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Telematics for Anaesthesia and Intensive Therapy

Objective

1. The goal of TANIT is to develop, implement, demonstrate and evaluate generic computer systems for Anaesthesia and Intensive Care, i.e. two major component parts of Critical Care (CC).

The project aims to produce a demonstrable reference for Critical Care departmental computer systems in the mid-nineties, transferable in time and space throughout Europe, and open to the hospital information space and to the health communities. The core of TANIT is the development and evaluation of Anaesthesia and Intensive Care pilot systems.
Research has been carried out in order to develop, implement, demonstr evaluate generic computer systems for anaesthesia and intensive care.

The initi concentrated on:
creating top level logical and data models, and developing a sp user interface for the clinical component of the intensive care unit (ICU) pilot the hardware and software platforms for the ICU pilot system;
designing and impl front end component of the anaesthesia departmental system (operating room syste the fast prototyping of a laboratory demonstrator for early evaluation and feedb partners and clinicians;
identifying and analysing the major problems raised by data information and knowledge inside and outside the critical care (CC) departm exploitation of the data in CC environments, quality assurance and evaluation is these problems, proposing early solutions and recommendations for the pilot deve
Pilot development is to be systematically evaluated, and is supported by strategic and telematic R&D activities. In addition to the 2 pilot activities (work packages). Some of these activities are required to ensure the local users (physicians, nurses) acceptance of the computer system in their daily work: "Human Computer Interaction" and "Cooperative Work Support". Others are required to ensure effective communication within CC environments and to/from the surrounding health information space: "Data Transfer Standards", "Data Protection, Security and Confidentiality", "Transferable CC Medical Record", "Integration of remotely collected data in the CC computer system". Still other activities are required to warrantly the "Transferability of the Computer System and of the Data". Finally there is a need for improving the exploitation of the data collected in the CC environment, particularly the 'processing of data generated by bedside monitoring devices', the process of 'clinical decision making', the 'evaluation of the quality of care' and 'resource management and patient costing'.

Synopsis of 2nd Year Plan

In the general process of creating information systems for Intensive Care Units and Anaesthesia departments, the activities of the TANIT Consortium during the first year have concentrated on:

- creating top level logical and data models, and developing a specification of the user interface for the clinical component of the ICU pilot system;
- evaluating the hardware and software platforms for the ICU pilot system;
- designing and implementing the front end component of the Anaesthesia departmental system (Operating Room system), including the fast prototyping of a laboratory demonstrator for early evaluation and feedback by consortium partners and clinicians;
- identifying and analysing the major problems raised by:
- communication of data/information/knowledge inside and outside the Critical Care (CC) department,
- advanced exploitation of the data in CC environments,
- quality assurance/evaluation is-sues;
- for some of these problems, proposing early solutions/recommendations for the pilot developments.

Based on 1st year results and ongoing work, and according to overall plans, 2nd year TANIT activities aim to:

- implement and install , in a clinical pilot site, the selected example part of the ICU pilot system, and perform a preliminary evaluation of it;
- to start integration of prototype software from the signal processing work package (WP SIGNAL) and the clinical decision support work package (WP CDS) into the ICU pilot system;
- to perform a partial design and implementation for the management component of the ICU pilot system;
- finalise implementation of standalone OR (Operating Room) pilot system (as prototyped in the laboratory demonstrator), install several of them in clinical sites, and start evaluation of them;
- implement a specific computer system for use in the Recovery Room, install it in clinical sites and start evaluation of it;
- create a network for intercommunication between OR and Recovery Room systems;
- start integration of selected results form other work packages in the global "Anaesthesia Prototype System" and especially results from INTEG work package for the design of a 'pre-operative data collection' system;
- freeze pilot evaluation methodologies and start testing them.

The standards and telematic development work packages will continue with the analysis of their respective problems. More and more results/ recommendations for the pilots will be finalised, and the scientific partners will support their integration/ testing within the pilots. Among others:

- links with various standardisation bodies will be maintained, with possible proposals from TANIT partners for specific topics;
- a separate prototype for CC security and an access control system will be developed to test the concepts of the PROTEC work package;
- specifications of the data and analytical and reporting functions for medical audit in CC departments will be produced;
- applicability of the HCI work package recommendations will be validated and HCI of the pilots will be evaluated;
- resource and strategic management functions for ICU and Anaesthesia will be specified;
- functions to support cooperative aspects of the work in CCE will be proposed and some of them prototyped;
- design recommendations for keeping CC environment computer systems transferable will be produced;
- clinical decision support modules will be prototyped and their integration into the ICU pilot will start.

Coordinator

PREMIUM S.A
Address
Rue E. Guirsch 8
1390 Grez-doiceau
Belgium

Participants (9)

CERIM - Faculte de Medicine
France
Address
1 Place De Verdun
59045 Lille
Consiglio Nazionale delle Ricerche (CNR)
Italy
Address
Via Trieste 41
56100 Pisa
DRAEGER MEDICAL ELECTRONICS
Netherlands
Address
Ibc Weg 1, Postbus 10.100
5680 GA Best
FRAUNHOFER GESELLSCHAFT
Germany
Address
Senefelder Straße 26
7000 Stuttgart
Kontron Instruments Ltd
United Kingdom
Address
Croxley Business Park Blackmoor Lane
WD1 8XQ Watford
STAFF S.A.
Belgium
Address
Heide 10
1780 Wemmel
Sistemi Organizazzione e Gestione Servizi Sociali e Sanitari SrL
Italy
Address
Via De Amicis 53
20123 Milano
ULM CLINIC OF ANAESTHESIOLOGY
Germany
Address
Steinhoevel Straße 9
7900 Ulm
University College London
United Kingdom
Address
Gower Street
WC1E 6BT London