medic-563423

Why LetItFlow is so special?

The Project

The LetItFlow project aims to design and implement a workflow support system to help elderly hospital workers (mainly nurses) to accomplish their daily tasks and to the adaptation to new procedures and methods. The system should enable assistance by means of workers activity monitoring, portable communication tools, alerting services, adapted interaction interfaces or workflow management.

LetItFLOW is based on fixed and mobile platforms that interact with the nurses to guide them in their work activities. Different Human-Computer interfaces are considered in order to adapt to the user activities and user profile (tactile, voice, text, vibro-tactile, multimedia, augmented reality…). There is no similar solution in the market, although we will build it from existing technologies (Hospital Information System and Workflow, User behavior and tracking, Context monitoring and communication framework from Integrasys and user-friendly and adapted interfaces), products and standards that will help to the adoption of the platform by the market. The lack of this type of framework and tools, together with the expertise of the consortium and potential market impact, will suppose incremental innovations as the approach is trying to use existing solutions as much as possible.

For the Employee

  • Instructions

    The employee will be automatically prompted by the platform with instructions to accomplish his tasks, and he can also receive the messages

  • Real-time monitoring

    The tool will monitor the user and activity state to guide him in the most appropriate way. The parameters are assessed through real time monitoring of the user (position, task status, behavior of the user), and also takes into account historical values of the user (user profile and experience, expertise). We give priority to privacy issues that will be tackled also as part of our work.

  • Collaborative work

    In a cooperative and distributed environment, the tool will consider information from other employees, in such a way that collaborative work is also possible. It will ease the human support – older employees can help younger ones, and vice versa.

  • Different devices

    The devices that interact with the employee will range from fixed computer platforms (PC and laptop), mobile platform (mainly smartphone), to small gadgets (smart watches). It depends of the type of work and task performed.

For the Instructor

  • Guidance Instructions

    A tool to create the guidance instructions, based on natural and graphical language. Programming skills are not needed to create the content and scripts. The language will be adjusted to domain specific expertise.

  • Create content

    Possibility to create content and to embed applications of heterogeneous nature. It ranges from voice/text messages that prompt the user to accomplish their daily task (script based instructions definition), but also on-demand rich content to coach the user in a specific task (video and augmented reality or other type of content could be plugged)

  • Different devices

    Support to add personalized content to different type of devices, such as laptop, tablets or mobile platform. For instance, if the employee is carrying an smart-watch, the most appropriate information would be short voice messages. In tablet, the message can be enriched with other multimedia content.

  • Profiles

    Access to profiles of targeted user to adjust the script and content to their need

Example Scenario

Let’s imagine Elena, a 57 years old and over 35 years of experience in neurology department. She is very active and very experienced, but she is suffering of myopia forte. Due to this limititation, she prefer to hear the indications instead of reading. As a consequence she has to cut back on writing and reading duties and instructions. Additionally, she has had trouble with her back frequently in her long career as a nurse. As a consequence she has to cut back on physical work.
Elena is now equipped with a mobile handphone with all the indications in memory of this device. The device has our task support application and Elena is performing her work correctly, called LetItFLOW. The system is should ensure the privacy of Elena, who is aware of the shared information, and can easily control it. She receives from the instructor the task planned for today, chronologically organized.
In the indications, the first patient is Dan, and he needs an intramuscular injections. Elena needs to verify before the injection the blood pressure, ventricular rate and the body temperature. All of these, she can do in a properly manner due to the LetItFLOW, which tells her the next task. She can call for help if some of these parameters are not in normal range. Dan also needs wheel chairs, because it was prescribed by doctor yesterday. Wheelchairs are in the upper floor and are folded (hard work for Elena). As if by magic, her young colleague Arthur appears on the door with the wheelchair. LetItFLOW is aware of the problems Elena has with her back and lifting objects, warned the instructor when was creating the workflow. LetItFLOW sent this order to Arthur, who was not performing any urgent task in this moment.

After this initial patient, the next one is Maria, a demented patient, who needs help for oral medication. Elena can give her the correct medication and in a correct dosage due to the hearing instructions. Maria seems quiet warm, and trigger an alarm that assign he another young assistant to bring a thermometer and read the temperature, because she cannot read the small numbers of the thermometer. Elena is sitting next to Maria all the time because she become agitated and nervous. It is not for the first time when the patients are confused and disoriented, and Elena knows that she has to stay near and not to leave them because they could hurt themselves. The new device helps her to seek help in a rapid way and she sends alarm to nurses to come and help her. Elena asks for help through LetItFLOW, and the platform assign two auxiliary attendants to help her with this task. LetItFLOW remember Elena to fill in the report to indicate that the task is completed, and she does so, using voice interfaces.
Anne, another young nurse is having problems with one patient. She detects that a patient has a Post-Partum Hemorrhage. Anne is the first time that lives this situation and pushes the alarm button. The staff is warned. According to her position and expertise, Elena is warned to support Anne. Elena helps Anne in the first aids. After this episode, Elena feels happy because she saves a life, and teaches a colleague how to proceed in such critical situation.

In the room of the second patient, new monitoring equipment has been installed. LetItFLOW ask to Elena to launch an application that will guide her in the understanding of such equipment. Augmented Reality based tutorial, provided by the manufacturer and plugged in the handheld by the instructor. This application helps Elena to consolidate the theoretic learning that she received when this equipment was installed. With this application, she feels more confident when handling the new equipment, and this practical learning improve the learning curve. After one week with this assistive tool, Elena decided to use it without any help. Before LetItFLOW, Elena frequently needs in-situ assistance from other personnel when new equipment is installed.
For the next day, according to average parameters, such as time to attend a patient or needs of other colleague to complete the work, LetItFLOW recommends the instructor to remove the assignment of Maria as a patient of Elena. The instructor accepts the recommendation.