RESUMEN
The design of a hospital, including how the beds are spaced and where clinical areas and supplies are located, affects the amount of time staff spend walking around wards instead of spending time with patients providing direct clinical care. A number of technological solutions are emerging that have the potential to reduce unnecessary walking and give nurses more time to spend with patients. One is the Vocera, a hands-free mobile voice communication system. This article discusses whether this device reduces the average distance staff walk during a shift and their experiences of using it. The study was undertaken on a 32-bed ward with all single-room en-suite accommodation. The distance staff walked reduced by an average of 19.8% when the device was used. However, semi-structured interviews showed that signal reception and voice recognition need further development. This study adds to a growing body of evidence that hands-free communication devices free up nursing time by increasing the effectiveness and efficiency of communication on inpatient wards.
Asunto(s)
Sistemas de Comunicación en Hospital , Personal de Enfermería en Hospital/organización & administración , Estudios de Tiempo y Movimiento , Tecnología Inalámbrica/instrumentación , Actitud del Personal de Salud , Humanos , Investigación en Administración de Enfermería , Personal de Enfermería en Hospital/psicologíaRESUMEN
Management of antiretroviral (ARV) drug and HIV patients data is an important component of Vietnam Administration of HIV/AIDS Control (VAAC) Department and hospitals/health care units when people often travel in other places of Vietnam; therefore, it would lead to a number of medical errors in treatment as well as patients do not adhere to ARV therapy. In this paper, we describe a system that manages and shares antiretroviral therapy information of 4438 HIV patients in three healthcare centers in Hanoi capital of Vietnam. The overall design considerations, architecture and the integration of centralized database and decentralized management for the system are also presented. The findings from this study can serve as a guide to consider in the implementation model of health care to manage and share information of patients not only in HIV infection, but also in the other chronic and non-communicable diseases.