Karolinska Living Lab

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Information
Information doc: 
Contact: 

Host organisation: Karolinska University Hospital in Huddinge, Sweden,  Contact: Kristina Groth,

kristina.groth@karolinska.se

Effective member: 
No
Country: 
Sweden

The main resources in the Karolinska Living Lab are the care chains, from the referral of the patient to the specific health care until the patient leaves. Potential stakeholders in a care chain are, for example, the patient, clinically working health care personnel, hospital administrators, county council representatives and even tax payers. Presently the care chain for upper abdominal surgery has been used as a resource in several projects, but in a recently started project the care chain for neonatal home care is also used. Karolinska LL has been informally used as a Living Lab for three years, and is presently being formalised.   

 Description

Karolinska University Hospital (Karolinska) is one of Scandinavia’s premier health facilities. Karolinska has approximately 15,000 employees and 1600 patient beds spread out at two different campuses approximately 26 km apart in different sections of the city. Karolinska LL is based on care chains.   One major part of Karolinska LL is the highly specialised care in the upper part of the abdomen conducted at the Department of Clinical Gastroenterology (GastroCentrum). GastroCentrum is located at both Karolinska campuses and employs about 80 surgeons at both campuses, among which 25 work with highly specialised care in the upper part of abdomen. In 2004 GastroCentrum was appointed the responsibility for upper abdominal surgery within the Stockholm County Council. The ambition with concentrating such highly specialised care was to achieve higher quality, to become more efficient when treating the patient, and to create better possibilities for development and research within the field. In turn, this leads to a safer and more cost efficient health care. To achieve these goals and, thereby, provide the best possible care for the patient, a coherent network based health care process was developed and implemented at GastroCentrum, the ÖAK care chain. The ÖAK care chain serve as a resource for research and innovation at the Karolinska LL. Other care chains that have been used as a resource in the Karolinska LL are, e.g., home care of prematurely born children and severely ill patients in palliative care, and trauma.

References and Track Record

In a previous research project (HDViper) the ÖAK care chain served as a resource for gathering requirements and creating a test bed for an open source HD video conference solution. This project has initiated a process where cheaper and more flexible technology can be used for telemedicine applications in healthcare. The accessability of the ÖAK care chain through Karolinska LL provides an opportunity for enterprises and research partners to further develop applications that fit into the health care environment.  In present research projects we focus on information availability and visualisation during the clinical pathway in  the ÖAK care chain, and on technology robustness in home care settings using the ÖAK care chain and the neonatal care chain.   In other projects we focus on collaboration issues during surgery or intervention where the surgeon collaborates or gets support from another surgeon at a distant location, on providing support for trauma cases at a distant location, and on real time examinations of gastroscopic images at a distance.