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Implementation Issues for Mobile-Wireless Infrastructure and Mobile Health Care Computing Devices for a Hospital Ward Setting

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Abstract

mWard is a project whose purpose is to enhance existing clinical and administrative decision support and to consider mobile computers, connected via wireless network, for bringing clinical information to the point of care. The mWard project allowed a limited number of users to test and evaluate a selected range of mobile-wireless infrastructure and mobile health care computing devices at the neuroscience ward at Southern Health’s Monash Medical Centre, Victoria, Australia. Before the project commenced, the ward had two PC’s which were used as terminals by all ward-based staff and numerous multi-disciplinary staff who visited the ward each day. The first stage of the research, outlined in this paper, evaluates a selected range of mobile-wireless infrastructure.

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References

  1. Brodie, M. L., Stonebraker, M., Migrating legacy system. Kaufmann Publishers, USA, 1995.

    Google Scholar 

  2. Sax, U., Kohane, I., Mandl, K. D., Wireless technology infrastructures for authentication of patients: PKI that rings. J. Am. Med. Inform. Assoc. 12(3):263–268, 2005. doi:10.1197/jamia.M1681.

    Article  Google Scholar 

  3. Krol, M., Reich, D., Dupont, J., Multi-system medical computer systems integration. J. Med. Syst. 29(3):259–270, 2005. doi:10.1007/s10916-005-5186-5.

    Article  Google Scholar 

  4. Jasemian, Y., Arendt-Nielsen, J., Evaluation of a realtime, remote monitoring telemedicine system using the bluetooth protocol and a mobile phone network. Telemed Telecare. 11:256–260, 2005.

    Article  Google Scholar 

  5. Lin, B., Vassar, J. A., Mobile healthcare computing devices for enterprise-wide patient data delivery. IJMC 2(4):343–353, 2004. doi:10.1504/IJMC.2004.005855.

    Article  Google Scholar 

  6. Avison, D. E., Myers, M. D., Information. systems and anthropology: and anthropological perspective on IT and organizational culture. Inf. Technol. People. 8(3):43–56, 1995. doi:10.1108/09593849510098262.

    Article  Google Scholar 

  7. Ancona, D. G., Caldwell, D. F., Bridging the boundary: External process and performance in organizational teams. Adm. Sci. Q. 37:527–548, 1992. doi:10.2307/2393475.

    Article  Google Scholar 

  8. Harvey, L J., and Myers, M. D., Scholarship and practice: the contribution of ethnographic research methods to bridging the gap Vol. 8 No. 3. Information Technology & People, MCB University Press 1995, pp.13–27, 1995.

  9. Murphy, E. Dingwall, R. Greatbatch, D. Parker, S., and Watson, P. Qualitative research methods in health technology assessment: a review of the literature. Health Technology Assessment: Winchester, England. 2(16):iii–ix, 1–274, 1998.

  10. Friedman, C., Wyatt, P., J C., and Ash, J., Evaluation Methods in Biomedical Informatics: An Evidence–based Approach. Springer, Ed. 2, 2006.

  11. Savage, J., Ethnography and health care. BMJ. 321:1400–1402, 2000. doi:10.1136/bmj.321.7273.1400.

    Article  Google Scholar 

  12. Currie, L. M., Evaluation frameworks for nursing informatics. Int. J. Med. Inform. 74:908–916, 2005. doi:10.1016/j.ijmedinf.2005.07.007.

    Article  Google Scholar 

  13. Symbol Technologies: Wireless Products. Symbol Technologies, [Online]. Available: http://www.symbol.com/products/wireless.html [Last Accessed: 23 June 2005], 2005.

  14. Martins, H. M., Jones, M., What's so different about mobile information communication technologies (MICTs) for clinical work practices? A review of selected pilot studies. Health Informatics J. 11(2), 123–134, 2005. doi:10.1177/1460458205052361.

    Article  Google Scholar 

  15. Symbol Technologies: Wireless Switch WS 5000. Symbol Technologies, [Online]. Available: http://www.symbol.com/products/wireless/ws_5000_brochure.html [Last Accessed: 28 January 2005], 2004.

  16. Symbol Technologies: Port Power Injectors. Symbol Technologies, [Online]. Available: http://www.symbol.com/products/wireless/poe802_3af.html [Last Accessed: 17. June 2005], 2005.

  17. Symbol Technologies: Wireless Access Port AP100. Symbol Technologies, [Online]. Available: http://www.symbol.com/products/wireless/wss_brochure_ap.html [Last Accessed: 28 January 2005], 2003

  18. Sintchenko, V., Iredell, J., Gilbert, G. L., Coiera, E. W., Handheld computer based decision support reduces patient length of stay and antibiotic prescribing in critical care. JAMIA. 12:398–402, 2005.

    Google Scholar 

  19. Thompson, B.W.: The transforming effect of handheld computers on nursing practice. Nursing Adm. Q. 9(4):308, 2005 Oct-Dec.

    Google Scholar 

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Acknowledgements

This research was supported by the Australian Research Council. The authors wish to acknowledge the contribution of Ms Lyn Wallace and Mr David Ramsay from Southern Health’s Monash Medical Centre (MMC) and staff from NEC who provided valuable and ongoing support to this project. We are grateful to our partners who have also funded part of our project. The official mWard partners are the Australian Research Council (ARC), Monash University, Southern Health through MMC, and NEC Business Solutions Pty Ltd. Companies associated with the mWard project and who also have provided equipment and support are Symbol Technologies and WARP who is the principal Symbol equipment supplier, and NEC Channel Partner Tele-IP (formally Able Communications and Telenet Communications).

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Correspondence to Stephen Weeding.

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The public health organization where the study was conducted is identifying a new computer system and the current project will contribute to the configuration of the new system to some degree.

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Heslop, L., Weeding, S., Dawson, L. et al. Implementation Issues for Mobile-Wireless Infrastructure and Mobile Health Care Computing Devices for a Hospital Ward Setting. J Med Syst 34, 509–518 (2010). https://doi.org/10.1007/s10916-009-9264-y

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  • DOI: https://doi.org/10.1007/s10916-009-9264-y

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