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How Four Master’s Students Used Design to Help One Haiti Emergency Room – The Bentley University Newsroom

Imagine walking into a crowded emergency room and having your symptoms recorded electronically, in order to minimize wait time and maximize care. That efficient scenario a dream of hospitals everywhere is newly underway at a hospital in Haiti.

In 2015, Boston, Mass.-based Partners in Health (PIH), which runs University Hospital in Mirebalais, Haiti, set out to develop an electronic triage system to replace its paper-based process.Their strategy was to expand on OpenMRS, the open-source medical record system implemented there. But this being relatively new territory for the PIH team, they sought additional experts to get the job done.

Tapping into a Learning Community

Enter Bill Gribbons, a leading authority on user experience who directs the Masters in Human Factors in Information Design (HFID) at Bentley University. PIH contacted Gribbons, who then reached out to his extensive network he calls it a learning community and received a flood of interest. He recruited another faculty expert, Roland Hubscher, to help advise a team, and four part-time graduate students eager for hands-on experience and excited to make a difference. All were willing to work on the project remotely, for no pay and no course credit.

I firmly believe some of the most meaningful learning happens outside the confines of a traditional classroom, said Gribbons. This type of project, one that requires in-depth involvement and makes an immediate impact on a product, is invaluable for students particularly for graduate students, who are looking to grow their careers and stand out in a crowded marketplace.

The HFID students were located in different cities and time zones and came from different professional backgrounds. Kim Forthofer, the team lead, was in Southwest Harbor, Maine, Mary Gribbons in Cambridge, Mass.; Truc Tokarz in San Jose, Calif.; and Dan Lopes in Toronto, Ontario. Though they were not able to work on site in Haiti, they used Google Hangouts to meet as a group on Wednesday evenings to stay on track.

We looked to Bentley because we knew that their graduate students would be accountable for their work and thoughtfully execute this project, said David DeSimone, business analyst at PIH. The students did not disappoint. They asked all the right questions and delivered a product that was immediately well received.

Designing a Product that Makes a Difference

Designing an electronic emergency intake form, from a remote location, is no easy task. The requirements were that the form permit easy scanning by a nurse and visually signal the urgency of a patients medical needs. To begin, University Hospital sent its typical paper intake forms to the Bentley team for analysis. This system, which ranked patients with a numerical score and a color based on severity, left plenty of room for mathematical error.

In addition to the technical parameters, cultural considerations were also essential. One of the biggest challenges for the team was coming up with a user-friendly design for a population that has limited access to computers, said DeSimone. Their initial designs used a keyboard only, with no mouse. But by the time we implemented the technology, we were able to train the nurses on Google Chromebooks.

A significant part of the design process involved user surveys and user testing. Due to the distance and lack of readily available technology, the Bentley team designed static mockups and used a cognitive walkthrough exercise where they asked nurses to role-play a patient-intake scenario.

This helped us better understand the human thought process behind the products use, said Forthofer. We knew it was possible that lives could depend on nurses understanding the new app as quickly as possible.

Life-Changing Experience

Despite the lack of credit or pay, the experience of acting as consultants had enormous value for the team. They improved the hospital experience for patients in Haiti, while also building their own skills and putting them into practice.

The project was much more like a real consulting gig instead of a realistic project done over a semester and graded by a professor. This provided us with real-world pressure as well as real-world confidence and experience, said Forthofer, who also gained reinforcement that she is in the right career, for the right reasons. I began my professional life as an environmental engineer and user experience is a second career for me, so challenges related to technical and scientific areas are the ones I continue to be drawn to.

This venture is a first for Partners in Health, in terms of developing a product that triages patients electronically in real time. They hope the intake form will be replicated at other facilities in Haiti and elsewhere. Anecdotally, they know that emergency room waiting times are lower and, more important, that prioritization has improved so the most critical patients are seen first. PIH has plans to gather data on the products effectiveness, but in the meantime, patients are getting better care and nurses and doctors are better able to do their jobs – a winning prescription all around.

Dedicatedto Preparing a New Kind of Business Leader

Bentley Universityis one of the nations leading business schools, dedicated to preparing a new kind of business leader with the technical skills, global perspective and ethical standards required to make a difference in an ever-changing world. Bentleys diverse arts and sciences program combined with an advanced business curriculum prepares graduates to make an impact in their chosen fields. The university enrolls approximately 4,000 undergraduate and 1,000 graduate students. ThePrinceton Reviewranked Bentley #1 in the United States in both career services and internships andBloomberg BusinessWeekranked Bentley a top 10 undergraduate business school.

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Emergency room visit links man to homicide – WSMV Channel 4 – WSMV Nashville

Updated: Saturday, August 26 2017 10:23 PM EDT2017-08-27 02:23:48 GMT

The Volunteer State always comes together in times of crisis. Red Cross volunteers are mobilizing for the trip to Texas and Louisiana. Right now, they are on standby, ready to deploy over next several days and weeks.

The Volunteer State always comes together in times of crisis. Red Cross volunteers are mobilizing for the trip to Texas and Louisiana. Right now, they are on standby, ready to deploy over next several days and weeks.

Updated: Saturday, August 26 2017 5:19 PM EDT2017-08-26 21:19:14 GMT

A pizza delivery driver has passed away todayafter being shot in north Nashville on August 25.

A pizza delivery driver has passed away todayafter being shot in north Nashville on August 25.

Updated: Saturday, August 26 2017 11:29 AM EDT2017-08-26 15:29:56 GMT

Representative Steve Cohen (D-Tenn.) made headlines when he publicly supported the impeachment of Donald Trump following the president’s controversial remarks in the wake of the violent rally in Charlottesville, Va. Saturday morning, Cohen has once again spoken out against Trump, this time criticizing the president’s decision to pardon for former Maricopa County (Arizona) Sheriff Joe Arpaio.

Representative Steve Cohen (D-Tenn.) made headlines when he publicly supported the impeachment of Donald Trump following the president’s controversial remarks in the wake of the violent rally in Charlottesville, Va. Saturday morning, Cohen has once again spoken out against Trump, this time criticizing the president’s decision to pardon for former Maricopa County (Arizona) Sheriff Joe Arpaio.

Updated: Saturday, August 26 2017 9:07 AM EDT2017-08-26 13:07:53 GMT

Around 10:00 pm Friday, Clarksville Police responded to a shooting in progress at an apartment complex at the 3100 block of Ft Campbell Blvd. When the officers entered the apartment, they found a man killed from a gunshot wound. Nobody else was inside the apartment. Shortly after, the officers were notified that a man in his 20s was being treated at the emergency for a gunshot wound to his lower arm.

Around 10:00 pm Friday, Clarksville Police responded to a shooting in progress at an apartment complex at the 3100 block of Ft Campbell Blvd. When the officers entered the apartment, they found a man killed from a gunshot wound. Nobody else was inside the apartment. Shortly after, the officers were notified that a man in his 20s was being treated at the emergency for a gunshot wound to his lower arm.

Updated: Saturday, August 26 2017 8:49 AM EDT2017-08-26 12:49:33 GMT

Around 3:15 Saturday morning, police responded to a shooting at the intersection of 19th Ave S and Chet Atkins Place. A security guard called in the incident. Witnesses told police that they saw two white females exit a new-looking Lexus SUV and fire two shots at a man sleeping in front of one of the buildings at the intersection.

Around 3:15 Saturday morning, police responded to a shooting at the intersection of 19th Ave S and Chet Atkins Place. A security guard called in the incident. Witnesses told police that they saw two white females exit a new-looking Lexus SUV and fire two shots at a man sleeping in front of one of the buildings at the intersection.

Updated: Friday, August 25 2017 11:48 PM EDT2017-08-26 03:48:00 GMT

A CSX worker lost his arm when he was hit by a train during Mondays total solar eclipse. It happened at the rail yard off Sidco Drive around 1:30 p.m.

A CSX worker lost his arm when he was hit by a train during Mondays total solar eclipse. It happened at the rail yard off Sidco Drive around 1:30 p.m.

Updated: Friday, August 25 2017 11:44 PM EDT2017-08-26 03:44:22 GMT

A Middle Tennessee man is about to let go of what he and experts believe is the best picture of Jesse James anywhere.

A Middle Tennessee man is about to let go of what he and experts believe is the best picture of Jesse James anywhere.

Updated: Friday, August 25 2017 9:41 PM EDT2017-08-26 01:41:46 GMT

Frustration and anger best describes the emotion from builders and residents in a growing Nashville neighborhood.

Frustration and anger best describes the emotion from builders and residents in a growing Nashville neighborhood.

Updated: Friday, August 25 2017 9:11 PM EDT2017-08-26 01:11:16 GMT

President Donald Trump is reacting to Sen. Bob Corker’s criticism of his leadership. In a tweet Friday morning, the president blasted Corker.

President Donald Trump is reacting to Sen. Bob Corker’s criticism of his leadership. In a tweet Friday morning, the president blasted Corker.

Updated: Friday, August 25 2017 8:32 PM EDT2017-08-26 00:32:25 GMT

At least two people have been injured in a shooting in Murfreesboro Friday evening.

At least two people have been injured in a shooting in Murfreesboro Friday evening.

Updated: Thursday, August 24 2017 9:19 PM EDT2017-08-25 01:19:41 GMT

“Duck Dynasty” star Korie Robertson thinks President Donald Trump needs to make a change — and said she’s hopeful that he can.

“Duck Dynasty” star Korie Robertson thinks President Donald Trump needs to make a change — and said she’s hopeful that he can.

Updated: Friday, August 25 2017 9:41 PM EDT2017-08-26 01:41:46 GMT

Frustration and anger best describes the emotion from builders and residents in a growing Nashville neighborhood.

Frustration and anger best describes the emotion from builders and residents in a growing Nashville neighborhood.

Updated: Thursday, August 24 2017 11:48 AM EDT2017-08-24 15:48:59 GMT

Lets face it. Weve all dreamed about what we would do if we won the lottery. But be glad you didn’t win.

Lets face it. Weve all dreamed about what we would do if we won the lottery. But be glad you didn’t win.

Updated: Friday, August 25 2017 11:44 PM EDT2017-08-26 03:44:22 GMT

A Middle Tennessee man is about to let go of what he and experts believe is the best picture of Jesse James anywhere.

A Middle Tennessee man is about to let go of what he and experts believe is the best picture of Jesse James anywhere.

Updated: Friday, August 25 2017 11:48 PM EDT2017-08-26 03:48:00 GMT

A CSX worker lost his arm when he was hit by a train during Mondays total solar eclipse. It happened at the rail yard off Sidco Drive around 1:30 p.m.

A CSX worker lost his arm when he was hit by a train during Mondays total solar eclipse. It happened at the rail yard off Sidco Drive around 1:30 p.m.

Updated: Saturday, August 26 2017 5:19 PM EDT2017-08-26 21:19:14 GMT

A pizza delivery driver has passed away todayafter being shot in north Nashville on August 25.

A pizza delivery driver has passed away todayafter being shot in north Nashville on August 25.

Updated: Thursday, August 24 2017 10:48 PM EDT2017-08-25 02:48:13 GMT

A second lawsuit has been filed against the rape suspects and the parents in an alleged rape cover-up at Brentwood Academy.

A second lawsuit has been filed against the rape suspects and the parents in an alleged rape cover-up at Brentwood Academy.

Updated: Thursday, August 24 2017 6:36 PM EDT2017-08-24 22:36:09 GMT

A Nashville activist and Antifa member is speaking out about his experience at the Charlottesville, VA, rally earlier this month.

A Nashville activist and Antifa member is speaking out about his experience at the Charlottesville, VA, rally earlier this month.

Updated: Saturday, August 26 2017 8:49 AM EDT2017-08-26 12:49:33 GMT

Around 3:15 Saturday morning, police responded to a shooting at the intersection of 19th Ave S and Chet Atkins Place. A security guard called in the incident. Witnesses told police that they saw two white females exit a new-looking Lexus SUV and fire two shots at a man sleeping in front of one of the buildings at the intersection.

Around 3:15 Saturday morning, police responded to a shooting at the intersection of 19th Ave S and Chet Atkins Place. A security guard called in the incident. Witnesses told police that they saw two white females exit a new-looking Lexus SUV and fire two shots at a man sleeping in front of one of the buildings at the intersection.

Updated: Saturday, August 26 2017 9:07 AM EDT2017-08-26 13:07:53 GMT

Around 10:00 pm Friday, Clarksville Police responded to a shooting in progress at an apartment complex at the 3100 block of Ft Campbell Blvd. When the officers entered the apartment, they found a man killed from a gunshot wound. Nobody else was inside the apartment. Shortly after, the officers were notified that a man in his 20s was being treated at the emergency for a gunshot wound to his lower arm.

Around 10:00 pm Friday, Clarksville Police responded to a shooting in progress at an apartment complex at the 3100 block of Ft Campbell Blvd. When the officers entered the apartment, they found a man killed from a gunshot wound. Nobody else was inside the apartment. Shortly after, the officers were notified that a man in his 20s was being treated at the emergency for a gunshot wound to his lower arm.

“+r+”

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Emergency room visit links man to homicide – WSMV Channel 4 – WSMV Nashville

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Baton Rouge General gets early nod for neighborhood hospital, emergency room in Ascension Parish – The Advocate

GONZALES A $30 million micro-hospital and office complex that Baton Rouge General wants to build along La. 73 in Ascension Parish sailed through its first layer of development review Monday.

The parish’s Planning and Zoning Commission recommended a major use change that Baton Rouge General needs to install a 10-bed hospital and 14-bed emergency room in the lower floor of an already approved 60,000-square foot medical building.

Baton Rouge General officials announced Monday the hospital and emergency room would operate 24 hours a day, seven days a week, and accept all patients, whether uninsured, insured by government programs or by private companies.

GONZALES A key Ascension Parish panel will get a look Monday night at plans for Baton Roug

The vote, which was unopposed with two members absent, after a handful of speakers aired divided views on the facility. Those views included support for the hospital, worries about traffic and other growth-related troubles, and opposition to Baton Rouge General’s business model.

The Parish Council will make a final decision on the proposed hospital, which would bring a second sizable medical facility to populous eastern Ascension.

St. Elizabeth Hospital, which is owned by a rival hospital corporation, is in Gonzales. Prevost Memorial Hospital is in Donaldsonville, across the Mississippi River.

Just 13 months earlier, amid major traffic concerns for La. 73, the same commission had recommended denying the original three-story medical office building that then would have been without a hospital or emergency room. At the time, Baton Rouge General was not identified as the owner of the facility slated for 8.1 acres just northeast of the I-10/La. 73 interchange.

Projections then suggested drivers exiting I-10 eastbound at La. 73 would have a more than two-minute delay in the afternoons due to the new office plaza. Despite the commission’s recommendation to deny, the Parish Council approvedthe zoning change for the building.

On Monday, Commissioner Aaron Chaisson, who was among the “no” votes last year, noted that denying changes that Baton Rouge General now wants would not stop the 60,000-square-foot office complex, but would stop a revised plan with reduced traffic impact.

Traffic engineers for Baton Rouge General have projected trading the hospital and emergency room for the bottom 20,000-square-feet of office space would reduce traffic impact at peak travel times by 18 percent to 20 percent.

Michael Bruce, senior principal with Stantec, the firm that did Baton Rouge General’s traffic analysis, said Baton Rouge General has since decided to add a right turn lane along La. 73 southbound for incoming traffic.

Bruce said the turn lane, improved timing among signal lights around the intersections of I-10, La. 621 and La. 73, and a planned expansion of I-10 in that area should help mitigate traffic. He noted the hospital is also paying Ascension government more than $300,000 in traffic impact fees.

Valarie Mohamed, 49, who lives next to the site, ticked off drainage, noise, light and traffic as her major worries. She also questioned the need for the hospital when there are hospitals a few miles away in Baton Rouge and Gonzales, as well as urgent care clinics even closer.

But, Ely Brooks, 69, of Geismar, said he is for a hospital closer to where he lives. Brooks said hospitals in Baton Rouge and Gonzales can take as much as an hour to reach in traffic.

As part of the recommendation, the commission required a privacy fence along the property line with The Quarters, the neighboring condominium complex.

Follow David J. Mitchell on Twitter, @NewsieDave.

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Baton Rouge General gets early nod for neighborhood hospital, emergency room in Ascension Parish – The Advocate

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Virtual ER Cuts Down on Wait Times at MedStar – NBC4 Washington

A Washington, D.C., hospital is using technology to cut down on emergency room waiting time.

Dr. Ethan Booker helped develop Tele-triage at MedStar Washington Hospital Center. From a command center in another part of the hospital, Booker can virtually visit patients who show up at the ER.

The idea is that the patient will get seen by a doctor faster and will get blood work done, radiology done, and so by the time we have an open room, everything’s resulted and it expedites the care, nurse Shannon Silsby said.

Since it began last year, Tele-triage has treated 15,000 patients. The hospital estimates ER wait times have been cut by more than 26 percent.

MedStar isn’t the only healthcare facility in the area using technology to make medicine more efficient. In the spring, Maryland Physicians Care rolled out an app with the capability to let patients text and video chat with ER doctors. The app allows members to ask the doctors questions and determine whether a trip to an emergency room is necessary.

Published at 5:37 PM EDT on Aug 2, 2017 | Updated at 7:47 PM EDT on Aug 2, 2017

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