Can we really replace the hospital? – Prof. Dan Lasserson
Professor Dan Lasserson was one of the first doctors in the country to provide hospital care at home using a range of point of care diagnostic technology, which allows clinicians to look after people with more complex acute illness who previously would be taken straight to hospital.
Here, in an NIHR Oxford Biomedical Research Centre (BRC) public talk at the Said Business School on 11 October 2023, Professor Lasserson explains how digital innovations can be deployed for acute medical care in the home and care home and asking: 'Can we really replace the hospital?'
Professor Lasserson is Clinical Lead, Acute Hospital at Home Service, Oxford University Hospitals NHS Foundation Trust; Professor of Acute Ambulatory Care, University of Warwick; and sub-theme lead within the Digital Health from Hospital at Home Theme of the Oxford BRC.
His OUH Hospital at Home team is featured in this BBC Panorama programme on the future of the NHS.
https://www.bbc.co.uk/iplayer/episode/m001h917/panorama-the-nhs-crisis-can-it-be-fixed
Artificial intelligence: how to ensure it benefits patients.
This panel discussion, Artificial intelligence: how to ensure it benefits patients, was held at the NIHR Oxford BRC Open Day in May 2019.
Chaired by Prof Lionel Tarassenko, the Oxford BRC’s Technology & Digital Health Theme Lead, the panel featured:
· Prof Chris Holmes, Professor of Biostatistics at the Department of Statistics and Nuffield Department of Medicine
· Dr Fred Kemp, Deputy Head of Licensing & Ventures, Life Sciences at Oxford University Innovation
· Dr Angeliki Kerasidou, Researcher in Global Health Ethics at the Ethox Centre
· Dr Nick Scott-Ram, Director at the Oxford Martin School and VP Strategic and Commercial Development at Sensyne Health
Mobile phone-based six-minute walk test app – Dr Dario Salvi
Dr Dario Salvi – PostDoc researcher at University of Oxford.
Mobile phone-based six-minute walk test. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Unobtrusive monitoring of sleep and circadian rhythms at home – Professor Maarten de Vos
Professor Maarten de Vos – Associate Professor in Engineering Science, University of Oxford. Unobtrusive monitoring of sleep and circadian rhythms at home. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Strategic Digital Health Solutions for Pathway Innovations – Peter Knight
Mr Peter Knight – Chief Information and Digital Officer, Oxford University Hospitals NHS Foundation Trust. Strategic Digital Health Solutions for Pathway Innovations. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Digital Pathways Transforming Healthcare – Seán Wetherall
Seán Wetherall – Futurist Oneview Healthcare PLC. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Healthcare conversations, two digital solutions… – Dr Nick de Pennington
Dr Nick de Pennington – Specialist Registrar, Oxford University Hospitals & Health Innovation Lead/Director of The Hill. Healthcare conversations, two digital solutions… From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
What works..? – Dr Nigel Pitchford
Dr Nigel Pitchford – Chief Investment Officer, Touchstone Innovations What works..? From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Wearables: from consumer devices to healthcare products? – Professor Lionel Tarassenko
Professor Lionel Tarassenko – Professor of Electrical Engineering, University of Oxford Wearables: from consumer devices to healthcare products? From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
SEND: A digital patient safety system – Dr Tim Bonnici
Dr Tim Bonnici – Clinical lecturer, The Institute of Biomedical Engineering (IBME) SEND A digital patient safety system. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Real-world data-driven dynamic patient engagement – Dr Karl Surmacz
Dr Karl Surmacz – Principal Data Scientist at McLaren Applied Technologies Real-world data-driven dynamic patient engagement. From the Precision Medicine and Digital Health Technology Showcase on 27/6/17 at the Said Business School, Oxford.
Highlights from the Oxford Biomedical Research Centre Technology Showcase 2017
Highlights from the Oxford Technology Showcase 2017 event in Precision Medicine and Digital Health at the Said Business School
Medical imaging – lecture by Fergus Gleeson
Lecture about medical imaging by Fergus Gleeson. The lecture covers the history of imaging, staging cancer, HIFU, chest imaging and a summary.
Imaging in Acute Vascular Syndromes – lecture by Prof. R. Choudhury
Professor R. Choudhury discusses the future direction in the imaging of Acute Vascular Syndromes.
eHealth for self-managing long-term conditions – lecture by Prof. Lionel Tarassenko
Lionel Tarassenko, Professor of Electrical Engineering, Director, Institute of Biomedical Engineering, University of Oxford, talks about how mobile phones are being used by patients to monitor their conditions and send information to their doctor or nurse. Current trials are underway for the self-management of diabetes and chemotherapy side effects
Data fusion monitor at the John Radcliffe Hospital – Dr Lionel Tarassenko
Dr Lionel Tarassenko explains how the data fusion monitor works to improve patient care on the accident and emergency ward at the John Radcliffe Hospital by continuously analysing a patient's vital signs, and alerting the nurses to important changes as they happen.
Building the digital hospital
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Oxford University Hospitals NHS Trust's vision is to be:
"at the heart of a sustainable and outstanding, innovative academic health science system, working in a partnership and through networks locally, nationally and internationally to deliver and develop excellence in patient care, teaching and research within a culture of compassion and integrity.
The Trust believes that information technology has a crucial role in supporting the Trust's vision of Delivering Compassionate Excellence.
New and innovative information technologies are being deployed by the Trust to revolutionise the way care is provided to patients. The implementation of the electronic patient record systems throughout the Trust is a critical factor that underpins the Trust's overall strategy. Over the next five years the new systems will enable real time information that will radically improve patient care and enable the Trust to operate in a 'paper light' way, with information available to clinical teams whenever and wherever they need it, with built in safeguards to protect patient confidentiality.
Electronic patient record systems enables the deployment of ePrescribing and automatic dispensing using robots to improve patient safety.
A single wireless network infrastructure across the Trust's four hospitals and GP practices enables clinicians to be entirely mobile; to have information wherever and whenever they need it.
Patient records coupled to a newly developed system used for recording and analysing at the bedside key items of data on a patient's clinical condition, will ensure improved monitoring of patients, quicker interventions and a higher quality of care.
Electronic discharge summaries enabling nursing and midwifery teams to communicate to community teams and GPs will result in faster efficient discharges which greatly improves the patient's experience whilst freeing up beds, saving time and saving money.
A collaborative project with the University of Oxford and other NHS and academic partners will enable research teams to pull from disparate databases to improve our understanding and management of care, develop new drugs, and personalise treatments to a patient's individual needs and condition.
Information technology is a core vehicle for strategic change. It enables service improvement and supports the more effective real time care of patients to improve the quality, safety and governance of the Trust's patient care services. It aids better patient communication and empowers patients to be more involved in their care.
If you would like to know more about the work of Oxford University Hospitals NHS Trust please visit http://www.ouh.nhs.uk
Biomedical information technology research – interview with Dr Lionel Tarassenko
Dr Lionel Tarassenko explains how NIHR funding is being used at the NIHR Oxford Biomedical Research Centre to develop biomedical information technology that helps to monitor patients.
Digital health devices: how mobile computing and communication are shaping the future of health care
Professor Andrew Farmer is a General Practitioner and Researcher based at the Nuffield Department of Primary Care Health Sciences at the University of Oxford. He will focus his talk on care for people with long-term health conditions and on the prospects for using new technologies for improving their health. Why is it taking so long for mobile devices to become part of routine health care? What are the implications for privacy around use of electronic data to support health care? Can wearable monitoring devices replace regular visits to the nurse or doctor?