The Health Science Education and Research Commons in the Edmonton Clinic North
The Health Science Education and Research Commons . . . will prepare the next generation of health workforce to use evolving technologies in team-based care. HSERC creates, implements and provides evidence for learning and communication technologies to support successful health outcomes for Canadians. The University of Alberta (UA) health science faculties (eight) and their external partners (Alberta Health Services (AHS) and advanced education sectors) support HSERC projects which respond to patient demands for better care. HSERC’s demonstration space was established in May 2008. By 2016: • students from 43 health programs at the UA (7,485 in 2009-10) will be team and technology competent • learning and research partnerships (currently 13 of 19 faculties, three post secondary institutions and AHS) will include all UA faculties and pan-Alberta advanced education sectors • researchers engaged will quadruple to almost 200 • 15 clinicians will annually graduate proficient in health science learning best practices from the newly created Masters in Education Health Sciences program The HSERC space was designed taking into consideration the needs of health educators, students, and IT experts. The U of A’s Vice-Provost
(Information Technology) was an active partner participant in the global environmental scan process. Drs Eleni Stroulia and Pierre Boulanger from Computing Science have also been actively engaged in the design process, as well as Rob Lederer from Industrial Design and Drs Mike Carbonaro and Patricia Bechler from the Faculty of Education. In all, eight health science faculties, arts, education and computing science are contributing members to the design of the HSERC space.
PREP-STORAGE EQUIPMENT
COMMUNITY SPACE LAB (SMART CONDO)
DEBRIEF ROOM
ANTE ROOM
TOUCHDOWN LOUNGE AREA
DEBRIEF ROOM
MEETING ROOM
DEBRIEF ROOM
DEBRIEF ROOM
SPECIALIZED CARE SUITE
OFFICE
WORKROOM
RESOURCE ROOM
MONITOR ROOM
PROCTOR ROOM
DEBRIEF ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/
CRITICAL CARE ROOM
UNIVERSAL PATIENT ROOM
DEBRIEF ROOM
CONTROL ROOM
DEBRIEF ROOM
CONTROL ROOM
CONTROL ROOM
DEBRIEF ROOM
PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
CONTROL ROOM
MULTI-PURPOSE LAB
CONTROL ROOM
STUDENT LOCKER ROOM
OFFICE
OFFICE
OFFICE
EXAM/ PROCEDURE ROOM
ADMIN. SUPPORT
SIMULATION LAB (CAVE) RECEPTION
WAITING AREA
MAIN ENTRY
CHANGE ROOM
STANDARDIZED PATIENT LOUNGE/ TRAINING ROOM
STANDARDIZED PATIENT ENTRY
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM
EXAM/ PROCEDURE ROOM EXAM/ PROCEDURE ROOM EXAM/ PROCEDURE ROOM EXAM/ PROCEDURE ROOM
Exam Procedure Rooms
Space/Equipment
Potential Educational and Research Activities
Size:
Designed to simulate a clinician's examination room. Students can simulate meeting with a patient to develop and enhance "bed side manner" skills. The rooms provide opportunities for single discipline or team-based care and provide the University with a suitable environment for OSCE examinations.
24 Rooms: all rooms are 12nsm. 6 connected exam procedure rooms are 24nsm when connected.
Special Features: 3 rooms that are expandable for larger team scenarios Can be secured for OSCEs. Monitor and proctor rooms with capacity for monitoring recording, annotation and secure image storage. Monitor/Proctor system is web based facilitating offsite live streaming and delayed playback.
These rooms will also simulate a safe space in which students can experiment with transforming care delivery by communicating in a patient-centred, transparent and collaborative manner (charting and discussing patient care with the patient in the room, instead of away from the patient - as is the current practice).
Equipment:
Examination table, hand washing station, Integrated Diagnostic System, simulated oxygen and VAC. Additional equipment is available such as hospital beds, medical and rehabilitation equipment, office furniture
The space is highly flexible and not restricted to clinical exams. Reconfigurable for community consultation simulations, leadership training for developing negotiating and diplomatic skills, cultural competency training and development of capacity to be empathetic.
AI/IT:
Input Sources - wall mount touch-sensitive all in one PC at bed - IP based PTZ cameras over bed Sound - ceiling mounted loudspeakers located over bed - ceiling mounted boundary style mic located over each bed
Each room is equipped with PC in the room. A computing station has also been configured outside of each room.
Exam Procedure Rooms Proctor and Monitor Room
MONITOR ROOM
PROCTOR ROOM
Space/Equipment
Potential Educational and Research Activities
Size:
The Proctor Room functions as Master Control Center allowing users to view all testing and assessment / recording activity in the center via a single interface. The Control Center application is also used for configuring the center for examinations and automated recording. Digital recording may be triggered automatically by student log in or manually by a proctor.
34nsm Proctor room: Capacity 2 Monitor room: Capacity 12
Special Features: Digital management and operations of the clinical skills center enabling faculty/instructors to create, administer, record and score clinical skills encounters with standardized patients and simulators. Offers a paperless exam flow allowing students/participants access to case instructions, lab results, physical exam findings, etc., as well as complete post-encounter notes online. Window between Proctor & Monitor areas. Located in secured area.
The Monitor Room application allows any of the 12 computers in this area to become powerful and flexible monitoring stations. Users may toggle between video feeds from multiple rooms, control the pan/tilt/zoom of any camera in the center, make audio announcements, and fill out monitor checklists from a single screen. Monitor/Proctor system is web based facilitating off-site live streaming and delayed playback.
Equipment: AI/IT:
Proctor Room: computer station, 2 chairs Monitor Area: 12 computer stations
Standardized Patient Lounge and Training Room
Space/Equipment
Potential Educational and Research Activities
Size:
This space will function as the hub for Standardized Patient activities, ranging from training, debriefing and preparation for activities occurring throughout the centre. The space provides a makeup moulage prep area, dressing rooms, showers, lockers and private entry with sign in kiosk for the standardized patients. There is also a private entrance from the lounge area into the exam procedure area allowing the SPs to access the area without being seen by the students/participants.
53nsm Capacity: 40
Special Features: Designed with flexibility and will include an audio visual presentation system. Make-up area, dressing rooms, showers, lockers. Private entrance and access to exam/procedure rooms. Equipment:
Office furniture, seating
AI/IT:
Human interface device, computer, DVD player, document camera
Universal Patient Room and Ante Room
UNIVERSAL PATIENT ROOM
ANTE ROOM
Space/Equipment
Potential Educational and Research Activities
Size:
The Universal Patient room can be used simulate traditional hospital room/ ward or an isolation chamber.
universal patient room = 35nsm as one room; approx 15nsm of usable space when divided into 2 rooms; anteroom = 4nsm
Special Features: Retractable wall allows room to be divided into 2 rooms or opened up for a larger space that can accommodate up to 2 beds. When divided into 2 rooms each room has a separate external control room with a one way observation window. There are also 2 external nursing stations with windows into the room for purposes of observation and charting in critical care simulations. Each room has E-charting capabilities, and Operational gasses on fixed headwalls. The room is also equipped for high fidelity manniquens. Anteroom is attached. Equipment:
Standard acute care equipment such as hospital beds, IV poles, infusion pumps, integrated diagnostic sets, wheel chairs, stretchers, portable lifts etc. available to support this room
AI/IT:
Input Sources - wall mount touch-sensitive all in one PC at bed - IP based PTZ cameras over bed Sound - ceiling mounted loudspeakers located over bed(s) - ceiling mounted boundary style mic located over each bed
The ante room helps to train students on infection control curriculum, for accessing patients who require isolation. This room can be used with high fidelity manniquens and standardized/simulated patients
Critical Care Room
Space/Equipment
Potential Educational and Research Activities
Size:
Designed for flexibility to provide opportunities to simulate an ICU, NICU, hospital emergency, labour/delivery room, and procedure room.
35nsm
Special Features: External Charting counter with window above. External control room with a one way observation mirror. Monitored 3-sink scrub station adjacent to entrance to room. Ceiling mounted procedure lights and equipment boom on articulating arms, E-charting capabilities. Operational gasses on fixed headwall and boom. Equipment:
in addition to standard acute care equipment as identified for the Universal Patient Room, specialized equipment is available depending on the simulation including activity specific beds (ICU, OR, labor and delivery), bassinet and crib for NICU and ob/GYN, activity specific Carts.
AV/IT:
Input Sources - wall mount touch-sensitive all in one PC at bed -IP based PTZ cameras over bed Sound - ceiling mounted loudspeakers located over bed -ceiling mounted boundary style mic located over each bed
Can be used with high fidelity mannequins and standardized/simulated patients
Specialized Care Suite
Space/Equipment
Potential Educational and Research Activities
Size:
Caters to patients with chronic conditions and special needs including, but not limited to, bariatric care, neurological conditions, and people with reduced functional mobility.
48nsm
Special Features: Ceiling Lift. Room designed to accomodate bariatric (Wider doors, additional space around bed). Family consultation area in room. Gases on fixed headboard. E- charting capabilities. Attached bathroom with ceiling lift extending into the bathroom. Bathroom equipped with floor mounted toilet and sink for bariatric scenarios. Wheel chair accessible shower. External control room with observation window. Equipment:
AV/IT:
In addition to standard acute care equipment as identified for the Universal Patient Room, there is specialized equipment available for use in this room including fully electric bariatric bed and exam table, ceiling lift, misc bariatric furniture, other portable lifts and patient transfer aids, bariatric wheelchair Input Sources - wall mount touch-sensitive all in one PC at bed - IP based PTZ cameras over bed and in bathroom Sound - ceiling mounted loudspeakers located over bed(s) and in bathroom - ceiling mounted boundary style mic located over bed and in bathroom
For bariatric simulations this room provides opportunities for student teams to work with bariatric (morbidly obese) patients in a room designed to accommodate this population. The inclusion of an overhead patient lift, the only lift designated for learning purposes on campus, allows students the opportunity to practice lifting a patient in a safe environment rather than attempting this skill for the first time in a clinical setting. A three piece bariatric washroom continues the learning experience. Can be used with high fidelity manniquens and standardized/simulated patients. External Control room with observation window can be used as translation booth for Smart Meeting Room.
Community Space Lab (Smart Condo)
Space/Equipment
Potential Educational and Research Activities
Size:
The condo will be used to simulate home visits for students to increase their understanding of living in a home environment and using assisted living devices (i.e.: wheelchairs, walkers) and for students to practice working respectfully within their patient's private and personal space. The integration of intelligent technology also provides opportunities for students to learn how to communicate and collaborate with "patients" living in intelligent homes.
94nsm
Special Features: This one bedroom condo features moveable walls, removable floors for the installation of wireless sensor technology for remote monitoring. The space includes a bathroom with its own entrance/exit to allow for more then one simulation activity to occur in the smart condo space at a time. External control room without observation window (to reduce observer effect). Control room has separate feeds into the bathroom and the suite to support simultaneous simulations. Fully functional kitchen and laundry area. Kitchen designed for use by and disabled and non-disabled. Equipment: AV/IT:
Fully equipped as a one bedroom apartment/condo. Specialized rehabilitation equipment is available for use in this space for example
The condo provides student research opportunities to examine the use of applied universal design principals to design for an aging population. Students apply their knowledge of occupational performance, functional design and human factors (physical, cognitive and sensor) to design with a focus on wellness. The integration of intelligent technology, such as wireless sensors for remote monitoring can improve the quality of life of chronically ill patients and reduce hospital stays. This technology will be used to monitor health related events and transmit this to an online virtual environment. Condo will support the development of technology for remote monitoring and health care in rural Canada. In addition to home care/palliative care simulation, condo can be used as a focus group room for the study of parent child interactions, ageing in place observation, microbiology safe food handling.
Multi-Purpose Labs/Black Box Theatre
Space/Equipment
Potential Educational and Research Activities
Size:
These two Team-Based Training laboratories replicate a theatre offering flexibility to simulate any large scale care environment (e.g.: crash scene, hospital ward during a disease pandemic). The laboratories can be divided to create four smaller spaces allowing for small groups of activities running concurrently (e.g.: bootcamps for specialities such as surgery, emergency, critical care; student health care team challenges).
125nsm
Special Features: Descending room divider that creates acoustically isolation. Room splits into 4 (visual separation). Can be connected to the Cave - allows for all staging aspects of a major disaster. 2 control rooms that can function independently Equipment:
AV/IT:
The theatre type equipment provides realistic sounds and smells to simulate experiences that cannot be simulated in any other way. In fact, the entire HSERC space can be used to simulate all aspects of a major disaster from the disaster scene to pre-hospital, transport to hospital, triage, and hospital care. The black box theatre equipment can simulate day or night conditions, weather conditions, the ambulance experience or a noisy, busy ER.
Simulation Lab (Cave)
Space/Equipment
Potential Educational and Research Activities
Size:
This space features a three-sided cave allowing for three dimensional digitization of seamless immersion into a virtual world.
Special Features: Equipment:
AV/IT:
The space is designed to actively engage learners in immersive collaborative simulations. Two types of technology allow for immersive collaboration that is not possible through any other means. CAVE technology, uses multi-user virtual environments in which participants interact with digital objects and tools that support collaborative work. Haptic devices provide force feedback so participants learn the amount of force to apply when using the tools on the digital objects (e.g.: a scalpel during surgery). The participants share and navigate through computer generated 3D graphical space. Current use includes surgical procedural training. Immersive projection technology is increasingly used for distributed collaboration (collaborating across distances) with highly immersive and surrounding displays. Current specialized applications include, molecular visualization and architectural walk-throughs, however the increasing need for co-visualization of complex data and large-scale models will result in an increasing use of this type of technology
for teaching and learning in specialized medical fields in the next several years. This space encourages talented people to think beyond their disciplines. To the best of our knowledge, there is no other space dedicated to health education and collaboration like this in Canada. (The Council of Canadian Academies, page 64) • Simulating complex and repeated lab experiences (eg: transgenics) • Experience of physiology/anatomy • Depicting 360 degree rural emergency scene • 3-D camera • Connect with Computing science to provide content to meet tech application • 2 control rooms (1 internal, 1 external) • Staging Disaster • Ethical discussion • Proteomics • Virtual cell exploration • Study reaction times in athletes (simulated game experience) • Access to about 10 students at a time • Second life, virtual world meetings • Research sandbox
Control Rooms
Space/Equipment
Potential Educational and Research Activities
Size:
Serve as the technical control rooms for the Universal Patient Room, Critical Care Room, Specialized care suite, Multi-Purpose Labs/Black Box Theatre, Community Space Lab (SMART Condo) and the Simulation Lab (Cave).
5 control rooms of varying size and capacity, 2-4 people
Special Features: Comprehensive system records multiple feeds digitally, handles annotation and debriefing, integrates with multiple types of simulators and builds searchable participant portfolios automatically. Also manages users, provides tools for scenario and checklist creation and generates multiple types of usage, session and aggregate reports, all from a 100% web-based interface. Able to centralize data from multiple simulation activities and unify remote and portable simulation sites within a single web-based portal, creating opportunities for research. Equipment: AV/IT:
Support video and audio recording/capture of activities within these areas.
Resource Room
Space/Equipment
Potential Educational and Research Activities
Size:
• • • • •
Special Features: Equipment: AV/IT:
25nsm
Huddle board (see Sharla's links) Small group collaboration Centralized video conferencing Web enabled, wireless Tied break Team spot collaboration software
Debrief Rooms
Space/Equipment
Potential Educational and Research Activities
Size:
These technology advanced "smart" rooms have state-of-the-art communication equipment capable of broadcasting simulations, events, lectures and other activities. This equipment can also be used for feedback such as self-assessment, peer-assessment, debriefing, tele-mentoring and tele-illustration
7 rooms @ 15nsm each; 2 rooms @ 17nsm each Small group (6-14)
Special Features: State-of-the-art communication equipment Equipment: AV/IT:
microphones (wireless, podium and table), table top box for laptop connections, a wall mounted large sized flat panel display monitor, human interface device , recording equipment, internet access, wireless touch panel for control of audio and display systems, document camera.
Touchdown/ Lounge Area
Space/Equipment
Potential Educational and Research Activities
Size:
• Collaboration space • Quiet work space
26nsm
Special Features: Round tables, groups of 4 Floor boxes Equipment: AV/IT:
microphones (wireless, podium and table), table top box for laptop connections, a wall mounted large sized flat panel display monitor, human interface device , recording equipment, internet access, wireless touch panel for control of audio and display systems, document camera.
Meeting Room
Space/Equipment
Potential Educational and Research Activities
Size:
This technology advanced "smart" meeting room has state-of-the-art communication equipment capable of broadcasting simulations, events, lectures and other activities. This equipment can also be used for feedback such as self-assessment, peer-assessment, debriefing, tele-mentoring and teleillustration. The meeting room is equipped with microphones (wireless, podium and table), table top box for laptop connections, a wall mounted large sized flat panel display monitor, video conferencing technology, recording equipment, internet access, wireless touchpanel for control of audio and display systems, document camera.
Special Features: Equipment: AV/IT:
30nsm