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Studies in Health Technology and Informatics

Martin Spineth, Andrea Rappelsberger, Klaus-Peter Adlassnig
BACKGROUND: Arden Syntax is an international standard for medical knowledge representation and processing. The openEHR Foundation publishes specifications for the creation of electronic health records based on interoperable data models. OBJECTIVES: To perform a feasibility study showing how Arden Syntax medical logic modules (MLMs) can access openEHR data. METHODS: Medexter's ArdenSuite was applied as an implementation of an Arden-Syntax-based clinical decision support framework, and Marand's EhrScape as an implementation of an openEHR system, for the purpose of data exchange...
2018: Studies in Health Technology and Informatics
Nikola Tanjga, René Baranyi, Thomas Grechenig, Christian Gossy, Stefan Welte, Peter Kastner, Robert Modre-Osprian
BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA...
2018: Studies in Health Technology and Informatics
Domenik Muigg, Peter Kastner, Robert Modre-Osprian, Daniela Haluza, Georg Duftschmid
BACKGROUND: Telemonitoring offers new opportunities in the treatment of chronically ill patients and could help to improve their quality of life while reducing healthcare costs. OBJECTIVES: The willingness to use telemonitoring is examined for both physicians and patients. From the perspective of the most important stakeholders, advantages and disadvantages as well as barriers for telemonitoring are analysed. METHODS: A Telehealth Readiness Assessment was carried out with physicians (n = 41) and patients (n = 47) in a cross-sectional study...
2018: Studies in Health Technology and Informatics
Veronika Schusterbauer, Dieter Feitek, Peter Kastner, Hermann Toplak
BACKGROUND: Diabesity, a combination of diabetes mellitus type 2 and obesity, is one of the biggest global health problems. Individual nutrition therapy and physical activity are effective measures in prevention and treatment. METHODS: Requirements for an integrated diabesity service were specified and evaluated in two stages. The aim of the first stage was to perform a feasibility trial in patients with diabesity, using separate diaries. DiabMemory for diabetes and Nutrinaut for nutrition...
2018: Studies in Health Technology and Informatics
Patrick Mayr, Markus Falgenhauer, Robert Modre-Osprian, Peter Hofmann, Heimo Traninger, Michael Rath, Günter Schreier
E-Bikes in telerehabilitation programs could be a new intervention for more sustainable rehabilitation results. The aim is to design and build a prototype of an E-Bike usable for rehabilitation - a HEALTHeBIKE. It should avoid over-exercising, work independently of the environment and it should enable cycling in a group despite different reference exercise intensities. To achieve these goals, requirements for this system architecture have been identified. A system architecture including an Arduino microcontroller, an Android smartphone and a telemonitoring platform was presented...
2018: Studies in Health Technology and Informatics
Michael Schaller, Werner O Hackl, Elske Ammenwerth
BACKGROUND: Patient safety is an important issue and receiving increasing attention. Information technology (IT) and IT-based strategies as the secondary use of already existing data within hospital information systems can help to improve patient safety. OBJECTIVE: To investigate experts' knowledge and opinions regarding relevant patient safety problems, their measurability in existing clinical routine data and potential challenges in the field. We also wanted to get an overview of already deployed indicators for patient safety...
2018: Studies in Health Technology and Informatics
Matthias Löbe, Sebastian Stäubert, Colleen Goldberg, Ivonne Haffner, Alfred Winter
BACKGROUND: Medical plaintext documents contain important facts about patients, but they are rarely available for structured queries. The provision of structured information from natural language texts in addition to the existing structured data can significantly speed up the search for fulfilled inclusion criteria and thus improve the recruitment rate. OBJECTIVES: This work is aimed at supporting clinical trial recruitment with text mining techniques to identify suitable subjects in hospitals...
2018: Studies in Health Technology and Informatics
Andrés I Tkachenko-Bril, Harald Jagoš, Veronika David, Katharina Pils, Jakob Gaudernak, Dietmar Rafolt
BACKGROUND: Patient compliance with lower limb partial weight bearing (PWB) instructions during post-surgical early mobilization is often low and many are unable to adhere to the prescribed limits without the implementation of concurrent biofeedback. OBJECTIVES: A real-time feedback system based on eSHOE instrumented insoles was tested in order to preliminarily quantify its efficiency at improving geriatric patients' compliance. METHODS: In order to gain a proof of concept, measurements with one patient after a hip fracture were carried out...
2018: Studies in Health Technology and Informatics
Johannes Wutzkowsky, Britta Böckmann
The PIQ research project ("Pflege im Quartier") aims for optimizing communication and patient-centered care for elderly people by implementing a digital, patient-centered care platform, with particular attention is paid to the consideration of ethical, legal and social issues. In this work, an instrument for the ethical evaluation of social-technical arrangement was used to map features of the platform with ethical concerns. The results include precise ethical questions based on scenarios identified and possible solutions to address them, regarding the ethical and privacy issues...
2018: Studies in Health Technology and Informatics
Karin Kiefel, Klaus Donsa, Peter Tiefenbacher, Robert Mischak, Gernot Brunner, Gerald Sendlhofer, Thomas Pieber
BACKGROUND: The Surgical Safety Checklist (SSC) is routinely used in operating rooms (OR) but its acceptance is low. One promising way to improve acceptance of the SSC and thus quality of patient care is digitalization. OBJECTIVE: To investigate how a digitalization of the SSC could be implemented in a teaching hospital. Based on the identified user requirements we designed a first user interface (UI). METHOD: We performed a literature review, identified user perceptions and requirements during 12 interviews including a standardized questionnaire in surgical departments at the University Hospital Graz (Austria)...
2018: Studies in Health Technology and Informatics
Irina V Vasilyeva, Sergey L Shvirev, Tatyana V Zarubina, Olga V Karaseva, Alexander S Samoylov, Yuri D Udalov
The aim of the present work was to study the validity and prognostic accuracy of scores for assessing the severity of the condition in children with severe trauma, located in the Department of Anesthesiology and Resuscitation in the Clinical and Research Institute of Urgent Pediatric Surgery and Trauma. The prospective study was conducted using clinical and physiological data collected at the admission and during the first 24 hours of hospitalization from 474 patients. The validity and prognostic accuracy of prognostic scores were assessed by determining their discrimination and calibration ability...
2018: Studies in Health Technology and Informatics
Mark Scase, Karl Kreiner, Antonio Ascolese
BACKGROUND: In Europe the number of elderly people is increasing. This population growth has resulted in higher healthcare costs. The purpose of this project was to try to promote active ageing in people aged 65-80 with mild cognitive impairment through cognitive games delivered via a tablet computer. OBJECTIVES: Age-appropriate cognitive games were developed targeting different aspects of cognition and then experiences of elderly people using these games were evaluated...
2018: Studies in Health Technology and Informatics
Lucas Pflanzl-Knizacek, Katharina Bergmoser, Karin Mattersdorfer, Gernot Schilcher, Christian Baumgartner
BACKGROUND: Intensive care is confronted with an increasing complexity and large amounts of data provided by new technological tools. One way of assisting health care professionals is providing effective clinical decision support (CDS) systems. OBJECTIVES: The aim is to develop a tailored model for the sustainable development of a clinical decision support system in intensive care. METHODS: The model consists of two parts. The first part includes the interaction of the following partners: science industry and HCP...
2018: Studies in Health Technology and Informatics
Jan-Patrick Weiß, Tobias Welzel, Bernd J Hartmann, Ursula Hübner, Frank Teuteberg
BACKGROUND: Diabetes mellitus is one of the most prominent examples of chronic conditions that requires an active patient self-management and a network of specialists. OBJECTIVES: The aim of this study was to analyze the user and legal requirements and develop a rough technology concept for a secure and patient-centered exchange platform. METHODS: To this end, 14 experts representing different stakeholders were interviewed and took part in group discussions at three workshops, the pertinent literature and legal texts were analyzed...
2018: Studies in Health Technology and Informatics
Maryam Ahmadi, Farid Khorrami, Afsaneh Dehnad, Mohammad H Golchin, Mohsen Azad, Shafei Rahimi
BACKGROUND: The challenges of using health information systems in developing countries are different from developed countries for various reasons such as infrastructure and data culture of organizations. OBJECTIVE: The aim of this study is to assess managers' access to key performance indicators (KPI) via Hospital Information System (HIS) in teaching hospitals of Iran. METHODS: All managers (Census method) of the four teaching hospitals affiliated to Hormozgan University of Medical Sciences (HUMS) were included in this study...
2018: Studies in Health Technology and Informatics
Amelie Altenbuchner, Sonja Haug, Rainer Kretschmer, Karsten Weber
BACKGROUND: This preparatory study accelerates an implementation of individualized monitoring and feedback of physical motion using conventional motion trackers in the rehabilitation process of geriatric trauma patients. Regaining mobility is accompanied with improved quality of life in persons of very advanced age recovering from fragility fractures. OBJECTIVES: Quantitative survey of regaining physical mobility provides recommendations for action on how to use motion trackers effectively in a clinical geriatric setting...
2018: Studies in Health Technology and Informatics
Abbas Sheikhtaheri, Samane Saravani-Aval
Medication errors are common in healthcare settings. To prevent these errors, use of modern technology is suggested. Improvement of medication administration system particularly at the time of drug administration is mandated in Iran. Barcode medication administration (BCMA) systems are useful in this regard. This study was conducted to assess nurses' attitude for the use of BCMA systems. To this end, 283 randomly selected nurses working in teaching hospitals were surveyed using a five point Likert scale questionnaire...
2018: Studies in Health Technology and Informatics
Farid Khorrami, Maryam Ahmadi, Abbas Sheikhtaheri
BACKGROUND: One of the most important features studied for adoption of terminologies is content coverage. The content coverage of SNOMED CT as a large scale terminology system has been evaluated in different domains by various methods. OBJECTIVES: This study provided an overview of studies evaluating SNOMED CT content coverage. METHODS: This systematic literature review covered Scopus, Embase, PubMed and Web of Science. It included studies in English language with accessible full-text from the beginning of 2002 to November 2017...
2018: Studies in Health Technology and Informatics
Erik Tute, Jochen Steiner
BACKGROUND: Literature describes a big potential for reuse of clinical patient data. A clinical data warehouse (CDWH) is a means for that. OBJECTIVES: To support management and maintenance of processes extracting, transforming and loading (ETL) data into CDWHs as well as to ease reuse of metadata between regular IT-management, CDWH and secondary data users by providing a modeling approach. METHODS: Expert survey and literature review to find requirements and existing modeling techniques...
2018: Studies in Health Technology and Informatics
Antje Wulff, Birger Haarbrandt, Michael Marschollek
BACKGROUND: The availability of semantically-enriched and interoperable clinical information models is crucial for reusing once collected data across institutions like aspired in the German HiGHmed project. Funded by the Federal Ministry of Education and Research, this nationwide data infrastructure project adopts the openEHR approach for semantic modelling. Here, strong governance is required to define high-quality and reusable models. OBJECTIVES: Design of a clinical knowledge governance framework for openEHR modelling in cross-institutional settings like HiGHmed...
2018: Studies in Health Technology and Informatics
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