2022年醫(yī)院愿景研究報(bào)告-智慧醫(yī)療移動(dòng)數(shù)據(jù)終端英文版

2zebratechnologies

DELIVERING

MEANINGFUL

IMPROVEMENTS

EMERGENCEOF

TECH-SAVVY

PATIENTS

TRANSFORMATIVE

TECHNOLOGY

TRENDS

CURRENTIMPACTOFMOBILETECHNOLOGY:

COSTREDUCTION

55%

Ofhospitalscitereducedcostofpatientcare

QUALITYIMPROVEMENT

72%

Ofhospitalshighlight

improvedqualityof

patientcare

ENHANCED

PATIENTSAFETY

61%

Ofnursesreportreducedmedicationadministrationerrors

96%

Ofnursesplantoaccesspredictiveanalyticsonmobiledevicesby2022

77%

65%97%

BedsideNurses

Ofpatientsfelt

positiveaboutclinicians

usingmobiledevices

intheircare

51%98%

Physicians

57%

Currentlyuse

wearablesto

trackhealth

metrics

95%

Willingtoshare

healthmetrics

collectedfrom

wearableswith

clinicians

42%96%

Pharmacists

HEALTHCAREIN2022

Respondentsidentifiedcompellingshiftsinacutecarehospitalsandtheirimpactonquality,costandoutcomes.

GROWING

USEOF

MOBILEDEVICES

1

Remotepatientmonitoring

2

Telehealth

3

ArtificialIntelligence

83%

ExpandinguseofReal-TimeLocationing

Service(RTLS)for

dynamicstaffworkflows

Zebra’sHealthcareVisionStudy

Clinicalmobilityistransformingcareathealthcarefacilitiesaroundtheworldandishavingaprofoundimpacton

nurses,doctors,ITexecutivesandpatients.Zebracommissionedthreeglobalresearchstudiestobetterunderstand

theroleoftechnologyinacutecarehospitals.Thestudiesfocusedonnursemanagers,ITdecisionmakersandrecentlyhospitalizedpatients.TheFutureofHealthcare2022HospitalVisionStudysummarizestheresultsofthisanalysis.

WHATISCLINICALMOBILITY?

ClinicalMobilityistheuseofmobiledevices(suchashandheldmobilecomputers,tabletsandmobileprinters)byphysicians,nursesandotherhealthcareprofessionalsatthepoint-of-care.

FACTORSDRIVINGINVESTMENTINCLINICALMOBILITY

COMPLYWITHNEWLAWSANDREGULATIONS

OPTIMIZEPAYER

REIMBURSEMENT(INU.S.ONLY)

1

2

3

4

5

IMPROVEPATIENT

OUTCOMES

INCREASESTAFF

WORKFLOWEFFICIENCY

REDUCETHECOSTOF

PATIENTCARE

EXECUTIVESUMMARY

Theglobalhealthcareindustryisfacingaseeminglyinsurmountablenumberofchallenges–fromaging

populationsandstaffshortagestorisingcosts–thatareplacingenormouspressureoninstitutions,doctors,workers,patientsandcommunities.Asaresult,thereisahigherdemandforservicesandsupportthatarenotsustainablewithexistingresourcesandmethods.Hospitalsareincreasinglyturningtotechnologyandautomationtoreducethestrainonanalreadyfragilesystem.

CLINICALMOBILITYISTHEANSWER

Thegoodnewsisthatthereisasolutionthatcanhelpeasethestressonthesystem,improvepatientcare,createworkflow

efficienciesandbetterutilizelimitedresources.Thankstotheadoptionofclinicalmobility,hospitalsaroundtheworldare

eliminatingmanual,error-proneproceduresandreplacing

themwithdigitalsolutionsthatincreasetheaccuracyofpatientidentification,streamlineprocesses,improvethequalityof

patientcareandenhanceoverallvisibility.Bydigitallycapturinginformation,datacanbetransmittedinrealtimetoclinicalstaff,reducing–eveneliminating–errorsanddeliveringcritical

timesavings.

ExpandingUseofMobileDevices

Hospitalsarealreadyrealizinggainsinproductivitybyoutfittingkeypersonnelwithmobiledevices.Thestudyshowedthatby2022,97%ofnurseswillusemobiledevicesatthebedside

whichwillhelpinstillgreaterpatientconfidence.Thestudy

alsorevealedanincreaseinthenumberofmedicaldisciplinesembracingclinicalmobilitysolutionsincludingemergencyroomnurses,pharmacistsandlabtechnicians.Infact,by2020,usageofmobiledevicesisexpectedtogrowupto40%forallhospitalworkers.Richapplications,remotepatientmonitoringand

artificialintelligencewillenliventhedailyworkexperienceandempowerclinicianswithgreaterinsightsandinformationto

treatpatients.

1TheJointCommission,

/cearticle?an=01271211-201401000-00005

EnrichingStaffCommunications

AccordingtoTheJointCommission,70%ofmedicalerrorsareattributabletocommunicationbreakdowns.1Byintegrating

clinicalmobilitythroughouttheirorganizations,hospitalswill

improvestaffcommunication,makereal-timeaccesstomedicalrecordspossibleandensurefasteravailabilityoflabresults,tonamejustafew.Mobiledevicesenablenursestospendmore

timeatthepatient’sbedside.Over65%ofnursemanagersandITexecutivesciteimprovedcommunicationandcollaborationastheprimarybenefitofclinicalmobilityinpatientcare.

ElevatingPatientCare

Accordingtothestudy,72%ofrespondentsciteimprovedqualityofpatientcareasadirectresultofclinicalmobility.Inaddition,

61%ofhospitalssurveyedreportedareductioninmedicationadministrationerrors,and52%citeddecreasedspecimen

collectionlabelingerrors,positivelyaffectingpatientcare.

RisingPersonalizationofHealthcare

Thedigitalhospitalofthefuturewon’tjustbemoreefficient,

butitwillalsodeliverbettercare,bemoreaffordableandmoredeeplyengagepatientsintheirtreatmentandrecovery.Most

respondentsexpectanalyticstechnologytoimprovethequalityofhealthcareglobally.Inaddition,tech-savvypatientsarefindingcomfortintechnologyandare,infact,bringingtheirdatawith

themtothehospital.Ninety-fivepercentofpatientssurveyedarewillingtoshareelectronichealthmetrics.

zebratechnologies3

4zebratechnologies

ALERTS/ALARMSACCESSEDONMOBILEDEVICES

Electronic

HealthRecord

notifications

Remotepatient

monitoringand

healthtracking

information

Patientmonitoringequipment

Biomedicaldevices

68%98%

98%

98%

39%

33%

52%

97%

ANEVOLVINGHEALTHCAREECOSYSTEM

Attheheartofcreatingasuccessfulclinicalmobilityprogramisunderstandingtheuserswhoemploythe

devicesintheirday-to-dayworkenvironmentsaswellasthosetheyserve.Theseindividualsincludenurses,physicians,pharmacists,labtechnicians,radiologists,patientsandmore.Whilenursesareactivelyengagedatthepatient’sbedsideandusetechnologydaily,it’stheITteamthatmustimplementandmaintainthesystemwhileensuringcompliancewithsecurityandpatientprivacyrequirements.Patientsmustgrowaccustomedtotechnology’sevolvingroleintheircare.Forsome,thiswillbeextraordinarilydifficult.Formoretechnologicallyastutepatients,clinicalmobilitywillnotbealeapbutquitepossiblyademand.

ITPROFESSIONALS:

THEGREATFACILITATORS

Asclinicalmobilityfindsahomeinacute

carehospitalsettings,theITdepartment’s

rolewillbecomeevenmorecomplicated

astheyworktoblocksecurityintrusions

andensuresystemsanddeviceswork

seamlessly.Currently,36%ofhospitals

areusingmobiledevicesandthat

numberisexpectedtodoubleby2022,

dramaticallyincreasingthenumberof

devicesITwillneedtomanage.

PATIENTS:EMERGING

HEALTHCAREHEROES

Patientsareembracingtechnologyin

healthcare.Inparticular,young,tech-

savvyindividualsarebetterinformed

andalreadyusingwearablestotrack

theirhealthdata.Thestudyrevealsthatpatientsarebecomingbetterprepared

fortheirhospitalstaywith48%makingalistofquestionsand46%checkingonlinesources.Ofthoserespondinginthis

manner,68%wereunder40yearsofage.

NURSES:TRADITIONAL

HEALTHCAREHEROES

Nursesarethelifelineofthehospital.

Nursingstaffat62%ofhospitalssurveyedcurrentlyaccesspatientelectronichealthrecordsontheirmobiledevices,followedby57%whousemobiledevicestoaccessdiagnosticlabresults.By2022,hospitalstaffanticipateusingmobiledevicesandpredictiveanalyticstoimprovediagnosisandpersonalizecare.

NURSESIN2022

DATAACCESSEDONMOBILEDEVICES

Medicalanddrugdatabasereferences

ElectronicHealthRecords(EHRs)

Labdiagnosticresults

Picturearchivingandcommunicationsystem,medicalimaging

Predictiveanalytics

88%

76%

92%

91%

69%

ADVANCINGCAREANDINCREASINGEFFICIENCY

Thebenefitsofclinicalmobilityinpatientcareareclear.Theaveragenursewalksfourtofivemilesper12-hourshift.2Mobiledeviceshelpnursesimproveefficiencybyincreasingtimeatthebedside.

Accordingtothestudy,by2022nursesacrossalldisciplines

–bedside,emergencyroom,operatingroomandintensive

care–aswellasphysicians,pharmacists,andlabtechnicians

willincreasinglyusemobiletechnology.Inmanycases,itis

becominganindispensabletool.Usecasesincludeverifyingtherightmedicationisadministeredtotherightpatient;monitoringapatient’svitalsignswhilemovingaroundthehospital,confirmingalaborderbeforedrawingaspecimen;accessinghealthrecordsandtestresults,andevenlocatingsuppliesortrackinginventory.

Whileaccesstothisinformationadvancesthequalityofcare,

italsopresentsadditionalsecurityconcernsrelatedtopatientprivacy.That’swhysecuringdataanddevicesismoreimportantthanever.ITdepartmentsat42%ofhospitalssurveyedare

lookingtoimplementdataencryptionandremotedevicewipingonmobiledeviceswithinthenextyear.

HI-TECHDEMANDS

Cliniciansarefacingincreasingpressuretobemoretechnologysavvy.Fromsmartinfusionpumpstohandheldcomputers,

technologymustbeeasyandintuitivetouseandadaptableforthehighly-specializedrequirementsfoundinhospitals.Devicesmustsupportoperationwithglovedhands,scanrightthefirst

timeandeverytimeandvibratealertsoasnottowakesleepingpatients.Inaddition,newtechnologymustbeabletowithstandrepeatedcleaninganddisinfectiontoeliminatethepotential

spreadofbacteria.

MOBILEDEVICEUSAGEISEXPECTEDTOINCREASEDRAMATICALLY

65%97%

BEDSIDENURSE

53%94%

EMERGENCYROOMNURSE

38%93%

INTENSIVECARENURSE

36%91%

OPERATINGROOM/CATHLABNURSE

PHARMACIST,PHARMACYTECHNICIAN

PATIENTTRANSPORT

42%96%

52%96%

52%96%

51%98%

LABTECHNICIAN

PHYSICIAN

REPORTEDBYITEXECUTIVES

CLINICALMOBILITYELEVATESQUALITYOFPATIENTCARE

61%

Medicationadministrationerrors

46%

Patientcareissuesrelatedtocommunicationbreakdowns

52%

Specimencollectionlabelingerrors

46%

Preventable

medicalerrors

REPORTEDBYNURSEMANAGERS

2

/2016/03/10/8-shocking-habits-of-nurses/

zebratechnologies5

6zebratechnologies

COMMUNICATIONAREASNEEDINGIMPROVEMENT

INTENSIFYINGUSEOFMOBILECOMMUNICATIONAPPLICATIONSBY2022

97%

PICTURETAKING

OFWOUNDS/

SKINCONDITIONS

98%

VOICE

COMMUNICATION

94%

RECION/

DICTATION

99%

SECURETEXTMESSAGING

96%

TELEHEALTH

REPORTEDBYNURSEMANAGERS

IMPROVINGSTAFFCOMMUNICATIONISESSENTIAL

Throughoutthehealingprocess,patientsmayrequirecarefromabroadrangeofmedicalpractitioners,fromnurses,physiciansandspecialiststotechnicians,therapists,pharmacists,andmore.Communicationbetweenthedisciplinesiscritical,butremainsapervasiveproblem.Infact,morethanaquarterofhospitalreadmissionscouldbeavoidedwithbettercommunicationamonghealthcareteamsandbetweenprovidersandpatients.3

Nurse-to-physiciancommunication

Nursecallandpatientmonitoringalertstomobiledevices

Clinicaldecisionsupport(real-timeinformation)

Nurse-to-nursecommunication

3

4

2

1

REPORTEDBYNURSEMANAGERS

Thestudyfoundthatalackofreal-timepatienthealth

informationatthebedsideisthebiggestbarriertoachievingoptimalpatientcareinhospitalsglobally.

Nursesarmedwiththemostup-to-dateinformationaboutpatients

canspendmoretimeatthepatient’sbedside,betterprioritizealarmsandoptimizeworkflowswithimprovedcommunicationamongcolleagues.Accordingtothestudy,67%ofnurse

managerscreditclinicalmobilitywithimprovingstaffcommu-nicationandcollaborationaswellasthequalityofpatientcare.

Globally,64%ofITexecutivesidentifynursetophysiciancommunicationsasatopareaneedingimprovement.

Additionally,60%concededcommunicationthroughthehealthsystemnetworktodoctorsneedsimprovementinhospitals.

Thisdatasuggeststhatwhenimplementingclinicalmobility,ITleadersneedtoinvestintheproperinfrastructure,suchasnursecallsystems,VoIPandwirelesslocalareanetworks(WLANs)forseamlesscommunication.

CLINICALMOBILITYENHANCESCOMMUNICATION

42%

Improvedinformation

availabilityandpoint-of-caredecisionmaking

50%

Increasedpatientcarefocusandattentiveness(lessnon-criticalinterruptions)

44%

Increasedmedicalworkflowaccuracyandprecision

67%

Improvedstaff

communicationandcollaboration

REPORTEDBYNURSEMANAGERS

3

MPH,AndrewD.AuerbachMD.“ReadmissionsinaNationalCohortofGeneralMedicinePatients.”JAMAInternalMedicine,AmericanMedicalAssociation,1Apr.2016,

/journals/jamainternalmedicine/fullarticle/2498846.

zebratechnologies7

CLINICALMOBILITYISVITALBUTMUSTOVERCOMEIMPLEMENTATIONOBSTACLESNURSEMANAGERSANDITEXECUTIVESRANKBARRIERS

Lackofbudgettomaintain,

serviceandupdatedevices

Patientprivacyconcerns

LackofadequateIThealth

informationsystems

IT

Datasecurityconcerns

Lackofup-frontITinvestment

Lackofup-frontITinvestment

LackofadequateIThealthinformationsystems

Hesitancyofclinicians/nursestochangeworkflows

Inadequatecommunication

infrastructureandWLANcapacity

Datasecurityconcerns

NURSE

MANAGERS

EXECUTIVES

3

4

2

5

1

MODERNIZINGTHEHEALTHCAREINFRASTRUCTURE

Moreandmore,systemsinsideandoutsidethehospitalarebecomingconnectedandtransformingthehealthcaredeliverysystem,creatinghigh-efficiencyworkflowsthatminimizeerrorsandreducecosts.

Whatdoesittaketoreapthesebenefitsandwhoisultimately

responsibleformakingthechanges?Worldwide,healthcare

facilitiesarestartingtoimplementpartsofthesesystemsand

areeffectivelyleveragingbestpracticesfromtheHealthcare

InformationandManagementSystemsSociety(HIMSS)and

GS1,theglobalbusinessstandardsorganization,throughoutthistransition.ThereisstillalongwaytogoandITdepartmentswilllikelytakeonmostofthesetasksastheirpositionstransition

fromsupportingroletoleadingdecisionmaker.

HEALTHCAREITLEADSTHETRANSFORMATION

TheroleoftheITdepartmentisclearlyevolving.Currently,

hospitals’clinicalmobilitypoliciesareprimarilycreatedby

hospitaladministration,followedbyITmanagement.Inthe

future,respondentsexpectthatdynamictoshiftwithIT

executivestakingastrongerleadershippositionindevelopingtheactualpolicyratherthanjustinimplementingthesolution.

Insomeways,theuseoftechnologyinthehospitalsettingis

somethingthatcanbringITandnursemanagerstogether.Forexample,bothnursemanagersandITexecutivesseepatient

privacyconcernsaswellasalackofadequateITandhealth

informationsystemsasobstaclestoattainingorganizational

approvaltoimplementclinicalmobility.Aspartoftheincreasedlevelofcollaborationinclinicalmobilityimplementation,IT

isinvolvingkeyplayersfromalldepartmentsandmightbesurprisedtofindanallyinthenursingstaff.

Mobiledevices,whethersuppliedbythehospitalorthosebroughtinbyworkers,requirepoliciestoensurecompatibility,security

andproperuses.Today,only65%ofhospitalshaveamobile

devicepolicy,with53%definingspecificdatarequirementand

implementingauthentication/authorization.By2020,42%of

hospitalswilladdassetmanagement/maintenance,mobiledevicemanagement(MDM),dataencryptionandremotedevicewiping.

IMPLEMENTATIONOFMOBILEDEVICEPOLICIESWILLINCREASEBY2022

98%

PLANTOHAVEAMOBILEDEVICEPOLICY

65%

HAVEAMOBILEDEVICEPOLICY

REPORTEDBYITEXECUTIVES

8zebratechnologies

77%ofpatientsfeltpositive

abouttheirclinicianusingamobiledeviceintheircare

THECONSUMERIZATIONOFHEALTHCARE

Society’sadoptionoftechnologyisdrivingthedigitizationofhospitalservices.Asaresult,patientsaretakinggreateradvantageofservicesliketelehealthtohelplimitthenumberofhospitalvisits.Technologyisfreeinguphospitalstafftoprovidetheproperlevelofcarerequiredinamoreefficientmanner.

Thepresenceoftechnologyandtheskilloftheclinician

employingitintheirtreatmentgoesalongwayininstilling

patientconfidence.Inthestudy,70%ofpatientssawtheirnurseorhospitalstaffusingamobiledeviceand77%feltpositive

abouttheexperience.

EMPOWERINGDATADRIVENDIAGNOSIS

Ashospitalscontemplateclinicalmobility,it’simperativethattheyconsidertheneedsandhabitsoftoday’ssmartphone

tethered,ever-connectedpatients.Hospitalsthatdon’tadopt

clinicalmobilitywilllikelyhaveadifficulttimeattractingand

treatingpatientswhoarebeginningtoexpecttechnologytobeacentralpartoftheircare.

Thisemerginggenerationofhealthcareconsumershavecome

tounderstandthatiftheygiveawaytheirinformationtherewardsareplentifulincludingtimesavingsandevenbettercare.Of

surveyedpatients,57%usewearablestotrackhealthmetrics,and95%ofthosewhousewearablesarewillingtoshare

informationwithhospitalclinicians.

(

PATIENTSAREBECOMINGACTIVEPARTICIPANTSINTHEIRHEALTHCARE

95%

BROUGHTHEALTH

MONITORINGDEVICE

DATATOTHEHOSPITALIN

PREPARATIONFORASTAY

WILLINGTOSHARE

ELECTRONICHEALTH

METRICSWITHHOSPITAL

CLINICIANS

USEWEARABLESTO

TRACKHEALTHMETRICS

37%

57%

IThasthearduoustaskofensuringthatalldatacollectionsystemsarecompatiblewitheachother.While

thisisathornyprocess,there’snodenyinghowusefulthatdatacanbeinthediagnosisandtreatment

ofpatients.

PREDICTIVEANALYTICSISTHEFUTURE

Thesenewsourcesofdataareprovidinganewopportunityforphysiciansandnursestoprovideunprecedentedlevelsofcare.

Vitalpatientinformation,fromprescriptionsandlabresultsto

REALIZINGTHEPOWEROFDATA

Ninetypercentoftheworld’sdatawascreatedinthelasttwoyears.4Medicalinstitutionsarenoexception,

generatingdatafromanever-growingnumberofdevices,sensorsandemergingtechnologies.Maximizingtheusefulnessofthesecomplexdatastreamsrequiresanintegratedsystemsapproachthatextendsaccessibilitytoavastexpanseofhealthcareworkers.

98%

By2022,IT

executives

expectpredictiveanalyticsand

earlydetection

notificationfor

lifethreateningconditionswillbesenttoclinicians’mobiledevices.

individuallifestyledata,candrasticallyimprovethequalityofhealthcare.ITexecutivesrankedartificialintelligenceasoneofthetoptechnologytrendsmostlikelytoimpactthedaily

workexperience.Accesstothistypeofdataatthemomentit’sneeded,canhelphealthprofessionalsbetteranalyzeasituation,moreaccuratelypredictoutcomesandtakeaction.

STREAMLININGWORKFLOWSAND

LIMITINGOVERFLOWS

Predictiveanalytics–whileinitsinfancy–isprovingverypowerfulinstreamlininghospitalworkflowsandholdsgreatpromiseinreducingpatientreadmissions.

Thekeyisaggregatingtheappropriatedataandbeingwillingtomakechangesbasedontheinformationthatdataprovides.Hospitalsarealreadyonboardwithpredictiveanalytics,and

we’lllikelyseethistrendgrowinthefuture.Accordingtothe

study,nursemanagersreportthat50%ofhospitalshavehadaclinicalmobilityandpredictivedataanalyticspolicyinplaceforatleastthreeyearsormore,while42%haveonlyhadoneforlessthanoneyear.

CLINICALMOBILITYINVESTMENTSBY2022

2%

76%

22%

DECREASINGREMAINTHESAMEINCREASING

REPORTEDBYITEXECUTIVES

TRANSFORMATIVETECHNOLOGYTRENDS

4

EHR

INTEROPERABILITY

IMPROVEMENTS

1

REMOTEPATIENTMONITORING

5

CLOUD

TECHNOLOGY

3

ARTIFICIAL

INTELLIGENCE

2

TELEHEALTH

REPORTEDBYITEXECUTIVES

4

IBM,/common/ssi/cgi-bin/ssialias?htmlfid=WRL12345USEN

zebratechnologies9

97%ofhospitalsexpectdynamicworkflownotificationstobesenttomobiledevicesby2022

REPORTEDBYITEXECUTIVES

STREAMLININGHOSPITALOPERATIONS

Hospitalsarelarge,complexfacilitiesthatincludemilesandmilesofsimilarlookinghallways,offices,treatmentareasandpatientrooms.Keepingtrackofassets,staffandpatientsisadauntingchallenge.Industryestimatessuggestthattheseoperationalchallengescontributetodelayedprocedurestarttimes,decreasedclinician

productivity,andlostmedicalequipment,specimensandsupplies.

Inanefforttocurtailtheselossesandincreasevisibility,

hospitalsareadoptingReal-TimeLocationSystems(RTLS)andmobilecomputingtoautomaticallytrackthereal-timegeographiclocationofeverythingfromequipment,suppliesandpharmaceuticalstopatientsandstaff.

APPLICATIONSAREMANYANDDIVERSE

NewRTLSapplicationsarerapidlyevolving:

?THROUGHPUT

Trackingpatients–fromadmissiontodischarge.Fora275-bedhospital,reducingtheaveragelengthofstaybyfourhoursistheequivalentofincreasingphysicalcapacityby10beds.5

?PATIENTSECURITY

Monitoringlabelsonababy’swristbandorageriatricperson’shospitalgownhelpensurethatonlyproperlydischarged

patientshaveexitaccess.

?ASSETS

Trackingassetssuchasinfusionpumps,heartmonitorsandwheelchairssothattheyarereadyandavailablewhentheyareneededmost.

?STAFFLOCATIONING

Identifyingthephysicallocationofateammemberwhentheyareneededstrengthenspatientcaredeliverycoordinationandimprovesstaffcollaboration.

EXPANDINGROLLOUTOFRTLS

58%

96%

PATIENTTRACKING

47%

98%

SPECIMENS

44%

98%

MEDICALDEVICES

41%

96%

EQUIPMENT

40%

97%

STAFFOPERATIONALEFFICIENCY

REPORTEDBYITEXECUTIVES

5CDC,/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20U/PDF%20UsingPatientTrackingToolsInHospitals.pdf

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