MD PnP: Getting connected for patient safety (TM)

Medical Device "Plug-and-Play" Interoperability Program

The MD PnP program is leading the adoption
of open
standards and technology to integrate
medical devices for improving patient safety
and healthcare efficiency
  Change Expectations -> Change
Technology -> Change HealthCare

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June 2009 - The American Medical Society endorses medical device interoperability. Details on "Interoperability Endorsements" page.

June 2009 - J. Goldman received AAMI Foundation/ Institute for Technology in Health Care Clinical Application Award for work on medical device interoperability.

Nov 2008 - The Massachusetts Medical Society endorses medical device interoperability. Details on "Interoperability Endorsements" page.
Oct 2008 - Scientific Exhibit at the American Society of Anesthesiologists annual meeting on
"MD FIRE" - Medical Device Free Interoperability Requirements for the Enterprise.
Through an MD PnP Program collaboration with Massachusetts General Hospital/Partners HealthCare, Kaiser Permanente,and Johns Hopkins Medicine, we developed sample medical device purchasing requirements for interoperability to accelerate the availability and adoption of interoperable equipment.
Download the ASA Scientific Exhibit handout (2-page PDF).
More information about MD FIRE and the complete document is available from this page.

September 2009 -  ASTM Standardization News article on the new ASTM F2761 standard on the "Patient-centric Integrated Clinical Environment", or ICE

July 2008 - World Federation of Societies of Anesthesiologists endorses medical device interoperability
The WFSA , which has 122 member societies worldwide, stated that "intercommunication and interoperability of devices could lead to important advances in patient safety".
http://www.anaesthesiologists.org/en/latest/interoperability-endorsement.html

November 13, 2007 - MD PnP team is recognized with the CIMIT Edward M Kennedy award for Healthcare Innovation. Sen. Kennedy wrote "I congratulate Dr. Goldman and the entire Plug-and-Play team for their outstanding contributions to operating room safety, and for providing another example of the importance of the partnership approach to research and development that CIMIT collaborators have pioneered". Press Release

October 2007 - American Society of Anesthesiologists honors MD PnP  Scientific Exhibit award for First Place.
Exhibit Title: Improving the Safety of PCA Opioid Infusions by Integrating Patient Monitors and Infusion Pumps
Presenters: Julian M Goldman, MD, Michael W Jopling, MD, Frank J Overdyk, MD,  Sandy Weininger, PhD, David Arney, PhD, Insup Lee, PhD, Susan F Whitehead, BS,  Philippe-Antoine Cortes, ME, Shankar Krishnan, PhD
In addition to a demonstration, four posters were displayed.
See the story in ASA Newsletter V72 January 2008
Download poster 1, poster 2, poster 3, and poster 4.

In the ASA exhibit we demonstrated that medical device interoperability standards and technology could be used to integrate monitors and PCA pumps to reduce the risks of respiratory complications from postoperative opioids.  The prototype system used SpO2 and respiratory rate to detect the onset of respiratory depression, automatically stop the PCA basal infusion, lock out bolus administration, and activate the nurse call system. This approach supports the APSF recommendations to reduce the risks of respiratory complications from postoperative opioids (as described in the Winter 2006/2007 APSF Newsletter).
 
The exhibit also emphasized that the use of more that one type of monitor (“orthogonal measurements”) to assess respiratory function (for example, pulse oximetry and capnography), may increase the reliability of problem detection (achieving high sensitivity) while reducing false alarms (achieving high specificity).

September 2007 June 2007 Conference video has been uploaded. See most of the sessions presented at the three-day conference at  http://www.cimit.org/mdpnpjune07/start.htm

May 3, 2007 NetworkWorld - Data integration key to better medical care, by Jon Brodkin
Coverage of presentations at the British Conulate-General, Cambridge, MA


February 2007 - HIMSS MD PnP Exhibit in University Row. Clinical use Case demonstrations by our lab and by University of New Hampshire. See handout.
Also, see Dr. Goldman's lecture slides from the View from the Top lecture about the OR of the Future.



Oct 2006 - "Medical Device Interoperability for Improving Safety and Efficiency" panel to be held at the annual meeting of the American Society of Anesthesiologists, on Sunday October 15, 2006,  12:30-2:30.
(Update January 28, 2007: The January issue of Anesthesiology News has a story about the ASA panel.)
Topics and speakers:
  •  Session overview and introductions (Julian Goldman, MD/MD PnP Program)
  •  Welcome: Committee on EMIT focus on interoperability (Keith Ruskin, MD/Chair ASA Committee on Electronic Media and IT))
  •  Can interoperability support improvements in patient safety? (Jeff Cooper, PhD/Co-Founder Anesthesia Patient Safety Foundation)
  •  Recent advances in achieving interoperability: the MD PnP Program (Goldman)
  •  What Interoperability Means for Anesthesiologists: A view from The Hill (Bill Horton, MD/ASA Congressional Fellow)
  •  What drives the adoption of New Technology? (Donald Martin, MD/Chair ASA Committee on Equipment and Facilities)
  •  Using Interoperability to Support Clinical Requirements (Sandy Weininger, PhD/FDA)
Full session details can be downloaded here.


October 2006 - American Society of Anesthesiologists Annual Meeting 2006
Scientific Exhibit #S01:  Medical Device Plug-and-Play Connectivity

We will convey the safety improvements that are achievable through medical device interoperability. We will demonstrate one of the clinical scenarios (or “use cases”) collected at the Society for Technology in Anesthesia 2005 meeting session on interoperability: The connection of a portable x-ray machine and anesthesia ventilator to synchronize the x-ray exposure with the desired phase of respiration. In our demo, a simulated x-ray will trigger a camera to capture an image of a mechanical lung at the desired phase of respiration.
 
Posters will lead participants through the process of turning clinical scenarios into technical solutions, and review the history of medical device interoperability.

ASA 2006 booklet describing the content of the ASA exhibit, including reproductions of all posters may be downloaded in 3 PDF files:
MDPnP Booklet February 2007 p1-21.pdf (11 Mgb)
MDPnP Booklet February 2007 p22.pdf (8 Mgb)
MDPnP Booklet February 2007 p23-29.pdf (8 Mgb)


July 2006 - 10th GHTF, Lubeck, Germany. Poster entitled "The OR-FUSION project: Towards an open platform concept for networked medical devices" (J.-Uwe Meyer and Julian Goldman), received an award for 2nd place at the Global Harmonization Task Force conference (http://ghtf.org/). View Poster

June 2006 - Japanese Society of Anesthesiologsists, Kobe, Japan. Lecture on "Medical Device Interoperability Standardization for Safety and Efficiency" and requirements-gathering session from JSA members.
 
May 24, 2006 - The MD PnP Lab is now open!  See the "Lab" page for more info.

May 2006- Regulatory issues involved in MD PnP will be featured at the Global Harmonization Task Force conference to be held in Lubeck, Germany June 2006.

May 2006 -  ASA Newsletter Article "Medical Device Connectivity for Improving Safety and Efficiency" Comment on the article on the MD PnP discussion group.