penfield virtual hospital university of huddersfield 1 penfield virtual hospital keith ward &...

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Penfield Virtual HospitalPenfield Virtual Hospital

University of Huddersfield

Penfield Virtual Hospital

Keith Ward & Jim Hartley University of Huddersfield

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• Background to developments

• Overview of Penfield VLE

• Extensibility to other disciplines

Purpose

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• Informatics is keyboard/software driven rather than practice

driven

• Consequently Viewed by many as being irrelevant to practice

• Need to engage students in informatics

• No integration across curricula ‘bolted on’

• No apparent unifying theme

Background:

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What is it?

• Computer software that:-

– models some of the features of an acute General Hospital

Information Systems

– identifies key principles underpinning Nursing Informatics

– enbodies some of the core principles set out in the

Information for Health strategy document

Overview: Penfield

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What does the system Do?

• Allows users to:-

– explore informatics through interacting with the system: data

in context = Information; Information in context = knowledge

– add, edit and view data held in patient records

– problem solve through ‘what ifs’

Overview: Penfield

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• Scenarios

Interaction with Penfield is through:

• Scenes

Scenarios are built from:

Scenes are built from:

• Tasks }}All require All require ComponentsComponents

Are completed by users

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• A scenario contains the entire range of user interactions with Penfield over a period of five

Penfield days.

• Penfield runs in its own time 'Penfield Time'. On initial log on Penfield sets its internal clock

to n time Monday of the week initial log on occurred. Once set Penfield time elapses

sequentially as the scenario progresses.

Scenarios

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• Scenes determine the series and sequence of user

interactions with Penfield at a particular point in Penfield Time.

• Typically scenes will introduce, illustrate or reinforce

informatic principles.

Scenes

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• From time to time users will be given information about the

scene and what informatics principles are being explored; in

addition users will be prompted to give answers to questions

relating to the scene

• These answers will accrue as evidence that the scenario has

been completed.

• Scenes are an aggregation of tasks

Scenes

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• Tasks are specific user interactions with Penfield at a particular

point in Penfield Time. Users must complete the task as

instructed to continue e.g. enter a temperature reading.

Tasks

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Ward Activity with

underlying records

Admission = X

Discharge = 0

3 4 521

X 0

3 4 521

X 0 X 00 X

3 4 521

X X X X X0 0 0 0 0

Theatre

X-Ray

Significant Event

Significant Event Significant Event

Significant Event Significant Event

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Scenarios will determine the range of components that will be required to enact/complete the scenario.

Available Components:-

– The Off Duty Manager - Observation charts and records

– Nursing Record - Nursing Assessment

– POPR - Care Plan

– Browser - Qualification Bank

– Investigations - Prescription sheet

– Learning Management System - Admission form

Components

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Software components: Extensibility

• The User Interface

– the buttons, the menus, the pictures

• The User Interface Manager

– the brain

• The Data Manager

– the ‘gopher’

• The Relational Database

– and, of course, the database

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• The scenario will be mapped onto Penfield components/control

system using the clock and controller entities

Clock & Controller

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• Penfield’s patients have pertinent clinical data pre-loaded. This

data is revealed as Penfield time clocks and thus gives an

impression of ongoing patient activity.

Smoke & Mirrors

penfield virtual hospital university of huddersfield 1 penfield virtual hospital keith ward &...

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