Enterprise Imaging and the Centralization of Data

The ability to record diagnostic images digitally and upload them to a picture archiving and communication system (PACS) has largely been a radiology-oriented system since the technology was formally introduced in the early 1980s. Enterprise imaging is the next evolutionary step in image storage and management. It will take the responsibility for imaging management away from radiology and place it in the hands of the enterprise-wide information technology function. The path to enterprise archiving of images is being paved by vendor-neutral archives (VNAs) that enable easier integration of data from disparate systems throughout the hospital — such as radiology, cardiology, pathology, orthopedics, and obstetrics — and make these data available in one place via the electronic health record. This evolution will have the capability to store and exchange clinical content in DICOM (digital imaging and communications in medicine) and non-DICOM formats. As a result, all clinical data will be available, easily accessible, and useable and not contained in departmental silos but on a monitor from an adjacent control room.

This article is an update of a previous post.

What is Plethysmography?

Pulmonary function testing measures the function of lung capacity and lung and chest wall mechanics to determine whether or not the patient has a lung problem. Pulmonary function testing is commonly referred to as “PFT” and such tests are usually performed by Certified or Registered Pulmonary Function Technologists (CPFT or RPFT) who are credentialed by the National Board for Respiratory Care (NBRC). When a patient is referred for pulmonary function testing, it means that a battery of tests may be carried-out including simple screening spirometry, static lung volume measurement, diffusing capacity for carbon monoxide, airways resistance, respiratory muscle strength, and arterial blood gases. Spirometry is the standard method for measuring most relative lung volumes; however, it is not capable of providing information about absolute volumes of air in the lung. Thus a different approach is required to measure residual volume, functional residual capacity, and total lung capacity. Two of the most common methods of obtaining information about these volumes are gas dilution tests and body plethysmography.

Body BoxBody plethysmography is a very sensitive lung measurement used to detect lung pathology that might be missed with conventional pulmonary function tests. This method of obtaining the absolute volume of air within one’s lungs may also be used in situations where several repeated trials are required or where the patient is unable to perform the multibreath tests. The technique requires moderately complex coaching and instruction for the patient.

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Estimating Space for an Endoscopy Suite

Endoscopy procedures — using a rigid or flexible scope to examine the interior of a hollow organ or cavity in the body — may involve the upper gastrointestinal tract (GI endoscopies), large intestine (colonoscopies and sigmoidoscopies), lower respiratory tract (bronchoscopies) and the urinary tract (cystoscopies) along with a variety of other specialized procedures. Endoscopy procedures generally take 30 to 45 minutes. Patients are usually given intravenous sedation and may recover for up to an hour after the procedure. Recovery time has been reduced significantly in recent years due to the use of shorter-acting sedatives.

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Sizing Conference and Education Space

Conference rooms and classrooms are typically sized based on the average number of people to be seated and the type of furniture and the seating arrangement. The use of ancillary chairs along the side walls ― for people who are not sitting at the table ― will result in a reduced net square feet (NSF) per seat for conference rooms. The outfitting of conference rooms and classrooms with sophisticated audio-visual equipment may also require additional space beyond that needed for seating alone. Also, additional space is required if food service and dining are to be provided ― including counter space for a buffet service and carts and bins for the collection of reprocessable materials and trash. Conference rooms with a central table and mobile, upholstered chairs require more space per seat than a classroom-style arrangement with stackable chairs aligned around a central lectern. Egress issues and the availability of convenient toilet facilities need to be considered when large groups are assembled.

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Ultrasound Can Be Carried to Any Clinical Area

Portable Ultrasound UnitUltrasound is a non-invasive procedure that used sound waves and a computer to create images of soft tissue structures such as muscles, blood vessels, and organs. It is used to diagnose a number of conditions that may not be adequately assessed with other imaging methods such as X-ray, CT, or MRI. GE Healthcare’s new compact Vivid™ ultrasound unit combines advanced imaging power in a rugged, portable, easily-cleanable, and light-weight (less than 10 pounds) unit that can be carried anywhere in the hospital or to an office-based physician practice. It is also capable of 2D transesophageal echocardiography (TEE) and intracardiac echo (ICE).

Source: GE Healthcare website [Retrieved online at www3.gehealthcare.com]

Design Innovation Improves Patient Safety and Privacy

eGlass PartitionFacilitating observation without compromising patient safety and privacy is a major challenge for hospitals. Curtains are used in many areas — including viewing walls of operating rooms, sliding doors in ICUs, and for windows between patient rooms and corridors — but they can become contaminated with drug-resistant bacteria and are difficult to sterilize. A new technology playing a pivotal role in providing observation without contamination and enhancing patient privacy is liquid crystal privacy glass. This electrically activated, switchable glazing technology instantly changes from transparent to frosted white, creating 100 percent privacy. It can be activated with a power button, remote control, or a smartphone as well as automatically using light and motion sensors. When in the powered state, the panels are clear, allowing full view and daylight to pass through. When unpowered, the view is completely obscured. Privacy glass is well suited to conference rooms, partitions, hospitals, front entrance ways, sidelights, toilet and bathrooms, and windows. It can also be installed alongside existing security glass or fire resistant glass panels to ensure maximum security and patient safety.

Source: Innovative Glass Corporation, exclusive manufacturer of LC Privacy Glass powered with eGlass brand technology.