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Virtual nurse aims to reduce readmissions after discharge

“Are you a Red Sox fan?” nurse Elizabeth asked her patient with a curious look. “I would really like to see a game someday, but they don’t allow computers at Fenway Park.”

Elizabeth is a virtual nurse appearing on a screen. Starting a casual conversation, she can gradually explain discharge instructions to her patients, who converse by picking what they want to say in the chat boxes on the right side of the screen at each point of the conversation.

The virtual discharge nurse software is one example of how technology can help reduce 30-day readmissions in hospitals.

Readmission has long been a concern for healthcare providers because these rates impact patient outcomes and potentially reduce reimbursements from CMS. As a focus of inpatient clinical care, readmission comes out on top at 21.6% on the list of “areas most in need of improvement” concerning patient safety, according to a survey conducted by Health Catalyst, a data analytics and decision-support company.

To reduce avoidable return trips to the hospital, one factor to take into account is “effective communication and troubleshooting after the patient has gone home and try to head off problems that might cause complications and lead to readmission,” said Timothy Bickmore, a professor at the College of Computer and Information Science at Northeastern University. Although hospitals can track patients’ health conditions by text messages and phone calls, these may not be the most effective approaches.

Another effort hospitals could make is to ramp up patient education when they are discharged by employing automated software, in which case a virtual nurse can come into play. Bickmore developed the software behind Elizabeth the virtual nurse, and the program has been trialed at Boston Medical Center.

Elizabeth walks her patients through their discharge process by using sympathetic speech and animation. A typical interaction lasts about half an hour, much longer than the average eight minutes a human nurse spends with a patient on the same process, according to research conducted by Bickmore and Brian Jack, an associate professor at the School of Medicine at Boston University.

“Even for well-educated patients, [eight minutes] is probably not good enough,” Bickmore said. “For the one-third of U.S. adults who have low health literacy and difficulty reading medical instructions, they really need a lot more time.”

With Elizabeth, patients can choose “Excuse me?” or “Need more information” from the menu and let the virtual nurse repeat or elaborate information they don’t understand. The explanation by the virtual nurse can be in great detail for the sake of patient education, which includes the time to take medicine and its dose, how to take it, scheduling follow-up appointments and advice on buying an over-the-counter medicine that could have two different names in a pharmacy.

Virtual nurse software is not only a boon to patients, but also a resolution to nurse burnout.

“[The virtual nurse] would cast the patients’ comprehension and make sure they understood certain key information. And then it would print out a list of action items for the human discharge nurse to review afterwards and have more focused conversations with patients about their issues,” Bickmore said.

According to Bickmore and Jack’s trial of over 750 patients at Boston Medical Center, the software showed a high level of patient satisfaction. When asked whom they would rather receive discharge instructions from, most of the trial patients preferred getting it from a virtual nurse.

Virtual nurse software is not only a boon to patients, but also a resolution to nurse burnout. A randomized trial conducted by Jack in 2009 showed that to significantly reduce 30-day readmissions, a nurse needs to spend on average one hour with each patient explaining the discharge instructions. And shortly after discharge, nurses often need to call their patients to solve additional problems. If hospitals use automated discharge software, human nurses can focus on specific issues patients may have.

Regarding the possible improvements of the virtual nurse software, Bickmore would like to see it provide continuous services to patients at home.

“If we could put it on their smartphones, when they leave the hospital and have questions or problems, they can continue having the conversation. That is, of course, the ideal situation,” he said.

Bickmore’s software has not been produced commercially, although a couple of IT companies have pulled licenses to use the software.

Wanted – HP Microserver

Okay, just checked and my N40L has 8GB RAM, it’s also fitted with a DVD writer.
HDD wise it’s got a 250GB drive and 3 x 3TB drives (although I know you’re not interested in them).

Only other thing is I don’t have the key for the door.

How about £40 for the N40L including the RAM and I’ll throw in the DVD writer (I don’t have a blanking plate if you didn’t want the drive).

For Sale – ASUS RT-AC88U / Seasonic Prime Gold 1000W

ASUS RT-AC88U

I have recently changed to an Orbi Mesh Network so really don’t need this router any more. I purchased it about a year ago from eBay. I don’t have an original box so this is just for the router and the power cable.

The router has been brilliant as you could imagine for a top of the range router! Toward the end of my using it I did have one problem where ports 5-8 would stop working. This would normally occur when I was making changes to the network cabling. Resetting the router would get everything working as expected. I found this was an issue that I few people online had, and will probably be fixed in a future firmware. This isn’t an issue that occurred with any real frequency, but wanted to be completely upfront. I had been using Merlin firmware with the router.

Router will be reset to factory defaults and packaged safely! Collection preferred.

£140 including RMSD
£130 collected from Covent Garden (WC2B) or Wallington (SM6)

Seasonic Prime Gold 1000W

I got this as a RMA replacement from Seasonic. It is completely sealed and like new. Whilst I was waiting for a replacement I installed a different PSU in my machine and to be honest I don’t need something as powerful as this.

Looking around I think the cheapest this can be bought for new is £170.

I’d like to let it go for £140 but would need to work out delivery costs (this thing is heavy!). I am not sure how the warranty works, it says it has 12 years warranty on the box and when I did the RMA for my old PSU it was all based on the serial number and didn’t need to provide an invoice so would assume this either had the remaining warranty from my old PSU which I think should be around 5 years, or it’ll be what this one has which is 12 years. Either way I think you should be covered.

I am based in Wallington (SM6) but travel in to London everyday for work near Covent Garden.

Price and currency: £140
Delivery: Delivery cost is included within my country
Payment method: Bank Transfer or PayPal Gift
Location: London
Advertised elsewhere?: Advertised elsewhere
Prefer goods collected?: I prefer the goods to be collected

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For Sale – ASUS RT-AC88U

I have recently changed to an Orbi Mesh Network so really don’t need this router any more. I purchased it about a year ago from eBay. I don’t have an original box so this is just for the router and the power cable.

The router has been brilliant as you could imagine for a top of the range router! Toward the end of my using it I did have one problem where ports 5-8 would stop working. This would normally occur when I was making changes to the network cabling. Resetting the router would get everything working as expected. I found this was an issue that I few people online had, and will probably be fixed in a future firmware. This isn’t an issue that occurred with any real frequency, but wanted to be completely upfront. I had been using Merlin firmware with the router.

Router will be reset to factory defaults and packaged safely! Collection preferred.

£150 including RMSD
£140 collected from Covent Garden (WC2B) or Wallington (SM6)

Price and currency: £150
Delivery: Delivery cost is included within my country
Payment method: Bank Transfer or PayPal Gift
Location: London
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I prefer the goods to be collected

______________________________________________________
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Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
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DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

For Sale – Sealed HP Omen ce012ce i7 1060

Hi,

I bought this but am reflecting on whether I am going to keep it, mainly because I really dislike the colour of the keys. I have yet to open it and will throw up some pics with a piece of paper with my screen name and date on it. I can process the transaction through ebay, should you prefer, as I think I might have a coupon offering me no selling fees.

I’m asking £900 with postage via UPS or Special Delivery.

OMEN by HP – 15-ce012na Product Specifications | HP® Customer Support

Core i7 7700HQ, 8GB RAM, 1TB HDD, NVIDIA GeForce GTX 1060, 120Hz 1080p panel

Happy to speak on phone should you prefer and offer any other info as it is a minefield buying on the net, albeit Classifieds are slightly safer.

Andrew

Price and currency: £900
Delivery: Delivery cost is included within my country
Payment method: Paypal
Location: Inverness
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I have no preference

______________________________________________________
This message is automatically inserted in all classifieds forum threads.
By replying to this thread you agree to abide by the trading rules detailed here.
Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
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DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

Wanted – 2x Identical >23″ Monitors

Really regretting replacing my 2x 24″ Dells with a 4K screen – just not liking it! Consequently I’m now looking to buy 2x identical screens to replace my 4K. I have cash waiting or can trade my 4K screen.

Ideally Dells, greater than 23″ in good condition. IPS would be ideal!

Location: Chichester, West Sussex

______________________________________________________
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Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
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DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

For Sale – Sealed HP Omen ce012ce i7 1060

Hi,

I bought this but am reflecting on whether I am going to keep it, mainly because I really dislike the colour of the keys. I have yet to open it and will throw up some pics with a piece of paper with my screen name and date on it. I can process the transaction through ebay, should you prefer, as I think I might have a coupon offering me no selling fees.

I’m asking £900 with postage via UPS or Special Delivery.

OMEN by HP – 15-ce012na Product Specifications | HP® Customer Support

Core i7 7700HQ, 8GB RAM, 1TB HDD, NVIDIA GeForce GTX 1060, 120Hz 1080p panel

Happy to speak on phone should you prefer and offer any other info as it is a minefield buying on the net, albeit Classifieds are slightly safer.

Andrew

Price and currency: £900
Delivery: Delivery cost is included within my country
Payment method: Paypal
Location: Inverness
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I have no preference

______________________________________________________
This message is automatically inserted in all classifieds forum threads.
By replying to this thread you agree to abide by the trading rules detailed here.
Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
  • Valid e-mail address

DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

For Sale – Sealed HP Omen ce012ce i7 1060

Hi,

I bought this but am reflecting on whether I am going to keep it, mainly because I really dislike the colour of the keys. I have yet to open it and will throw up some pics with a piece of paper with my screen name and date on it. I can process the transaction through ebay, should you prefer, as I think I might have a coupon offering me no selling fees.

I’m asking £900 with postage via UPS or Special Delivery.

OMEN by HP – 15-ce012na Product Specifications | HP® Customer Support

Core i7 7700HQ, 8GB RAM, 1TB HDD, NVIDIA GeForce GTX 1060, 120Hz 1080p panel

Happy to speak on phone should you prefer and offer any other info as it is a minefield buying on the net, albeit Classifieds are slightly safer.

Andrew

Price and currency: £900
Delivery: Delivery cost is included within my country
Payment method: Paypal
Location: Inverness
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I have no preference

______________________________________________________
This message is automatically inserted in all classifieds forum threads.
By replying to this thread you agree to abide by the trading rules detailed here.
Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
  • Valid e-mail address

DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

For Sale – Sealed HP Omen ce012ce i7 1060

Hi,

I bought this but am reflecting on whether I am going to keep it, mainly because I really dislike the colour of the keys. I have yet to open it and will throw up some pics with a piece of paper with my screen name and date on it. I can process the transaction through ebay, should you prefer, as I think I might have a coupon offering me no selling fees.

I’m asking £900 with postage via UPS or Special Delivery.

OMEN by HP – 15-ce012na Product Specifications | HP® Customer Support

Core i7 7700HQ, 8GB RAM, 1TB HDD, NVIDIA GeForce GTX 1060, 120Hz 1080p panel

Happy to speak on phone should you prefer and offer any other info as it is a minefield buying on the net, albeit Classifieds are slightly safer.

Andrew

Price and currency: £900
Delivery: Delivery cost is included within my country
Payment method: Paypal
Location: Inverness
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I have no preference

______________________________________________________
This message is automatically inserted in all classifieds forum threads.
By replying to this thread you agree to abide by the trading rules detailed here.
Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
  • Valid e-mail address

DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.

For Sale – Sealed HP Omen ce012ce i7 1060

Hi,

I bought this but am reflecting on whether I am going to keep it, mainly because I really dislike the colour of the keys. I have yet to open it and will throw up some pics with a piece of paper with my screen name and date on it. I can process the transaction through ebay, should you prefer, as I think I might have a coupon offering me no selling fees.

I’m asking £900 with postage via UPS or Special Delivery.

OMEN by HP – 15-ce012na Product Specifications | HP® Customer Support

Core i7 7700HQ, 8GB RAM, 1TB HDD, NVIDIA GeForce GTX 1060, 120Hz 1080p panel

Happy to speak on phone should you prefer and offer any other info as it is a minefield buying on the net, albeit Classifieds are slightly safer.

Andrew

Price and currency: £900
Delivery: Delivery cost is included within my country
Payment method: Paypal
Location: Inverness
Advertised elsewhere?: Not advertised elsewhere
Prefer goods collected?: I have no preference

______________________________________________________
This message is automatically inserted in all classifieds forum threads.
By replying to this thread you agree to abide by the trading rules detailed here.
Please be advised, all buyers and sellers should satisfy themselves that the other party is genuine by providing the following via private conversation to each other after negotiations are complete and prior to dispatching goods and making payment:

  • Landline telephone number. Make a call to check out the area code and number are correct, too
  • Name and address including postcode
  • Valid e-mail address

DO NOT proceed with a deal until you are completely satisfied with all details being correct. It’s in your best interest to check out these details yourself.