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HOSPITAL TECHNOLOGY


North Lantau Hospital, Hong Kong Another project we worked on during the pandemic was the design, installation and commissioning of a nurse call system for North Lantau Hospital Hong Kong Infection Control Centre (HKICC), a temporary isolation hospital funded by the central government for treating COVID-19 patients in the Hong Kong Special Administrative Region (HKSAR). The hospital covers a land area of


30,000 square metres and comprises six inpatient buildings, a medical centre and other facilities. It is capable of providing 136 wards and 816 negative pressure beds. Its design is in line with the standards required for a permanent structure. To build a hospital of this scale in Hong Kong would normally take four years, however, with new building technology and construction going on around the clock, the project was completed in just four months. In order to assist the hospital in


achieving its vision, the nurse call system we recommended included a patient-to- staff speech facility at each bedside; offering all the benefits highlighted above in the UK-based project. Furthermore, at HKICC, the patient hand units we supplied contain a silver-based antimicrobial agent which is incorporated during the manufacturing process to help further strengthen the infection control measures instigated by the hospital. Importantly, the active agent will not degrade over time and can be cleaned with a sterilising wipe to eliminate bio-hazards and reduce cross-infection risks between users.


Improving communication and collaboration between clinical teams Throughout the COVID-19 pandemic, many hospitals have benefited from enabling two-way speech and, thanks to the interoperability between systems, trusts have also reaped the benefits of improved communication and collaboration between both individual team members and different clinical teams. The latest nurse call devices allow individual clinical staff and different care teams to talk to and message each other directly. When you add in logic-based automation, the solution becomes even more powerful - automating or smartening up interaction between different parts of the clinical space. By using logic, nurse call events can be


processed independently or with information gathered from multiple systems to create intelligent alerts and automated actions or responses. Once the events are being automatically triaged, we can then look at how different parts of the clinical space collaborate or communicate with each other. The goal is to create a unified approach to prioritising


IFHE DIGEST 2022


relating to patients whose care they are not responsible for.


SSG's patient hand units contain a silver-based antimicrobial agent to help further strengthen the infection control measures instigated by the HKICC.


and delivering alerts as this will help to create consistency in the way care teams respond and provide staff more time to care.


Reducing alarm fatigue and cognitive overload The COVID-19 pandemic has placed care teams globally under unprecedented levels of pressure and has drawn attention to the many interruptions and events that are simultaneously clouding the clinical space. While communication between patients and care teams is a fundamental aspect of every healthcare setting, if clinical staff are exposed to an excessive number of alarms – commonly referred to as ‘alarm fatigue’ or ‘cognitive overload’ - this can ultimately put patient safety at risk, and can prove disruptive if clinical staff are frequently notified of events


Nurse call solutions can play a vital role in helping to reduce alarm fatigue and alleviate cognitive overload, and have done so throughout the COVID-19 pandemic. By automatically triaging and prioritising events so that the event details are only sent to those staff members that need to be aware of them, communication between patients and care teams can be made easier. With events only sent to the relevant staff member, they can then automatically clear the events from their body-worn notification devices as soon as they are dealt with. As a result, staff are only presented with active events that are intended for them. This not only has the instant effect of reducing alarm fatigue and cognitive overload, but also means that all the events are logged and can be guaranteed a response. Reducing alarm fatigue and alleviating


cognitive overload will continue to be a significant challenge for trusts, and one which must be addressed in order to avoid clinicians becoming overwhelmed and, in the worst-case scenario, missing a potentially clinically significant event. How we automate, collaborate and


communicate within the clinical space will continue to evolve, with AI at the forefront of future developments, and we are proud to be playing our part in developing intelligent solutions for the future.


Looking to the future We anticipate even more widespread adoption of innovative and sophisticated technologies, as well as more examples of integration with other clinical systems and building services.


IFHE


Incorporating speech allows assessments to be made without the need to approach the patient bedside.


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