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5.1 General Information:These specifications concern a contract for supply of a Patient Data Management System, sometimes also called clinical information system for critical care, for the intensive care units, neonatal intensive care unit and anesthesia units in Landspitali.5.1.1 Intensive care units:Landspitali University Hospital has two intensive care units located in two different buildings in Reykjavík: Hringbraut and Fossvogur. The units treat patients from the age of three months (5 kg) with various problems, both medical and surgical.At the unit in Hringbraut patients are treated after open heart-, lung-, pediatric- and general surgery. Patients from internal medicine are also treated there, from cardiology, gastroenterology and nephrology. Most patients after cardiac arrest are treated there.At the unit in Fossvogur patients are treated after trauma, intoxications, infectious diseases, neurosurgical and neurological disorders, vascular surgery, ENT- and orthopedic surgery. Admissions also come from internal medicine, e.g. pulmonary medicine.The units have 11 beds each, 22 in total. The number of potential PDMS users is about 180, comprising nurses, doctors, students and other healthcare personnel. Annual number of admissions is 1 300-1 500 combined.At the time of the implementation Landspitali does not intend to use the PDMS in the Recovery units. Purchaser preserves the right to add, as an option, PDMS stations later, at some of the beds in the Recovery units at Fossvogur and Hringbraut. The cost of adding those stations SHALL be the same as adding stations to new beds in the ICU units.5.1.2 Neonatal ICU:At Hringbraut there is a neonatal and infant intensive care unit, where preterm and term infants from birth up to 3 months of age are managed. The patients are born from 23 weeks of gestation up to term and the smallest preterm infants are approximately 500g at birth. On average 40 % of the infants are preterm, i.e. born before week 37 of gestation.This is a NICU-level III 22-beds unit, 4 of which are critical care beds, 6 intermediate and 12 are for less sick patients. Additionally there is 1 isolation room. If needed, more critical beds are prepared. Both surgical and medical patients are cared for in the unit.There are 400-500 annual admissions and the length of stay is from 1 day to several months. Adding to that number, about 700 infants are hospitalized for a short-time annually, needing short time monitoring, antibiotic treatment, changing of enteral tube for example.Professional users will be 9 or 10 physicians, approximately 50 nurses/midwifes, 1 nurse assistant and a clinical secretary. Additionally there are 3 specialized employees that will not use the system directly.5.1.3 AnesthesiaIn Landspitali (at Hringbraut) anesthesia units are operated in two buildings; the main surgical ward and in the maternity and gynecology department.The maternity and gynecology department female patients undergoing obstetric and gynecology surgeries are treated as well as operations related to birth such as C-sections and post-birth hemorrhaging. The department has 4 operating theaters.At the surgical ward there are 7 operating theaters as well as intermediate care with a capacity of 6 patients at a time. At the surgical ward heart-, lung-, genitourinary-, general-, pediatric and eye surgeries are performed. Activity outside the department spreads to radiology-, blood vessel examination-, endoscopy-, cardiology-, psychiatric department and more.The number of potential users of the PDMS is 19 surgeons, 6 ward doctors and 32 nurse anesthetists.Annual surgeries are about 6 600 in the surgical ward and adding surgeries done in the maternity and gynecology department the total number of annual surgeries reaches about 10 000.LSH expects the number of users of the systems to grow, and new users shall be able to use the system without additional costs.With comprehensive documentation of patient data the tendered system is intended to improve and support clinical workflow, support quality control, enable necessary calculation and decision support and thus leading to a higher quality of patient care and increased patient safety. The extensive documentation is also intended to improve access to necessary research data and support generation of reports. The system is expected to eliminate documentation on paper and prevent double-documentation.5.1.4 Implementation PhasesLandspitali intends to start implementing the tendered PDMS in the two intensive care units, which are placed on each campus. As the implementation at those units is finished/progresses, a decision will be made on further implementations of the PDMS, for the anesthesia units and for the neonatal intensive care unit.Implementing a system like the PDMS will require substantial workflow changes in the units in question. Therefore it is suggested to divide the implementation of the system into 5 phases where the aim is to start with the fundamental parts of the system and make sure they run smoothly before starting with a new phase.Phase 1: The first and most important goal is the basic integration of the system into the workflow of the department(s) and the elimination of paper-based documentation. This requires a connection between the PDMS and the medical devices and integration with Saga EMR, and user access management via Active Directory Integration/Vörður (access management system).Phase 2: Results from laboratory systems to become available inside the PDMS. Integration with the Landspitali Medicine database and start using the prescription module in the PDMS. Integration of allergy information from the Saga EMR system with the PDMS. Export of data from the PDMS for import into the Landspitali data warehouse.Phase 3 (optional): Implementing the PDMS at the Neonatal ICU.Phase 4 (optional): Implementing the PDMS at the 2 anesthesia units.Phase 5 (optional): Further integration projects such as: documentation of the journal, progress, care and implants in the PDMS. It is required that these documents will be sent to Saga EMR at patient discharge. Furthermore, the diagnosis- and therapy registers need to be connected to the PDMS. Further utilization of the prescription module of the PDMS, which requires prescription information to flow between the PDMS and our current prescription system, Therapy. Radiology results from RIS and images from PACS, consult requests and answers, previous visits from Saga copied into PDMS, information on operations from Orbit and pharmaceutical interactions.The system tendered shall be the Manufacturer's latest version of Patient Data Management System, comprising the latest features and functions in the field of data management systems intended for intensive care and anesthesia units.The system shall provide the highest clinical standard and performance, flexibility, reliability, user friendliness with efficiency and high patient throughput.See further in invitation to tender documents.