Pagers

http://medxnote.com/

Pager/Robot Surgery Simulation Activity

Scavenger Hunt

Instructive Drawing

Medical X-Rayshttp://dxline.info/img/new_ail/hand-x-ray.jpg

Life Before

•trust in doctors

•physical examination•broken bones•tumors•bullet wounds

Present Day

•Radiography• single image

•Fluoroscopy• continuous image on monitor

•CT•multiple images around body

Positives• diagnosis disease and monitor

therapy

• support medical and surgical treatment planning

• guide medical personnel as they• insert catheters, stents, or other

devices

• treat tumors

• remove blood clots or other blockages

http://shoulderdislocation.net/wp-content/uploads/2009/09/hills-sachs-lesio-L-shoulder-confirmed-on-CT.jpg

Negatives

• increased risk of developing cancer later in life

• tissue effects such as cataracts, skin reddening, and hair loss• high levels of radiation

Amelioration of Negatives

•reducing exposure to radiation

•patients understanding balance of benefits and risks

•only when necessary

•ALARA principle

http://animalmigration.org/RFID/images/RFID_SYSTEM.gif http://www.vizbee-rfid.com/sites/default/files/imce/press/rfid_label.jpg

Before RFID

• Manual Input

• Face to Face

http://www.siemens.com/press/pool/de/pp_cc/2007/10_oct/sc_upload_file_sosep200729_29_rfid_300dpi_1465406.jpg

Present Day

• Chips are imbedded in bracelets of patients

• Badges of nurses and doctors

How it works• Electromagnetic fields

• Can be passive, active or battery-assisted passive (BAP)

• Active- periodically

• submits signal

• BAP activated in

• presence of reader

• Passive- no batteryhttp://t0.gstatic.com/images?q=tbn:ANd9GcQlZEJGiAObEoMVpm13VYVMzJeZ5FeUi4VaQxEIE1oTr5W_p2SVAQ

Positives• Extremely cost efficient

• Constantly able to track location

• Track instruments & equipment

• Restrict access to certain high-threat drugs

• Access patient information at any time

Negatives

• Could possibly interfere with the other equipment and technology

• Don’t adapt easily to hospitals

• Implementation is difficult

Solutions

• Slowly start implementing

• Run tests

Works Cited"6 Lessons Hospitals Have Learned About Smartphones." HIMSS. Amcom Software, n.d. Web. 15 Oct. 2014. <https://www.himss.org/files/HIMSSorg/content/files/Code%20153-6-Lessons-Hospitals-Smartphone-Messaging_Amcom.pdf>.

"Bringing paging into the future: Healthcare field targeted for paging-enabled smartphones - RCR Wireless News." RCR Wireless News. N.p., n.d. Web. 20 Oct. 2014. <http://www.rcrwireless.com/20090206/wireless/bringing-paging-into-the-future>.

"Da Vinci." Da Vinci Surgery. Intuitive Surgical, Inc., n.d. Web. 17 Oct. 2014.

"FDA Warning Letter to Robotic Surgery Manufacturer, Which Complains of “negative Press”." HealthNewsReview.org. HealthNewsReview.org, n.d. Web. 17 Oct. 2014.

"Goodbye pager. Hello smartphone.." More physicians using smartphones, not pagers. N.p., n.d. Web. 20 Oct. 2014. <https://www.tmait.org/articles-and-insights/case-in-point/goodbye-pager-hello-smartphone/>.

"Healthcare, Hospitals & Clinics - Pager.net." Pagernet. N.p., n.d. Web. 20 Oct. 2014. <http://pager.net/industry-solutions/healthcare/>.

"How the Da Vinci Si Works." The Robotic Surgery Center. NYU Langone Medical Center, n.d. Web. 16 Oct. 2014.

"Hysterectomy Robot Surgery." Bencel Law Firm. BadRobotSurgery.com, n.d. Web. 17 Oct. 2014.

Kavilanz, Parija. "Pagers cost hospitals billions." CNNMoney. Cable News Network, 7 May 2013. Web. 20 Oct. 2014. <http://money.cnn.com/2013/05/07/technology/enterprise/hospital-pagers/>.

"LATEST." Txchnologist. N.p., n.d. Web. 20 Oct. 2014. <http://txchnologist.com/post/73507786164/irish-startup-hopes-to-banish-pagers-from-the-hospital>.

"Medical Discovery News." Medical Discovery News. UTMB Health, n.d. Web. 19 Oct. 2014. <http://www.medicaldiscoverynews.com/shows/xray.html>.

"mobihealthnews." mobihealthnews RSS. N.p., n.d. Web. 20 Oct. 2014. <http://mobihealthnews.com/12503/why-doctors-pagers-still-trump-smartphones/>.

"New technologies replacing dated hospital tools." Tech Page One. N.p., n.d. Web. 20 Oct. 2014. <http://techpageone.dell.com/technology/new-tools-to-replace-dated-hospital-technology/#.VD7QMmddWSo>.

"No more pagers, how one physician is building a smarter smartphone communication app - iMedicalApps." iMedicalApps No more pagers how one physician is building a smarter smartphone communication app Comments. N.p., n.d. Web. 20 Oct. 2014. <http://www.imedicalapps.com/2014/05/pagers-physician-app/>.

"RFID Solutions for Hospitals." RFID Solutions for Hospitals. N.p., n.d. Web. 20 Oct. 2014. <http://www.activewaveinc.com/applications_hospitals.php>.

"RFID yielding savings for hospitals." Healthcare Finance News. N.p., n.d. Web. 20 Oct. 2014. <http://www.healthcarefinancenews.com/news/rfid-yielding-savings-hospitals>.

"Radio Frequency Identification." Wikipedia. Wikimedia Foundation, n.d. Web. 20 Oct. 2014. <http://en.wikipedia.org/wiki/Radio-frequency_identification#Hospitals_and_healthcare>.

"Robotic Surgery: MedlinePlus Medical Encyclopedia." U.S National Library of Medicine. U.S. National Library of Medicine, n.d. Web. 15 Oct. 2014.

"The Robotic Surgery Center." The Robotic Surgery Center. NYU Langone Medical Center, n.d. Web. 15 Oct. 2014.

"Where pagers haven’t gone extinct yet." Fortune Where pagers havent gone extinctyet Comments. N.p., n.d. Web. 19 Oct. 2014. <http://fortune.com/2013/07/16/where-pagers-havent-gone-extinct-yet/>.

"Why Doctors Still Use Pagers -." Rock Health. N.p., n.d. Web. 18 Oct. 2014. <http://rockhealth.com/2013/07/why-doctors-still-use-pagers/>.

"Why do doctors still use pagers?." KevinMD.com. N.p., n.d. Web. 20 Oct. 2014. <http://www.kevinmd.com/blog/2014/10/doctors-still-use-pagers.html>.

"U.S. Food and Drug Administration." Medical X-ray Imaging. FDA, n.d. Web. 19 Oct. 2014. <http://www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/MedicalX-Rays/default.htm#balancing>.