Integrated Clinical Environment Manager

Advances in interoperability promise to take patient safety to a new level via the application of process control engineering. While the path to a fully engineered process is difficult, benefits accrue each step toward it. This project will advance us along this path by demonstrating a prototype "Context-Aware Notification System." By bringing together comprehensively 1) physiologic data, 2) patient history, 3) people and asset location, 4) ambient environmental and equipment, and 5) readiness and quality data, combined with a sophisticated hierarchical Workflow Model, the prototype will ensure that the right information is provided to the right clinicians at the point in time where it can do the most good. This project includes a prototype easy-to-use Notification Authoring Tool, which allows clinicians to author, test, and deploy rules that can send them text messages or update a Dashboard with the exceptions to workflow that often precede errors and near-misses. This project includes a multidisciplinary team from LiveData, CIMIT, and the Massachusetts General Hospital 'OR of the Future', including some of the nation's thought leaders in the areas of patient safety and OR workflow efficiency. The proposed work furthers the goal of creating a 'zone of safety' for high acuity care.