Penfield Virtual Hospital Keith Ward & Jim Hartley University of Huddersfield

1. Penfield Virtual Hospital Keith Ward & Jim Hartley University of Huddersfield

2. Purpose • Background to developments • Overview of Penfield VLE • Extensibility to other disciplines

3. Background: • 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

4. Overview: Penfield 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

5. Overview: Penfield 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’

6. } All require Components Interaction with Penfield is through: • Scenarios Scenarios are built from: • Scenes Scenes are built from: • Tasks Are completed by users

7. Scenarios • 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.

8. Scenes • 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.

9. Scenes • 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

10. Tasks • 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.

11. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 X X 0 X 0 0 Significant Event Significant Event Significant Event Significant Event Significant Event Theatre Ward Activity with underlying records X 0 X-Ray X 0 X 0 X 0 X 0 X 0 Admission = X Discharge = 0

12. Components 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

13. 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

14. Clock & Controller • The scenario will be mapped onto Penfield components/control system using the clock and controller entities

15. Smoke & Mirrors • 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.