医院创新之旅——沙盒实施与部署.pdf

1、Hospital Journey to InnovationHospital Journey to Innovation-Sandbox Implementation&DeploymentSandbox Implementation&DeploymentTomohiro KurodaCIO,Kyoto University HospitalKyoto University Hospital(KUHP)Kyoto University Hospital(KUHP)Landscape of KUHPLandscape of KUHPNorth w.Middle w.Outpatient wCent

2、ral w.West w.Sekitei w.South w.Himedic550m350m230mNightmare of KUHPNightmare of KUHP4History of HIS of KUHPHistory of HIS of KUHPEHREHRCommon Problem of EHRCommon Problem of EHRIoT:The Silver BulletIoT:The Silver BulletThe problem is,people have limited time,attention and accuracy all of which means

3、 they are not very good at capturing data about things in the real world.(Kevin Ashton.That Internet of Things Thing)Direct Data Capture from Machine to MachineDirect Data Capture from Machine to Machine When=NTP Who=Nurse+Patient Where=Bed What=Device How=DeviceBedside IoTBedside IoTHow to Collect

4、How to Collect Automatically?Automatically?Measure PersonMeasure Personat the Bedsideat the BedsideVDT:Bedside IoT(2016)VDT:Bedside IoT(2016)Beyond IoT:ContextBeyond IoT:Context-Aware IT ServiceAware IT ServiceIoT at ICU:SixIoT at ICU:Six-Feet Telemedicine(2020)Feet Telemedicine(2020)Under Covid to

5、Reduce PPE ConsumptionBeyond IoT:Salient HISBeyond IoT:Salient HIS Clinic=Routine+Response Routine :Defined by Clinical Path Response:React Patient Condition Unexpected Happening for HIS Incident Reacting Un-measured EventHIS can estimate coming eventHIS can estimate coming eventHIS needs to ask WHY

6、HIS needs to ask WHYFuture HIS may record EHR automatically Future HIS may record EHR automatically and and ask WHY when unexpected action takenask WHY when unexpected action takenFuture HIS may record EHR automaticallyFuture HIS may record EHR automaticallySI