Infusion Innovation Case Study

Role
Project Manager / Design Lead
Sector – Medical
Year – 2015
Challenge

Create a infusion pump platform that will enable procedures with better patient outcomes at a lower cost to the hospital.

Impact

Uncovered 8 key insights that will drive the next decade of infusion pump systems, and embodies those insights into concept opportunities.


Process

Data >

Collect data using the most appropriate methodology

  • Stakeholder Interviews (Internal/External)
  • (6 Nurses, 2 Hospital Administrators)
  • Ethnographic Observation
  • Competitive Assessment
  • Product Landscaping
  • Device Tear-down
  • Net Mining

Information >

Turn data into information through analysis and synthesis

  • Workflow Mapping
  • Use Case Scenarios
  • Task Analysis
  • Innovation Workshops
  • Lifecycle Analysis
  • Technology Assessment

 

Insight >

Engage the problems and their context to distill insights

  • Data Consolidation Brainstorms:
    Technical / User / Market / Feature / etc.
  • Concept Ideation and 2D Hand sketches
  • Theme Identification
  • Stakeholder Alignment

 

Opportunity

Transform insights into range of opportunities

  • Product Visualizations
  • 3D CAD Development
  • Concept/Feature Prioritization
  • Initial User Experience / GUI Exploration
  • Long-term/Short-term Solution Mapping
  • Conceptual Engineering

Insight

1

2

3

Infusion Systems must support patient ambulation

Patients who did 12 minutes of slow walking from the first to 2nd day were discharged approximately 2 days earlier than those who did not.

Length of Stay ss. Steps per day  *1

 

  1. Early Ambulation and Length of Stay in Older Adults Hospitalized for Acute Illness

Infusion systems are often controlled by nurses who cannot see or hear them

Med-Surg nurses report that on average they are caring for 8 patients, but in some cases that number can go up to 16 or higher. *1

After I.V. clinical Integration individual Hospitals have seen:

  • 32% reduction in reported heparin administration errors*1
  • Nursing time to program pumps reduced 24.8%*1
  • $6.8 million saved in preventable adverse drug events per year*2
  1. PATIENT-TO-NURSE STAFFING RATIOS: A Research Study Conducted by Peter D. Hart Research Associates on behalf of AFT Healthcare April 2003
  2. Prusch AE, Suess TM, Paoletti RD, Olin ST, Watts SD. Integrating technology to improve medication administration. Am J Health-Syst Pharm. 2011;68:835-842.
  3. Ford D, Luttrell N. Leadership in patient safety: IV pump auto-programming. Paper presented at: Cerner Health Conference; October 2009; Kansas City, MO.

Infusion Systems with low cost of ownership will win over those that are cheap 

“Here at Duke, we have about 1,400 brains, and the last time we did an update…it also took us almost 2 months to get to nearly 100%—and we still aren’t there after 6 months, although we are close.”
W. Glenn Scales, CBET, patient safety specialist at Duke *1

  1. Easing Infusion Confusion 24X7mag
    August 10, 2009

Opportunity

Faster Design Iterations though AR integration

Incorporating Augmented Reality for context, enhanced collaboration and downselection, and quicker prototype evaluation. 

Next Level Modularity

Allowing modules to run independently not only offers more flexibility, but also opens new markets and cost margins.
Data is transferred wirelessly, leaving only power connections externally, which makes it easier to clean, and less likely to let water in. 
Flush buttons at the top of each module allow for quick confident connection and release, and better product handling.

Remote Connection and Alerts

71% of nursing Professionals use a smartphone for their job  -Wolters Kluwer Health
Utilizing nurses existing devices, or making specialized devices available, alerts could be sent through text message or specialized apps, also allowing for remote connection to the hospital pharmacy..Allowing devices to connect directly to nurses or nurse stations would give a huge benefit, without requiring full connection to a labor intensive backend EMR system.
Utilizing the wireless connection established by a modular IV system allows nurses to receive and explain detailed information, potentially resolving a treatment interruption, remotely. Centralized tablets could be located at nurse stations and could monitor multiple patients at once without needing to integrate into the EMR. 

Integrated Pump

An integrated pump allows for a much more stable device, as well as much more effective use of space.
A 360 degree user interface and pump design allows for versatility in ICU’s and maximizes the space used
Integrated line management reduces connection errors and tangling, as well as automatically entering medication information 

Lineset Identification

Smart linesets that are easily identifiable can help with tubing expiration, fluid management and tube set tangling.
Illumination of linesets, backlit screens with ‘night mode’ and possible light sensors could help manage systems in dark rooms, eliminating the need for nurses to get flashlights, or fumble in the dark, and allowing patients to rest.

Integrated Air Filter 

Integrated inlet air elimination filters could reduce treatment interruptions, and ad value to a proprietary lineset

Weight Sensor Module

A weight sensor module can read the volume of liquid, and send that information as entry for a pump, or as an alert to a nurse call system

Quick Connect

Allowing modules to run independently not only offers more flexibility, but also opens new markets and cost margins.
Data is transferred wirelessly, leaving only power connections externally, which makes it easier to clean, and less likely to let water in. 
Flush buttons at the top of each module allow for quick confident connection and release, and better product handling.

Wireless MicroPump

The micro-pump pushes size and connectivity to their current limits, with many advantages from a business, and user standpoint. The micro pump is small enough, and weighs little enough to hang directly onto a lineset.  This helps speed of set up, and management. The Pump utilizes smart tubing with RFID capabilities to recognize drug type and volume.  This eliminates the need to enter the information at the point of care, reducing errors and increasing speed to care. Medication can be labeled in a much less stressful environment at the hospital pharmacy, or at the manufacturer.  A system this fast and reliable could even be used in emergency room situations. Because Medication type and volume can be entered in wirelessly, the only interaction required by the user is to set the rate, which can be done quickly using a side scroll wheel.  Alternatively, barcode scanners could be integrated into the pump itself to enter patient and medication information.  


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