IKT i nytt sykehus

Det nye universitetssykehuset har hatt høye ambisjoner for IKT. Gamle manuelle og papirbaserte rutiner er erstattet med digitale løsninger. Her inngår blant annet:

• Datanettverk
• Trådløst nettverk over hele sykehuset
• Datamaskiner
• Pasientterminaler
• IP-telefoni (inkl trådløst)
• Pasientsignalsystem
• Audio- visuelt utstyr
  

Her er mer sykehus-IKT - på engelsk:

Information and Communication Technology

Advanced information technology has been a priority area for Trondheims new hospital. In many respects IT is a prerequisite for achieving the aims of the hospital development project.

The university hospital’s decentralized structure sets completely new requirements for digital exchange of information and communication, while the hospital application sets stringent demands on security and reliability.

	Patient Terminal - for all ages

All ordering of laboratory tests, investigations and supplies are electronic. It is possible to link all the hospital functions in an internal network, enabling the use of electronic messaging systems based on international standards.

Digital coordination and communication using intranets, e-mail and video conferences are the norm in the new hospital.

A regional network allows communication of patient information among all those involved in care and treatment. Called the Norsk Helsenett (NHH - the health-care network for Norway), it provides an integrated and secure high-speed network linking all the public-sector health-care organizations in the region.

Security of confidential patient information is an important consideration. The hospitals security organization and policy must comply with the Norwegian Data Inspectorates new guidelines for information security, including specific provisions for Internet connections. The firewall must satisfy the heath-care sectors own Internet requirements as well.
A modern and totally IP-based Infrastructure, a real Digital Hospital:

The hospital-wide digital network at St. Olavs is both wire and wireless, supports a range of devices including IP-based patient terminals and nurse call systems, and is integrated with all notification and alarm systems.

Another notable change in the Digital Hospital is that nurses are able to manage their own lab work, creating work orders, printing labels and using a pneumatic tube system to send samples to the lab. The ease of work on the ward is quite improved.

Other technologies facilitated by the digital infrastructure include wireless PCs to access hospital information systems, patient records and other applications; smart cards to control access to buildings as well as computers; speech recognition
to reduce reliance on medical transcriptionists; and, use of automated guided vehicles (AGVs) to improve the entire supply chain of ordering, receiving and transporting goods throughout the hospital.

The integrated ICT infrastructure at St Olav’s has some 1700 access points for wireless communication. Instead of wearing pagers, clinicians are equipped with IP
phones that not only support two-way communication with patients and staff, but also notify them when supplies or medications are delivered.

Every physician and nurse now carries a wireless IP phone and smart card in addition to their stethoscope, or that a fully digital surveillance system is enabling fewer employees to provide a higher level of security.

AGV
The automated guided vehicles (AGV) – small robots that travel the elevators and corridors using a virtual ‘track’ to deliver supplies–and the multimedia patient terminals – small bedside computers that provide access to radio and
television programming, the Internet and e-mail, all while doubling as a telephone.
Complex, yet flexible network

	AGV

A single converged IP network for voice, data and video, 200 VLAN, integrated with medical equipment and technical services. Enhance integration of applications and services. Enables excellent quality care and improve productivity and decrease cost.

200 logical networks separate services between zones and user groups. Extreme availability and High capacity, Virtualized network, Comprises 210 logical networks, All services are separate, each with:

· High quality (QoS), security, access and supervision
· Services are made available in four groups:
· Internal users (Hospital personnel)
· Patients
· Guests (next-of-kin, suppliers)
· Service and operations
· Services may be implemented on fixed and/or wireless network

Wireless
WLAN coverage for the entire campus, inside and outside.

Digital Dictation
Dictation and transcription may be far removed in space and time. Sound file immediately available. Speech recognition.


Numbers
• 5250 PC's (all types)
• 3200 Wireless phones
• 2600 Wired phones
• 150 Servers
• 180 Cisco switches
• 1100 Wireless access points
• 930 Patient terminals
• 130 Multifunction printers
• 650 Laser printers
• 28.000 RJ45


The infrastructure has reduces the number of errors, 24 h surveillance and is redundant with 99.999% uptime.

High-speed, fully redundant IP infrastructure based on Cisco Catalyst
6500 Series Switches and Cisco Catalyst 4500 Series Switches

• Secure wireless coverage across 11 buildings for mobile clinical staff via Cisco Aironet Access Points.

• Comprehensive IP telephony solution including voicemail, unified messaging and contact centre functionality.

	WIRELESS - IP

Business Value
• Integration of previously stand-alone systems is improving the speed and accuracy of the hospital’s response to nurse calls, alarms and emergencies.

• Enhanced productivity and more effective treatment are leading to shorter waiting times for new patients.


The new network provides the hospital with a converged infrastructure for voice, data, and video communications as well as a platform for all administrative and clinical applications and systems.

The new network at St Olav’s revolutionized the distribution and management of messages by allowing the hospital to manage message exchanges from a variety of different sources – such as patient terminals, medico-technical equipment or the Emergency Medical Communications Centre – on the same IP platform.

Formerly, the hospital ran a number of message systems on separate networks, including Nurse Call and Patient Monitoring applications, and building alarms.

Reduced ICT costs because there are fewer networks to manage and maintain.
It will also greatly improve response times and patient care by ensuring that messages are routed intelligently, based on recipients’ roles – nurse, doctor, janitor, and so on – and their location. For example, call alarms that would previously have
been sent to one individual’s pager, no matter where that person was located, can now be sent to an appropriate member of staff who is geographically closest to an incident.

“When it comes to technological infrastructure, St Olav’s Hospital will probably be one of the world’s most advanced for some time to come. Among other things, we are the first hospital in the world to operate all data, TV, radio and voice communication via IP”
Tore Indreråk,
Former Head of ICT, Helsebygg Midt-Norge.