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Development and implementation of an integrated mobile situational awareness iPhone application VigiVUTM at an academic medical center

  • Jason S. Lane
  • Warren S. Sandberg
  • Brian Rothman
Original Article

Abstract

Purpose

We describe the decision drivers, development and implementation of an integrated mobile situational awareness application for the perioperative environment. This digital operating room tool for anesthesiologists facilitates direct supervision of in-room staff without requiring being tied to a stationary computer workstation.

Methods

The iOS platform was used to create the VigiVUTM mobile application at Vanderbilt University Medical Center. The first working version was completed in 3 weeks with a scalable application for department-wide distribution requiring less than 1,000 development hours.

Results

The VigiVUTM application provides situational awareness via access to real time operating room video, patient vital signs, anesthetic interventions, OR management visualization tools, patient data protection, bidirectional voice and text communication, and integrated electronic medical record access. The application allows anesthesiologists to know the status of their patients in up to four locations simultaneously. The application provides the ability to visually follow the flow of patients through the operative suite and prioritize which patients need attention. The application provides a consistent user environment on several compatible iOS devices. A group of 40 beta testers has consistently used and maintained their copy of the application, suggesting user acceptance.

Conclusions

We have demonstrated that it is possible to develop and implement an integrated mobile situational awareness application at a large academic medical center. Future research may determine whether perioperative deployment and utilization of VigiVUTM at our institution enhances patient safety and/or operating room efficiency.

Keywords

Mobile application Situational awareness Perioperative Safety Anesthesia information management system Perioperative information management system Electronic health record 

Abbreviations

VigiVU

A hand-held; iPhone-based version of a desktop situational awareness, operating room monitoring (VigilanceTM), that has been in use at Vanderbilt University Medical Center since 2004

UDID

Unique Device ID is a unique identifier for every iPhone, iPod Touch, and iPad

AIMS

Anesthesiology Information Management Systems

OR

Operating Room

iOS

Apple’s mobile operating system; formerly known as iPhone Operating System

PCs

Personal computers

PHI

Protected health information

EMR

Electronic medical record

VPIMS

Vanderbilt Perioperative Information Management System

VUMC

Vanderbilt University Medical Center

CRNA

Certified Registered Nurse Anesthetist

SRNA

Student Registered Nurse Anesthetist

VOIP

Voice over internet protocol

VPN

Virtual private network

HL7

HL7 (Health Level 7, Inc., Ann Arbor, Michigan) is a collaborative international standard for the exchange, management, and integration of electronic health care information for more effective and efficient delivery. HL7 data focus on high level application layer protocols and consider the lower layers merely as tools

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Copyright information

© CARS 2012

Authors and Affiliations

  • Jason S. Lane
    • 1
  • Warren S. Sandberg
    • 1
  • Brian Rothman
    • 1
  1. 1.Department of AnesthesiologyVanderbilt University Medical CenterNashvilleUSA

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