{"items": [{"author": "Andrew", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645804465552", "anchor": "fb-645804465552", "service": "fb", "text": "Nick and Chrissy O'Connor, thoughts on this idea?", "timestamp": "1390274131"}, {"author": "Nick", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645805847782", "anchor": "fb-645805847782", "service": "fb", "text": "Yes. This is what we do. :)", "timestamp": "1390275053"}, {"author": "Neil", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645807594282", "anchor": "fb-645807594282", "service": "fb", "text": "Not a bad idea. A lot of hospitals are using iPads extensively, though I don't think they get carried around all the time. I could see them adding iPods to the mix so that everyone could carry one around for the full shift. This would probably be more useful that a bunch of alarms going off in various rooms (I think only the most important actually link to the desk (or where ever they are monitored remotely).", "timestamp": "1390276023"}, {"author": "Josh", "source_link": "https://plus.google.com/118273920476267337216", "anchor": "gp-1390277068545", "service": "gp", "text": "My guess is that the tech isn't seen as being as reliable. Take a sensor and wire it up to something that produces current; route that current into a speaker that goes beep; voila. Add a wireless network component, and now you've got all sorts of new things that can go wrong. And if it's an alarm where a minute or two of going-wrong means people die, that's problematic.", "timestamp": 1390277068}, {"author": "Colin", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645822289832", "anchor": "fb-645822289832", "service": "fb", "text": "hmm - devices carried around = breeding ground for bugs! even ties have been shown to be really bad for that, and you don't touch a tie that often...", "timestamp": "1390281106"}, {"author": "Jeff Kaufman", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645861127002", "anchor": "fb-645861127002", "service": "fb", "text": "@Colin: \"devices carried around = breeding ground for bugs\"
Something mounted on the head shouldn't be a problem, right?", "timestamp": "1390328243"}, {"author": "Neil", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645862244762", "anchor": "fb-645862244762", "service": "fb", "text": "Ties are dangly and porous. They brush against all sorts of stuff including the patient when the wearer leans over them. There are many, many things that are already carried around all the time by medical staff adding one more that will never come in contact with the patient is not likely to increase any risk.", "timestamp": "1390328712"}, {"author": "BDan", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645867494242", "anchor": "fb-645867494242", "service": "fb", "text": "Give them copper cases, and it will take care of any potential problem.", "timestamp": "1390331502"}, {"author": "Josh", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645868901422", "anchor": "fb-645868901422", "service": "fb", "text": "I suggested this on G+, and no one responded; curious what others here think: My guess is that the tech isn't seen as being as reliable. Take a sensor and wire it up to something that produces current; route that current into a speaker that goes beep; voila. Add a wireless network component, and now you've got all sorts of new things that can go wrong. And if it's an alarm where a minute or two of going-wrong means people die, that's problematic.", "timestamp": "1390332468"}, {"author": "Chris", "source_link": "https://plus.google.com/117346402173047680184", "anchor": "gp-1390332722556", "service": "gp", "text": "@Josh\n\u00a0I would think that you could have this be fairly reliable by doing things like having codes that show up on the monitoring station when the signal isn't coming through (so if a plug gets pulled or the wireless is shoddy).\n
\n
\nYou could also have the opposite and have the sensor have a speaker on it and if the alarm needs to fire and it isn't getting a response from the monitoring station, then it can use the old method.\n
\n
\nYou could also only use this sort of thing for less urgent problems.", "timestamp": 1390332722}, {"author": "John", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645872918372", "anchor": "fb-645872918372", "service": "fb", "text": "I've read that there are so many beeps and alarms that after a while some of them get ignored and sometimes it is the wrong one. Some hospitals have been experimenting with reducing some of them. It would seem that smart technology could be used to determine who to inform and track response.", "timestamp": "1390335123"}, {"author": "Nick", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645872973262", "anchor": "fb-645872973262", "service": "fb", "text": "We give nurses iPhones/iPod Touches so that they still have their hands to perform nursing tasks. It's really easy to sanitize a flat surface. Google Glass may be preferable to the traditional hand-held however, but may actually be more apt to carry an infection because of the discrete and non-uniform topography. As a note, there are 99,000 deaths every year due to hospital based infections in the US alone.", "timestamp": "1390335176"}, {"author": "Nick", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645873202802", "anchor": "fb-645873202802", "service": "fb", "text": "I think the solution is to provide a simple user-experience that reduces the noise autonomously and optimizes the workflow by reducing trips. I'll let you guys know how our trials go :) http://verbalapplications.com", "timestamp": "1390335268"}, {"author": "BDan", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645875553092", "anchor": "fb-645875553092", "service": "fb", "text": "Josh: That's a good point, but most of the alarms in hospitals aren't that critical, so it seems like it would still work to make most of the non-critical ones wireless. There are also a lot of things that could be done with much simpler transmitters and receivers, without dealing with networking protocols and smart devices.", "timestamp": "1390336506"}, {"author": "Paul", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645877234722", "anchor": "fb-645877234722", "service": "fb", "text": "When I worked at a hospital years ago they would use certain code words in PA announcements to prevent panic. For example, instead of a fire alarm, they would page \"Dr. LaFlame.\" If you heard \"Dr. LaFlame, report to the Intensive Care Unit\", it meant there was a fire in the ICU.", "timestamp": "1390337232"}, {"author": "Mac", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645914021002", "anchor": "fb-645914021002", "service": "fb", "text": "I spent four days a year ago in a hospital recovering from surgery. I can say absolutely that the alarms provided a cacophony that was _just_awful_ -- actually debilitating, since it interfered with the most important element of any recovery, sleep. Having the alarms annunciate only to the staff would be huge. An alternative would be blinking, maybe flashing lights in the corridor, easily visible to the staff, less so to the patients.", "timestamp": "1390353911"}, {"author": "Fred", "source_link": "https://www.facebook.com/jefftk/posts/645799964572?comment_id=645936261432", "anchor": "fb-645936261432", "service": "fb", "text": "Nothing compared to nursing homes. Some of those are so aversive.", "timestamp": "1390366232"}, {"author": "S.", "source_link": "https://plus.google.com/106111921562196141993", "anchor": "gp-1390763869273", "service": "gp", "text": "My only worry would be that wireless monitors would allow providers to decide whether an alarm actually means something or not without going to look at the patient first--might be good to have a mechanism to prevent that.\u00a0 Also, I think having smarter alarms that don't promote the current tuning out of all alarms situation is probably a higher priority.\u00a0 In any case, I think both are being worked on pretty actively, especially the latter.", "timestamp": 1390763869}]}