Mobile Medicine and Mobile Emergency, see also them on Apple Store

1. Mobile Emergency:
shortening communications
in hospital
Pierfrancesco Bellini Ph.D. Eng.^, Sergio Boncinelli MD* ,
Francesco Grossi MD* , Marco Mangini MD*,
Luca Malandrino Eng.^, Paolo Nesi Ph.D. Eng. ^
* Careggi University Hospital, Florence, Italy
^ Distributed Systems and Internet Technology Laboratory,
Department of Systems and Informatics University, University of
Florence, Italy
tel: +39-055-4796523, fax: +39-055-4796363,
cell: +39-335-5668674
nesi@dsi.unifi.it http://www.disit.dsi.unifi.it/
DISIT - Paolo Nesi - March 2011 1

2.  Hospital in Numbers
 182 acres,
 13 departments, 100 bildings,
 1.660 beds,
 5.900 employees,
 135.000 patients per year admitted
 Careggi Emergency manual
 The application use the Emergency manual as a coded
configuration.
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3.  solution and mobile application to manage
communication exchange during maxi emergencies
in hospital and large areas
 cut down intervention and communication time
 improve coordination and organization of medical personnel.
 facilitate access to logistic and operative information
 inform personnel about emergency status and/or its
inception/occurrence,
 recall of personnel from other areas.
 emergencies can be related to
 internal events (such as fire, broken pipes, etc.),
 external events (for example the sudden arrival in the hospital
of hundreds of new patients due to a terrorist attack, a natural
disaster, etc.)
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4.  based on a mobile device (Phone, iPad,
iPod) and a server to be used by the
medical and paramedical staff to
 communicate inception of emergencies,
 communicate with the central emergency
services,
 organize groups of intervention and
support,
 get the closest exits, planned and dynamically adapted
(with and without connection, in the first case),
 create collaborations, to obtain help by skilled people,
 access prescriptions and guidelines regarding
procedures, dosages, and thus a decision support system
via Mobile Medicine
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5. Segnalling of an emergency
Get Position, Request of exit
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6.  INDIRIZZO: N° 23
 EDIFICIO: 10A
 ALA: sinistra
 PIANO: 0
 REPARTO: anatomia
 STANZA: D456
 USCITA DI SICUREZZA A:
 visualizza immagine
 USCITA DI SICUREZZA B:
 visualizza immagine
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8.  collect and manage inception of emergencies
 ……….
 help medical personnel in finding colleagues
 updating personnel about evolving situation
 organize groups of intervention and support
 find assembly point
 assigning responsible for each team
 create collaborations
 Automated update of information in the mobile
 provides documentation to personnel (see MobMed)
 getting help from skilled colleagues
 guidelines and checklist procedures
 access prescriptions
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10. 10

11. DISIT - Paolo Nesi - March 2011 11

12.  technologies of: artificial intelligence, semantic
computing, mobile system, grid and social media
 A video about Mobile Emergency can be seen
from: http://www.disit.dsi.unifi.it/ and on
youtube.
 Mobile Emergency application is
accessible on the Apple Store:
http://itunes.apple.com/us/app/mobile-
emergency/id409326454?mt=8
 See also other our Apps: MobileMedicine and
Content Organizer
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13. • Estendere il riconoscimento dei codici a barre da parte
dei dispositivi
• Permettere all’utente di inviare contributi multimediali
circa lo stato dell’emergenza
• Estendere la comunicazione esistente tra dispositivo e
Centrale Operativa anche tra i dispositivi stessi
• Mappa sinottica delle posizione degli utenti a
disposizione della Centrale Operativa
• Estendere le funzionalità del sistema anche agli utenti
non strutturati
• Porting su altre piattaforme mobili
13

14. Mobile Medicine:
Cross Media Intelligent
Content for Medical
Training and Support
P. Bellini, I. Bruno, D. Cenni, A. Fuzier,
P. Nesi, M. Paolucci
Department of Systems and Informatics
University of Florence
Via S. Marta 3, 50139, Firenze, Italy
tel: +39-055-4796523, fax: +39-055-4796363,
cell: +39-335-5668674
nesi@dsi.unifi.it http://www.disit.dsi.unifi.it/
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15. -PC, MACos, linux, …
Automated -iPhone, iPad,
Back office -Windows Mobile,
-windows Phone 7
-Android ….
Complex content
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16. a collaborative social portal and mobile application
intelligent content, provides support to:
 simplify and accelerate the adoption of medical procedures
and checklists,
 accelerate the process of taking decisions in emergency
conditions and not only,
 support medical personnel in estimating the dosages of
medicines,
 facilitate access to user manuals of tool and medicine
indications, CME
 facilitate access to educational content items such as: video,
slides, reports, images, etc.
 Help to assess the patients’ health conditions
 Automated update of this information on the mobile device
 Automated information to personnel about new content in
their profile
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17. DISIT - Paolo Nesi - March 2011 17
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19.  Simple files:
 audio, video, images, documents,
 slides and animations, tutorials…..
 more than 500 different file formats
 very effective for CME
 Smart Applications
 See next slide
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21.  interactive guidelines/procedures to help users to
remind of the correct procedures and help them in taking
decisions on the specific cases and pathologies.
 examples are: ECMO, BLS, Triage, ACLS, EGA, Nasogastric, Tachycardia,
neurological classification, antibiotic therapy, etc.
 calculators and tools which are interactive applications
where the user may insert data/info collected out of the
patient/context (such as: age, weight, pressure,
temperature, habits, symptoms, conditions, reactions, etc.)
to obtain from the device/content some
estimations/suggestions to be used to take decisions.
 Example: drug dosages, APACHE2 score, SAPS Score, SOFA Score,
“Profilassi Ulcere”, the estimation about the probability of pulmonary
emboli, the estimation of a dosage on the basis of patient weight, the
estimation of fat percentage, the suggestion of a prescription about what you
could eat, the assessment of neurological conditions on the basis of standard
quantitative models, dosages for cardiac disease, etc.
 Questionnaire
 …
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23.  The activation (from local) or a download or play,
if accessible via connection, is performed by QR or
GPS:
 QR: for example the SOFA score
 Associated to device
 Documents
 Escape, etc.
 GPS, see next slide
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24. Back office
User: upload automated
single file adaptation
content
ADMIN,
validates,
Put in
publication
User: study and
designe of mini
applications to be
uploaded on the
portal
Produces in
assisted manner
procedures nad
mini applications
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26. -PC, MACos, linux, …
Automated -iPhone, iPad,
Back office -Windows Mobile,
-windows Phone 7
-Android ….
Complex content
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27.  Social Networking: groups, forum, blog, etc…
 Suggestions to entities:
 UU, CU, CC, GC, G U, ….
 Several Semantic Computing Techniques
 AXCP grid computing platform.
 artificial intelligence technologies,
 semantic computing, media grid computing, social media.
 Users modeling:
 Static: User Profile as provided
 Dynamic: play, UGC post, friends, votes, comments, ..
 Smart Content Modeling (Objects):
 Technical description + semantics
 Metadati + semantic description as Taxonomy
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28. AXCP backoffice
Grid Scheduler
Grid Node
Grid Node
Grid Node
contributions,
Rule based system User Profile Local User Profile
actions on
Automated formatting Dynamic User Profile Local Dynamic User Profile
content,
Inferential engine User behavior Local User behavior
Use data Local Use data social actions,
processing
Content Content preferences,
Adaptation
DC+IDs DC+IDs queries,
enrichment AXInfo: ver, prod., rights,.. AXInfo: ver, prod, rights, use data,..
Multilingual index and Descriptors ....
search Groups: users, content.. Descriptors
Text Analyzers Ontology/Taxonomy Domain Groups
Indexer Taxonomy classification
Fuzzy search
Suggestions Suggestions on the basis of:
Similarity distances Static and dynamic user profile,
decriptors, domain Content Organiser
Clustering
Local Suggestions on the basis
of user profiles, local content,
AXCP BackOffice Front End Portal local collected data Content Organizer and Player
Users

29.  under trial at the major Florence (Italy) medical
center:
 the best practice network for mobile medicine content
and guidelines production can be found on
http://mobmed.axmedis.org
 A video about Mobile Medicine can be seen from:
http://www.disit.dsi.unifi.it/ and on youtube.
 Apple App can be downloaded at:
 http://itunes.apple.com/it/app/mobile-
medicine/id359865882?mt=8,
 versions for Windows PDA can be downloaded from the
portal.
 Other versions are coming: Android, WP7, iPad 2
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30.  on App Store:
 EN: http://itunes.apple.com/us/app/content-
organizer-lite/id469941163?ls=1&mt=8
 IT: http://itunes.apple.com/it/app/content-organizer-
lite/id469941163?ls=1&mt=8
 on Microsoft MarketPlace:
 EN: http://www.windowsphone.com/en-
US/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36
 IT: http://www.windowsphone.com/it-
IT/apps/ef4c898d-206a-47b2-99f9-11b0d47b6b36
 on Android (beta)
 Ask to me paolo.nesi@unifi.it
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31.  Content Organizer
 Multi portale, multi hospital
 DRM, CAS
 Registrazione diretta, profilazione utente
 Echo su VGA cable esterno
 New
 Accesso e scarico play list, collection, corsi
 Caricamento video, audio dal campo, invio in centrale in
archivio
 Registrazione/autenticazione dell’utente
 Visione diretta dei vicini, modelli collaborativi diretti
 Comunicazione diretta fra vicini, etc.
 Scambio diretto di contenuti fra utenti
 Update automatica dei contenuti
 ….
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