Jakob E. Bardram
Niels Nørskov
ABSTRACT
Most context-aware systems have been designed for non-safety-critical environments such as offices, museums, and university campuses. This paper argues that context-awareness can be used for safety-critical systems too. But since the consequences of errors or failures in safety-critical systems are potentially severe, we should have a high degree of confidence in these systems. We present the design, implementation, and evaluation of a context-aware patient safety and information system (CAPSIS) designed for use during surgery. Specifically, our study indicates that CAPSIS could improve patient safety in the operating room. More generally, the paper suggests that context-aware technologies offer a promising step forward in the design of safety-critical systems.
- M. C. Abhaya Asthana and P. Krzyzanowski. An indoor wireless system for personalized shopping assistance. In Proceedings of IEEE Workshop on Mobile Computing Systems and Applications, pages 69--74. IEEE Computer Society Press, 1994. Google Scholar
Digital Library
- S. Agarwal, A. Joshi, T. Finin, Y. Yesha, and T. Ganous. A pervasive computing system for the operating room of the future. Mob. Netw. Appl., 12(2--3):215--228, 2007. Google ScholarDigital Library
- J. E. Bardram. The Java Context Awareness Framework (JCAF) -- A Service Infrastructure and Programming Framework for Context-Aware Applications. In Proceedings of Pervasive 2005, pages 98--115, 2005. Google ScholarDigital Library
- J. E. Bardram. Pervasive healthcare as a scientific dicipline. Methods of Information in Medicine, 47(3):129--142, 2008.Google Scholar
- J. E. Bardram, T. R. Hansen, M. Mogensen, and M. Soegaard. Experiences from Real-World Deployment of Context-Aware Technologies in a Hospital Environment. In Proceedings of Ubicomp 2006, pages 369--386, 2006. Google ScholarDigital Library
- K. Cheverst, N. Davies, K. Mitchell, and A. Friday. Experiences of developing and deploying a context-aware tourist guide: the guide project. In Proceedings of MobiCom 2000, pages 20--31. ACM Press, 2000. Google ScholarDigital Library
- F. D. Davis. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3):319--339, September 1989.Google ScholarDigital Library
- A. K. Dey, M. Futakawa, D. Salber, and G. D. Abowd. The conference assistant: Combining context awareness with wearable computing. In Proceedings of the 3rd International Symposium on Wearable Computers, pages 21--28. IEEE Press, 1999. Google ScholarDigital Library
- P. Dourish. What we talk about when we talk about context. Personal and Ubiquitous Computing, 8(1):19--30, 2004. Google ScholarDigital Library
- K. Finkenzeller. RFID Handbook. John Wiley & Sons, West Sussex, UK, 2nd edition, 2003.Google Scholar
- M. Fleck, M. Frid, T. Kindberg, E. O'Brien-Strain, R. Rajani, and M. Spasojevic. Rememberer: A tool for capturing museum visits. In G. Borriello and L. E. Holmquist, editors, Proceedings of Ubicomp 2002: Ubiquitous Computing, volume 2498 of Lecture Notes in Computer Science, pages 48--55, Göteborg, Sweden, Sept. 2002. Springer Verlag. Google ScholarDigital Library
- W. G. Griswold, P. Shanahan, S. W. Brown, R. Boyer, M. Ratto, R. B. Shapiro, and T. M. Truong. ActiveCampus: experiments in community-oriented ubiquitous computing. IEEE Computer, 37(10):73--81, 2004. Google ScholarDigital Library
- T. R. Hansen, J. E. Bardram, and M. Soegaard. Moving out of the lab: Deploying pervasive technologies in a hospital. IEEE Pervasive Computing, 5(3):24--31, 2006. Google ScholarDigital Library
- A. Harter, A. Hopper, P. Steggles, A. Ward, and P. Webster. The anatomy of a context-aware application. Wireless Networks, 8(2/3):187--197, 2002. Google ScholarDigital Library
- E. F. Hill. Jess in Action: Java Rule-Based Systems. Manning Publications Co., Greenwich, CT, USA, 2003. Google ScholarDigital Library
- The Joint Commission, Oakbrook Terrace, IL, USA. Universal Protocol For Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery#8482;, 2003.Google Scholar
- F. Kensing and K. Halskov Madsen. Generating Visions: Future Workshops and Metaphorical Design. In J. Greenbaum and M. Kyng, editors, Design at Work: Cooperative Design of Computer Systems., pages 155--168. Lawrence Erlbaum Associates, Hillsdale, NJ, 1991. Google ScholarDigital Library
- L. Kohn, J. Corrigan, and M. Donaldson. To err is human: building a safer health system. National Academy Press, Washington, 2000.Google Scholar
- W. C. Levine, M. Meyer, P. Brzezinski, J. Robbins, and W. S. Sandberg. Computer automated total perioperative situational awareness and safety systems. In International Congress Series, CARS 2005: Computer Assisted Radiology and Surgery, volume 1281, pages 856--861. Elsevier, 2005.Google ScholarCross Ref
- R. Oppermann and M. Specht. A context-sensitive nomadic exhibition guide. In Proceedings of Second International Symposium on Handheld and Ubiquitous Computing, HUC 2000, pages 127--142, 2000. Google ScholarDigital Library
- W. S. Sandberg, M. Häkkinen, M. Egan, P. K. Curran, P. Fairbrother, K. Choquette, B. Daily, J.-P. Sarkka, and D. Rattner. Automatic detection and notification of "wrong patient -- wrong location" errors in the operating room. Surgical Innovation, 12(3):253--260, 2005.Google ScholarCross Ref
- T. Schiøler. Patientsikkerhed. Ugeskrift for Lœger, 163(39):5350--5355, 2001.Google Scholar
- E. J. Thomas, D. M. Studdert, H. R. Burstin, E. J. Orav, T. Zeena, E. J. Williams, K. M. Howard, P. C. Weiler, and T. A. Brennan. Incidence and types of adverse events and negligent care in utah and colorado. Med Care, 38(3):261--271, 2000.Google ScholarCross Ref
- R. Want, B. N. Schilit, N. I. Adams, R. Gold, K. Petersen, D. Goldberg, J. R. Ellis, and M. Weiser. An overview of the parctab ubiquitous computing environment. IEEE Personal Communications, 2(6):28--43, 1995.Google ScholarCross Ref
- H. Yan and T. Selker. Context-aware office assistant. In Proceedings of IUI 2000, pages 276--279. ACM Press, 2000. Google ScholarDigital Library
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Reviews
Edward Peter Hoffer
Hospitals incorporate many different practices and technologies to help ensure patient safety in the operating room (OR). This paper describes the design and initial testing of a radio-frequency identification (RFID) based system to improve patient safety. As of publication, it had not been used with actual patients. Patients, staff, blood products, and equipment are identified through RFID tags. The system checks that the correct patient is in the OR, that the operating table is correct for the patient, that all necessary staff are present, and that the blood for transfusion is properly matched. It gathers information from the hospital's electronic medical record, displays relevant information on the status board, and monitors physiologic data from patient sensors. It is designed to both verify that "all systems are go" and to flag potential errors. The gathering, organizing, and display of critical data is not a new idea; similar systems for intensive care units were described over a decade ago, including use of the common "green/yellow/red" display. It will be interesting to see a report on the system in actual use. Online Computing Reviews Service
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