# Porteroo (Deliveroo for porters)

## Pitch
Improving efficiency of specimen collection in hospitals. Sometimes urgent deliveries - ensure urgent requests are dealt with efficiently as possible (could free up bed).
- OPTIMISE WHEN SAMPLE ARRIVES (cost of delay)

## Background

- In University Southampton
- Was a porter, worked there for about 6 months
- Specimens (based on personal expereince) - blood samples in little tubes
- Spread out better (many smaller deliveries)
- Daily samples get lost - difficult to track (common case: hasn't sent the specimen)
- Also speciments in buckets as well -- sometimes can't carry more (too many to carry in one go - could be two trips)
- Request form gets scanned - bar code - will bring up the form.
- - Southampton, was a central logging system for the speciments, had A5 bar codes on them (with patient details on it)
- Plastic boxes that get put in, and sometimes sticker on the box which has times of when should be collected
- Fixed times - box with sticker on side with list of times.
- Some need to be send in special containers (in ice)
- Some hospitals have pod system - but if not just pathology - anywhere on the hospital.
- Send in patches of specimens - if knew all samples in box

### Current porter system
#### ROUTINE PORTER
- 8am until 6pm - go around - predefined route (2 hours or so), every two hours would be picked up. (Need to know all the departments)
- All going to lab receptions - job was to sort to where was going (same destination each time). Only exception was the Mortuary.

#### URGENT PORTER
- 24/7, 8 hour shifts. Handover at lunchtime. Guideline was get bleeped - answer within 5 minutes, and should drop off within 45 minutes of the call
- If specimen still in the ward after 30 mins (not collected) - then the porter supervisor would be bleeped
- Drop off points the same as routine porter
- You calculate if you get bleeped 3 times how to navigate between wards etc
- Didn't know schedule of the routine porter so wouldn't take into account
- Paper list with you, then you phone back and jot down number called you down and the time. Record that you met.
- Time suck here is if 4 people bleep you and need to phone back to find out where from etc
- Want to have urgent one spend a lot less time on phone as can

### Hospital network etc
- 30 wards (floor plan). 50? different collection points. Was in groups of 4 or 5. Group is being emptied? 20 points
- QR check in?
- iPod touch tested - messaging type app. Message that said (now take ward said x to x and reply when done)
- Before iPod touch, call an automated phone system, identify by 4 digital number, then spell name, then from and then two
- Bleep system is old fashing pager. Central switch board. Rarely hospital moving away from this system
- North Middlesex - uber style app being added
- Wifi was being rolled out into hospitals
- In general porters can all do same thing

## Problem -- IMPACT
- What is the cost of samples not being in the lab?
- Not wasting doctor time
- Waiting - urgent lab requests not being collected fast enough
- Maintenance not much financial burden, but urgent ones
- what is the cost of missed deadlines?
- Urgent request could mean freeing up a bed for the day

### TLDR - base problem
- One: VISIBILITY of what's going on with routine (whether urgent one needed or not).
- this is for doctors/wards/nurses not just the porters
- Box was last collected, should go to the next place by
- Two: When urgent one needed - figure out re-route things or make a decision & feedback. Provide information.

## SOLUTION IDEAS?

- Going to re-think the portering system (not constraint by routine/urgent - since e.g. urgent one not having any more jobs)
- move away from routine vs urgent - both porters do both. Two streams
- One method that should go where/when

### PORTER
- QR code for porter
- schedule on the the box. every box qr code opens web page
- updates the pick up time on the box
- QR code - can give you the next location after scanning it

### LAB
- Scan urgent or not
- Go to place where see progress of samples
- - Box could also show - 'last collected, and will be collected'

## CODING TIME

### Variables system needs to take into account
- how slow porters are
- number of porters routine
- numbor of porters urgent
- number of collection points
- travel times between all collection points
- number of collection drop off points
- deadlines for routine pickups
- deadlines for urgeent pickups
- empty collection points that can be skipped
- when there is a large delivery - can't carry more/need to split to two? ho
- ward is empty - no need to visit

### Setting the example
- Can show the time
-
- Request pick up point
- One drop off point?
- Pick up points are fixed locations

#### Specimen
- Will done urgent - 30mins
- Routine one will be delivered within 2 hours

NEED matrix on wards etc
- api definition?

## Presentation
- Aim: Improving efficiency of specimen collection in hospitals.
- Problem: Expertise in the room, and this is how the hospital is currently delivering specimens:
- There's an urgent and a regular porter -> not delivering efficienty (for example urgent one will collect something when the regular porter has just been?)
- Wastes time
- Prioritisation of urgent deliveries - to free up bed space
- Solution: Porteroo - Deliveroo for Porters
- VIDEO HERE
- PART ONE: this is on the ward
- 1. This is the label on the box
- 2. Open on app and this what it will look like
- PART TWO: this is for the porter
- 1. App that shows you
- -- TALK ABOUT ALGORITHMS