A Pilot of Digital Whiteboards for Improving Patient Satisfaction in the Emergency Department: Nonrandomized Controlled Trial.

BACKGROUND: Electronic paper (E-paper) screens use electrophoretic ink to provide paper-like low-power displays with advanced networking capabilities that may potentially serve as an alternative to traditional whiteboards and television display screens in hospital settings. E-paper may be leveraged in the emergency department (ED) to facilitate communication. Providing ED patient status updates on E-paper screens could improve patient satisfaction and overall experience and provide more equitable access to their health information. OBJECTIVE: We aimed to pilot a patient-facing digital whiteboard using E-paper to display relevant orienting and clinical information in real time to ED patients. We also sought to assess patients' satisfaction after our intervention and understand our patients' overall perception of the impact of the digital whiteboards on their stay. METHODS: We deployed a 41-inch E-paper digital whiteboard in 4 rooms in an urban, tertiary care, and academic ED and enrolled 110 patients to understand and evaluate their experience. Participants completed a modified Hospital Consumer Assessment of Health Care Provider and Systems satisfaction questionnaire about their ED stay. We compared responses to a matched control group of patients triaged to ED rooms without digital whiteboards. We designed the digital whiteboard based on iterative feedback from various departmental stakeholders. After establishing IT infrastructure to support the project, we enrolled patients on a convenience basis into a control and an intervention (digital whiteboard) group. Enrollees were given a baseline survey to evaluate their comfort with technology and an exit survey to evaluate their opinions of the digital whiteboard and overall ED satisfaction. Statistical analysis was performed to compare baseline characteristics as well as satisfaction. RESULTS: After the successful prototyping and implementation of 4 digital whiteboards, we screened 471 patients for inclusion. We enrolled 110 patients, and 50 patients in each group (control and intervention) completed the study protocol. Age, gender, and racial and ethnic composition were similar between groups. We saw significant increases in satisfaction on postvisit surveys when patients were asked about communication regarding delays (P=.03) and what to do after discharge (P=.02). We found that patients in the intervention group were more likely to recommend the facility to family and friends (P=.04). Additionally, 96% (48/50) stated that they preferred a room with a digital whiteboard, and 70% (35/50) found the intervention "quite a bit" or "extremely" helpful in understanding their ED stay. CONCLUSIONS: Digital whiteboards are a feasible and acceptable method of displaying patient-facing data in the ED. Our pilot suggested that E-paper screens coupled with relevant, real-time clinical data and packaged together as a digital whiteboard may positively impact patient satisfaction and the perception of the facility during ED visits. Further study is needed to fully understand the impact on patient satisfaction and experience. TRIAL REGISTRATION: ClinicalTrials.gov NCT04497922; https://clinicaltrials.gov/ct2/show/NCT04497922.

Self-Powered Signal Transduction of Ion-Selective Electrodes to an Electronic Paper Display.

Mobile integrated electrochemical sensors normally require a power supply for operation. Unfortunately, the practice of discarding batteries associated with these devices runs counter to our desire for a sustainable world. Self-powered sensing concepts that draw the energy directly from the measurement itself would overcome this limitation. Potentiometric sensors for the measurement of pH, many electrolytes, and gases are ubiquitous in analytical practice. However, in potentiometry, the voltage is acquired in the absence of current flow, making it seemingly impossible to draw power. Fortunately, it has been recently established that transient currents may be tolerated across potentiometric measurement cells to charge a capacitive or electrochromic element such as Prussian blue integrated in the measurement cell and whose absorbance then directly follows the potential changes in a reversible manner. We have shown here that commercial electronic paper (e-paper), widely used to make electronic ink and ebook readers, can directly be driven by a potentiometric measurement cell in a reversible manner at mild potentials of >100 mV typical for such sensors. The capacitance of the e-paper pixel studied here was found to be 0.53 µF mm-2, 30 times smaller than that of Prussian blue films. The colorimetric absorbance of the e-paper was also more stable (observed drift over 2 h corresponding to 0.76 mV h-1) and reproducible (corresponding to 1 mV standard deviation). The e-paper pixel was directly driven by a polymeric pH electrode as a model system. Choosing a basic inner solution (pH 12.9) behind the membrane gave sufficiently positive cell potentials for driving visible absorbance change in a sample pH range of 4-10, while a more acidic pH of 3.4 and alternating the connections to the e-paper were more suited for more basic samples of pH > 10. This convenient and cost-effective approach makes it possible to directly drive an optical display from the potentiometric measurement itself and should be suitable for moderate sensing membrane resistances of less than about 100 kΩ, depending on the area of the chosen pixel.

Fabrication of Type-Variable Electronic Paper Using Electrophoretic Particle Loading with Multiple Bottom Electrode Structure.

This study suggested the design of type-variable electronic paper with multiple bottom electrode structures and experimentally investigated the process mechanism of the electrophoretic particle loading method (EPLM) as an electronic ink injection method. The type-variable electronic paper was achieved by constructing the multi-electrode structure that had a structure of four electrodes that can independently apply voltage to one cell. By injecting electronic ink that mixes two types of particles with opposite charges into an electrically neutral color (blue) fluid, we realized electronic paper with a single color, and we then measured the optical characteristics of the panel. We used the EPLM to prevent charged particles that have lost their charge from being injected into the e-paper by using an electric field. In order to confirm the color expression and transmittance control effect using the multi-electrode structure, we conducted reflectance measurement and transmittance measurement experiments. Our experiments confirmed that the expression of more than five colors was possible and that the transmittance was controllable to a minimum of 13.50% and a maximum of 71.18%. This study provides an attractive method to create e-paper as a new form outside the framework of existing e-paper technology.

Triboelectric-optical responsive cholesteric liquid crystals for self-powered smart window, E-paper display and optical switch.

Intelligent responsive devices are crucial for a variety of applications ranging from smart electronics to robotics. Electro-responsive cholesteric liquid crystals (CLC) have been widely applied in display panels, smart windows, and so on. In this work, we realize the mechanical stimuli-triggered optical responses of the CLC by integrating it with a triboelectric nanogenerator (TENG), which converts the mechanical motion into alternating current electricity and then tunes the different optical responses of the CLC. When the voltage applied on the CLC is relatively low (15-40 V), the TENG drives the switching between the bistable planar state and focal conic state of the CLC, which shows potential applications in self-powered smart windows or E-paper displays. When the voltage supplied by the TENG is larger than 60 V, a self-powered optical switch is demonstrated by utilizing the transformation between focal conic state and instantons homeotropic state of the CLC. This triboelectric-optical responsive device consumes no extra electric power and suggests a great potential for future smart electronics.

Transparent to Black Electrochromism-The "Holy Grail" of Organic Optoelectronics.

In the rapidly developing field of conjugated polymer science, the attribute of electrochromism these materials exhibit provides for a multitude of innovative application opportunities. Featuring low electric potential driven colour change, complemented by favourable mechanical and processing properties, an array of non-emissive electrochromic device (ECD) applications lays open ahead of them. Building up from the simplest two-colour cell, multielectrochromic arrangements are being devised, taking advantage of new electrochromic materials emerging at a fast pace. The ultimate device goal encompasses full control over the intensity and spectrum of passing light, including the two extremes of complete and null transmittance. With numerous electrochromic device architectures being explored and their operating parameters constantly ameliorated to pursue this target, a summary and overview of developments in the field is presented. Discussing the attributes of reported electrochromic systems, key research points and challenges are identified, providing an outlook for this exciting topic of polymer material science.

Electrophoretic Deposition for Cholesteric Liquid-Crystalline Devices with Memory and Modulation of Reflection Colors.

The first design strategy that allows both memorization and modulation of the liquid-crystalline reflection color is reported. Electrophoretic deposition of a tailored ionic chiral dopant is key to realizing this unprecedented function, which may pave the way for the development of full-color e-paper that can operate without the need of color filters.