Izibhedlela ziyindawo eyinkimbinkimbi futhi enokuxokozela, lapho izinqumo zokuphila noma ukufa zincike kwezokuthutha. Kodwa umhlengikazi ojwayelekile uchitha ihora eli-1 ngesikhathi sokusebenza—12% salo—ezingela izinto zokusebenza. Bheka i-IV pumps, izihlalo ezinamasondo, ama-telemetry packs, kanye ne-wound vacs. Lena yi-'Hunt and Gather' yezokwelapha.
Ngaphezu kwezimpahla, ukuphathwa kwemithi kunezingozi eziningi. Ukulandelela ngokuqondile (manual) ama-crash carts namatreyi emithi kuholela emithini ephelelwe yisikhathi ukuthi isaqhubeka isetshenziswa. Ukunganakwa okukodwa kungaholela ku-Sentinel Event.
Ngaphezu kwalokho, ukuhamba kweziguli akucaci. Ama-bottlenecks e-ER noma ku-OR anciphisa ijubane nokwaneliseka kweziguli. Uma kungekho datha, abaphathi abakwazi ukwenza kahle abasebenzi noma ukushintsha imibhede (bed turnover).
Ngenxa yokuthi abasebenzi abakwazi ukuthola imishini, bayayigcina emakhabetheni nasemathayileni ophahla. Izibhedlela zigcina zithenga i-130% yomkhumbi wabo odinwayo, kodwa ukusetshenziswa kuhlala ngaphansi kuka-40%. Izigidi zamaRandi zihlala zingasebenzi.
Ukuphinda ugcwalise ama-crash carts ngesandla kulula ukwenza amaphutha. I-epinephrine vial ephelelwe yisikhathi engaphuthelwa iyisikweletu. Ukudluliswa kwezidakamizwa (ukwebiwa) nakho kuyakhula okukhathazayo okungavimbeli ama-logi azenziwa ngesandla.
Ukwazi ukuthi imuphi umshini ohanjiswe nesiguli esithelelanayo kubalulekile. Ngaphandle kokulandela ngomkhondo oxhunyiwe, izibhedlela kumele ziqinisekise izimpahla, ziphazamise imisebenzi.
I-Nextwaves isebenzisa i-hybrid Real-Time Location System (RTLS). Sisebenzisa i-Passive UHF RFID ezintweni ezisetshenziswa kakhulu (high-volume consumables) kanye nezimpahla ezinezindleko eziphansi (linen, files, meds), bese sisebenzisa i-Active (BLE/Wi-Fi) tracking kumishini ehambayo enenani eliphezulu.
Amakhabethe “Ahlakaniphile” alandelela ngokuzenzakalelayo yonke ivayili yomuthi ethathiwe, ebuyekeza irekhodi lesiguli ne-inventory khona manjalo. Ukuze kube nokulawulwa okwengeziwe, amaqoqo afakwe ophahleni alandelela ukunyakaza kwamabhedi namaphampu kulo lonke ikhampasi, akwenza kubonakale imephu yedijithali.
Uhlelo lwakha “Uchungechunge Lokugcinwa Kwamarekhodi (Chain of Custody)”. Siyazi ngqo ukuthi ubani owathatha umuthi, owakhe umuntu (isiguli) futhi nini. Siyazi ngqo ukuthi iphampu yokufaka umuthi (infusion pump) ikuphi, nokuthi iye yahlanjululwa yini kusukela ekusetshenzisweni kwayo kokugcina.
Vimbela 'Imicimbi Engakaze Yenzeke'. Ukuhlolwa okuzenzakalelayo kuqinisekisa umuthi ofanele, umthamo ofanele, isiguli esifanele.
Nciphisa usayizi wemikhumbi ngama-20% ngenkathi wanda ukutholakala. Yeka ukuthenga amaphampu ongawadingi.
Nikeza abahlengikazi isikhathi sabo emuva. Bavumele bagxile ekunakekeleni, hhayi ezintweni ezihlobene nokuthutha izinto.
Ama-logi azenzakalelayo e-The Joint Commission (TJC). Fakazela ukuhlanzeka nokuthobela ukulungiswa ngokushesha.
Isikhungo esinezibhedlela ezingama-500 esilwela ukwelashwa kwabantu abalimele kanzima sithole ubunzima ekusebenzeni kwe-ER kanye nokushoda kwamaphampu e-IV. Abahlengikazi babika ukubambezeleka ekunakekelweni ngenxa yokulahleka kwemishini.
I-RFID yezempilo inezinga eliphakeme kunelasemakethe yokuthengisa. Asikho neze isiguli esiqanjwe ngamagama, ukuxilongwa, noma imininingwane engakhonjwa umuntu (PII) ebhalwa ethegi. Ama-Tag aphatha ithokheni engaziwa kuphela. inombolo engasho lutho ngaphandle kokufinyelela ngemuva (backend evikelekile) ehlobanisa lokho nerekhodi lesiguli.
Lolu ungqimba lwedatha lufihlwe (encrypted), luphathwa ngokulawulwa kokufinyelela (access-controlled), futhi luyahlolwa (audited). Odokotela/bangaphakathi kwezempilo babona kuphela idatha evunyelwe indima yabo. Abaphathi babona imibiko yokusetshenziswa. Akekho obona idatha yesiguli ngaleso sesendlalelo se-RFID uqobo. Sihambisana ngokuphelele ne-HIPAA ngokwakhiwa (by design), hhayi ngokusebenzisa amaqhinga okudlula inqubomgomo.
Ulwazi lwendawo siwumhlabathi nje wokuqala. Uma unomthombo oqhubekayo wokuthi wonke impahla nesiguli kuphi, kuvela amaphethini. Sisebenza kumamodeli angabikezela izindawo ezibambekile okokusebenza (equipment bottlenecks) emahoreni angu-4–6 ngaphambi kokuba kwenzeke, sinike abahlengikazi abaphethe ithuba lokuziphambukisela kabusha ngaphambi kokuthi kuthinte ukunakekelwa.
Ekusondeleni: amabhedi azibika ngokuzenzakalelayo isisindo sesiguli nezinguquko zengcindezi, amakhabethe “ahlakaniphile” ahlela kabusha imithi ngaphambi kokuba aphele, kanye nokuhlelwa kwe-OR okulungisa ngesikhathi sangempela ngokusekelwe ekutheni impahla ikuphi ngempela, hhayi ngokucabanga.
Vikela amalaptop nemishini ye-IT ngamasango e-RFID security, ama-tag alwa nensimbi, nama-audits azenzakalelayo.
Vumela ubuchwepheshe buphathe ukusesha. Wena phatha ukonga.
