Alexander H�lzel,

you wrote:

AH> Hi Nandalal an the others,

>> What is the best device to use?
>> One is the PDA
See ok.
>> What about the mobile phone?
Small display.

AH> I am not really sure, that PDA is/will be the solution of choice.
I have some contacts to the Consultant Surgery of Kassel
Hospital/Germany.
I spoke him last time personaly 2 years ago in Moskwa at a lions club meeting.
They use now since 4 years a self programed Palm solution in their
surgery departement with success.

AH> Mobile phones, due to EMF-Emissions, are prohibitive in the hospital area.
Correct! But normal phones today have the same features and are used
widely in hospitals. But i personaly think they are only interesting
for getting information about patients data. For input of data it
seems to me that they are useless or not practical inside a hospitals
workflow.
AH> W-LAN still has many problems with quality of transmission and security..
Only a question of good administration and having a good risk
management. See the new plugin concept inside care2x. Because of
security and having a good risk management it is useless. Be
additional highly risk concept. I thought about a possible
installation structure and administration. It is possible to make it
secure with Linux, but you need a very damned good adminstrator if you
like to use it secure.
For a webdemo IMHO it is to riscy to test it for my own servers.I
provided my concerns about the high risk inside a early mail.


AH> Building a new hospital, the best and less expensive solution will be the
AH> integration of a multi-function, multi-purpose touch-screen information
AH> terminal at every patient bed.

Needs a proof of concept. See barcode scan etc... I tested this week
the barcode solution inside my hospital departement. It is not
practical. The failture quote is to high with barcode scan. The idea
of barcode is pretty nice. But if you have some time pressure whats
normal in a hospital, than it took me sometimes 10 trys to use it.
I suggest as solution to leave and drop this nice and loveley idea and
concentrade to another invative solution eg. RFID Tags.
A the test was made with a commercial solution. As far as i see only
one person inside the departement is using it. Inside the RIS all
others use the search function. For them it goes much faster.

Open Source special care2x have to become more inovative than
proprietary solutions to be accepted.
For a first view all seems lovely and easy, but if you think practical
we need a team for proof of concepts and ideas.

AH> The panel could be used for clinical data
AH> entry as well as for broadcasting hospital information to all patients,
AH> TV/Video/Internet access for the patient etc.

This solution i saw at medica exhibition 4 years ago from Siemens
company. As far as i know no hospital is using it realy.

AH> So nurses would not have to carry huge and heavy PDAs where batteries will
AH> surely expire in case of emergency...(Thinking alone about the energy supply
AH> problem(batteries)

And the problems of infection? If we use it realy with sence care2x
have been more spreaded into much smaller modules with specialized
things of information and data input. Not the whole range of
possibilities. Access i think will be much to slow. If you stand in
front of a patient and it will be need 20 seconds before you got the
data or the input form for data - i think this time will be to long.

AH> of portable devices puts a nightmare on technical
AH> hospital administration. Not even mentioned ecological issues of
AH> batteries..). Furthermore: same GUI for all applications, true, fully
AH> featured, fully integrated hospital intranet, central security and access
AH> rights management, no systems diversity, no energy supply problems ...

PDA integration or WLan solutions need a complete different and
inovative flexible GUI. In no other way they make sense.

AH> BTW. the hardware for such a system is already here, since years, and it is
AH> (rather) cheap. Software could be -fairly easily- developed (derived), based
AH> on Care2x.

??? I am not shure about it.

AH> For existing hospitals, the most expensive part of this model will be the
AH> LAN-cabling to every patient bed..

Start with intensive care unit. And be compatible to existing
solutions inside hospitals. To realize it for normal wards it will
need a more inovative analize than now existing proprietary solutions
what still exist.

AH> What is needed is a clear concept and hospital planners/administrators ready
AH> to innovate their organisations from the ground...

Fully agree.





-- 
Mit freundlichen Gr�ssen
Wilfried Goedert
mailto:[EMAIL PROTECTED]



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