This is great write up on the testing of Google Glass.  There was a lot of extra work here and most importantly as noted is security with moving all the components over to In house servers so imagethere’s nothing traveling to a Google Server.  This was a bit of work.  Also worth noting is that the “color” used was a bright orange so they are noticed by all and don’t blend in as sometimes Google Glass is so small it can blend in.  This way patients and everyone involved “knows” the technology is in use. 

In addition, Dr. Halamka included information from a an ER doctor who is on the “beta” team using Google Glass and what he has to say about it.  He’s had a very positive experience it sounds like and it does give him the ability to have both hands free.  Additional features added include pairing the headset with their iPhones and external batteries for longer life.  The QR code reader needs a little additional work but that’s normal when you put something like this out with all the connectivity.  The short amount of time, just since 12/17/2013 is amazing too that in less than 3 months a status report like this became available.  So far there are 4 beta doctors using Google Glass.  It’s all about improving work flow for the doctors.  Here’s a quote from the testing doctor that gives a specific scenario use with a patient that was having a massive brain bleed and the ability to get allergy and medication information. The doctor did not have to stop and go “log in” somewhere to get the information needed. 

“Google glass enabled me to view this patient’s allergy information and current medication regimen without having to excuse myself to login to a computer, or even loose eye contact. It turned out that he was also on blood thinners that needed to be emergently reversed. By having this information readily available at the bedside, we were able to quickly start both antihypertensive therapy and reversal medications for his blood thinners, treatments that if delayed could lead to permanent disability and even death. I believe the ability to access and confirm clinical information at the bedside is one of the strongest features of Google Glass. "

Again the security here is important with protecting patient data for sure and what a great way to save time and get the patient needs addressed quickly.  Use the link here or at the bottom of my post to read the entire blog post from Dr. Halamka.  BD 

Over the past few months, Beth Israel Deaconess has been the pilot site for a new approach to clinical information technology, wearable computing.
In the Emergency Department, we’ve developed a prototype of a new information system using Google Glass, a high tech pair of glasses that includes a video camera, video screen, speaker, microphone, touch pad, and motion sensor.

Staff has definitely noticed them and responded with a mixture of intrigue and skepticism. Those who tried them on briefly did seem impressed.
We have fully integrated with the ED Dashboard using a custom application to ensure secure communication and the same privacy safeguards as our existing web interface. We replaced all the Google components on the devices so that no data travels over Google servers. All data stays within the BIDMC firewall.

When a clinician walks into an emergency department room, he or she looks at bar code (a QR or Quick Response code) placed on the wall.  Google Glass immediately recognizes the room and then the ED Dashboard sends information about the patient in that room to the glasses, appearing in the clinician’s field of vision. The clinician can speak with the patient, examine the patient, and perform procedures while seeing problems, vital signs, lab results and other data.

We have designed a custom user interface to take advantage of the Glass’ unique features such as gestures (single tap, double tap, 1 and 2 finger swipes, etc.), scrolling by looking up/down, camera to use QR codes, and voice commands. Information displays also needed to be simplified and re-organized.


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