How NextGen Computers-on-Wheels (COWS) Enhance Patient Care

Electronic Medical Record (EMR) systems are digitizing healthcare. Facilities are racing to find and purchase the best equipment that will both safeguard their patients data according to the requirements set out by the Health Information Technology for Economic and Clinical Health (HITECH) act, and give health care professionals better flexibility and functionality to deliver patient care.

IT vs. Caregiver Perspectives

IT departments can be blind to the realities of what their professionals on the floor really need. Many facilities turned to wall or desk mounted PCs in as many rooms as possible, tethering each device to a static location. However, caregivers found mobility to be their biggest advantage, thus PCs mounted on medical carts were considered as an option.

Although these first generation options (often referred to as Computers-on-Wheels (COWS) and Workstations-on-Wheels (WOWS)) promised mobility, the laptop computers often ran out of battery charge mid-shift, causing delays in patient care due to power issues.

In addition, using an off-the-shelf laptop computer on top of a medical cart was found to be problematic, as the practice quickly spread bacteria from room to room within a hospital, due to the computer fan blowing air around. The concept of a consumer grade PC simply mounted on a standard medical cart was discarded, and a new concept was implemented – the all-in-one medical-cart computer.

DT Researchs next generation medical-cart computers have addressed the previous power issues with a hot swappable battery that can be switched on the spot without losing connectivity, and the bacteria spreading issues were also resolved, leading to a cutting edge solution that offers true medical computing at the point-of-care.

The Triangle of Patient Care

There are three points to the triangle of patient care; the patient themselves, the data, and the caregiver. Having an all-in-one medical-cart computer available at the point-of-care allows medical professionals to complete electronic based charting while at the side of the patient. Advantages include:

  • Real time, on location methodology of data collection and entry. This ensures rapid input of information in a timely manner as well as the ability to double check with the patient when it comes to items like medical histories and allergies.

  • Optimal layout of the facility thanks to the unit not being tethered permanently to a wall or desk. This allows for greater mobility for staff and physicians who dont have to work around the cart when its not in use.

  • Suitability for use in conjunction with wall mounts. The all-in-one medical-cart computer can be wheeled in and used as a comparison with data available on a wall mount when time is short and data transfer is minutes that are not to be wasted.

  • Access across floors and specialties for complex cases. A mobile, integrated medical-cart computer assigned to a complex case can be taken from floor to floor, parked by the patients bed, and charts updated seamlessly when sending information electronically for every move and change isnt time effective or productive.

Efficiency + Productivity + Accuracy = Better Patient Care

NexGen Medical-Cart Computers take the uncertainty and delays out of patient data collection, entry, and sharing. The ability to work on a patient and then enter data without interrupting workflow to find a wall mount or go to a centralized data entry station means that patient care is handled quickly and efficiently and the care is improved by better accuracy and less human error.

NextGen Medical-Cart Computers by DT Research will help facilitate broad adoption of EMR systems, which will significantly improve medical outcomes.

Understanding All-In-One Medical-Cart Computers for Point-of-Care

Point-of-Care drives nearly every variation of medical equipment found in a facility. The POC is the location the medical-cart has in proximity to services or procedures being completed, and determines whether the cart is stocked with pharmaceuticals, medical equipment, or data in an all-in-one medical-cart computer.

Many medical carts reside in a Pre-POC storage and restocking area until needed. Of these, all-in-one medical-cart computers may be lined up near where batteries are kept for quick hot swapping, and the charging stations for the batteries can also be located nearby so drained batteries can be plugged in. As rooms are assigned to patients, medical-cart computers can also be assigned to the room, or dedicated to recording the care of that patient through the facility.

Common Medical-Cart Computer POCs

More and more medical-cart computers are being implemented in hospitals and other care facilities, and designated for doctor and nurse use, streamlining patient care and ensuring that data is correctly input in a timely manner. An all-in-one medical-cart computer provides medical staff with the ability to quickly and effectively manage:

  • Facility Operations and Maintenance. Data to be accessed could include power grid and Internet options, managed via an all-in-one medical-cart computer with a built in battery.

  • Central Supply. While many medical carts will simply be designated for restocking, one or more medical-cart computers may be used to track inventory and assign tasks.

  • Pharmacy / Medication. Obviously the need for tracked inventory is even more crucial when pharmaceuticals are involved, an all-in-one medical-cart computer with a built in battery provides a timestamped way to verify dosages and administration.

  • Sterile Processing. Another POC that may or may not require data entry, these medical carts are located by sterile rooms or outside operating theaters.

  • Traction. Specialty items and procedures are required for traction patients, and a POC medical-cart computer can help make sure staff remember protocols.

  • Anesthesia POC medical-cart computers can also require additional equipment and hot-swappable batteries for continual for accuracy of treatment and up to the minute reports on a patients condition.

  • NICU. There is probably no other place where information on patients is updated more frequently than the neonatal ICU. Staff members can make extensive notes so each new shift can be quickly updated and review data from the previous shifts. An all-in-one medical-cart computer can move with the neonatal bed from location to location.

Carts with built in mobility and computing power provide an upgraded experience for both patients and staff. Instead of being forced to retreat to a centrally located terminal to enter data and waiting for a slot to open up, a medical cart computer can be quickly utilized at the Point-of-Care and the data fed directly into the database from anywhere in the hospital. Authentication protocols meet HIPAA requirements, and patient care improves significantly.