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Studies in Health Technology and Informatics

QiYan Zhang, Hiroshi Takeda
A content analysis was performed to investigate core curriculum in master degree programs for patient safety. Twenty programs from six countries and 179 core curriculum/modules were extracted and reviewed. The curricula were compared to the topics recommended in WHO's Multi-professional Patient Safety Curriculum Guide and the core content relevant to patient safety issues in IMIA/AMIA recommendations for health informatics education. The differences between the identified curricula with those addressed in the aforementioned Guide/Recommendations were examined...
2017: Studies in Health Technology and Informatics
Yoshinori Yamashita, Tatoku Ogaito
The use of smart devices in medical information systems is progressing. In addition, correspondence of communication functions in medical equipment is advancing. For this reason, and in order to establish the ubiquitous environment in hospitals, we developed an environment in which multiple wireless communications can be used.
2017: Studies in Health Technology and Informatics
Xue Wu, Changxu Wu
This study revealed the numeric error patterns related to dosage when doctors prescribed in computerized physician order entry system. Error categories showed that the '6','7', and '9' key produced a higher incidence of errors in Numpad typing, while the '2','3', and '0' key produced a higher incidence of errors in main keyboard digit line typing. Errors categorized as omission and substitution were higher in prevalence than transposition and intrusion.
2017: Studies in Health Technology and Informatics
Adam Wright, Trang T Hickman, Dustin McEvoy, Skye Aaron, Angela Ai, Joan S Ash, Jan Marie Andersen, Rachel Ramoni, Milos Hauskrecht, Peter Embi, Richard Schreiber, Dean F Sittig, David W Bates
Clinical decision support systems, when used effectively, can improve the quality of care. However, such systems can malfunction, and these malfunctions can be difficult to detect. In this poster, we describe four methods of detecting and resolving issues with clinical decision support: 1) statistical anomaly detection, 2) visual analytics and dashboards, 3) user feedback analysis, 4) taxonomization of failure modes/effects.
2017: Studies in Health Technology and Informatics
Vania Teixeira, Luciana Rubin, Romina Rebrij, Alvaro Tamborindeguy, Rodrigo Martinez, Juan Carlos Bacigalupo, Daniel Luna
The aim of this study is to describe the implementation and evaluation of an outsourced Clinical Decision Support Systems (CDSS) service of drug-drug interaction (DDI) alerts in an Uruguayan outpatient healthcare network. A cross-sectional study was developed. 1.5 alerts were triggered of every 1000 prescriptions. Clinicians accepted 44% of the total alerts. In conclusion, the implementation of CDSS was achievable.
2017: Studies in Health Technology and Informatics
Takumi Tanikawa, Hisateru Ohba, Ayako Yagahara, Katsuhiko Ogasawara
The purpose of this study was to estimate geographical patient flow to hospitals during winter seasons using simulation analysis. We used probe data collected from car navigation systems and performed a Geographical Information System (GIS)-based analysis to determine the relationship between travel time to hospitals and winter road conditions. Accessibility to hospitals based on travel time in summer and winter was overlayed on a map to demonstrate the increase in travel time during winter.
2017: Studies in Health Technology and Informatics
Martin Staemmler, Alexander Nischwitz, Markus Blätzinger, Johannes Sturm
This poster presents an assessment to which extent the data submission to one of the largest trauma registries worldwide can be structured compliant to the clincial document architecture (CDA) and semantically annotated. Overall, complete annotation was achieved for 75% of the items, for the remaining ones annotation failed due to missing codes or concepts for individual items or values of value sets.
2017: Studies in Health Technology and Informatics
Berglind Smaradottir, Jarle Håland, Santiago Martinez
A mobile device's touchscreen allows users to use a choreography of hand gestures to interact with the user interface. A screen reader on a mobile device is designed to support the interaction of visually disabled users while using gestures. This paper presents an evaluation of VoiceOver, a screen reader in Apple Inc. products. The evaluation was a part of the research project "Visually impaired users touching the screen - a user evaluation of assistive technology".
2017: Studies in Health Technology and Informatics
Priscyla Waleska Simões, Ronaldo Borges Vicente, Patrícia Duarte Simões Pires, Maria Marlene de Souza Pires, Eros Comunello, Felipe Borges Tomaz, Luciane Bisognin Ceretta, Deborah Ribeiro de Carvalho
The aim of this study was to evaluate the accuracy of decision support systems in the diagnosis of breast cancer by means of a systematic review and meta-analysis of studies of diagnostic accuracy. The first step of the research, which consisted of the initial research of abstracts and titles identified from the research strategy in the databases was performed by two researchers independently. In this stage, 622 references were retrieved in the databases and, through a consensus meeting, 183 articles were selected for full reading...
2017: Studies in Health Technology and Informatics
Ryoma Seto, Toshitaka Inoue, Nobuyuki Koeda, Sayuri Yamashita, Kotaro Komino, Takahiro Yasoshima
The purpose of this study was to develop a prototype nursing observation support system using integrated nursing practice data with nursing records, prescription data, and nurse call logs. These data show that the present observation system has improved. The system has the potential to provide improved observations of chest symptoms and pain management.
2017: Studies in Health Technology and Informatics
Kutaiba Saleh, Stephan Stucke, Alexandr Uciteli, Sebastian Faulbrück-Röhr, Juliane Neumann, Kais Taher, Danny Ammon, Tobias Schmidt, Thomas Neumuth, Andreas Besting, Frank Portheine, Heinrich Herre, André Kaeding, Martin Specht
With the growing strain of medical staff and complexity of patient care, the risk of medical errors increases. In this work we present the use of Fast Healthcare Interoperability Resources (FHIR) as communication standard for the integration of an ontology- and agent-based system to identify risks across medical processes in a clinical environment.
2017: Studies in Health Technology and Informatics
Carolina Salazar, Jaime de Los Hoyos, Francisco Izurieta, Daniel Jara, Daniel Capurro
High-Level Disinfection (HLD) of endoscopic equipment is a critical process to ensure patient safety. Although commercial tracking software is available, here we demonstrate the successful design and implementation of a HLD tracking system using pre-existing corporate information tools. After a brief development and implementation stage, the HLD unit is successfully tracking the process and are able to create simple visualizations to monitor and improve the existing procedures.
2017: Studies in Health Technology and Informatics
Ryota Sakurai, Kazuhiko Ohe
In a meta-analysis of 4 trials, computerized guideline-oriented clinical decision support system (CDSS) for healthcare providers showed a similar change in glycated hemoglobin (HbA<inf>1C</inf>) from baseline to follow up (weighted mean difference (95% confidence interval (CI)): -0.29 (-0.74, 0.16), p = 0.212), but a reduced proportion of patients with HbA<inf>1C</inf> ≥ 7.0% at follow up (odds ratio (95%CI)): 0.85 (0.74, 0.97), p = 0.014) compared with the control group, suggesting the need for the development of multifaceted computerized CDSS...
2017: Studies in Health Technology and Informatics
L E Ritacco, L A Aponte-Tinao, D L Muscolo, M A Ayerza, I Albergo, G L Farfalli, M Risk, F Gonzalez Bernaldo de Quiros, F E Milano
This poster aims to achieve an "in vitro" comparative study between three methods: 2D digital images planning and execution without navigation (freehand with ruler and caliper), 3D planning and execution without navigation (freehand with ruler and caliper) and 3D planning and execution guided with navigation. 3D planning and navigated procedures potentially improve sarcoma resection.
2017: Studies in Health Technology and Informatics
Silvana Quaglini, Anna Alloni, Barbara Cattani, Silvia Panzarasa, Caterina Pistarini
In this work we describe an experiment involving aphasic patients, where the same speech rehabilitation exercise was administered in three different modalities, two of which are computer-based. In particular, one modality exploits the "Makey Makey", an electronic board which allows interacting with the computer using physical objects.
2017: Studies in Health Technology and Informatics
Takehiro Matsumoto, Masayuki Honda
Health Information Exchange (HIE) has been gradually spreading in Japan. But the effect and evaluation of these systems have not been proven. The aim of this study is to examine the effect of the Japanese HIE through the evaluation of the clinical activities in Nagasaki University Hospital. The electric medical records of 5335 patients were shared in the Ajisai-net, which was Japanese HIE in Nagasaki, from 2009 to 2015. And the number of shared patients increased every year, and the annual average number was 762...
2017: Studies in Health Technology and Informatics
Shirou Manabe, Yoshie Shimai, Taizo Murata, Ayumi Fujii, Kanayo Ueda, Akito Nakagawa, Toshihiro Takeda, Naoki Mihara, Yasushi Matsamura
Early diagnosis and treatment of pancreatic cancer is challenging. We attempted to find diagnostic rules for pancreatic cancer from laboratory data in the Osaka University Hospital's data warehouse using Bayesian estimation. We calculated the pretest odds based on the number of laboratory tests and the cutoff value at which the diagnostic accuracy is over 20%. By this method, we identified diagnostic rules of 6 types for one item and 79 types for 2 items. Pancreatic cancer is difficult to detect from only general laboratory tests...
2017: Studies in Health Technology and Informatics
Maksim Taranik, Georgy Kopanitsa
The paper presents developed decision system, oriented for healthcare providers. The system allows healthcare providers to detect and decrease nonconformities in health records and forecast the sum of insurance payments taking into account nonconformities. The components are ISO13606, fuzzy logic and case-based reasoning concept. The result of system implementation allowed to 10% increase insurance payments for healthcare provider.
2017: Studies in Health Technology and Informatics
Pei-Luen Ma, Yan-Wun Jheng, Bi-Wei Jheng, I-Ching Hou
Bar code medication administration (BCMA) could reduce medical errors and promote patient safety. This research uses modified information systems success model (M-ISS model) to evaluate nurses' acceptance to BCMA. The result showed moderate correlation between medication administration safety (MAS) to system quality, information quality, service quality, user satisfaction, and limited satisfaction.
2017: Studies in Health Technology and Informatics
Valentina Lichtner, David Gerrett, Ann Slee, Noreen Gul, Tony Cornford
This is a study of medication safety incidents reported to the NHS in England (UK) associated with the use of digital technology. An interpretative analysis of 888 incidents reports offers insight into uses and features of this technology associated with medication errors and potential patient harm.
2017: Studies in Health Technology and Informatics
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