Table 1.

Summary of challenges in implementing a voice-activated video communication system and potential solutions.

Challenge	Potential solution
The devices only support Wi-Fi Protected Access 2 (WPA2) networks	Updating future devices to support Extensible Authentication Protocol-Transport Layer Security (EAP-TLS) authentication
Many nurses were accustomed to using the existing VICSa solution so they were less interested in adopting the Echo Show device	Provide more live trainings of Echo Show device or completely replace VICS solution with Echo Show device
Device placement on IVb pole was suboptimal as it was not sturdy and was not always facing the patient	Creation of custom mounts for the Echo Show device that can affix to the IV pole and pivot
Lack of data analytics made it difficult to understand usage or efficacy of pilot	Ability to extract and summarize key metrics by device, unit, and user, such as number of drop-ins, length of drop-in, and number of times the voice activation was used

^aVICS: video intercom communication system.

^bIV: intravenous.