Dissertations / Theses: 'Patient information system'

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Chang, Andrew Yee. "A web accessible clinical patient information networked system." CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/2980.

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Developed with the intention to make the patient data storage system in the clinical outpatient area more efficient, this system stores all pertinent and relevant patient data such as lab results, patient history and X-ray images. The system is accessible via the internet as well as operable over a local area network (LAN). The intended audience for this program is essentially the clinical staff (e.g., physicians, nursing staff, secretarial staff). The computer program was developed using Java Server Pages (JSP) and utilizes the Oracle 9i database.

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Kirkham, David Andrew. "Patient-held medical records : a thermodynamic perspective." Thesis, University of Cambridge, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296769.

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Adamack, Monica Claire. "Breaking down the silos towards an integrated patient information system." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59418.pdf.

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Dunphy, Gerard Michael. "Requirements analysis of a multimedia patient information system in telemedicine applications." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0029/MQ47447.pdf.

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Mahmood, Ashrafullah Khalid. "Information Security Management of Healthcare System." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4353.

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Information security has significant role in Healthcare organizations. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. Sensitive information of patients in healthcare has to be managed such that it is safe and secure from unauthorized access. The high-level quality care to patients is possible if healthcare management system is able to provide right information in right time to right place. Availability and accessibility are significant aspects of information security, where applicable information needs to be available and accessible for user within the healthcare organization as well as across organizational borders. At the same time, it is essentials to protect the patient security from unauthorized access and maintain the appropriate level in health care regarding information security. The aim of this thesis is to explore current management of information security in terms of Electronic Health Records (EHR) and how these are protected from possible security threats and risks in healthcare, when the sensitive information has to be communicated among different actors in healthcare as well as across borders. The Blekinge health care system was investigated through case study with conduction of several interviews to discover possible issues, concerning security threats to management of healthcare. The theoretical work was the framework and support for possible solutions of identified security risks and threats in Blekinge healthcare. At the end after mapping, the whole process possible guidelines and suggestions were recommended for healthcare in order to prevent the sensitive information from unauthorized access and maintain information security. The management of technical and administrative bodies was explored for security problems. It has main role to healthcare and in general, whole business is the responsibility of this management to manage the sensitive information of patients. Consequently, Blekinge healthcare was investigated for possible issues and some possible guidelines and suggestions in order to improve the current information security with prevention of necessary risks to healthcare sensitive information. muqadas@gmail.com

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Kairouz, Joseph. "Patient data management system medical knowledge-base evaluation." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=24060.

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The purpose of this thesis is to evaluate the medical data management expert system at the Pediatric Intensive Care Unit of the Montreal Children's Hospital. The objective of this study is to provide a systematic method to evaluate and, progressively improve the knowledge embedded in the medical expert system. Following a literature survey on evaluation techniques and architecture of existing expert systems, an overview of the Patient Data Management System hardware and software components is presented. The design of the Expert Monitoring System is elaborated. Following its installation in the intensive Care Unit, the performance of the Expert Monitoring System is evaluated, operating on real vital sign data and corrections were formulated. A progressive evaluation technique, new methodology for evaluating an expert system knowledge-base is proposed for subsequent corrections and evaluations of the Expert Monitoring System.

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Miller, Jonathan Blair. "On-patient medical information encoding : image guided fistula cannulation assistant for hemodialysis." Thesis, Massachusetts Institute of Technology, 2019. https://hdl.handle.net/1721.1/121794.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2019 Cataloged from PDF version of thesis. Includes bibliographical references (pages 75-77). This thesis documents the process of invention and design of on-patient encoding of medical information. The work is demonstrated through the development of a prototype medical device system that addresses clinically observed issues associated with dialysis treatment for patients afflicted with kidney failure. Implemented as a temporary tattoo, the medical system is intended to be widely deployable in a variety of settings for a myriad of populations, including developed and emerging medical communities, in-clinic or at-home, and across a spectrum of human skin tones. Addressing hemodialysis challenges is important because, if one's kidneys fail, the ideal option is to receive a transplant, though for many patients (millions globally), the short-term and often long-term solution must be hemodialysis. Through this treatment, a patient regularly has large needles inserted into his or her arm through which the blood is pumped into an artificial kidney machine. This must be done several times each week for four to eight hours at a time, often in a clinic though ideally (albeit uncommonly) at patients' homes. Presented is the development process of problem identification, concept generation, testing, and prototyping of image guidance systems for hemodialysis needle insertion. This serves to curb fear so patients and caregivers experience improved key performance indicators including: -- Less Pain - Fewer needle 'mis-sticks' -- Quicker Learning - Shortened treatment training time -- Simpler Treatment - Reduced dependence on one or more caregivers when cannulating -- Improved Access to Care - Designed for a broad range of patients. The project involves infrared illumination of hemoglobin, undistortion and mapping of vein images, and special ink chemistry based on temporary tattoos. The results of this project are intended to lay the engineering, business, and design groundwork for a Class 11 product and service suite consisting of: -- A vein mapper: a device consisting of an infrared vein illuminator (hardware) and real-time optical enhancement (software). -- An indelible dye: a mixture that stains immediately, resists clinical washing, and persists for days -- A cannulation key: a process by which an inkjet printer is used to produce a vein map guide that is then transferred onto a patient's arm. by Jonathan Blair Miller. S.M. in Engineering and Management S.M.inEngineeringandManagement Massachusetts Institute of Technology, System Design and Management Program

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Lee, Koon-hung. "Communicating patients' medical information by online electronic health record system physicians and dentists' perception /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31971933.

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Doyle, Mary Davis. "Impact of the Bar Code Medication Administration (BCMA) System on Medication Administration Errors." Diss., Tucson, Arizona : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1093%5F1%5Fm.pdf&type=application/pdf.

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Abd, Ghani M. K. "An integrated and distributed framework for a Malaysian telemedicine system (MYtel)." Thesis, Coventry University, 2010. http://curve.coventry.ac.uk/open/items/8e8803f4-d520-a0d2-ef84-3ab94f82fdc4/1.

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The overall aim of the research was to produce a validated framework for a Malaysian integrated and distributed telemedicine system. The framework was constructed so that it was capable of being useful in retrieving and storing a patient’s lifetime health record continuously and seamlessly during the downtime of the computer system and the unavailability of a landline telecommunication network. The research methodology suitable for this research was identified including the verification and validation strategies. A case study approach was selected for facilitating the processes and development of this research. The empirical data regarding the Malaysian health system and telemedicine context were gathered through a case study carried out at the Ministry of Health Malaysia (MOHM). The telemedicine approach in other countries was also analysed through a literature review and was compared and contrasted with that in the Malaysian context. A critical appraisal of the collated data resulted in the development of the proposed framework (MyTel) — a flexible telemedicine framework for the continuous upkeep of patients’ lifetime health records. Further data were collected through another case study (by way of a structured interview in the outpatient clinics/departments of MOHM) for developing and proposing a lifetime health record (LHR) dataset for supporting the implementation of the MyTel framework. The LHR dataset was developed after having conducted a critical analysis of the findings of the clinical consultation workflow and the usage of patients’ demographic and clinical records in the outpatient clinics. At the end of the analysis, the LHR components, LHR structures and LHR messages were created and proposed. A common LHR dataset may assist in making the proposed framework more flexible and interoperable. The first draft of the framework was validated in the three divisions of MOHM that were involved directly in the development of the National Health ICT project. The division includes the Telehealth Division, Public and Family Health Division and Planning and Development Division. The three divisions are directly involved in managing and developing the telehealth application, the teleprimary care application and the total hospital information system respectively. The feedback and responses from the validation process were analysed. The observations and suggestions made and experiences gained advocated that some modifications were essential for making the MyTel framework more functional, resulting in a revised/final framework. The proposed framework may assist in achieving continual access to a patient’s lifetime health record and for the provision of seamless and continuous care. The lifetime health record, which correlates each episode of care of an individual into a continuous health record, is the central key to delivery of the Malaysian integrated telehealth application. The important consideration, however, is that the lifetime health record should contain not only longitudinal health summary information but also the possibility of on-line retrieval of all of the patient’s health history whenever required, even during the computer system’s downtime and the unavailability of the landline telecommunication network.

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Pukk, Härenstam Karin. "Learning from patient injury claims : an assessment of the potential of patient injury claims to a safety information system in healthcare /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-153-1/.

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Tokosi, Temitope Oluwaseyi. "Electronic patient record (EPR) system in South Africa : information, storage, retrieval and share amongst clinicians." University of the Western cape, 2016. http://hdl.handle.net/11394/5414.

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Philosophiae Doctor - PhD A phenomenological philosophy underlies this research study which attempts to understand clinicians’ perception and understanding of an electronic patient record (EPR) system currently operational at a hospital in the Western Cape Province in South Africa (SA). Healthcare is a human right, thus patient records contain critical data and mostly paper-based in many SA hospitals. Clinicians are the EPR primary users and their attitude in its use is important for its success. This study explores, identifies and determines clinicians’ cognitive attributes towards EPR with a technology use framework developed. An initial quantitative approach was applied but unsuccessful due to low sample size. A pilot study was then conducted using 11 respondents. Purposive sampling was first initiated then snowball introduced later to improve the sample size qualitatively. Interviews were administered to 15 clinicians and tape recorded. Narrative content analysis was used as the preferred analysis technique because of the advantage of gaining direct information from study participants, unobtrusive and a nonreactive way to study the phenomenon of interest. Research findings tested 12 propositions and found high impact relationships between attitude (ATT) and each listed theme namely: perceived usefulness (PU), perceived ease of use (PEOU), complexity (COM), facilitating condition (FC), use behaviour (USE). Use behaviour had high impact relationships with storage (STO) and retrieval (RET). There were moderate impact relationships between PU and USE; PEOU and PU; RA and ATT; job fit (JF) and ATT; USE and share (SHA). The implication here is that any EPR system to be implemented should be tested using this framework to ascertain its usefulness and fit with a hospital's objectives and users expectations. By so doing, anticipated problems can be mitigated against and resolved before implementation. The study contributes to the information system (IS) body of knowledge through the technology use framework. The framework is for adoption by hospital management and its use by clinicians where EPR is operational. Traditional IS frameworks can be adopted for hospitals about to implement EPR because of the relevance of the "intent to use" theme.

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Berberich, Katelyn. "Evaluating Mobile Information Display System in Transfer of Care." Wright State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=wright1503437044573349.

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Sattar, Abdus. "Create a Medical information Extraction tool applied on Electronic Patient Record systems mainly for Retrospective Research." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-121527.

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This paper deals with medical data extraction from electronic patient record (EPR) system. Most of the medical data are stored in patient record systems, and data that are much valuable for medical research. If a researcher wants to extract medical information today, it has to be done manually because the data are stored in unstructured textual format in a system created by hospital staff. There is no way of extracting data in structure way. This paper is going to introduce an information extraction application for EPR system that allows the researcher to set up a study with inclusion and parameters for extraction for retrospective surveys in a webuser-interface environment. Inclusion is what the researcher would like to study (a defined category or criteria) and parameters specify the characteristics of inclusion the criteria. Result of this application provides an extracted clinical data that is used for retrospective surveys, downloadable to an MS-Excel file.

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Banelis, Andrius. "Kardiovaskulinės reabilitacijos pacientų informacinės sistemos kūrimas ir tyrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2005. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20050525_154503-81122.

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Project dedicated for the united information base creation and storage of the cardiovascular reabilitation patients. Using this reabilitation it is necessary to watch the test results of the patient, analyse and systematize them. Besides collected information can be used for the later treatment of the patient. Thus having a huge storage it is hard to find record if it is on paper, in that case invoking information technology, which will ease storage of the big information quantity, quick it processing and analysis. Besides selection of that organization bussines reorganization will sharply increase workers work efficiency. Nowadays test equipment deliver results which a specialist have to transform into understandable form that these results could be used for analysis about patient health status.

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Akbar, Abdullah A. J. "Patient information system for national health care : an intranet internet-based model for the State of Kuwait." Thesis, University of Leeds, 2003. http://etheses.whiterose.ac.uk/194/.

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This research seeks to introduce for the first time a conceptual solution to Kuwait's problems in healthcare delivery. The core objective of the study which is to promote and recommend the basis for the best possible patient information and national healthcare delivery system in the State of Kuwait. The research question is directed towards the appropriateness and usefulness of introducing the pay-per-use concept in the context of national (Kuwait) and global use. The research introduces a new pay-per-use concept for IT services associated with Kuwait's healthcare delivery system within an environment that is investment, communication, technology, platform, database and application-independent. Being the first study on health informatics in Kuwait, the research also sheds light on the contemporary health industry and addresses issues that focus on health information management within the State of Kuwait. The new paradigm for healthcare delivery is presented in such a way that both the potential practical benefits for national users (Kuwait) and the advantages that may be reaped by global users within the health industry are described. The required shift in the paradigm in Kuwait healthcare will take the form of cultural and social transformations, namely, changes in the doctor-patient relationship and in the increase of patient empowerment where health issues are concerned. The research methodology uses a social process (Grounded Theory) to delineate social context (clinical scenario) in order to understand the relationships between medical work and IT networks. Analysis of the data obtained from the clinical scenario and implications of human experiences within the social settings enable the interpretation and the development of a theory, and a model architecture, that can be used for pay-per-use. The State of Kuwait has developed its medical facilities but it lacks the resources to meet the rising demands of the medical and IT worlds. It is argued that the proposed pay-per-use concept can prove feasible, adaptable and globally accessible with an infrastructure that is less burdensome on the national budget. Additionally, the conceptual 'open' architecture to be used with the concept, with its integrated and independent features, is anticipated to provide ample scope for future amendments and development within an evolving technological world. Thus protecting from technologically obsolescence. The study concludes with proposed for further research work on the subject so as to enable additional evaluation and verification of results and thus fully establish the concept, prior to its Potential implementation in the national and international health care delivery system.

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Lee, Koon-hung, and 勵冠雄. "Communicating patients' medical information by online electronic health record system: physicians anddentists' perception." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971933.

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Church, Kay L. "Comparative analysis of the use of health information telephone system in two groups of emergency department patients." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917023.

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This study examined the effect a telephone health care information system has on emergency department patients. The research questions address the patient's acuity and the length of time between the onset of symptoms and seeking treatment.A convenience sample of 80 ambulatory emergency department patients treated over a four month period, in one emergency department of a Midwest hospital with a published telephone health care information system. The sample was divided into two groups according to the treatment. The treatment group had accessed the telephone health information system prior to emergency department visit and the control group of patients had not. The procedure for the protection of human subjects were followed.Data was collected by two instruments, a demographic questionnaire completed by the subjects, and a patient acuity scale completed by the treating emergency nurse. Acuity is scored on a 1 through 5 point scale. Subjects selected the best time interval representing the onset of symptoms and treatment. The Whitney-Mann U test was used to test differences in mean ranks. When comparing individuals who used Ask-A-Nurse, there was no significant difference between the two groups and acuity scores. There were no differences between the frequency of time interval ranges in the two groups, however a pattern indicated the subjects sought treatment sooner if the telephone health care information systems was assessed. The ability of the telephone health care information system to refer nonemergency patients to physician's offices or medical clinic and avoid overcrowded emergnecy department appears limited. Implications call for an increased method of screening and providing information to emergency patients who need health care advice. School of Nursing

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Mills, Eric M. III. "Application and Evaluation of Unified Medical Language System Resources to Facilitate Patient Information Acquisition through Enhanced Vocabulary Coverage." Diss., Virginia Tech, 1998. http://hdl.handle.net/10919/30448.

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Two broad themes of this research are, 1) to develop a generalized framework for studying the process of patient information acquisition and 2) to develop and evaluate automated techniques for identifying domain-specific vocabulary terms contained in, or missing from, a standardized controlled medical vocabulary with emphasis on those terms necessary for representing the canine physical examination. A generalized framework for studying the process of patient information acquisition is addressed by the Patient Information Acquisition Model (PIAM). PIAM illustrates the decision-to-perception chain which links a clinician's decision to collect information, either personally or through another, with the perception of the resulting information. PIAM serves as a framework for a systematic approach to identifying causes of missing or inaccurate information. The vocabulary studies in this research were conducted using free-text with two objectives in mind, 1) develop and evaluate automated techniques for identifying canine physical examination terms contained in the Systematized Nomenclature of Medicine and Veterinary Medicine (SNOMED), version 3.3 and 2) develop and evaluate automated techniques for identifying canine physical examination terms not documented in the 1997 release of the Unified Medical Language System (UMLS). Two lexical matching techniques for identifying SNOMED concepts contained in free-text were evaluated, 1) lexical matching using SNOMED version 3.3 terms alone and 2) Metathesaurus-enhanced lexical matching. Metathesaurus-enhanced lexical matching utilized non-SNOMED terms from the source vocabularies of the Metathesaurus of the Unified Medical Language System to identify SNOMED concepts in free-text using links among synonymous terms contained in the Metathesaurus. Explicit synonym disagreement between the Metathesaurus and its source vocabularies was identified during the Metathesaurus-enhanced lexical matching studies. Explicit synonym disagreement occurs, 1) when terms within a single concept group in a source vocabulary are mapped to multiple Metathesaurus concepts, and 2) when terms from multiple concept groups in a source vocabulary are mapped to a single Metathesaurus concept. Five causes of explicit synonym disagreement between a source vocabulary and the Metathesaurus were identified in this research, 1) errors within a source vocabulary, 2) errors within the Metathesaurus, 3) errors in mapping between the Metathesaurus and a source vocabulary, 4) systematic differences in vocabulary management between the Metathesaurus and a source vocabulary, and 5) differences regarding synonymy among domain experts, based on perspective or context. Three approaches to reconciling differences among domain experts are proposed. First, document which terms are involved. Second, provide a mechanism for selecting either vocabulary-based or Metathesaurus-based synonymy. Third, assign a "basis of synonymy" attribute to each set of synonymous terms in order to identify the perspective or context of synonymy explicitly. The second objective, identifying canine physical examination terms not documented in the 1997 release of the UMLS was accomplished using lexical matching, domain-specific free-text, the Metathesaurus and the SPECIALIST Lexicon. Terms contained in the Metathesaurus and SPECIALIST Lexicon were removed from free-text and the remaining character strings were presented to domain experts along with the original sections of text for manual review. Ph. D.

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Liednikova, Anna. "Human-Machine Dialogue in the Medical Field. Using Dialog to Collect Important Patient Information." Electronic Thesis or Diss., Université de Lorraine, 2022. http://www.theses.fr/2022LORR0149.

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Les systèmes de dialogue pour les soins de santé sont développés pour automatiser et simplifier les tâches de routine telles que la collecte d'informations sur les patients ou la prise de rendez-vous. Souvent, ces modèles sont entraînés à imiter l'interaction entre le médecin et le patient, en étant disponibles à tout moment. C'est particulièrement important pour les patients souffrant de maladies chroniques. Ils consultent régulièrement un médecin et remplissent des questionnaires standardisés, tout en s'habituant à donner les mêmes réponses et en étant confrontés à des difficultés entre les visites. En collaboration avec l'entreprise ALIAE, nous proposons un système de dialogue et de remplissage automatique de questionnaires qui devrait compléter la routine existante entre médecins et patients. Dans cette thèse, nous proposons une approche pour guider de manière flexible le dialogue à travers un arbre de décision médical prédéfini basé sur les entrées naturelles de l'utilisateur plutôt que sur des réponses oui/non. Ensuite, nous abordons la nécessité d'avoir des bots supplémentaires pour poser des questions de suivi liées à la santé et maintenir de petites discussions afin d'améliorer l'engagement de l'utilisateur et d'augmenter la probabilité de revenir sur les sujets de l'arbre requis. Enfin, nous explorons des modèles et des techniques de prétraitement pour le remplissage automatique de questionnaires sur la base des dialogues obtenus dans un cadre zéro-shot Healthcare dialogue systems are developed to automate and simplify routine tasks such as collecting patient information or making an appointment. Often, these models are trained to mimic doctor-patient interaction as their constant availability is a key feature for patients, in particular with chronic conditions. Chronic patients regularly visit their doctor and are asked to repeatedly fill in standardized questionnaires, which may trigger repetitive, incorrect input. In collaboration with the ALIAE company, we focus on developing novel dialogue models which can maintain a conversation with the patient while collecting both specific answers to a set of pre-defined questions and serendipitous information about the patient condition that we conjecture, may be useful for the patient treatment. Specifically, we propose a dialogue system and automatic questionnaire filling pipeline that should complement existing routine between doctors and patients.This thesis makes three main contributions. We first propose an approach to flexibly guide the user through a pre-defined medical decision tree using naturally written user input -- this allows the health-bot to collect answers to a set of pre-defined questions. To improve user engagement, increase the probability of all required medical topics being addressed and allow for further information about the patient condition to be collected, we then extend this initial model by integrating additional bots designed to handle health-related follow-up questions and maintain small talk. Finally, we introduce novel zero-shot Question Answering models and pre-processing techniques so that standard, clinical questionnaires can be automatically filled in based on the content of collected human-bot dialogues

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Hammar, Tora. "eMedication – improving medication management using information technology." Doctoral thesis, Linnéuniversitetet, Institutionen för medicin och optometri (MEO), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-37167.

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Medication is an essential part of health care and enables the prevention andtreatment of many conditions. However, medication errors and drug-relatedproblems (DRP) are frequent and cause suffering for patients and substantial costsfor society. eMedication, defined as information technology (IT) in themedication management process, has the potential to increase quality, efficiencyand safety but can also cause new problems and risks.In this thesis, we have studied the employment of IT in different steps of themedication management process with a focus on the user's perspective. Sweden isone of the leading countries when it comes to ePrescribing, i.e. prescriptionstransferred and stored electronically. We found that ePrescribing is well acceptedand appreciated by pharmacists (Study I) and patients (Study II), but that therewas a need for improvement in several aspects. When the pharmacy market inSweden was re-regulated, four new dispensing systems were developed andimplemented. Soon after the implementation, we found weaknesses related toreliability, functionality, and usability, which could affect patient safety (StudyIII). In the last decade, several county councils in Sweden have implementedshared medication lists within the respective region. We found that physiciansperceived that a regionally shared medication list generally was more complete butoften not accurate (Study IV). Electronic expert support (EES) is a decisionsupport system which analyses patients´ electronically-stored prescriptions in orderto detect potential DRP, i.e. drug-drug interactions, therapy duplication, highdose, and inappropriate drugs for geriatric or pediatric patients. We found thatEES detected potential DRP in most patients with multi-dose drug dispensing inSweden (Study V), and that the majority of alerts were regarded as clinicallyrelevant (Study VI).For an improved eMedication, we need a holistic approach that combinestechnology, users, and organization in implementation and evaluation. The thesissuggests a need for improved sharing of information and support for decisionmaking, coordination, and education, as well as clarification of responsibilitiesamong involved actors in order to employ appropriate IT. We suggestcollaborative strategic work and that the relevant authorities establish guidelinesand requirements for IT in the medication management process. Läkemedel förbättrar och förlänger livet för många och utgör en väsentlig del av dagens hälso- och sjukvård men om läkemedel tas i fel dos eller kombineras felaktigt med varandra kan behandlingen leda till en försämrad livskvalitet, sjukhusinläggningar och dödsfall. En del av dessa problem skulle kunna förebyggas med rätt information till rätt person vid rätt tidpunkt och i rätt form. Informationsteknik i läkemedelsprocessen har potentialen att öka kvalitet, effektivitet och säkerhet genom att göra information tillgänglig och användbar men kan också innebära problem och risker. Det är dock en stor utmaning att i läkemedelsprocessen föra in effektiva och användbara IT-system som stödjer och inte stör personalen inom sjukvård och på apotek, skyddar den känsliga informationen för obehöriga och dessutom fungerar tillsammans med andra system. Dagens IT-stöd i läkemedelsprocessen är otillräckliga. Till exempel saknar läkare, farmaceuter och patienter ofta tillgång på fullständig och korrekt information om en patients aktuella läkemedel; det händer att fel läkemedel blir utskrivet eller expedierat på apotek; och bristande eller långsamma system skapar frustration hos användarna. Dessutom är det flera delar av läkemedelsprocessen som fortfarande är pappersbaserade. Därför är det viktigt att utvärdera IT-system i läkemedelsprocessen. Vi har studerat IT i olika delar av läkemedelsprocessen, före eller efter införandet, framför allt utifrån användarnas perspektiv. Sverige har lång erfarenhet och tillhör de ledande länderna i världen när det gäller eRecept, det vill säga recept som skickas och lagras elektroniskt. I två studier fann vi att eRecept är väl accepterat och uppskattat av farmaceuter (Studie I) och patienter (Studie II), men att det finns behov av förbättringar. När apoteksmarknaden omreglerades 2009 infördes fyra nya receptexpeditionssystem på apoteken. Vi fann att det efter införandet uppstod problem med användbarhet, tillförlitlighet och funktionalitet som kan ha inneburit en risk för patientsäkerheten (Studie III). I Sverige har man inom flera sjukvårdsregioner infört gemensamma elektroniska läkemedelslistor. I en av studierna kunde vi visa att detta har inneburit en ökad tillgänglighet av information, men att en gemensam lista inte alltid blir mer korrekt och kan innebära en ökad risk att känslig information nås av obehöriga (Studie IV). I två av studierna undersöktes beslutsstödssystemet elektroniskt expertstöd (EES):s potential som stöd för läkare att upptäcka läkemedelsrelaterade problem till exempel om en patient har två olika läkemedel som inte passar ihop, eller ett läkemedel som kanske är olämpligt för en äldre person. Studierna visade att EES gav signaler för potentiella problem hos de flesta patienter med dosdispenserade läkemedel i Sverige (Studie V), och läkarna ansåg att majoriteten av signalerna är kliniskt relevanta och att några av signalerna kan leda till förändringar i läkemedelsbehandlingen (Studie VI). Sammantaget visar avhandlingen att IT-stöd har blivit en naturlig och nödvändig del i läkemedelsprocessen i Sverige men att flera problem är olösta. Vi fann svagheter med användbarhet, tillförlitlighet och funktionalitet i de använda IT-systemen. Patienterna är inte tillräckligt informerade och delaktiga i sin läkemedelsbehandling. Läkare och farmaceuter saknar fullständig och korrekt information om patienters läkemedel, och de har i dagsläget inte tillräckliga beslutsstöd för att förebygga läkemedelsrelaterade problem. Eftersom läkemedelsprocessen är komplex med många aspekter som påverkar utfall behöver vi ett helhetstänkande när vi planerar, utvecklar, implementerar och utvärderar IT-lösningar där vi väger in både tekniska, sociala och organisatoriska aspekter. Avhandlingens resultat visar på ett behov av ökad koordination och utbildning samt förtydligande av ansvaret för inblandade aktörer. Vi föreslår gemensamt strategiskt arbete och att inblandade myndigheter tar fram vägledning och krav för IT i läkemedelsprocessen.

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Abdullah, Foziyah H. "Electronic patient records system in Hamad Medical Corporation, Qatar : perspectives and potential use." Thesis, Loughborough University, 2007. https://dspace.lboro.ac.uk/2134/8096.

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Since the 1990 the use of Electronic Patient Records (EPR) in health services has become increasingly prevalent world wide. EPR has become an important aspect of the continuous improvement of patient care. Transferring all patient records from paper based to electronic is now a priority for many health services. The research reported in this thesis is sponsored by Hamad Medical Corporation (HMC) to provide opportunity to explore the potential role for EPR in the Medical Records Department. The study has been designed to gain better understanding of the users perspectives with regard to the use of patient records. In order to analyse and understand the complex dynamic involved in the management and use of patient records, it was recognised that systems thinking offered an appropriate framework for this research. Soft System Methodology (SSM) was therefore applied to the analysis of the data and used to inform the development of a conceptual model. Using SSM in combination with the structured questionnaire survey and telephone semi-structured interview, triangulation of methods was achieved. Use of these generated rich data revealing for example the general dissatisfaction expressed with the existing manual patient records system, the lack of confidentiality, poor legibility, shortage of space and the frequent misfiling of records. The need to address these problems has informed the strategic plan for the development and implementation of EPR for HMC. The research has successfully addressed the stated aims and research questions and guided the formulation of proposals for improvements.

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Davids, Kaashiefah. "The role of electronic healthcare systems (EHS) for patient recordkeeping in the Western Cape." University of Western Cape, 2019. http://hdl.handle.net/11394/7829.

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Magister Commercii - MCom Information and communication technologies (ICT) have changed the way healthcare processes are being documented. This results in better quality and ethical vigilance to ensure a more accurate form of data recordkeeping (Stevenson, Nilsson, Petersson & Johansson, 2010). Health care in South Africa, is facing major issues relating to patient care, such as delays in patients receiving medical care. According to the national Department of Health, the improvement of public healthcare facilities is crucial (McIntyre & Ataguba, 2017). Information and communication technology (ICT) has the ability to significantly alter the status of healthcare services in the Western Cape, which can be achieved through the role of an electronic healthcare record (EHR).

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Bi, Hongwei. "A doctor-patient communication tool (DPCT) Ryodoroku application on the web." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2044.

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Ortscheid, Julius, and Thomas Jensen. "Patient Data Management System (PDMS) : Anestesi- och intensivvårdspersonalens upplevelser av implementering och arbete med PDMS." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-64031.

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Titel: Patient Data Management System (PDMS) – Anestesi- och intensivvårdspersonalens upplevelser av implementering och arbete med PDMS. Bakgrund: Dagens och framtidens sjukvård innebär en ökande användning av digitala system i omvårdnaden. Patient Data Management System (PDMS) är ett kliniskt informationssystem och beslutsstöd som implementeras allt mer på svenska sjukhus. Tidigare forskning visar på skilda upplevelser av digitala systems påverkan på omvårdnaden, arbetsbelastning och tidsåtgång. Syfte: Syftet är att beskriva anestesi- och intensivvårdspersonalens upplevelser av implementering och arbete med PDMS. Metod: Studien genomfördes som en intervjustudie med kvalitativ ansats. Resultat: I resultatet framträder fyra teman, införandeprocessen, användarvänlighet, informationsöverföring samt patientsäkerhet. Dessa fyra teman skildrar vårdpersonalens upplevelser av införandet och arbetet med PDMS. Konklusion: PDMS implementeras på allt fler sjukhus i Sverige. Vårdpersonalen anser att det är mycket viktigt med information och utbildning inför implementeringen av PDMS. Helhetssynen på sjukhusets datasystem är viktigt då det framkommer att olika system inte alltid kommunicerar med varandra. Det leder till ökad arbetsbelastning och ökad risk för patientsäkerheten. Mer forskning om PDMS påverkan på omvårdnadsarbetet och patientsäkerheten behövs. Title: Patient Data Management System (PDMS) – Anesthesia- and intensive care staff experiences of implementation and work with PDMS. Background: Todays and future healthcare means an increasing use of digital systems in nursing care. Patient Data Management System (PDMS) is a clinical information system and clinical decision support which is implemented in swedish hospitals. Previous research shows different experiences of digital systems impact on nursing care, workload and patient safety. Aim: The purpose was to describe anesthesia- and intensive care unit staff experiences of implementation and work with PDMS. Method: The study was conducted by interviews with a qualitative approach. Results: In the result four themes appear, process of introduction, serviceability, transfer of information and patient safety. The four themes depict the anesthesia- and intensive care unit staff experiences of the implementation and work with PDMS. Conclusion: PDMS is implemented in an increasing number of swedish hospitals. The anesthesia- and intensive care unit staff consider it very important with information and education before implementation of PDMS. The comprehensive view on the hospitals computer system is important due to the fact that these systems appear not to always be in synchronization with each other. That leads to an increased workload and also an increased risk regarding patient safety. More research on the PDMS impact on nursing and patient safety are needed.

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Chan, Hok Ki. "Electronic Health Record Sharing System in Hong Kong : Facilitating and Impeding Factors Influencing Citizens' Adoption." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-105690.

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This study is a qualitative research on the faciliating and impeding factors that influence Hong Kong citizen's adoption of Electronic Health Record Sharing System (eHRSS), the principal electronic health record (EHR) system in Hong Kong. A majority of the previous studies of EHR among information systems (IS) literature either focused within the institutional or technological perspectives, or on the perspectives of healthcare institutions or healthcare professionals. Little research has been done from citizens' perspective on factors of their adoption of EHR. There is also little research specific to Hong Kong's circumstances. This research aims to provide an enhanced understanding on the factors that influence citizens' EHR adoption through looking into eHRSS adoption in Hong Kong. It aims to provide contributions to bridge the knowledge gaps by providing a better understanding on adoption factors from citizens' perspective, and investigate into whether there are any unique factors applicable to Hong Kong. In this study, semi-structured interviews had been performed on participants covering various age groups to collect their views and opinions concering their adoption of eHRSS. With reference to theoretical constructs on user acceptance and adoption, this study identifies four facilitating factors for citizens' adoption of eHRSS, namely (i) knowledge, (ii) trust, (iii) perceived potential health benefits and (iv) flexibility and "stickiness" of continual use. Four impeding factors for citizens' non-adoption were also identified, namely (i) difficulty in registration, low level/lack of trust in EHR implementation, (iii) negativity on acceptance of new technology and (iv) perceived difficulty in usage. In the concluding remarks, way forward for future research has been outlined. Practical recommendations have also been formulated for reference by relevant authorities in administering eHRSS in Hong Kong.

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Merrill, Steven J. "A system dynamics approach for the development of a patient-specific protocol for radioiodine treatment of Graves' Disease." Amherst, Mass. : University of Massachusetts Amherst, 2009. http://scholarworks.umass.edu/theses/260/.

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Thesis (M.S.M.E.)--University of Massachusetts Amherst, 2009. Open access. "This protocol is the basis of an ongoing pilot study in conjunction with Cooley Dickinson Hospital, Northampton, MA."--P. vii. Includes bibliographical references (p. 118-121).

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Braga, Diana de Abreu Costa. "Tradução e adaptação transcultural do domínio função física do Patient-Reported Outcomes Measurement Information System – PROMIS® - versão para a língua portuguesa." Universidade Federal de Uberlândia, 2015. https://repositorio.ufu.br/handle/123456789/17757.

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Em 2004, o Instituto Nacional de Saúde Norte Americano (NIH), propôs a disponibilização de modelos inovadores (banco de itens) para avaliação de saúde, o Patient-Reported Outcomes Measurement Information System – PROMIS®, baseado em instrumentos clássicos e confiáveis de resultados relatados pelos pacientes (Patient-Reported Outcomes – PROs) existentes e inserindo métodos estatísticos avançados como a Teoria de Resposta ao Item e o Teste Adaptativo Computadorizado. Um dos domínios abordados pelo PROMIS® é o Função Física cujo banco de itens necessita, para que seja utilizado em países lusófonos sua tradução e adaptação transcultural. O objetivo do estudo foi traduzir e adaptar culturalmente o Banco de Itens Função Física do PROMIS® para a língua portuguesa. O método utilizado foi um processo de tradução e adaptação transcultural que contém oito fases determinadas pela metodologia universal proposta pelo Functional Assessment of Chronic Illness Therapy (FACIT). A sétima etapa, chamada pré-teste, contou com 50 indivíduos com idade acima de 18 anos. Os participantes responderam os itens por auto-aplicação, utilizando uma técnica do pensamento em voz alta, além de entrevista cognitiva e retrospectiva de esclarecimento. A metodologia FACIT permitiu uma versão com adaptações, desde o início do processo, assegurando equivalência semântica, conceitual, cultural e operacional do Domínio Função Física. Durante o pré-teste, dificuldades na compreensão dos itens foram relatados por 24% dos participantes, 22% deles sugeriram mudanças para melhorar a compreensão. Os itens atingiram 100% de compreensão dos termos e conceitos, em 87% dos itens. Apenas quatro itens tiveram compreensão abaixo de 80%, exigindo alterações para alcançar correspondência com o item original e entendimento pelos entrevistados após retestagem. O processo de tradução e adaptação cultural dos itens Função Física do PROMIS® para a língua portuguesa foi bem sucedido. Esta versão deve ser submetida à validação das propriedades psicométricas antes de ser disponibilizada para utilização clínica. In 2004, the National Institutes of Health made available the Patient-Reported Outcomes Measurement Information System – PROMIS®, which is constituted of innovative item banks for health assessment. It is based on classical, reliable Patient-Reported Outcomes (PROs) and includes advanced statistical methods, such as Item Response Theory and Computerized Adaptive Test. One of PROMIS® Domain Frameworks is the Physical Function, whose item bank need to be translated and culturally adapted so it can be used in Portuguese speaking countries. This work aimed to translate and culturally adapt the PROMIS® Physical Function item bank into Portuguese. FACIT (Functional Assessment of Chronic Illness Therapy) translation methodology, which is constituted of eight stages for translation and cultural adaptation, was used. Fifty subjects above the age of 18 years participated in the pre-test (seventh stage). The questionnaire was answered by the participants (self-reported questionnaires) by using think aloud protocol, and cognitive and retrospective interviews. In FACIT methodology, adaptations can be done since the beginning of the translation and cultural adaption process, ensuring semantic, conceptual, cultural, and operational equivalences of the Physical Function Domain. During the pre-test, 24% of the subjects had difficulties understanding the items, 22% of the subjects suggested changes to improve understanding. The terms and concepts of the items were totally understood (100%) in 87% of the items. Only four items had less than 80% of understanding; for this reason, it was necessary to chance them so they could have correspondence with the original item and be understood by the subjects, after retesting. The process of translation and cultural adaptation of the PROMIS® Physical Function item bank into Portuguese was successful. This version of the assessment tool must have its psychometric properties validated before being made available for clinical use. Dissertação (Mestrado)

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Hall, Daniel. "Operationsprocessen : operationsplaneringssystems betydelse för patientsäkerheten vid kirurgi." Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-107153.

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Introduktion Patientsäkerhet är en viktig del i arbetet med att upprätthålla en god kvalitet inom hälso- och sjukvården och inte minst inom riskfyllda områden som anestesi- och operationssjukvård. Operationsprocessen kan stödjas genom användandet av ett kliniskt informationssystem, ett så kallat operationsplaneringssystem. Vad som dock inte finns väl beskrivet är hur ett sådant här informationssystem skulle kunna bidra till en säkrare vård. Syfte: Syftet med studien var att beskriva processen och vilken betydelse ett operationsplaneringssystem hade för patientsäkerheten på en operationsavdelning utifrån personalens perspektiv. Metod: En empirisk studie med kvalitativ ansats genomfördes och analyserades med riktad innehållsanalys enligt Hsieh & Shannon. Tjugosex intervjuer genomfördes utifrån nio olika befattningar relaterade till operationsprocessen på tre olika sjukhus i mellersta och södra Sverige Resultat: Processen av kirurgska ingrepp bestod av tre olika faser; planering, genomförande och uppföljning. Extern planering hanterades av kirurgisk avdelning eller mottagning. Den interna planeringen hanterades av operationsavdelningen och för att kunna fullfölja planeringen genomfördes en interorganisationell planering. Faktorer att ta hänsyn till under den första fasen var ändringar och bristande planering. Den verkställda planeringen utgjorde arbetsunderlaget vid genomförandet av operationerna. Uppföljningen var mestadels produktionsinriktad och patientrelaterad vårduppföljning saknades. Patientsäkerhet handlade om två saker, perspektiv och betydelse. Patientsäkerhetsperspektivet beskrevs utifrån patient-, organisations- och medarbetareperspektiv. Betydelsen av ett operationsplaneringssystem för patientsäkerheten var relaterad till information, kontrollfunktioner, organisation och förändringar. Konklusion: Patientsäkerheten garanterades av den personal som arbetade i operationsprocessen och inte av operationsplaneringssystemen. Utveckling av säkerhetsfunktioner i operationsplaneringssystemen skulle kunna bidra till ökad patientsäkerhet. Introduction: Patient safety is an important part in the performance of good quality in healthcare and particularly in critical areas like anesthesia and surgery. The process of surgery can be supported by an operating room information system, but there is no adequate description of how a system like this will support a safer care of the patient. Purpose: The aim of the present study is to describe the process and importance of an operating room information system for the patient safety in operating rooms from the perspective of employees. Method: An empirical study with a qualitative onset was implemented and analyzed using directed content analysis according to Hseih & Shannon. Twenty six interviews were performed from nine different positions during the process of surgery in three different hospitals in mid- and southern Sweden. Results: Operating room management included planning, surgery and evaluation. Extern planning was handled by the surgery ward or reception and intern planning by the surgery department. To complete the process there was an inter-department coordination and planning. Changes and insufficient planning had to be taken into account during this process of planning surgery. Executed planning functioned as the working document during the day of surgery. Evaluation was considered as mostly production-oriented and patient-related evaluation was missing. Two areas emerge from patient safety, perspective and significance. The importance of an operating room information system related to patient safety was information, safety controls, organization and changes. Conclusion: Patient safety was guaranteed by employees who worked in the process of surgery and not by the operating room information systems. Development of safety functions in operating room information system may improve patient safety.

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Ntsoele, Motsegoane Monica Naomi. "An evaluation of the effective use of computer-based nursing information system in patient care by professional nurses at Dr George Mukhari Hospital." Thesis, University of Limpopo ( Medunsa Campus), 2011. http://hdl.handle.net/10386/408.

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Thesis (M Cur)--University of Limpopo, 2011. An evaluation of the effective use of Computer-based Nursing Information System (CNIS) in patient care by Professional nurses at Dr George Mukhari Hospital. The aim of the study was to evaluate if the CNIS is being used effectively for patient care by professional nurses in different nursing units. The objectives of the study were to describe the perceptions of professional nurses regarding the role of CNIS, to determine the effective use of CNIS, and to identify barriers to the effective use of CNIS in patient care. Quantitative descriptive simple survey research design was used. The setting was at Dr George Mukhari Hospital. The population was all professional nurses who are working on day and night shifts in the wards that have computers installed for the purpose of patient care. Non probability, convenience sample of 120 professional nurses was used. Data was collected utilising a self report questionnaire with 41 closed ended and one open ended questions. Raw data was fed into a SPSS with the assistance of a statistician. Data analysis was conducted through the use of descriptive statistics. The findings are that professional nurses are not using CNIS effectively in patient care. In a unit with a bed occupancy rate of 30-40 patients, and where 30-40 patients are attended to on a daily basis, only 0-2 Nursing Care Plans (NCP) or entries are performed by professional nurses. The majority of professional nurses (56%) never updated NCPs or made an entry before. This is despite the fact that they have indicated positive perceptions with regard to the role of CNIS in patient care. Increased workload, inadequate number of computers, and lack of continuous in-service training were cited by the majority as barriers to the effective use of CNIS in patient care. A problem of increased workload will remain a challenge for as long as available technology is not used appropriately. Hence, hand held devices such as Personal Digital Assistants (PDAs), Electronic Health Records (EHRs) and bedside terminals, are highly recommended. Key concepts: Computer, Nursing, Information, System, Evaluation, Effective, Professional Nurses, Patient care.

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Gravereaux, Clément. "Recomposition des organisations de santé et appropriation des TIC : le cas des Systèmes d’Information Hospitaliers (SIH) et du Dossier Patient Informatisé (DPI)." Thesis, Rennes 2, 2017. http://www.theses.fr/2017REN20031.

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Avec l’essor des technologies de l’information et de la communication, la société et les organisations se transforment, serecomposent tous secteurs confondus. On appelle communément disruption, le changement de paradigme économique etorganisationnel lié aux TIC, plus précisément, à la digitalisation des processus.Les modes d’échanges entre les hommes ont évolué. Notre mémoire de master 2 (Numérique, recomposition organisationnelles et appropriation des TIC, Gravereaux, 2013) nous aura permis de comprendre que les véritables changements qui opèrent en organisation se situent au-delà des usages des espaces numériques de travail et des outils TIC.Notre thèse s’inscrit dans la continuité de ce travail préliminaire qui nous avait offert de questionner, de manière introductive, quelle pouvait être la portée de la dimension politique dans l’appropriation des technologies numériques.Cette thèse de doctorat a pour but de saisir, d’identifier, d’analyser et de conceptualiser, tant sur le plan théorique que pratique, le processus de transition organisationnelle qui opère dans les établissements de santé traversés par l’informatisation du dossier de soin et par la maturation des Systèmes d’Information Hospitalier. Après avoir compris qu’il fallait dépasser les usages pour comprendre l’appropriation des TIC, nous orienterons nos réflexions et enquêtes de façon à confronter ce point de vue et à lui donner une portée opérationnelle.Les phénomènes communicationnels liés aux changements et aux transformations en organisations constituent un élément central de ces recompositions. Le chercheur doit enquêter pour questionner et saisir ces phénomènes à l’aune de la compréhension particulière d’un établissement de santé.Le regard communicationnel porté sur un espace, un vécu, en transition, tentera de mettre à jour les conditions qui participent de l’appropriation des nouveaux outils liés à la traçabilité des soins : la forme informatisée du dossier patient.Notre thèse de doctorat se propose d’apporter une contribution à des problématiques de recherches actuelles en questionnant l’individu au travail au regard des questions politico-organisationnelles liées à l’appropriation du dossier patient informatisé.Ces acteurs que nous sommes venus « étudié », soignants, médecins, personnels administratif, sont au coeur, vivent, en même temps que l’organisation, ce phénomène de disruption qui affecte l’intégralité du dispositif organisationnel.À partir d’une rupture disruptive, de nouvelles formes d’organisation du travail, liées aux changements de pratiques del’information médicale, apparaissent, émerge des dissonances. De la même façon, pour accompagner cette organisation émergente, les formes et normes de management en santé, sont amenées à se recomposer et donc à se spécialiser.Nous assistons à une recomposition globale de la Santé, dont les composantes du dispositif tendent à faire de la contribution, de la collaboration, de l’autonomie et de la traduction, les nouveaux fondamentaux du management en organisations de santé accompagnant la métamorphose digitale des routines des acteurs With the growth of information and communication technologies, society and organizations are transforming, recomposing all sectors combined. The common paradigm shift is to change the economic and organizational paradigm linked to ICT, more precisely, to the digitalization of processes.The modes of exchange between men have evolved. Our Master 2 thesis (Digital, Organizational Reorganization andAppropriation of ICTs, Gravereaux, 2013) allowed us to understand that the real changes that operate in organization arebeyond the use of digital workspaces and ICT tools.Our thesis is part of the continuation of this preliminary work which offered us to question, in an introductory way, what could be the scope of the political dimension in the appropriation of digital technologies.This doctoral thesis aims at capturing, identifying, analyzing and conceptualizing, both theoretically and practically, the process of organizational transition that operates in the healthcare institutions through which the computerization of the care file And by the maturation of Hospital Information Systems. Having understood that we need to go beyond the uses to understand ICT appropriation, we will orient our reflections and investigations in order to confront this point of view and to give it an operational scope.The communicationa phenomena linked to changes and transformations in organizations are a central element of theserecompositions. The researcher must investigate and question these phenomena in terms of the particular understanding of a healthcare institution.The communicative look at a space, a experience, in transition, will try to update the conditions that participate in the appropriation of the new tools related to the traceability of care: the computerized form of the patient record.Our doctoral thesis proposes to make a contribution to current research questions by questioning the individual at work withregard to the politico-organizational issues related to the appropriation of the computerized patient record.These actors, who have come to be "studied", caregivers, doctors and administrative staff, are at the heart of this phenomenon of disruption, which affects the entire organizational system, at the same time as the organization.From a disruptive rupture, new forms of work organization, linked to changes in the practices of medical information, emerge, emerging from dissonances. In the same way, to support this emerging organization, the forms and standards of health management, are led to recompose and therefore to specialize.We are witnessing a global recomposition of health, whose components of the system tend to make contribution, collaboration, autonomy and translation, new fundamentals of management in health organizations accompanying the digital metamorphosis of routines actors

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Zumpano, Camila Eugênia. "Tradução, adaptação transcultural e validação do Banco de Itens Saúde Global do Patient-Reported Outcomes Measurement Information System - PROMIS® - para a Língua Portuguesa." Universidade Federal de Uberlândia, 2015. https://repositorio.ufu.br/handle/123456789/12845.

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The use of Patient-Reported Outcomes Measures (PROMs), which considers the patient\'s perspective on his/her own health and treatment, has gained importance on clinical practice and research. The Patient-Reported Outcomes Measurement Information System (PROMIS®) revolutionized the area when it started providing precise and valid item banks in different health domains, calibrated by the Item Response Theory (IRT), and used for the evaluation of the impact of different chronic diseases on the patient\'s quality of life. The aim of this study was to translate, cross-culturally adapt and validate the PROMIS® Global Health Item Bank into Portuguese. The Functional Assessment of Chronic Illness Therapy (FACIT) methodology was used to translate and cross-culturally adapt the ten items of the bank. The final version of the assessment tool translated into Portuguese was self-administered in 1010 patients. The statistical analysis conducted were: ceiling and floor effects, internal consistency reliability, test-retest reliability, convergent validity, construct validity through exploratory and confirmatory factor analysis, and item calibration through Samejima\'s Graded Response Model (GRM). Four global items needed to be adjusted after pre-test. The analysis of the psychometric properties showed that the PROMIS® Global Health Item Bank has good reliability Cronbach\'s alpha was 0.83 and intra-class correlation coefficient was 0.89. The correlation between the assessment tool and the physical and psychological domains of the WHOQOL-bref ranged from moderated to strong (rho = 0.478 and 0.571, respectively). The exploratory and confirmatory factor analysis confirmed the validity of the item bank, since they showed a good adjustment to the two dimensional model previously established (Global Physical Health scale: CFI = 0.99, TLI = 0.98, RMSEA = 0.04, SRMR = 0.019; Global Mental Health scale: CFI = 1.00, TLI = 1.00, RMSEA = 0.00, SRMR = 0.011). The Global Physical Health and Global Mental Health scales showed good coverage of the latent trait according to Samejima s Graded Response Model. The PROMIS® Global Health Item Banks translated into Portuguese achieved conceptual, semantic, cultural, and operational equivalences, and demonstrated satisfactory psychometric properties regarding its use in Brazilian patients for clinical practice and research. A utilização das Medidas de Resultados Relatados pelo Paciente (MRRP), as quais, incorporam a perspectiva do próprio paciente acerca de sua saúde e tratamento, tem ganhado relevância na prática clínica e em pesquisa. O Patient-Reported Outcomes Measurement Information System (PROMIS®) revolucionou esta área ao fornecer bancos de itens precisos e válidos, de vários domínios da saúde, calibrados pela Teoria de Resposta ao Item (TRI) e destinados à avaliação do impacto de diversas doenças crônicas na qualidade de vida dos indivíduos. O objetivo do presente estudo foi traduzir, adaptar transculturalmente e validar o Banco de Itens Saúde Global do PROMIS® para a língua portuguesa. Os dez itens Saúde Global foram traduzidos e adaptados transculturalmente por meio da metodologia proposta pelo Functional Assessment of Chronic Illness Therapy (FACIT). A versão final do instrumento para a língua portuguesa foi autoadministrada em 1010 participantes. As análises estatísticas realizadas foram: efeito piso e teto, confiabilidade da consistência interna, confiabilidade teste-reteste, validade convergente, validade de construto por meio da análise fatorial exploratória e confirmatória, e calibração dos itens por meio do Modelo de Resposta Gradual proposto por Samejima. Quatro itens globais necessitaram de ajustes após a realização do pré-teste. A análise das propriedades psicométricas demonstrou que o Banco de Itens Saúde Global tem boa confiabilidade, com coeficiente alfa Cronbach de 0,83 e coeficiente de correlação intraclasse de 0,89. A correlação entre este instrumento e os domínios físico e psicológico do WHOQOL-bref foi de moderada a forte (rho = 0,478 e 0,571, respectivamente). As análises fatoriais exploratória e confirmatória comprovaram a validade deste banco de itens, pois revelaram um bom ajuste ao modelo previamente estabelecido de duas dimensões (escala Saúde Física Global: CFI = 0,99, TLI = 0,98, RMSEA = 0,04, SRMR = 0,019; e escala Saúde Mental Global: CFI = 1,00, TLI = 1,00, RMSEA = 0,00, SRMR = 0,011). As escalas Saúde Física Global e Saúde Mental Global apresentaram uma boa cobertura do traço latente de acordo com o Modelo de Resposta Gradual. Os itens Saúde Global do PROMIS® para a língua portuguesa apresentaram equivalência conceitual, semântica, cultural e operacional em relação à versão original em inglês norte-americano e propriedades psicométricas satisfatórias para aplicação direcionada à população brasileira na prática clínica e em pesquisas. Mestre em Ciências da Saúde

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Staeck, Conrad [Verfasser]. "Standardisierte Messung des Alkoholgebrauchs: Übersetzung, kulturelle Adaptation und kognitive Testung der Alkohol-Itembank der Patient-Reported Outcomes Measurement Information System (PROMIS®) Initiative / Conrad Staeck." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2020. http://d-nb.info/1206183179/34.

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Bughio, Kulsoom Saima. "IoMT security: A semantic framework for vulnerability detection in remote patient monitoring." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2024. https://ro.ecu.edu.au/theses/2841.

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The increasing need to safeguard patient data in Internet of Medical Things (IoMT) devices highlights the critical importance of reducing vulnerabilities within these systems. The widespread adoption of IoMT has transformed healthcare by enabling continuous remote patient monitoring (RPM), which enhances patient outcomes and optimizes healthcare delivery. However, the integration of IoMT devices into healthcare systems presents significant security challenges, particularly in protecting sensitive patient data and ensuring the reliability of medical devices. The diversity of data formats used by various vendors in RPM complicates data aggregation and fusion, thereby hindering overall cybersecurity efforts. This thesis proposes a novel semantic framework for vulnerability detection in RPM settings within the IoMT system. The framework addresses interoperability, heterogeneity, and integration challenges through meaningful data aggregation. The core of this framework is a domain ontology that captures the semantics of concepts and properties related to the primary security aspects of IoT medical devices. This ontology is supported by a comprehensive ruleset and complex queries over aggregated knowledge. Additionally, the implementation integrates medical device data with the National Vulnerability Database (NVD) via an API, enabling real-time detection of vulnerabilities and improving the security of RPM systems. By capturing the semantics of medical devices and network components, the proposed semantic model facilitates partial automation in detecting network anomalies and vulnerabilities. A logic-based ruleset enhances the system’s robustness and efficiency, while its reasoning capabilities enable the identification of potential vulnerabilities and anomalies in IoMT systems, thereby improving security measures in remote monitoring settings. The semantic framework also supports knowledge graph visualization and efficient querying through SPARQL. The knowledge graph provides a structured representation of interconnected data and stores Cyber Threat Intelligence (CTI) to enhance data integration, visualization, and semantic enrichment. The query mechanism enables healthcare providers to extract valuable insights from IoMT data, notifying them about new system vulnerabilities or vulnerable medical devices. This demonstrates the impact of vulnerabilities on cybersecurity requirements (Confidentiality, Integrity, and Availability) and facilitates countermeasures based on severity. Consequently, the framework promotes timely decision-making, enhancing the overall efficiency and effectiveness of IoMT systems. The semantic framework is validated through various use cases and existing frameworks, demonstrating its effectiveness and robustness in vulnerability detection within the domain of IoMT security.

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Cloud-Buckner, Jennifer M. "Managing Patient Test Data in Primary Care: Developing and Evaluating a System for Test Tracking to Enhance Processes, Safety, and Understanding of Performance." Wright State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wright1348258363.

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Kim, Hyungsin. "The ClockMe system: computer-assisted screening tool for dementia." Diss., Georgia Institute of Technology, 2013. http://hdl.handle.net/1853/47516.

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Due to the fastest growing senior population, age-related cognitive impairments, including Alzheimer's disease, are becoming among the most common diseases in the United States. Currently, prevention through delay is considered the best way to tackle Alzheimer's disease and related dementia, as there is no known cure for those diseases. Early detection is crucial, in that screening individuals with Mild Cognitive Impairment may delay its onset and progression. For my dissertation work, I investigate how computing technologies can help medical practitioners detect and monitor cognitive impairment due to dementia, and I develop a computerized sketch-based screening tool. In this dissertation, I present the design, implementation, and evaluation of the ClockMe System, a computerized Clock Drawing Test. The traditional Clock Drawing Test (CDT) is a rapid and reliable instrument for the early detection of cognitive dysfunction. Neurologists often notice missing or extra numbers in the clock drawings of people with cognitive impairments and use scoring criteria to make a diagnosis and treatment plan. The ClockMe System includes two different applications - (1) the ClockReader for the patients who take the Clock Drawing Test and (2) the ClockAnalyzer for clinicians who use the CDT results to make a diagnosis or to monitor patients. The contributions of this research are (1) the creation of a computerized screening tool to help clinicians identify cognitive impairment through a more accessible and quick-and-easy screening process; (2) the delivery of computer-collected novel behavioral data, which may offer new insights and a new understanding of a patient's cognition; (3) an in-depth understanding of different stakeholders and the identification of their common user needs and desires within a complicated healthcare workflow system; and (4) the triangulation of multiple data collection methods such as ethnographical observations, interviews, focus group meetings, and quantitative data from a user survey in a real-world deployment study.

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Goldberg, Miriam A. "Design and Testing of a Novel Communication System for Non-Vocal Critical Care Patients With Limited Manual Dexterity." eScholarship@UMMS, 2020. https://escholarship.umassmed.edu/gsbs_diss/1095.

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Nonvocal alert patients in the intensive care unit setting often struggle to communicate due to inaccessible or unavailable tools for augmentative and alternative communication. A novel communication tool, the Manually-Operated Communication System (MOCS), was developed for use in intensive care settings for patients unable to speak due to mechanical ventilation. It is a speech-generating device designed for patients whose limited manual dexterity precludes legible writing. In a single-arm device feasibility trial, 14 participants (11 with tracheostomies, 2 with endotracheal tubes, and 1 recently extubated) used MOCS. Participants, family members, and observing nurses were interviewed whenever possible. Interviews included a modified version of the System Usability Scale (SUS) as well as open-ended questions; a qualitative immersion/crystallization approach was used to evaluate these responses. Participants with a tracheostomy and their family members/care providers rated MOCS on the SUS questions as consistently “excellent” (average rating across all groups was 84 +/- 17; all subgroups also rated the device highly). Through a qualitative interview process, these stakeholders expressed support for the use of MOCS in the ICU. Based on these data, MOCS has the potential to improve communication for nonvocal patients with limited manual dexterity.

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Hägglund, Maria. "Sharing is Caring : Integrating Health Information Systems to Support Patient-Centred Shared Homecare." Doctoral thesis, Uppsala universitet, Institutionen för medicinska vetenskaper, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9527.

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In the light of an ageing society with shrinking economic resources, deinstitutionalization of elderly care is a general trend. As a result, homecare is increasing, and increasingly shared between different health and social care organizations. To provide a holistic overview about the patient care process, i.e. to be patient-centred, shared homecare needs to be integrated. This requires improved support for information sharing and cooperation between different actors, such as care professionals, patients and their relatives. The research objectives of this thesis are therefore to study information and communication needs for patient-centered shared homecare, to explore how integrated information and communication technology (ICT) can support information sharing, and to analyze how current standards for continuity of care and semantic interoperability meet requirements of patient-centered shared homecare. An action research approach, characterized by an iterative cycle, an emphasis on change and close collaboration with practitioners, patients and their relatives, was used. Studying one specific homecare setting closely, intersection points between involved actors and specific needs for information sharing were identified and described as shared information objects. An integration architecture making shared information objects available through integration of existing systems was designed and implemented. Mobile virtual health record (VHR) applications thereby enable a seamless flow of information between involved actors. These applications were tested and validated in the OLD@HOME-project. Moreover, the underlying information model for a shared care plan was mapped against current standards. Some important discrepancies were identified between these results and current standards for continuity of care, stressing the importance of evaluating standardized models against requirements of evolving healthcare contexts. In conclusion, this thesis gives important insights into the needs and requirements of shared homecare, enabling a shift towards patient-centered homecare through mobile access to aggregated information from current feeder systems and documentation at the point of need.

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Moreira, Marizelia Leão. "Readmissões no sistema de serviços hospitalares no Brasil." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-31082010-155750/.

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O objetivo deste estudo foi a analise das readmissões no Sistema de Serviços Hospitalares no Brasil no ano de 2006, a partir do indivíduo internado. A base de dados foi organizada para analisar as internações em 2006 e as readmissões em até um ano após uma internação em 2006. Os dados iniciais ultrapassaram os 27 milhões de registros, oriundos dos sistemas de internações SUS (SIH), de internações não SUS (CIH) e do cadastro de serviços de saúde (CNES). A localização do indivíduo foi feita pelo método probabilístico de associações de registros (linkage) e, para a composição dos dados da internação, aplicaram-se algoritmos específicos aos dados de cobranças da internação. Foram analisadas 12.391.990 internações com ao menos um dia, no ano de 2006, e selecionados para o estudo 10.332.337 indivíduos, correspondente a 5,5% da população, com uma internação completa em 2006 e suas readmissões no período de 365 dias a contar da data de saída da admissão índice, totalizando 12.878.422 internações. O estudo possibilitou inferências sobre a qualidade dos sistemas de informação da assistência hospitalar no país. Nas internações de 2006, a taxa de internação, financiamento SUS e não SUS foi de 5,6 por 100 habitantes. As internações de financiamento SUS nas categorias analisadas apresentam o perfil semelhante ao do total de internações. Nas internações não SUS notam-se diferenças que delineiam as regiões em dois conjuntos. O primeiro formado pelo Norte, Nordeste e Centro-Oeste com baixa ocorrência de internações não SUS, mais jovens e idosos, e de indivíduos do sexo masculino em maiores proporções que no SUS. No segundo conjunto formado, Sudeste e Sul, verifica-se significativa participação do financiamento não SUS, mais de adultos e idosos. Ainda que com evidência limitada, este achado confirma a distribuição da população com planos de saúde. As internações não SUS com UTI estão ainda mais concentradas na região Sudeste, do que as internações não SUS em geral (80,1% x 67,9%). As internações e indivíduos, na análise das readmissões, de maneira geral apresentaram semelhante perfil com as internações de 2006. A proporção de readmitidos foi de 15,9% e de readmissões foi de 19,8%. O SUS foi responsável por 88,7% das internações selecionadas e foram identificados 3,3% de indivíduos que utilizaram os dois segmentos de financiamento. A natureza do método probabilístico, que encerra certo grau de imprecisão, a adoção de parâmetros conservadores a fim de se evitar a inclusão de falsos positivos, tanto quanto a subnotificação da CIH representam as possíveis limitações do estudo. O Sistema de Serviços Hospitalares no Brasil apresentou relevante taxa de readmissão, independente da fonte de financiamento e local de ocorrência, que aponta para a necessidade de estudos adicionais para se conhecerem os fatores contribuintes. Os dados de internações de financiamento não SUS coletados pelo CIH agregam informações relevantes para análise da assistência hospitalar no país. Os dados administrativos do SIH são válidos para análises de internações e os algoritmos de composição dos dados de internação, a partir da cobrança, aprimoram a análise do Sistema de Serviços Hospitalares no Brasil. The objective of this study was to analyze readmissions on the System of Hospital Services in Brazil in the year of 2006, starting from the admitted subjects. The data base was organized to analyze the admissions in 2006 and the readmissions up to one year after the admission in 2006. The initial data were over 27 million registrations, from the systems of admissions SUS (SIH), non-SUS (CIH) and from the register of health services (CNES). The choice of the subject individual was by probabilistic method of associations of registrations (linkage) and, for the composition of the admission data, specific algorithms were applied to the data of the admission charging. A total of 12,391,990 admissions were analyzed with at least one day in the year of 2006 and 10,332,337 subjects were selected for the study, corresponding to 5.5% of the population, with a complete admission in 2006 and readmissions in a period of 365 days from the date of discharge of the admission index, a total of 12,878,422 admissions. The study made possible inferences about the quality of the systems of information on the hospital attendance in the country. On the admissions in 2006, the admission rate, SUS and non SUS financing was 5.6 for each 100 inhabitants. The admissions financed by SUS, in the analyzed categories, present a profile similar to the total of admissions. On the non-SUS admissions, we noticed differences that delineate the areas in two groups. The first composed by the North, Northeast and Center-West areas of Brazil, with low occurrence of SUS admissions, more young and elders, and male subjects in proportions higher than in SUS. In the second group, Southeast and South, we verified significant participation of the non- SUS financing, more adults and elders. Although with limited evidence, this discovery confirms the distribution of the population with healthcare plans. The non- SUS admissions with ICU are still more concentrated in the Southeast area than the non-SUS admissions in general (80.1% x 67.9%). The admissions and subjects, under the analysis of the readmissions, in a general way presented a profile similar to the admissions in 2006. The proportion of readmitted subjects was 15.9% and of readmissions was 19.8%. SUS was responsible for 88.7% of the selected admissions and we identified 3.3% of subjects that used both financing segments. The nature of the probabilistic method that contains certain imprecision degree, the adoption of conservative parameters in order to avoid the inclusion of false positive, and the subnotification of CIH represent possible limitations of this study. System of Hospital Services in Brazil presented important readmission rate, independently on the financing source and occurrence place, what points out to the need of additional studies to know the contributory factors. The data of non-SUS financing admissions collected by CIH join important information to the analysis of the hospital attendance in the country. The administrative data of SIH are valid for analyses of admissions and the algorithms of the admission data composition, starting from the charging, perfect the analysis of System of Hospital Services in Brazil.

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Bolin, Agnes, Julia Petersson, and Johanna Sjöholm. "Skydd av elektroniska patientjournaler – en studie om faktorer för olovlig läsning." Thesis, Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-10448.

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I vården är det idag många anställda som kräver åtkomst till patientjournaler. Detta medför att informationen måste vara lättåtkomlig när behoven uppstår. Att skydda patienters integritet är samtidigt mycket viktigt och att inte riskera att några uppgifter läcker ut. Ett problem är att vårdpersonal kan läsa patientjournaler utan att ha behörighet för detta.Studien belyser ett dilemma mellan vårdpersonals etiska inställning till informationssystem i förhållande till hur systemen skyddas. Ena sidan av dilemmat fokuserar på hur benägen vårdpersonal i Sverige är till att medvetet otillåtet läsa elektroniska patientjournaler och på detta sätt agera oetiskt. Den andra sidan riktas till hur informationssystemen inom svensk vård hittar en balans mellan att vara lättillgängliga för användare och samtidigt tillräckligt skyddade mot interna intrång. Frågeställningen som studien behandlar är att identifiera vilka faktorer som ligger till grund för vårdanställdas etiska inställning till olovlig läsning i förhållande till hur systemen skyddas mot dessa intrång.Det är en kvalitativ studie som utförts eftersom fokus har varit att tolka resultatet och identifiera betydande faktorer. För att få en bra grund gjordes en förstudie i form av intervjuer. Detta för att samla information och bredda kunskaper gällande vårdsystem. Det har tagits hänsyn till lagar och regler samt riktlinjer och rutiner för vården inom Västra Götalands län i Sverige, som även är studiens avgränsning. För att få information om hur de vårdanställda ställer sig till interna intrång i vården skickades det ut enkäter. Eftersom ämnet som studien avser kan uppfattas som känsligt har författarna varit tydliga med valfriheten att delta. Detta med tanke på att det gäller brott på arbetsplatsen.Studien resulterar i att även om majoriteten av respondenterna håller sig inom ramarna för vårdens regler, gällande att läsa patientjournaler, visar ändå respondenterna tendenser till att delvis frångå reglerna. Utifrån genomförd studie är det få fall som uppdagas och för att detta ska minska, anser författarna, att loggranskning av vårdanställda borde öka och ske av opartisk granskare. Detta för att skydda patienterna och nå högre säkerhet. Studien riktar sig till vårdpersonal och dess chefer för att upplysa om beteendet och dess risker för patienters integritet och allmänhetens bristande förtroende. There are many health professionals that require access to health records in today’s health care. This means that information must be easily accessible when needed. Meanwhile the patient´s integrity is a very important issue so no personal sensible information leaks. One problem is that health professionals can read journal of patients in health care information systems without permission.The study researches the tension between two aspects, how health professionals act in health care information systems compared to how the system is secure. One aspect is how nursing staff in Sweden is prone to read journals of patients consciously, thus acting unethical. The other aspect is how the information system within Swedish health care can find the balance between easily user accesses and adequately protected against internal intrusions. The research question is to identify underlying factors how health professionals ethical approach is to illicit reading of electronical health records, in relation to how the systems are protected against these internal intrusions.The conduct of study is through a flexible method approach because the focus is to looking for context and interprets the result. In order to get a good foundation made a pilot study by several interviews. The aim of the pilot study was to expand knowledge regarding health information systems. Laws and regulations, policies and procedures in health care information systems has been considered, focused in Västra Götaland County in Sweden. To find out the nursing staff attitudes to internal intrusion were questionnaires sent out. As the subject of the study can be perceived as sensitive, the authors have made clear to the respondents that it was completely anonymous, considering the case of illegal behavior in the workplace.The finding of the study shows even though the majority of the survey´s respondents remain within the regulations of health care relating to read electronical health records, some of the respondents still shows tendencies to partly abandon them. The authors considered to prevent these tendencies that controls of log history in health care systems should increase and be made by independent auditors. This also for the aim to protect patients and reach more security. The study aims to health professionals and their managers to provide information on the behavior and its risk for patient’s integrity and the public lack of confidence.

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Al-Hassany, Ibrahim, and Bukenya Charles. "Evaluation the usability of "Journalen": An Electronic Health Records System for Patients in Sweden." Thesis, Örebro universitet, Handelshögskolan vid Örebro Universitet, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-51963.

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Carvalho, Ricardo César de [UNESP]. "Aplicação de técnicas de mineração de texto na recuperação de informação clínica em prontuário eletrônico do paciente." Universidade Estadual Paulista (UNESP), 2017. http://hdl.handle.net/11449/150814.

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Submitted by RICARDO CÉSAR DE CARVALHO (ricdon@gmail.com) on 2017-06-02T04:41:34Z No. of bitstreams: 1 Mestrado_Ricardo_Carvalho.pdf: 4464660 bytes, checksum: ba1819b77212278eb1a2808fd9658e4c (MD5) Approved for entry into archive by Luiz Galeffi (luizgaleffi@gmail.com) on 2017-06-02T13:47:17Z (GMT) No. of bitstreams: 1 carvalho_rc_me_mar.pdf: 4464660 bytes, checksum: ba1819b77212278eb1a2808fd9658e4c (MD5) Made available in DSpace on 2017-06-02T13:47:17Z (GMT). No. of bitstreams: 1 carvalho_rc_me_mar.pdf: 4464660 bytes, checksum: ba1819b77212278eb1a2808fd9658e4c (MD5) Previous issue date: 2017-05-08 Na área da saúde, as tecnologias digitais fornecem recursos para a geração, controle, manutenção e arquivamento dos dados vitais dos pacientes, pesquisas biomédicas, captura e disponibilização de imagens diagnósticas. Ao criar grandes bancos de dados sobre a saúde das pessoas, o processamento das informações contidas no prontuário do paciente permitirá uma nova visão a respeito do conhecimento atual do processo de diagnóstico médico. Existem diversos problemas nessa área, porque o acesso ao prontuário analógico é complicado, e em formato eletrônico não está disponível para todos, apesar do conhecido potencial desses documentos como fonte informacional. Uma das formas para a organização desse conhecimento é por meio da mineração de textos, que possibilita o processamento dos dados descritos em linguagem natural. Entretanto, é preciso levar em consideração o fato da redação médica não poder ser padronizada, embora exista a normativa do Conselho Federal de Medicina que orienta nessa direção. É neste contexto, que esta pesquisa se norteia com o objetivo básico de investigar a aplicabilidade da metodologia de mineração de textos para a extração de informações provenientes da anamnese de prontuários eletrônicos do paciente divulgados no ciberespaço visando a qualidade na recuperação de informações. Trata-se de uma pesquisa de cunho exploratório, tendo-se realizado a mineração de textos sobre um conjunto de 46 anamneses divulgadas no ciberespaço visando a recuperação de informação. Em seguida, fez-se um cotejamento com os dados recuperados de forma manual, efetuando-se a interpretação da linguagem de comunicação médico-paciente. Esses dois resultados foram registrados em um protótipo construído e simulando o ambiente de um consultório médico. Os resultados evidenciam que a utilização da mineração de texto como ferramenta de extração na busca e recuperação de informações em saúde encontrou diversas dificuldades decorrentes das inúmeras formas de se redigir uma anamnese, além dos erros ortográficos, erros gramaticais, remoção de sufixos e prefixos, sinônimos, abreviações, siglas, símbolos, pontuações, termos e jargões médicos. Esse fato evidencia que ao se planejar um sistema computacional ele deve ser capaz de interpretar informações descritas de inúmeras formas, não excluindo palavras importantes ou ignorando aqueles relevantes que poderiam colocar em risco as ações de cuidados do paciente. Ao aplicar os processos de tokenization, remoção de stopwords, normalização morfológica, stemming e cálculo da relevância, conjuntamente contribuíram para que os termos resultantes fossem muito diferentes daqueles extraídos manualmente, ou seja, há ainda muitos desafios em cada uma dessas etapas na busca da qualidade na recuperação de informações concernente à anamnese. Conclui-se que embora a mineração seja uma ferramenta útil ao se tratar de textos estruturados e de outros domínios, quando aplicada a anamnese que é um texto mais livre tal ferramenta deixa a desejar, posto que ao se tratar da área da saúde, a redução de termos compostos, bem como a utilização de siglas, símbolos, abreviaturas ou outra forma de redução linguística trará interferências danosas para a recuperação de informação. A construção do protótipo ilustra a criação de uma ferramenta leve e intuitiva aplicando os conceitos discutidos nessa dissertação, além de se tornar o pontapé inicial de trabalhos futuros. In the health area, digital technologies provide resources for the generation, control, maintenance and vital patient data archiving biomedical research, diagnostic images capture and availability. By creating large databases on people´s health records, processing the information contained in the patient's medical record, will provide a new insight into current knowledge of the medical diagnostic process. There are several problems in this area, because the access to analogical records is very complex and electronic format is not available for all of them, despite the known potential of these documents as informational source. One of the ways to arrange this knowledge is by the text mining which enables the data processing in natural language. However, it is necessary to consider the fact that medical writing cannot be standardized, although there is a Federal Council of Medicine policy that directs to that path. This is the context which this research is guided by the basic goal of investigating the methodology applicability of text mining for extracting information from the anamnesis of patients' electronic medical records divulged in cyberspace and aiming at the quality of information retrieval. This is an exploratory research, with texts mining on a set of 46 anamnesis published in cyberspace aimed at information retrieval. Then, a comparison was made with the data retrieved manually, to the interpretation of the medical-patient communication language. Those two results were recorded in a prototype built and simulating the environment of a doctor's office. The results show that the use of text mining as an extraction tool in the search and retrieval of health information has found several difficulties due to the numerous ways of writing an anamnesis, besides spelling errors, grammatical errors, deletion of suffixes and prefixes, synonyms, abbreviations, acronyms, symbols, punctuations, medical terms and jargon. It shows that when planning a computer system, it should be able to interpret information described in different ways, not excluding important words or ignoring relevant ones that could jeopardize patient care actions. By applying the processes of tokenization, stopwords, morphological normalization, stemming and calculus of relevance, altogether contributed to showing that the resulting terms were very different from those extracted manually. There are still many challenges in each of those steps concerning quality in the anamnesis information retrieval. Concluding that although mining is a useful tool when dealing with structured texts and other domains, when applied to anamnesis, which is a freer text, such tool lacks efficiency, since in health area the compound terms reduction, as well as the use of acronyms, symbols, abbreviations or other forms of linguistic reduction will bring harmful interference to the retrieval of information. The prototype is a light and intuitive tool applied to the concepts discussed on this dissertation, which way become the kickoff of a future project.

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Barsaum, Peter, Paul Berg, and Andreas Hagman. "Acceptans av Internet of Things-teknik för distanssjukvård Vilken typ av IoT-teknik inom distanssjukvården är patienter och icke-patienter mest mottagliga för?" Thesis, Örebro universitet, Handelshögskolan vid Örebro Universitet, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-48920.

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Marthinsen, Tor Henrik Aasness. "Conversational CBR for Improved Patient Information Acquisition." Thesis, Norwegian University of Science and Technology, Department of Computer and Information Science, 2007. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-8803.

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In this thesis we describe our study of two knowledge intensive Conversational Case-Based Reasoning (CCBR) systems and their methods. We look in particular at the way they have solved inferencing and question ranking. Then we continue with a description of our own design for a CCBR system, that will help patients share their experiences of side effects with drugs, with other patients. We describe how we create cases, how our question selection methods work and present an example of how the domain model will look. It is also included a simulation of how a dialogue would be for a patient. The design we have created is a good basis for implementing a knowledge intensive CCBR system. The system should work better than a normal CCBR system, because of the inferencing and question ranking methods, which should lessen the cognitive load on the user and require fewer questions answered, to reach a good solution.

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Åhlfeldt, Rose-Mharie. "Information Security in Distributed Healthcare : Exploring the Needs for Achieving Patient Safety and Patient Privacy." Doctoral thesis, Stockholm University, Department of Computer and Systems Sciences (together with KTH), 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7407.

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In healthcare, patient information is a critical factor. The right information at the right time is a necessity in order to provide the best possible care for a patient. Patient information must also be protected from unauthorized access in order to protect patient privacy. It is furthermore common for patients to visit more than one healthcare provider, which implies a need for cross border healthcare and continuity in the patient process.This thesis is focused on information security in healthcare when patient information has to be managed and communicated between various healthcare actors and organizations. The work takes a practical approach with a set of investigations from different perspectives and with different professionals involved. Problems and needs have been identified, and a set of guidelines and recommendations has been suggested and developed in order to improve patient safety as well as patient privacy.The results show that a comprehensive view of the entire area concerning patient information management between different healthcare actors is missing. Healthcare, as well as patient processes, have to be analyzed in order to gather knowledge needed for secure patient information management.Furthermore, the results clearly show that there are deficiencies both at the technical and the administrative level of security in all investigated healthcare organizations.The main contribution areas are: an increased understanding of information security by elaborating on the administrative part of information security, the identification of information security problems and needs in cross border healthcare, and a set of guidelines and recommendations in order to advance information security measures in healthcare.

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Eriksson, Madeleine, and Blinera Avdiu. "Informationskvalitet inom cancervården, får patienter rätt information? : Informationskvalitet: Relevant, representativ tillgänglig samt tillförlitlig information till personer med cancer." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-79124.

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Cancer is an increasing problem in society, not only in Sweden but throughout the world. Previous research shows that the mental health of patients with a cancer diagnosis is influenced by the information they receive about their diagnosis. More information is better than little or nothing at all. The purpose of this work is to investigate what is / means information quality for patients with a cancer diagnosis. By investigating whether the information provided to a patient with cancer diagnosis is relevant, reliable, available, and representative now with the information they desire. The theories used in the study to analyze the empirical data are Is Success Model (ISSM) by Delone and McLean, the further developed theory of Technology Acceptance Model 2 (TAM 2) by Venkatesh and Fred, D. Davies, as well as Information Processing Theory (IPT) of George A. Miller. In the theory section, there are more detailed descriptions of them, as well how each theory relates to the work and what they can contribute to the analysis of the empirical data. For the collection of data, both a qualitative and quantitative method has been used with an abductive approach. A questionnaire has been designed and presented in two groups that concern the subject of cancer on social media. Four semi-structured interviews have been conducted with four different regions / counties, Landstinget Blekinge, Region Kronoberg, Landstinget Kalmar and Region Jönköping. The analysis shows that, although incoming answers from questionnaires can not be generalized, today there are deficiencies in cancer care information flows to patients. All patients do not receive written information, they do not receive a written "My Care Plan", while some even receive more than one care plan. This indicates both information shortage, information overflow and asymmetric information. The discussion compares selected theories to the result as well as previous research into the scientific problem that has been discovered. The discussion shows that although it looks bright in the future after the SVF has been implemented throughout the country, there are currently indications of shortcomings in the information quality to the information that patients receive. The conclusion is that there are many different information and support systems which can make it difficult for patients to find relevant, representative, available, and reliable information about today's systems.

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Fiala, Petr. "Propojení ekonomického informačního systému a nemocničních informačních systémů." Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-10834.

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Proposal for an integrated information system architecture of health care facility. Particullary it is the integration of economic information system for financial and personnel management of hospitals and hospital information systems - laboratory information system, documentation system, ordering system, a system for the care of patients, etc. The aim of the project is to design the structure of a central database, and links between systems, so the able to collaborate in real time.

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Nguyen, Thanh Ngoc. "OSS For health care in developing countries : comparative case studies of DHIS2 and patient based systems in Ethiopia and Vietnam /." Oslo : Department of Informatics, Universitetet i Oslo, 2007. http://www.duo.uio.no/publ/informatikk/2007/67896/Thanh.pdf.

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Azevedo, João Rolando Brás. "Geographic information systems applied to patient distribution for Family Health Teams." Master's thesis, Faculdade de Medicina da Universidade do Porto, 2011. http://hdl.handle.net/10216/62217.

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Azevedo, João Rolando Brás. "Geographic information systems applied to patient distribution for Family Health Teams." Dissertação, Faculdade de Medicina da Universidade do Porto, 2011. http://hdl.handle.net/10216/62217.

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Dissertations / Theses on the topic 'Patient information system'

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