keyword
https://read.qxmd.com/read/38425611/evaluation-of-the-district-health-information-system-in-district-kotli-azad-jammu-and-kashmir-a-retrospective-analysis
#21
JOURNAL ARTICLE
Mohammad Saleem Khan, Khawaja Faizan Ejaz, Khan Adnan, Sohail Ahmed, Humayun Saleem, Sarosh Khan Jadoon, Amna Akbar, Sabahat Tasneem
BACKGROUND: It is essential to implement a high-quality electronic database for keeping important information. The District Health Information System (DHIS) is an active data-keeping system in Pakistan. This study aimed to evaluate the patients' data from the DHIS dashboard for the District Headquarters Hospital, Kotli, Azad Jammu and Kashmir (AJK). METHODOLOGY: The data was requested from the hospital administration at District Headquarters Hospital, Kotli, AJK, and the data was analyzed after permission was granted...
January 2024: Curēus
https://read.qxmd.com/read/38421734/optimization-of-patient-progression-in-a-new-era-a-comprehensive-framework
#22
JOURNAL ARTICLE
Laura E Smith, Trancy Escobar, Andrea McCabe, James Grafton, Margaret Higgins, Melissa Littlefield, Soumi Ray, Peggy Leung, Alexander Fiksdal, Roaa M Khinkar, Reg B Wilcox, Carolyn Yuse, Katie Fillipon, Thomas Walsh, Charles A Morris, Shelly Anderson, Madelyn Pearson, Mallika L Mendu
PURPOSE/OBJECTIVES: The onset of the coronavirus disease 2019 pandemic increased the demand for inpatient services and led to widespread staffing shortages in the acute and post-acute setting, contributing to delayed inpatient throughput and leading to capacity crises. Novel strategies are needed to facilitate the efficient progression of hospitalized patients when medically ready for lower levels of care. The authors have developed a foundational strategic framework for patient progression to ensure capture of patient progression data, enhance efficiency, and optimal utilization of post-acute resources in increasingly complex and resource-constrained acute and post-acute environments...
March 1, 2024: Professional Case Management
https://read.qxmd.com/read/38419577/radiofrequency-identification-tracking-system-rfid-significantly-improves-blood-bank-inventory-management-and-decreases-staff-work-effort
#23
JOURNAL ARTICLE
Antoine Tavares da Souza, Jennylyn Flores, Loevette Millendez, Marites Filio, Yunchuan Delores Mo, Cyril Jacquot, Meghan Delaney
BACKGROUND: Before implementation of the radio frequency identification (RFID) system, there was a high loss rate of 4.0%-4.3% of red blood cell (RBC) units every year expiring on the shelf in our transfusion service laboratory. We introduced RFID technology to improve inventory management and the burden of work on the staff. The goal of this study was to evaluate the impact of RFID technology on the inventory management of RBC units and the staff workload in a transfusion service laboratory...
February 29, 2024: Transfusion
https://read.qxmd.com/read/38412514/creation-and-validation-of-an-automated-registry-for-outpatient-parenteral-antibiotics
#24
COMMENT
Joseph Canterino, Maricar Malinis, Jing Liu, Nitu Kashyap, Cynthia Brandt, Amy Justice
Existing outpatient parenteral antibiotic therapy (OPAT) registries are resource intensive, and OPAT programs struggle to produce objective data to show the value of their work. We describe the building and validation of an automated OPAT registry within our electronic medical record and provide objective data on the value of the program. Variables and outcomes include age, sex, race, ethnicity, primary insurance payor, antibiotic names, infection syndromes treated, discharge disposition, 30-day all-cause readmission and death rates, complications, and an estimate of the hospital days saved...
February 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38412156/the-planetary-child-health-enterics-observatory-plan-eo-a-protocol-for-an-interdisciplinary-research-initiative-and-web-based-dashboard-for-mapping-enteric-infectious-diseases-and-their-risk-factors-and-interventions-in-lmics
#25
JOURNAL ARTICLE
Josh M Colston, Bin Fang, Eric Houpt, Pavel Chernyavskiy, Samarth Swarup, Lauren M Gardner, Malena K Nong, Hamada S Badr, Benjamin F Zaitchik, Venkataraman Lakshmi, Margaret N Kosek
BACKGROUND: Diarrhea remains a leading cause of childhood illness throughout the world that is increasing due to climate change and is caused by various species of ecologically sensitive pathogens. The emerging Planetary Health movement emphasizes the interdependence of human health with natural systems, and much of its focus has been on infectious diseases and their interactions with environmental and human processes. Meanwhile, the era of big data has engendered a public appetite for interactive web-based dashboards for infectious diseases...
2024: PloS One
https://read.qxmd.com/read/38401894/pragmatic-phase-ii-clinical-trial-to-improve-depression-care-in-a-real-world-diverse-ms-cohort-from-an-academic-ms-centre-in-northern-california-ms-catch-study-protocol
#26
JOURNAL ARTICLE
Kyra Henderson, Jennifer Reihm, Kanishka Koshal, Jaeleene Wijangco, Nicolette Miller, Narender Sara, Marianne Doyle, Alicia Mallory, Judith Sheridan, Chu-Yueh Guo, Lauren Oommen, Anthony Feinstein, Christina Mangurian, Ann Lazar, Riley Bove
INTRODUCTION: Depression occurs in over 50% of individuals living with multiple sclerosis (MS) and can be treated using many modalities. Yet, it remains: under-reported by patients, under-ascertained by clinicians and under-treated. To enhance these three behaviours likely to promote evidence-based depression care, we engaged multiple stakeholders to iteratively design a first-in-kind digital health tool. The tool, MS CATCH (Care technology to Ascertain, Treat, and engage the Community to Heal depression in patients with MS), closes the communication loop between patients and clinicians...
February 24, 2024: BMJ Open
https://read.qxmd.com/read/38400265/a-semantic-framework-to-detect-problems-in-activities-of-daily-living-monitored-through-smart-home-sensors
#27
JOURNAL ARTICLE
Giorgos Giannios, Lampros Mpaltadoros, Vasilis Alepopoulos, Margarita Grammatikopoulou, Thanos G Stavropoulos, Spiros Nikolopoulos, Ioulietta Lazarou, Magda Tsolaki, Ioannis Kompatsiaris
Activities of daily living (ADLs) are fundamental routine tasks that the majority of physically and mentally healthy people can independently execute. In this paper, we present a semantic framework for detecting problems in ADLs execution, monitored through smart home sensors. In the context of this work, we conducted a pilot study, gathering raw data from various sensors and devices installed in a smart home environment. The proposed framework combines multiple Semantic Web technologies (i.e., ontology, RDF, triplestore) to handle and transform these raw data into meaningful representations, forming a knowledge graph...
February 8, 2024: Sensors
https://read.qxmd.com/read/38400227/model-based-3d-gaze-estimation-using-a-tof-camera
#28
JOURNAL ARTICLE
Kuanxin Shen, Yingshun Li, Zhannan Guo, Jintao Gao, Yingjian Wu
Among the numerous gaze-estimation methods currently available, appearance-based methods predominantly use RGB images as input and employ convolutional neural networks (CNNs) to detect facial images to regressively obtain gaze angles or gaze points. Model-based methods require high-resolution images to obtain a clear eyeball geometric model. These methods face significant challenges in outdoor environments and practical application scenarios. This paper proposes a model-based gaze-estimation algorithm using a low-resolution 3D TOF camera...
February 6, 2024: Sensors
https://read.qxmd.com/read/38395542/characterisation-of-digital-therapeutic-clinical-trials-a-systematic-review-with-natural-language-processing
#29
REVIEW
Brenda Y Miao, Madhumita Sushil, Ava Xu, Michelle Wang, Douglas Arneson, Ellen Berkley, Meera Subash, Rohit Vashisht, Vivek Rudrapatna, Atul J Butte
Digital therapeutics (DTx) are a somewhat novel class of US Food and Drug Administration-regulated software that help patients prevent, manage, or treat disease. Here, we use natural language processing to characterise registered DTx clinical trials and provide insights into the clinical development landscape for these novel therapeutics. We identified 449 DTx clinical trials, initiated or expected to be initiated between 2010 and 2030, from ClinicalTrials.gov using 27 search terms, and available data were analysed, including trial durations, locations, MeSH categories, enrolment, and sponsor types...
March 2024: The Lancet. Digital health
https://read.qxmd.com/read/38394133/lymphactiv-a-digital-physical-activity-behavior-intervention-for-the-treatment-of-lymphedema-and-lipedema
#30
JOURNAL ARTICLE
Peter S Mortimer, Mark Pearson, Patryk Gawrysiak, Katie Riches, Vaughan Keeley, Kirstie F Tew, Ewan J Cranwell
Background: Lymphedema and lipedema are debilitating conditions with no proven drug or surgical therapy. Effective treatment requires self-management through movement and compression to reduce limb volume and the incidence of cellulitis. The addition of personalized everyday physical activity (PA) could be transformative, increasing the therapy window to include all waking hours per week and enabling an increased dose of PA. Aim: This service evaluation aimed to determine the feasibility of LymphActiv as a treatment option for lymphedema and lipedema patients...
February 23, 2024: Lymphatic Research and Biology
https://read.qxmd.com/read/38393952/protocol-for-programing-a-degree-to-careers-dashboard-in-r-using-posit-and-shiny
#31
JOURNAL ARTICLE
Mark A Perkins, Jonathan W Carrier
Here, we present a protocol for programing a degree-to-careers dashboard in R using Posit and Shiny. We describe steps for installing software, obtaining datasets, and munging and joining data. We then detail procedures for programing and publishing the dashboard in Shiny web application that includes a filtered data table. The resulting dashboard links academic programs with careers and income data and may be useful to inform decision-making by higher education leaders and policymakers. For complete details on the use and execution of this protocol, please refer to Perkins and Carrier (2023)...
February 21, 2024: STAR protocols
https://read.qxmd.com/read/38391989/development-of-a-quantitative-digital-urinalysis-tool-for-detection-of-nitrite-protein-creatinine-and-ph
#32
JOURNAL ARTICLE
Vince S Siu, Minhua Lu, Kuan Yu Hsieh, Bo Wen, Italo Buleje, Nigel Hinds, Krishna Patel, Bing Dang, Russell Budd
This paper presents a cost-effective, quantitative, point-of-care solution for urinalysis screening, specifically targeting nitrite, protein, creatinine, and pH in urine samples. Detecting nitrite is crucial for the early identification of urinary tract infections (UTIs), while regularly measuring urinary protein-to-creatinine (UPC) ratios aids in managing kidney health. To address these needs, we developed a portable, transmission-based colorimeter using readily available components, controllable via a smartphone application through Bluetooth...
January 30, 2024: Biosensors
https://read.qxmd.com/read/38384928/diversifying-the-research-landscape-assessing-barriers-to-research-for-underrepresented-populations-in-an-online-study-of-parkinson-s-disease
#33
JOURNAL ARTICLE
Angie V Sanchez, Juliana M Ison, Helen Hemley, Jonathan D Jackson
Despite federal regulations mandating the inclusion of underrepresented groups in research, recruiting diverse participants remains challenging. Identifying and implementing solutions to recruitment barriers in real time might increase the participation of underrepresented groups. Hence, the present study created a comprehensive dashboard of barriers to research participation. Barriers to participation were recorded in real time for prospective participants. Overall, 230 prospective participants expressed interest in the study but were unable to join due to one or more barriers...
2024: Journal of Clinical and Translational Science
https://read.qxmd.com/read/38381243/a-quality-improvement-project-to-reduce-rapid-response-system-inequities-for-patients-with-limited-english-proficiency-at-a-quaternary-academic-medical-center
#34
JOURNAL ARTICLE
Lauren Raff, Andrew G Blank, Ricardo Crespo Regalado, Emily Bulik-Sullivan, Lindsey Phillips, Carlton Moore, Lilia Galvan Miranda, Evan Raff
BACKGROUND: Recognition of clinically deteriorating hospitalized patients with activation of rapid response (RR) systems can prevent patient harm. Patients with limited English proficiency (LEP), however, experience less benefit from RR systems than do their English-speaking counterparts. OBJECTIVE: To improve outcomes among hospitalized LEP patients experiencing clinical deteriorations. DESIGN: Quasi-experimental pre-post design using quality improvement (QI) statistics...
February 21, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38379633/artificial-intelligence-enabled-electrocardiogram-ai-ecg-does-not-predict-atrial-fibrillation-following-patent-foramen-ovale-closure
#35
JOURNAL ARTICLE
Omar Baqal, Eiad A Habib, Elfatih A Hasabo, Francesca Galasso, Timothy Barry, Reza Arsanjani, John P Sweeney, Peter Noseworthy, F David Fortuin
BACKGROUND: Atrial fibrillation (AF) is a known complication following patent foramen ovale (PFO) closure. AI-enabled ECG (AI-ECG) acquired during normal sinus rhythm has been shown to identify individuals with AF by noting high-risk ECG features invisible to the human eye. We sought to characterize the value of AI-ECG in predicting AF development following PFO closure and investigate key clinical and procedural characteristics possibly associated with post-procedural AF. METHODS: We performed a retrospective analysis of patients who underwent PFO closure at our hospital from January 2011 to December 2022...
April 2024: IJC Heart & Vasculature
https://read.qxmd.com/read/38378904/a-digital-teleneuropsychology-platform-for-the-diagnosis-of-mild-cognitive-impairment-from-concept-to-certification-as-a-medical-device
#36
JOURNAL ARTICLE
Andrea Panzavolta, Chiara Cerami, Paolo Caffarra, Dalila De Vita, Alessandra Dodich, Federica L'Abbate, Valentina Laganà, Luigi Lavorgna, Camillo Marra, Costanza Papagno, Francesca Ferrari Pellegrini, Andrea Stracciari, Luigi Trojano, Tiziana Iaquinta, Alice Ravizza, Federico Sternini, Roberta Pandolfi, Sveva Sanzone, Monica Calore, Stefano F Cappa
BACKGROUND: Innovative digital solutions are shaping a new concept of dementia care, opening additional venues for prevention, diagnosis, monitoring and treatment. Hereby, we report the development of a tablet-based teleneuropsychology platform (Tenèpsia®), from concept to certification as Medical Device (MD) Class IIA, as per new MD regulation 745/2017. METHODS: The platform was designed for the remote cognitive evaluation and created thanks to the effort of a collaborative working group including experts from three Italian scientific societies and Biogen Italia S...
February 21, 2024: Neurological Sciences
https://read.qxmd.com/read/38378258/digitally-recording-comfort-observations-in-the-last-days-of-life
#37
JOURNAL ARTICLE
Eleanor Stewart, Suzanne Ford-Dunn, Steve Bass, Charlotte Ede, Julie Elliott, Debbie Peters, Rita Caputo, Luis Moreira, Emily Savage, Ollie Minton
Background: 37.5% of deaths in our area occur in hospital. There are known high unmet needs of adult patients dying in hospital, this unmet need can be reduced by using an individualised care plan and specialist palliative care review. Intervention: In 2022 UHSussex developed an electronic comfort observation chart and individualised care plan, with a centralised dashboard allowing Palliative Care Teams (SPCT) to view trends, target interventions, and a rolling prospective audit. Results: 3000 patients have had their care supported with electronic comfort observations (e-comfort obs)...
February 20, 2024: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/38376409/improving-situation-awareness-to-advance-patient-outcomes-a-systematic-literature-review
#38
JOURNAL ARTICLE
Yaser Alqarrain, Abdul Roudsari, Karen L Courtney, Jim Tanaka
Improving nurses' situation awareness skills would likely improve patient status recognition and prevent adverse events. Technologies such as electronic health record dashboards can be a promising approach to support nurses' situation awareness. However, the effect of these dashboards on this skill is unknown. This systematic literature review explores the evidence around interventions to improve nurses' situation awareness at the point of care. Current research on this subject is limited. Studies that examined the use of electronic health record dashboards as an intervention had weak evidence to support their effectiveness...
February 20, 2024: Computers, Informatics, Nursing: CIN
https://read.qxmd.com/read/38375599/clinical-dashboard-development-and-implementation-to-standardize-data-capture-and-reporting-across-health-system-specialty-pharmacies
#39
JOURNAL ARTICLE
Casey Fitzpatrick, Carson Kantoris, Carly Giavatto, Ana Lopez Medina, Jessica Mourani, Brandon Hardin, Hector Mayol Torres, Amber Skrtic, Erica Rosa
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: To describe the development and implementation of clinical dashboards to standardize data capturing and reporting across multiple partner health systems...
February 20, 2024: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38374450/an-omics-based-machine-learning-approach-to-predict-diabetes-progression-a-rhapsody-study
#40
JOURNAL ARTICLE
Roderick C Slieker, Magnus Münch, Louise A Donnelly, Gerard A Bouland, Iulian Dragan, Dmitry Kuznetsov, Petra J M Elders, Guy A Rutter, Mark Ibberson, Ewan R Pearson, Leen M 't Hart, Mark A van de Wiel, Joline W J Beulens
AIMS/HYPOTHESIS: People with type 2 diabetes are heterogeneous in their disease trajectory, with some progressing more quickly to insulin initiation than others. Although classical biomarkers such as age, HbA1c and diabetes duration are associated with glycaemic progression, it is unclear how well such variables predict insulin initiation or requirement and whether newly identified markers have added predictive value. METHODS: In two prospective cohort studies as part of IMI-RHAPSODY, we investigated whether clinical variables and three types of molecular markers (metabolites, lipids, proteins) can predict time to insulin requirement using different machine learning approaches (lasso, ridge, GRridge, random forest)...
February 19, 2024: Diabetologia
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