Santiago Márquez Fosser, Alejandro Gaiera, Carlos Otero, Sonia Benitez, Daniel Luna, Fernán Quiroz
1358 - 1358
An accurate and updated problems' list is critical in a problem-oriented Electronic Health Record (EHR). The lack of organization and maintenance of the problems limits its value. Certain problems have a larger effect on the clinical evolution of the patient, these are known as Comorbidities. The aim of this paper is to evaluate the impact of the automatic loading of comorbidities in the organization and maintenance of inpatient problems' list using a comorbidities subset.
Eventhough the US expenditure on health care is almost twice of the Organization for Economic Co-operation and Development (OECD) average, the care quality indicators in the US unfortunately are not reflective of such extra spending (Baird, 2016). To revise this cost and quality imbalance, new models have been recommended (and partially implemented) that will tie health care reimbursement with efficient utcomes. This study offers a technology enabled solution to calcualting approraite bundles.
Jeremy Grummet, Nilmini Wickramasinghe, Peter Haddad, Louise O'Connor
1360 - 1360
Video conferencing is emerging as a useful clinical tool. Its application has extended to cover home monitoring, psychotherapy, managing patients with chronic diseases, and other various applications. However, utilizing video conferencing capabilities to facilitate discharge processes has to date been sparsely researched. This study explores the possibilities of video conferencing to facilitate better patient discharge processes at a large Australian not-for-profit tertiary healthcare group.
Several kinds of event log data produced in daily clinical activities have yet to be used for secure and efficient improvement of hospital activities. Data Warehouse systems in Hospital Information Systems used for the analysis of structured data such as disease, lab-tests, and medications, have also shown efficient outcomes. This article is focused on two kinds of essential functions: process mining using log data and non-structured data analysis via Natural Language Processing.
Hongpu Hu, Yue Zhang, Yao He, Fan Yu, Minjiang Guo
1362 - 1362
The goal is to explore a concrete mode for the health administrative department to manage community health service. On the basis of existing health laws and regulations, the study synthesized computer technology, set up the automation system of community health service supervision and management, drew up management norm, management procedure, evaluation system, designed corresponding software, and then completed the spot usage. Four changes of community health service management are realized.
Pulmonary embolism is a difficult disease to diagnose in the emergency department. It may be fatal if the diagnosis is missed. Clinical practice guidelines and textbooks publish pretest diagnostic tools and algorithms that facilitate the diagnosis of pulmonary embolism. We developed and administered a questionnaire that determined that such tools can be difficult to remember to use. We also designed an Android application to facilitate diagnosis of pulmonary embolism and used a questionnaire to evaluate the application.
We found no significant change in the accuracy of clinicians' reading of skeletal radiographs before and after PACS- introduction. The level of inter-rater agreement between clinicians and radiologists was high in both periods, but they disagreed in significantly more cases after PACS.
Miran Jung, Insook Cho, Jisun Chae, Jihye Kim, Yeunhee Kim
1365 - 1365
This study compared and synthesized clinical guidelines for inpatient falls with the aim of developing an ICNP®-based nursing catalogue for use in electronic nursing records. The identified content will influence nursing services provided to patients and the associated documentation.
The aim of this research is to quantify individual willingness-to-pay (WTP) to test effectiveness of Digital terrestrial broadcasting elderly tele-care system.We used contingent valuation method (CVM) to estimate the WTP for this system among 400 citizens living in Japan. The median WTP for this services's monthly fee is estimated to be 431 JPY. The finding suggests that people who cares their health were pay more to use this system.
Youn-Jung Kim, Jae-Ho Lee, Sang-Wook Lee, Ming-Young Jung, Won Young Kim
1367 - 1367
New definition of sepsis introduced quick sequential organ failure assessment (qSOFA) score. A qSOFA-based sepsis decision support system was designed and developed in an emergency departement. The system has functions of autmatically retrieving qSOFA score, 3 and 6 hours of sepsis and septic shock treatment bundle, semi-automatic calculation of SOFA score, etc. Early usage and user requests are needed to find aspects of improvement.
Yura Lee, Min-Young Jung, Gee Won Shin, Sangwoo Bahn, Taezoon Park, Jae-Ho Lee
1368 - 1368
Hospital Information systems (HIS) provide efficiency in clinical practice, and give users the chances of systemic feedback, recommendations based on evidences. However, HIS without consideration of usability or patient safety could make adverse events. In this study, we suggest safety/usability guideline of HIS, extracted via systemic review of related articles. We categorized the guidelines and recommendations by clinical workflow.
Valentina Lichtner, David Gerrett, Ann Slee, Noreen Gul, Tony Cornford
1369 - 1369
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.
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.
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.
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. However, this method may be promising in early diagnosis.
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 762.1. On the other hand, the number of the patients who was introduced from clinics to our hospital and whose medical records were shared in the Ajisai-net increased every year. In conclusion, the usage of Japanese HIE is useful for the clinical consultation and medical care, and these systems have the good effect on the hospital management in Japan.
Silvana Quaglini, Anna Alloni, Barbara Cattani, Silvia Panzarasa, Caterina Pistarini
1374 - 1374
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.
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
1375 - 1375
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.
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 (HbA1C) 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 HbA1C ≥ 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.
Carolina Salazar, Jaime de los Hoyos, Francisco Izurieta, Daniel Jara, Daniel Capurro
1377 - 1377
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.
Kutaiba Saleh, Stephan Stucke, Alexandr Uciteli, Sebastian Faulbrück-Röhr, Juliane Neumann, Kais Tahar, Danny Ammon, Tobias Schmidt, Thomas Neumuth, Andreas Besting, Frank Portheine, Heinrich Herre, André Kaeding, Martin Specht
1378 - 1378
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.
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.
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
1380 - 1380
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.
Berglind Smaradottir, Jarle Håland, Santiago Martinez
1381 - 1381
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”.
Martin Staemmler, Alexander Nischwitz, Markus Blätzinger, Johannes Sturm
1382 - 1382
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.