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Статті в журналах з теми "Patient health interface":
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Misra, S., MB Hargreaves, and JM Blundy. "PHP28 PATIENT SATISFACTION—PATIENT EDUCATION INTERFACE." Value in Health 7, no. 3 (May 2004): 375. http://dx.doi.org/10.1016/s1098-3015(10)62546-6.
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Grossman, Lisa, Steven Feiner, Elliot Mitchell, and Ruth Masterson Creber. "Leveraging Patient-Reported Outcomes Using Data Visualization." Applied Clinical Informatics 09, no. 03 (July 2018): 565–75. http://dx.doi.org/10.1055/s-0038-1667041.
Анотація:
Background Health care organizations increasingly use patient-reported outcomes (PROs) to capture patients' health status. Although federal policy mandates PRO collection, the challenge remains to better engage patients in PRO surveys, and ensure patients comprehend the surveys and their results. Objective This article identifies the design requirements for an interface that assists patients with PRO survey completion and interpretation, and then builds and evaluates the interface. Methods We employed a user-centered design process that consisted of three stages. First, we conducted qualitative interviews and surveys with 13 patients and 11 health care providers to understand their perceptions of the value and challenges associated with the use of PRO measures. Second, we used the results to identify design requirements for an interface that collects PROs, and designed the interface. Third, we conducted usability testing with 12 additional patients in a hospital setting. Results In interviews, patients and providers reported that PRO surveys help patients to reflect on their symptoms, potentially identifying new opportunities for improved care. However, 6 out of 13 patients reported significant difficultly in understanding PRO survey questions, answer choices and results. Therefore, we identified aiding comprehension as a key design requirement, and incorporated visualizations into our interface design to aid comprehension. In usability testing, patients found the interface highly usable. Conclusion Future interfaces designed to collect PROs may benefit from employing strategies such as visualization to aid comprehension and engage patients with surveys.
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Narus, S. P., S. M. Huff, T. A. Pryor, P. J. Haug, T. Larkin, S. Matney, R. S. Evans, et al. "Building a Comprehensive Clinical Information System from Components." Methods of Information in Medicine 42, no. 01 (2003): 01–07. http://dx.doi.org/10.1055/s-0038-1634203.
Анотація:
Summary Objectives: To discuss the advantages and disadvantages of an interfaced approach to clinical information systems architecture. Methods: After many years of internally building almost all components of a hospital clinical information system (HELP) at Intermountain Health Care, we changed our architectural approach as we chose to encompass ambulatory as well as acute care. We now seek to interface applications from a variety of sources (including some that we build ourselves) to a clinical data repository that contains a longitudinal electronic patient record. Results: We have a total of 820 instances of interfaces to 51 different applications. We process nearly 2 million transactions per day via our interface engine and feel that the reliability of the approach is acceptable. Interface costs constitute about four percent of our total information systems budget. The clinical database currently contains records for 1.45 m patients and the response time for a query is 0.19sec. Discussion: Based upon our experience with both integrated (monolithic) and interfaced approaches, we conclude that for those with the expertise and resources to do so, the interfaced approach offers an attractive alternative to systems provided by a single vendor. We expect the advantages of this approach to increase as the costs of interfaces are reduced in the future as standards for vocabulary and messaging become increasingly mature and functional.
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Shingole, Nishant, Vinit Patil, Omkar Prabhu, and Aniket Pawar. "Patient Profile & Health Consulting Application." International Journal for Research in Applied Science and Engineering Technology 11, no. 4 (April 30, 2023): 4080–84. http://dx.doi.org/10.22214/ijraset.2023.51193.
Анотація:
Abstract: The Patient Profile and Health Consulting application is a mobile health tool developed using Android Studio. The application allows patients to create and manage their health profiles, including personal information, medical history, medications, allergies, and vital signs. Additionally, patients can use the application to consult with healthcare professionals remotely. The application's user interface is intuitive and easy to navigate, allowing patients to input and update their health information quickly. The app features secure logins and data encryption to ensure patient privacy and confidentiality. The health consulting feature allows patients to connect with healthcare professionals, including doctors, nurses, and other medical staff, through booking an appointment. Patients can use this feature to ask questions about their health conditions, receive medical advice, and request prescription refills. The application also includes medication reminders and an appointment scheduler to help patients manage their medications and medical appointments efficiently. Furthermore, the app provides personalized health recommendations and resources to help patients maintain a healthy lifestyle. In conclusion, the Patient Profile and Health Consulting application is a comprehensive mobile health tool designed to empower patients to take control of their health. The application's user-friendly interface and remote consulting feature make it a valuable resource for patients seeking convenient and accessible healthcare services
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Alpert, Jordan M., Naga S. Prabhakar Kota, Sanjay Ranka, Tonatiuh V. Mendoza, Laurence M. Solberg, Parisa Rashidi, and Todd M. Manini. "A Simulated Graphical Interface for Integrating Patient-Generated Health Data From Smartwatches With Electronic Health Records: Usability Study." JMIR Human Factors 7, no. 4 (October 30, 2020): e19769. http://dx.doi.org/10.2196/19769.
Анотація:
Background Wearable technology, such as smartwatches, can capture valuable patient-generated data and help inform patient care. Electronic health records provide logical and practical platforms for including such data, but it is necessary to evaluate the way the data are presented and visualized. Objective The aim of this study is to evaluate a graphical interface that displays patients’ health data from smartwatches, mimicking the integration within the environment of electronic health records. Methods A total of 12 health care professionals evaluated a simulated interface using a usability scale questionnaire, testing the clarity of the interface, colors, usefulness of information, navigation, and readability of text. Results The interface was positively received, with 14 out of the 16 questions generating a score of 5 or greater among at least 75% of participants (9/12). On an 8-point Likert scale, the highest rated features of the interface were quick turnaround times (mean score 7.1), readability of the text (mean score 6.8), and use of terminology/abbreviations (mean score 6.75). Conclusions Collaborating with health care professionals to develop and refine a graphical interface for visualizing patients’ health data from smartwatches revealed that the key elements of the interface were acceptable. The implementation of such data from smartwatches and other mobile devices within electronic health records should consider the opinions of key stakeholders as the development of this platform progresses.
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Gonzalez-Vargas, Jessica M., Courtney Cole, Sandeep Krishnakumar, Kathleen Shatinsky, Everett Hills, and Elizabeth Starkey. "Innovating Walking Speed as a Vital Sign: An Interface Development and Usability Study." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 66, no. 1 (September 2022): 2300–2304. http://dx.doi.org/10.1177/1071181322661555.
Анотація:
Measuring walking speed is becoming a more useful tool for assessing overall patient health along with the other five vital signs: temperature, blood pressure, pulse, respiratory rate, and pain. Clinicians consider walking speed to be the “sixth vital sign”. Standardization in measuring walking speed remains elusive and current methods may lead to inconsistent and inaccurate results. This study focused on testing an interface prototype that provides the user with a record-based platform for analyzing walking speed. Two usability studies were conducted with two separate iterations of interfaces. This paper focuses on the second interface, which was a refined version of the first interface. Data obtained through usability metrics and verbal protocol analyses (VPAs) was analyzed. Results from this study provided suggestions for improving the second interface’s ease of use and overall task interaction. Future work will address improving the interface prototype and converting it to a fully-programmed version.
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Karni, Liran, Ilir Jusufi, Dag Nyholm, Gunnar Oskar Klein, and Mevludin Memedi. "Toward Improved Treatment and Empowerment of Individuals With Parkinson Disease: Design and Evaluation of an Internet of Things System." JMIR Formative Research 6, no. 6 (June 9, 2022): e31485. http://dx.doi.org/10.2196/31485.
Анотація:
Background Parkinson disease (PD) is a chronic degenerative disorder that causes progressive neurological deterioration with profound effects on the affected individual’s quality of life. Therefore, there is an urgent need to improve patient empowerment and clinical decision support in PD care. Home-based disease monitoring is an emerging information technology with the potential to transform the care of patients with chronic illnesses. Its acceptance and role in PD care need to be elucidated both among patients and caregivers. Objective Our main objective was to develop a novel home-based monitoring system (named EMPARK) with patient and clinician interface to improve patient empowerment and clinical care in PD. Methods We used elements of design science research and user-centered design for requirement elicitation and subsequent information and communications technology (ICT) development. Functionalities of the interfaces were the subject of user-centric multistep evaluation complemented by semantic analysis of the recorded end-user reactions. The ICT structure of EMPARK was evaluated using the ICT for patient empowerment model. Results Software and hardware system architecture for the collection and calculation of relevant parameters of disease management via home monitoring were established. Here, we describe the patient interface and the functional characteristics and evaluation of a novel clinician interface. In accordance with our previous findings with regard to the patient interface, our current results indicate an overall high utility and user acceptance of the clinician interface. Special characteristics of EMPARK in key areas of interest emerged from end-user evaluations, with clear potential for future system development and deployment in daily clinical practice. Evaluation through the principles of ICT for patient empowerment model, along with prior findings from patient interface evaluation, suggests that EMPARK has the potential to empower patients with PD. Conclusions The EMPARK system is a novel home monitoring system for providing patients with PD and the care team with feedback on longitudinal disease activities. User-centric development and evaluation of the system indicated high user acceptance and usability. The EMPARK infrastructure would empower patients and could be used for future applications in daily care and research.
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Sittig, Dean F., Adam Wright, Enrico Coiera, Farah Magrabi, Raj Ratwani, David W. Bates, and Hardeep Singh. "Current challenges in health information technology–related patient safety." Health Informatics Journal 26, no. 1 (December 11, 2018): 181–89. http://dx.doi.org/10.1177/1460458218814893.
Анотація:
We identify and describe nine key, short-term, challenges to help healthcare organizations, health information technology developers, researchers, policymakers, and funders focus their efforts on health information technology–related patient safety. Categorized according to the stage of the health information technology lifecycle where they appear, these challenges relate to (1) developing models, methods, and tools to enable risk assessment; (2) developing standard user interface design features and functions; (3) ensuring the safety of software in an interfaced, network-enabled clinical environment; (4) implementing a method for unambiguous patient identification (1–4 Design and Development stage); (5) developing and implementing decision support which improves safety; (6) identifying practices to safely manage information technology system transitions (5 and 6 Implementation and Use stage); (7) developing real-time methods to enable automated surveillance and monitoring of system performance and safety; (8) establishing the cultural and legal framework/safe harbor to allow sharing information about hazards and adverse events; and (9) developing models and methods for consumers/patients to improve health information technology safety (7–9 Monitoring, Evaluation, and Optimization stage). These challenges represent key “to-do’s” that must be completed before we can expect to have safe, reliable, and efficient health information technology–based systems required to care for patients.
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Khosla, Vivek, Phil Davison, Harvey Gordon, and Verghese Joseph. "The interface between general and forensic psychiatry: the present day." Advances in Psychiatric Treatment 20, no. 5 (September 2014): 359–65. http://dx.doi.org/10.1192/apt.bp.109.007336.
Анотація:
SummaryWith the subspecialisation of psychiatry in the UK, clinicians encounter problems at the interfaces between specialties. These can lead to tension between clinicians, which can be unhelpful to the clinical care of the patient. This article focuses on the interface between general and forensic psychiatry in England and Wales. The pattern of mental health services in England and Wales differs to an extent from those in Scotland, Northern Ireland and in the Republic of Ireland. Consequently, the interface between general and forensic psychiatry is subject to varying influences. Important interface issues include: the definition of a ‘forensic patient’; the remit and organisation of services; resources; clinical responsibility; and care pathways. This article also discusses a general overview of how to improve collaboration between forensic and general adult psychiatric services.Learning Objectives•Develop an understanding of important issues at the forensic/general adult psychiatry interface.•Be aware of areas of conflict that may arise at the forensic/general adult psychiatry interface.•Be aware of options for optimum cooperation at the interface.
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Sullivan, Clair, Andrew Staib, Rob Eley, Alan Scanlon, Judy Flores, and Ian Scott. "National Emergency Access Targets metrics of the emergency department–inpatient interface: measures of patient flow and mortality for emergency admissions to hospital." Australian Health Review 39, no. 5 (2015): 533. http://dx.doi.org/10.1071/ah14162.
Анотація:
Background Movement of emergency patients across the emergency department (ED)–inpatient ward interface influences compliance with National Emergency Access Targets (NEAT). Uncertainty exists as to how best measure patient flow, NEAT compliance and patient mortality across this interface. Objective To compare the association of NEAT with new and traditional markers of patient flow across the ED–inpatient interface and to investigate new markers of mortality and NEAT compliance across this interface. Methods Retrospective study of consecutive emergency admissions to a tertiary hospital (January 2012 to June 2014) using routinely collected hospital data. The practical access number for emergency (PANE) and inpatient cubicles in emergency (ICE) are new measures reflecting boarding of inpatients in ED; traditional markers were hospital bed occupancy and ED attendance numbers. The Hospital Standardised Mortality Ratio (HSMR) for patients admitted via ED (eHSMR) was correlated with inpatient NEAT compliance rates. Linear regression analyses assessed for statistically significant associations (expressed as Pearson R coefficient) between all measures and inpatient NEAT compliance rates. Results PANE and ICE were inversely related to inpatient NEAT compliance rates (r = 0.698 and 0.734 respectively, P < 0.003 for both); no significant relation was seen with traditional patient flow markers. Inpatient NEAT compliance rates were inversely related to both eHSMR (r = 0.914, P = 0.0006) and all-patient HSMR (r = 0.943, P = 0.0001). Conclusions Traditional markers of patient flow do not correlate with inpatient NEAT compliance in contrast to two new markers of inpatient boarding in ED (PANE and ICE). Standardised mortality rates for both emergency and all patients show a strong inverse relation with inpatient NEAT compliance. What is known about the topic? Impaired flow of emergency admissions across the interface between ED and inpatient wards retards achievement of NEAT-compliance rates and adversely affects patient outcomes. Uncertainty exists as to which measures of patient flow and mortality outcomes correlate closely with NEAT-compliance rates for patients admitted from emergency departments. What does this paper add? This study investigates the utility of two new markers of patient flow from ED to inpatient wards. The Practical Access Number for Emergency (PANE) is the number of patients in ED who have had their episode of ED care completed and are awaiting an inpatient bed at a particular point in time. The Inpatient Cubicles in Emergency (ICE) represents the theoretical number of ED cubicles blocked by boarding patients over a specified time interval (in this study 5 weekdays, Monday–Friday), based on the mean time boarders spent in ED during that interval. Both measures were shown to be significantly inversely related to inpatient NEAT compliance rates (i.e. as PANE and ICE increased, NEAT compliance decreased). In contrast, no relation was seen with traditional markers of patient flow (i.e. hospital bed occupancy and ED attendance numbers). HSMR for both all patients and emergency patients only demonstrated a strong inverse relation with inpatient NEAT compliance. What are the implications for practitioners? When pursuing higher NEAT compliance rates, traditional markers of patient flow across the ED–inpatient interface may be misleading and adversely impact bed-management strategies and patient safety. Identifying when hospitals may be at risk of developing, or already in, a state of reduced access to emergency care may be performed more accurately using new flow markers such as PANE and ICE. The inverse relationship between inpatient NEAT compliance and HSMR, whether calculated for all patients or for emergency patients only, underscores the dependence of inpatient mortality on the swift flow of large volumes of emergency admissions across the ED–inpatient interface. This flow may be compromised by imposing additional demands on a limited number of commissionable beds by way of increasing ED demand and/or use of more beds for elective admissions.
Дисертації з теми "Patient health interface":
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Lourdais, Chloé. "Optimisation d'une interface numérique de santé à distance pour une meilleure expérience-patient." Electronic Thesis or Diss., Ecole centrale de Nantes, 2022. http://www.theses.fr/2022ECDN0054.
Анотація:
Les services de santé à distance, dans un cadre médical ou de bien-être, sont actuellement en pleine croissance, soulevant de nouveaux challenges. De par l’utilisation d’inter-faces numériques de santé (applications, objets connectés ou sites Internet), ces services s’intègrent de plus en plus dans la vie quoti-dienne des patients, à domicile et sans soutien médical, faisant évoluer l’exercice de consul-tation de leurs données de santé. Ce travail de recherche étudie l’impact émo-tionnel de la consultation de données person-nelles sensibles et vise à améliorer l’expérience-patient dans l’utilisation des interfaces de santé. Une première expérimentation a permis d’éva-luer les réponses émotionnelles à la consultation des données de santé. Les résultats soulèvent des impacts sur le stress perçu, la durée de la consultation et l’activité cardiaque des participants, montrant la nécessité de consi-dérer les émotions dans la conception des outils de santé à distance. Une méthode de conception centrée-patient d’une interface de santé est ensuite proposée. Elle comprend : une comparaison culturelle des outils existants, une enquête sur les expérien-ces et préférences des patients, et une expé-rimentation basée sur un algorithme génétique interactif visant à optimiser le design de l’inter-face pour améliorer la satisfaction-patient. La représentation des données de glycémie sur une application de diabète est utilisée comme un cas d’application. Les résultats soulèvent l’intérêt de l’optimisation des interfaces de santé pour améliorer l’expérience-patient et en-courager des comportements sains. La person-nalisation de ces interfaces pour répondre aux besoins de chacun est aussi suggéréeRemote health services, in a medical or well-being context, are currently growing rapidly, raising new challenges. Through the use of digital health interfaces (apps, connected devices or websites), these services are increa-singly integrated into the daily lives of patients, at home and without medical support, changing the way they consult their health data. This research work investigates the emotional impact of the consultation of sensitive personal data and aims at improving the patient expe-rience in the use of health interfaces. A first experiment assessed emotional res-ponses to the consultation of health data. The results showed the impacts on the perceived stress, the duration of the data consultation and the cardiac activity of the participants, sug-gesting the need to consider emotions in the design of remote health tools. A patient-centered design method of a health interface is then proposed. It includes: a cul-tural comparison of existing tools, a survey on patients' expériences and preferences, and an experiment based on an Interactive Genetic Algorithm optimizing the interface design to im-prove patient satisfaction. The representation of blood sugar data on a diabetes app is used as an application case. The results show the interest of optimizing health interface to im-prove patient experience and encourage heal-thy behaviors. Customization of these interfa-ces to meet individual needs is also suggested
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Greenaway, John Richard. "The utilisation of endoscopy services : strategies for patient management at the primary/secondary care interface." Thesis, University of Newcastle Upon Tyne, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391398.
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Gregory, Margaret F. "Client/patient need at the interface between health and social services on discharge from an acute general hospital." Thesis, University of Nottingham, 1997. http://eprints.nottingham.ac.uk/13047/.
Анотація:
One thousand four hundred and twenty two patients in an Acute General Hospital in Mansfield were studied over a one year period, 1989-90, in order to determine their needs for formal and informal care on discharge. The research method included a screening project for 189 patients on admission, an analysis of 1064 referrals to the Hospital Social Workers, and 169 referrals to the Hospital Discharge Scheme for Volunteer support. Patient/client needs for formal and informal care were found, and unmet needs after Hospital discharge were identified. Problems relating to formal care systems and shortage of Public Sector resources were found to cause serious difficulties for patients and Carers. The availability of Carers and lack of family members in informal care structures was a key issue. The work showed how Volunteers from the Discharge Scheme were able to contribute to the work of formal and informal Carers and ensure that safe Hospital Discharges occurred for very vulnerable people.
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Maqabuka, Qawekzi. "The interface between nurse and patient in health care: exploring the use of emotional labour among nurses in Mthatha." Thesis, Rhodes University, 2016. http://hdl.handle.net/10962/1477.
Анотація:
In exploring the use of emotional labour among nurses within the nurse/patient relationship, this study employed the conceptual framework of ‘emotional labour’ associated with Arlie Hochschild-as a means of examining the “nature” of the nurse patient interface, including the dynamics, challenges and intricacies that shape this relationship of care. The portrayal of emotional care offered to patients dealing with suffering and illness by nurses as an entirely natural activity for women is related to the devaluation of emotional labour. The focus of this study is how nurses manage their emotional involvement with patients to provide quality services. The study was conducted in Mthatha in the former Transkei in the Eastern Cape Province with nurses who worked St Mary’s Life Group and the Nelson Mandela Academic Hospital. A qualitative research design and qualitative ethnographic research methodology was chosen as suitable for answering the research question. Data was collected using semi-structured interviews and a focus group, and transcribed verbatim. Data analysis included identifying consistent emotional labour themes in the responses. The study’s main findings revealed that emotional labour strategies of surface acting and deep acting were utilised as a means of meeting organisational rules established by management of the two health care institutions that were investigated. Nurses understood that only desirable traits like include friendliness, smiling and proving a calming environment for patients should be exhibited. It was revealed that nurses often used sentimental work and emotion work in performing their tasks as this made their work easier. Lastly, the research revealed that external factors like overcrowding and shortages in personnel, accompanied by the emotional demands on nurses’ work has adverse effect on nurses work environment. The dissertation has contributed to the limited body of knowledge about emotional labour in the South African context and the lived experiences of nurses deploying their labour to patients.
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Kong, Wei. "EXPLORING HEALTH WEBSITE USERS BY WEB MINING." Thesis, Universal Access in Human-Computer Interaction. Applications and Services Lecture Notes in Computer Science, 2011, Volume 6768/2011, 376-383, DOI: 10.1007/978-3-642-21657-2_40, 2011. http://hdl.handle.net/1805/2810.
Анотація:
Indiana University-Purdue University Indianapolis (IUPUI)With the continuous growth of health information on the Internet, providing user-orientated health service online has become a great challenge to health providers. Understanding the information needs of the users is the first step to providing tailored health service. The purpose of this study is to examine the navigation behavior of different user groups by extracting their search terms and to make some suggestions to reconstruct a website for more customized Web service. This study analyzed five months’ of daily access weblog files from one local health provider’s website, discovered the most popular general topics and health related topics, and compared the information search strategies for both patient/consumer and doctor groups. Our findings show that users are not searching health information as much as was thought. The top two health topics which patients are concerned about are children’s health and occupational health. Another topic that both user groups are interested in is medical records. Also, patients and doctors have different search strategies when looking for information on this website. Patients get back to the previous page more often, while doctors usually go to the final page directly and then leave the page without coming back. As a result, some suggestions to redesign and improve the website are discussed; a more intuitive portal and more customized links for both user groups are suggested.
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Cui, Licong. "Ontology-guided Health Information Extraction, Organization, and Exploration." Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1401709795.
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Marques, Liéte de Fátima Gouvêia. "Uso de medicamentos e a segurança do paciente na interface entre hospital, atenção básica e domicílio." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-02042013-105600/.
Анотація:
A segurança do paciente e a qualidade da assistência à saúde, no uso de medicamentos, têm sido foco de preocupação e estudos em nível mundial. Os pacientes podem estar especialmente vulneráveis a danos imediatamente após alta hospitalar, e a ocorrência de eventos adversos relacionados a medicamentos pode resultar em atendimento em serviços de urgência ou em readmissão hospitalar. Este estudo teve como objetivo compreender a dinâmica e os desafios do cuidado fornecido ao paciente, pela equipe de saúde do hospital, visando à segurança no processo de uso de medicamentos após alta hospitalar. Foi realizada pesquisa exploratória por meio de entrevistas junto a médicos, enfermeiros, farmacêuticos e assistentes sociais do Hospital Universitário da Universidade de São Paulo. Atualmente, a principal estratégia adotada pelo hospital visando à segurança do paciente, com foco no processo de uso de medicamentos após alta hospitalar, é a orientação de alta ao paciente e/ou cuidador, realizada de forma estruturada, em casos selecionados, principalmente envolvendo pacientes pediátricos. A reconciliação medicamentosa está em fase de implantação na instituição e, em situações específicas, ocorre mobilização da equipe multidisciplinar para viabilização do acesso a medicamentos prescritos na alta hospitalar. Visita domiciliar é desenvolvida junto a pacientes críticos com problemas de locomoção, e não conta com a participação de farmacêuticos. As principais barreiras para implantação, desenvolvimento e ampliação dessas atividades são a falta de recursos humanos e de tecnologias da informação e a necessidade de alterações no procedimento de alta. Entre os fatores facilitadores estão características da equipe, como iniciativa, comprometimento, responsabilidade por resultados e qualificação, além do apoio da alta administração. O desenvolvimento de atividades acadêmicas junto à atenção básica facilita o estabelecimento de pontes entre o hospital e demais serviços de saúde, contribuindo para a transposição da barreira da falta de contato entre as equipes. No entanto, as limitações das atividades desenvolvidas e a falta de articulação adequada para a continuidade do cuidado, com foco no processo de uso de medicamentos, podem comprometer a segurança do paciente na interface entre hospital, atenção básica e domicílio.Patient safety and quality of health care on medication use have been a central topic of discussion and focused in studies worldwide. Patients can be particularly vulnerable in the period immediately following their discharge from hospital and the occurrence of adverse drug events may require emergency care and hospital readmission. The present study aimed to understand the dynamics and challenges of care provided to patients by hospital providers focusing on safe use of medications after discharge. An exploratory study was conducted. Data was collected through interviews with physicians, nurses, pharmacists and social workers at the Hospital Universitário da Universidade de São Paulo, Brazil. The hospitals current main strategy for safe use of medications after hospital discharge is to provide structured counseling to selected patients and/or their caregivers especially pediatric patients. Medication reconciliation is being implemented and a multidisciplinary team can help ensure access to prescription drugs at discharge in some cases. Home visits are paid to patients with severe conditions and mobility problems but pharmacists are not involved. The main barriers to implementation, development, and expansion of these activities include limited human and information technology resources and changes required to patient discharge procedures. The main facilitators are a skilled team of care providers, committed to improving care and accountable for results and support from senior management. Care provided by students and residents at a primary care setting helps create bridges to integrate hospital care and other care services and overcome the interaction barrier between care teams. However, limited actions and inadequate coordination of follow- up care focused on medication use may compromise patient safety at the interface of hospital, primary care and the home setting.
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Utarini, Adi. "Evaluation of the user-provider interface in malaria control programme : The case of Jepara District, Central Java Province, Indonesia." Doctoral thesis, Umeå : Univ, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-11.
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Caballero, Larissa Gussatschenko. "Informação de pesquisa clínica e a interface com o aplicativo de gestão para hospitais universitários : desafios éticos e regulatórios." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2018. http://hdl.handle.net/10183/181266.
Анотація:
Introdução: A utilização das ferramentas e instrumentos da informática no processo do atendimento de pacientes auxilia os profissionais da saúde, pois facilita a coleta e armazenamento das informações, proporcionando qualidade no atendimento e criando condições de enfrentamento dos desafios do mundo globalizado. Nesse contexto, a utilização de dados de prontuário eletrônico de pacientes vinculados à pesquisa clínica em um hospital universitário público pode auxiliar no aprimoramento da assistência à saúde, assim como subsidia dados de pesquisas no âmbito da saúde. Objetivos: Identificar e avaliar os registros provenientes de pesquisas clínicas postos nos sistemas coorporativos do Hospital de Clínicas de Porto Alegre (HCPA), no período de 2014 a 2016. Método: A pesquisa utilizou abordagem quantitativa e qualitativa, de análise de conteúdo de referências e de dados provenientes da rede de informação clínica e assistencial através do cruzamento de informações do sistema integrado Aplicativo para Gestão de Hospitais Universitários (AGHU) e pelo Grupo de Pesquisa e Pós-Graduação (GPPG) do Hospital de Clínicas de Porto Alegre, no período entre janeiro de 2014 e dezembro de 2016. Resultados: Entre os projetos, 58,6% encaminharam relatórios de pesquisa, sendo que somente 23,8% possuem registro de participantes de pesquisa. No entanto, apenas 10,3% dentre todos os estudos que indicaram utilizar pacientes no seu protocolo de pesquisa tem concordância de registro entre o GPPG8 e o AGHU. Cerca de 25,6% do total de relatórios de pesquisa encaminhados apresentam informações quanto aos seus produtos de pesquisa. As pesquisas com patrocínio privado demonstraram encaminhar mais relatórios de atualização dos projetos, porém com menor índice na apresentação dos produtos científicos (1,4%). Considerações finais: Potenciais limitações no uso dos registros existentes no AGHU foram identificadas para decisões terapêuticas pela equipe assistencial de maneira geral, tendo em vista a aparente subnotificação de informações relativas ao andamento e desfecho dos estudos desenvolvidos. Entretanto, não foi possível analisar as causas dos registros possivelmente inadequados ou incompletos, sugerindo-se pesquisas específicas com a incorporação de questionários ou entrevistas individuais para permitir maior aprofundamento na temática. Produtos: A pesquisa identificou a necessidade de três produtos derivados do estudo: (1) material explicativo para os pesquisadores informando a necessidade do registro apropriado dos participantes no sistema coorporativo; (2) modelo de relatório de pesquisa para encerramento de projeto, disponibilizado pelo GPPG, em formato online para pesquisadores responsáveis pelo projeto de pesquisa; e (3) sugestão de melhoria das informações disponibilizadas pela aba “Projetos de Pesquisa” no prontuário online dos pacientes que estão vinculados a projetos de pesquisa, informando os potenciais resultados de pesquisas envolvidas com estes à área assistencial.Introduction: Using informatics tools on the medical care process for patients helps health professionals, makes easier to collect and to storage information, as well as exchange this information among professionals and institutions, offering quality of care and creating conditions to face challenges in a globalized world. In this context, using electronic medical records data of patients enrolled on clinical trials in a public hospital may help improving health care, as well as provide research health data. Objectives: To identify and evaluate records from clinical trials registered on corporative systems from Hospital de Clinicas de Porto Alegre (HCPA), from 2014 to 2016. Method: The research used quantitative and qualitative approach, analyzing references content and data from the network for clinical data, crossing information from Aplicativo para Gestão de Hospitais Universitários (AGHU) and Grupo de Pesquisa e Pós-Graduação (GPPG) of HCPA, from 2014 and 2016. Results: Among the projects 58,6% forwarded research reports, but just 23,8% with record of research participants. However, only 10,3% of studies that report participants enrolled in study protocol matched records in GPPG8 and AGHU. About 25,6% of total research reports informed research products. Researches with private sponsor showed more update reports, but with lower presentations of scientific products (1,4%). Final considerations: Potential limitations on using existent records on AGHU were identified for therapeutic decisions by clinical team in general, with apparent underreporting of information relate to development and closure for studies developed. However was not possible to analyze causes for possibly inaccurate or incomplete records, suggesting specific research with individual questionnaires or interviews in order to allow deepening the understanding on the theme. Products: The research identify the need for three product from the study: (1) a explicative material to researchers, informing an appropriate participant’s registration on the corporative system; (2) a model of research report for project termination, available on GPPG, online, to lead researchers in research projects; and (3) improvement suggestion on information available by “research projects” tab on the online medical records for patients enroll in research projects, informing potential results associated to medical care area.
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Tran, Quoc Huy Martin, and Carl Ronström. "Mapping and Visualisation of the Patient Flow from the Emergency Department to the Gastroenterology Department at Södersjukhuset." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279605.
Анотація:
The Emergency department at Södersjukhuset currently suffers from very long waiting times. This is partly due to problems within visualisation and mapping of patient data and other information that is fundamental in the handling of patients at the Emergency department. This led to a need in the creation of improvement suggestions to the visualisation of the patient flow between the Emergency department and the Gastroenterology department at Södersjukhuset. During the project, a simulated graphical user interface was created with the purpose of mimicking Södersjukhusets current patient flow. This simulated user interface would visualise the patient flow between the Emergency department and the Gastroenterology department. Additionally, a patient symptoms estimation algorithm was implemented to guess the likelihood of a patient being admitted to a department. The result shows that there are many possible improvements to Södersjukhusets current hospital information system, TakeCare, that would facilitate the care coordinators work and in turn lower the waiting times at the Emergency department.Akutmottagningen på Södersjukhuset har i dagsläget väldigt långa väntetider. Detta beror till viss del utav problem inom visualiseringen och kartläggning av patient data och annan fundamental information för att hantera patienter på akutmottagningen. Detta ledde till att det finns ett behov att skapa förbättringsförslag på visualiseringen av patientflödet mellan akutmottagningen och gastroenterologiavdelningen på Södersjukhuset. Under projektets gång skapades ett simulerat användargränssnitt med syfte att efterlikna Södersjukhusets nuvarande patientflöde. Denna lösning visualiserar patientflödet mellan akutmottagningen och gastroenterologiavdelningen. Dessutom implementerades en enkel sorteringsalgoritm som kan bedöma sannolikheten om en patient skall bli inlagd på en avdelning. Resultatet visar att det finns flera möjliga förbättringar i Södersjukhusets nuvarande elektroniska journalsystemet, TakeCare, som skulle underlätta vårdkoordinatorernas arbete och därmed sänka väntetiderna på akutmottagningen.
Книги з теми "Patient health interface":
1
University of Hull. Department of Public Health Medicine. Strategic quality management inprimary health care: Quality improvement at the patient/consumer interface. (Hull): Department of Public Health Medicine, University of Hull, 1996.
2
European Federation for Medical Informatics. Conference. User centred networked health care: Proceedings of MIE 2011. Amsterdam: IOS Press, 2011.
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Wilcox-Patterson, Lauren. User Interfaces for Patient-Centered Communication of Health Status and Care Progress. [New York, N.Y.?]: [publisher not identified], 2013.
4
1946-, Reder Peter, McClure Mike 1948-, and Jolley Anthony 1954-, eds. Family matters: Interfaces between child and adult mental health. London: Routledge, 2000.
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Raney, Lori E. Integrated Care: Working at the Interface of Primary and Behavioral Health Care. American Psychiatric Association Publishing, 2014.
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Raney, Lori E. Integrated Care: Working at the Interface of Primary Care and Behavioral Health. American Psychiatric Association Publishing, 2015.
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Lal, Mira, and Roch Cantwell. Preconceptual to postpartum mental health: mental illness and psychosomatic disease. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0004.
Анотація:
Chapter 4 examines the advancing field of mental health and psychosomatic disease from preconception to the postpartum period. The reader is reminded of the normal adaptation of different organ systems to pregnancy. This adaptation affects both physical and emotional functioning, and is further modified by the pregnant woman's social circumstances. The transition to the pathological or diseased condition may follow an exaggeration of the physiological alterations or could occur due to health conditions specific to pregnancy. This may result in manifestations due to mind-body interactions that cause psychosomatic disease. Common and unfamiliar psychosomatic clinical conditions associated with childbearing such as anxiety and mood disorders, eating disorders, hyperemesis gravidarum, and substance misuse are discussed, along with the unfamiliar, such as schizophrenia and seizures. Pregnancy-related acute-on-chronic psychosomatic presentations, besides those arising de novo in labour, are illustrated by vignettes representing real-life encounters. Controversies in management are debated to acquaint the less familiar with these clinical challenges, which require patient-centred care. Promoting health during childbearing not only pertains to the health of the mother, but also to the well-being of her infant. This entails concomitant attention to both in order to enhance the physical, mental and social health of the mother-infant dyad. An urgency for improved understanding of biopsychosocial initiating factors is reflected in an UK surveillance report, `Saving Lives Improving Mother's Care: It confirms the continuing fall in fatalities from 'direct' pregnancy-related physical causes, but a rise due to under-recognition of 'indirect' psychiatric causes that represent the psychosomatic interface.
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Reder, Peter. Family Matters: Interfaces between Child and Adult Mental Health. Routledge, 2000.
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Reder, Peter. Family Matters: Interfaces between Child and Adult Mental Health. Routledge, 2000.
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Evans, Charlotte, Anne Creaton, Marcus Kennedy, and Terry Martin, eds. Governance. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198722168.003.0002.
Анотація:
Retrieval services operate across many parts of the health system, and interface with many organizations. The work that is performed is complex, high risk, and resource consuming. It is therefore imperative that robust clinical and corporate governance systems are in place, and that these systems are tested, credentialed, and monitored where possible. Governance systems are the cornerstones of a high performance health organization, and are the foundation of excellent clinical outcomes, patient and stakeholder satisfaction, and safety and quality at all levels. The key elements of governance systems for retrieval services are described in this chapter.
Частини книг з теми "Patient health interface":
1
Shoji, Shigeru, Keiko Yamaki, Koji Hanawa, Terumi Takemoto, Fumio Obayashi, and Kazuo Yoshida. "Leading a patient to a dental office: the evaluation of pain and stress during the dental treatment using an air-pad sensor system." In Interface Oral Health Science 2009, 344–45. Tokyo: Springer Japan, 2010. http://dx.doi.org/10.1007/978-4-431-99644-6_101.
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Beattie, Mark, Josef Hallberg, Chris Nugent, Kare Synnes, Ian Cleland, and Sungyoung Lee. "A Collaborative Patient-Carer Interface for Generating Home Based Rules for Self-Management." In Smart Homes and Health Telematics, 93–102. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-14424-5_10.
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Webster, Craig S. "Health Care Technology, the Human–Machine Interface, and Patient Safety During Intravenous Anesthesia." In Total Intravenous Anesthesia and Target Controlled Infusions, 667–83. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-47609-4_36.
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Rojatz, Daniela, Peter Nowak, Ottomar Bahrs, and Jürgen M. Pelikan. "The Application of Salutogenesis in Primary Care." In The Handbook of Salutogenesis, 419–32. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_38.
Анотація:
AbstractPrimary care is understood as the first contact point to medical care. It operates at the interface between the social and the health systems, between the patient with his or her family and the professional environment, and refers to the local population, while primary health care, following WHO, is defined as a whole-of-society approach envisioned to contribute to universal health coverage and equality. This chapter is dedicated primarily to the application of salutogenesis in primary care. Since primary care services are a complex of strongly interrelated professional practice, research, and supporting policy, applying salutogenesis in primary care comprehensively should introduce salutogenesis in all these fields simultaneously.This chapter examines how salutogenesis is addressed and discussed in policy, research, and practice of primary care and discusses the application of salutogenesis as an orientation, a model, and the construct of ‘sense of coherence’. Thus, it contributes to supporting the application of salutogenesis in primary care and provides an outlook on further research needs.
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Hasegawa, Ayako, Takuichi Sato, Yasushi Hoshikawa, Takashi Kondo, and Nobuhiro Takahashi. "Silent Aspiration of Oral Bacteria in Elderly Patients." In Interface Oral Health Science 2011, 181–82. Tokyo: Springer Japan, 2012. http://dx.doi.org/10.1007/978-4-431-54070-0_48.
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Okubo, Mau, Masaaki Suzuki, and Teruko Takano-Yamamoto. "Japanese men OSAHS patient’s anatomical features." In Interface Oral Health Science 2009, 337–40. Tokyo: Springer Japan, 2010. http://dx.doi.org/10.1007/978-4-431-99644-6_99.
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Tamahara, Toru, Jun Harako, Ryoichi Hosokawa, Kazunori Kimura, Moritoshi Komagata, Koji Hanaoka, Seiichi Aonuma, et al. "Promotion of Professional Oral Care for Hospitalized and Home-Care Patients." In Interface Oral Health Science 2011, 309–11. Tokyo: Springer Japan, 2012. http://dx.doi.org/10.1007/978-4-431-54070-0_92.
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Tamazawa, Kaoru, Yoshinori Tamazawa, and Hidetoshi Shimauchi. "Association between periodontal disease and risk for atherosclerosis in hypertensive patients." In Interface Oral Health Science 2009, 341–43. Tokyo: Springer Japan, 2010. http://dx.doi.org/10.1007/978-4-431-99644-6_100.
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Sato, Hideki, Hiromi Sasazaki, and Masashi Komatsu. "Evaluation of Metal Allergies Using the Patch Test in Patients with Skin or Oral Mucosal Diseases." In Interface Oral Health Science 2011, 273–74. Tokyo: Springer Japan, 2012. http://dx.doi.org/10.1007/978-4-431-54070-0_80.
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(Mary) Tai, Hsueh-Yung, and Shwu-Huey Wu. "Infrastructure of the Medical Information System." In Digital Health Care in Taiwan, 111–28. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_6.
Анотація:
AbstractThis chapter explains how Taiwan has utilized its strong ICT industry to construct the National Health Insurance (NHI) medical information system, as well as the solid information security management and data protection mechanism behind it. The NHI medical information system was constructed to enable providers to make claims through a digital platform and ensure automated claim review. Then, it introduced the revolutionary centralization of medical records to the “National Health Insurance MediCloud System (NHI MediCloud System)”, which collects 12 categories of medical information. It allows medical providers to query patients’ medical records and share medical images in real time, which significantly improves efficiency and prevents unnecessary examinations or tests. Moreover, an application programming interface connection has also been launched so that medical institutions can use the in-house information system for data innovation and value-added applications. It could be used to remind physicians of drug duplication or interaction activity to protect patients’ safety.The last part of the chapter is about how Taiwan has integrated data across different government agencies to notify the providers when patients are at a high risk of COVID-19 infection, prevent the spread of COVID-19, and safeguard the health of all citizens.
Тези доповідей конференцій з теми "Patient health interface":
1
McEwen, Tim, John Flach, and Nancy Elder. "Ecological Interface for Assessing Cardiac Disease." In ASME 2012 11th Biennial Conference on Engineering Systems Design and Analysis. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/esda2012-82974.
Анотація:
Using the ecological interface design approach, a graphical user interface was developed to show how different factors (e.g., LDL, HDL, triglycerides, systolic blood pressure) contribute to cardiac health. The display is based on an epidemiological model derived from the Framingham study and additional treatment guidelines in the medical literature. This interactive display allows physicians and patients to see how different factors contribute to overall cardiac health and to see the impact of interventions on reducing risk. The display also graphically associates the state of the patient with treatment categories to help physicians to select the best treatment method based on empirical models. It also has the potential to enrich the dialogue between physician and patient through interactive ‘experiments’ that illustrate the potential benefits of various treatment options.
2
Craig, Donald. "An EHR interface for viewing and accessing patient health events from collaborative sources." In 2011 International Conference on Collaboration Technologies and Systems (CTS). IEEE, 2011. http://dx.doi.org/10.1109/cts.2011.5928704.
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Schooley, Ben, Akanksha Singh, Sarah Floyd, Stephan Pill, and John Brooks. "Direct Weighting Interactive Design of Patient Preferences for Shared Decision Making in Orthopaedic Practice." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002105.
Анотація:
Patients need the ability to accurately and efficiently communicate their preferences across outcome domains to their healthcare providers.1-7 No existing system provides an efficient and timely approach to collect and communicate patient preferences across outcome domains to support shared decision making (SDM) in orthopaedic practice.2-4,8-19 The overarching goal of this research is to design, build, and test an app that collects baseline patient preferences and health status across orthopaedic outcomes and reports this information to the provider for use in patient care. A core component of the app is a Direct-Weighting (DW) preference assessment approach, originated from our prior research, and applied in a touchscreen based interactive design. It is envisioned that patients will use the app after scheduling a first visit to a surgeon for a new orthopaedic condition. Direct weighting (DW) approaches calculate patient-specific preference weights across outcomes by asking patients to disperse portions of a hypothetical “whole” across outcomes in a manner that reflects a patient’s preferences.20 DW has low respondent burden but it requires respondents to make “implicit” comparisons which may be difficult to conceptualize.20 However, the DW approach has become generally accepted in the quality-of-life literature and it has been shown that patients dividing up pieces of a “pie” across quality-of-life domains yields valid representations of patient preferences across the domains.20-22 However, the DW approach has not been validated with specific clinical scenarios using a clinically focused set of outcomes or by using a mobile software app. Drawing on prior research, we iteratively design and develop the app with input from prior DW research, informaticians, and clinicians. We use a qualitative approach to pilot test the app with 20 first-time visit patients presenting with joint pain and/or function deficiency. Participants were interviewed about their outcome preferences for care, used the app to prioritize outcome preferences, answered interview questions about their experience using the app, and completed a mHealth App Usability Questionnaire (MAUQ). Interview questions focused on the utility and usability of the mobile app for communicating with their provider, and capability of the app to capture their outcome preferences. Results validated five core preference domains, with most users dividing their 100-point allocation across 1-3 domains. The tool received moderate to high usability scores. Patients with older age and lower literacy found the DW approach more difficult in terms of allocating 100 points across 5 domains. Suggestions for DW interface interaction improvement included instantiation of a token/points oriented DW preference scoring methodology rather than a 1-10 sliding scale approach for improved preference weighting cognition and SDM with a provider. As more patient reported outcome (PRO) apps hit the marketplace across a broad spectrum of health conditions, these results provide evidence for a DW approach and interactive design for patients to communicate their treatment preferences to their providers.References:1.Baumhauer JF, Bozic KJ. Value-based Healthcare: Patient-reported Outcomes in Clinical Decision Making. Clin Orthop Relat Res. 2016;474(6):1375-1378.2. Slim K, Bazin JE. From informed consent to shared decision-making in surgery. J Visc Surg. 2019;156(3):181-184.3. Damman OC, Jani A, de Jong BA, et al. The use of PROMs and shared decision-making in medical encounters with patients: An opportunity to deliver value-based health care to patients. J Eval Clin Pract. 2020;26(2):524-540.4. Sorensen NL, Hammeken LH, Thomsen JL, Ehlers LH. Implementing patient-reported outcomes in clinical decision-making within knee and hip osteoarthritis: an explorative review. BMC Musculoskelet Disord. 2019;20(1):230.5. Kamal RN, Lindsay SE, Eppler SL. Patients Should Define Value in Health Care: A Conceptual Framework. J Hand Surg Am. 2018;43(11):1030-1034.6. Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Science & Medicine. 1999;49(5):651-661.7. Niburski K, Guadagno E, Mohtashami S, Poenaru D. Shared decision making in surgery: A scoping review of the literature. Health Expect. 2020.8. Selten EM, Geenen R, van der Laan WH, et al. Hierarchical structure and importance of patients' reasons for treatment choices in knee and hip osteoarthritis: a concept mapping study. Rheumatology (Oxford). 2017;56(2):271-278.9. Kannan S, Seo J, Riggs KR, Geller G, Boss EF, Berger ZD. Surgeons' Views on Shared Decision-Making. J Patient Cent Res Rev. 2020;7(1):8-18.10. Briffa N. The employment of Patient-Reported Outcome Measures to communicate the likely benefits of surgery. Patient Relat Outcome Meas. 2018;9:263-266.
4
LU, SHOUXUN, BENJAMIN STEVEN VIEN, MATTHIAS RUSS, MARK FITZGERALD, and WING KONG CHIU. "EXPERIMENTAL INVESTIGATION ON A NOVEL OSSEOINTEGRATED IMPLANT STABILITY ASSESSMENT USING ON VIBRATION ANALYSIS." In Structural Health Monitoring 2021. Destech Publications, Inc., 2022. http://dx.doi.org/10.12783/shm2021/36348.
Анотація:
Osseointegrated prostheses are widely used as the treatment for femur amputation. However, this technique requires sufficient implant stability before and during the rehabilitation period to mitigate the risk of implant breakage and loosening. Hence, reliable assessment methods for the osseointegration process are essential to ensure initial and long-term implant stability. This paper aims to investigate a vibration analysis method with a novel implant design, which focuses on the analysis of the dynamic response of the femur-implant system during the simulated osseointegration process. The paper also proposes a concept of using normalized energy difference to formulate an energy index (E-index). A 133mm-long amputated artificial femur model was constrained at the proximal end with a customized clamp. The epoxy adhesives were applied at the interface between the aforementioned femur and implant to simulate the change in stiffness in mimicking the osseointegration process. A two-unidirectionalsensor setup attached to the bottom of the implant was used to record the dynamic response stimulated by an impact hammer. The results show a significant change in magnitude of the cross-spectrum during the osseointegration processes. The resonance modes in cross-spectrum for the frequency above 1000Hz are hard to distinguish suggested that the vibration of the system being hindered by the high dampening effect of the adhesive before the initial bonding of the adhesive at 300s. The plot of E-index shows a clear correlation that the E-index provided a potential quantitative approach for monitoring the stages of osseointegration. These findings highlight the feasibility of using the vibration analysis technique and E-index to quantitatively monitor the osseointegration process for future improvement on the efficiency of human health monitoring and patient rehabilitation.
5
Erdemir, Ahmet. "Role of Patient Specifics on Mechanical Risk and Load Relief During Support of Bony Prominences." In ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/fmd2013-16034.
Анотація:
Prolonged mechanical loading of tissue in between a bony prominence and a support surface can lead to pressure ulcers. Despite recent initiatives to curb down incidence rates, the health care burden of pressure ulcer prevention remains significant [1]. Etiology of pressure ulcers are commonly attributed to interface pressures. As a result, interventions, e.g., support surfaces, routinely aim to reduce contact pressures. However, the clinical effectiveness of such an objective can be questionable [2]. Recent studies have shown that internal mechanics of the tissue can be associated with pressure ulcer development [3], potentially indicating the inefficacy of interventions targeted solely at contact pressure relief. Tissue characteristics at a bony prominence, e.g., tissue thickness and material properties, also influence load distribution within and on the surface of the tissue. Given the variability in patient populations and for a bony region of interest [4], it is possible that patient specific risk and load relief (with the use of support surface) may differ widely.
6
Pernencar, Cláudia. "Human-Social Interaction Model for E-Health Interfaces." In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100824.
Анотація:
Living with chronic diseases has an enormous impact in patient’s daily life. Those who feel that impact on their day-to-day especially regarding with the management of the disease itself, often end up getting solutions to overcome the difficulties becoming both "User Innovator" and "User Patient". If we associate to this detail, the professional experience as a "User Designer" then, we can probably reduce the step's number during the iterative Design Process that is used to develop a digital system, as the research we are covering. We intend to analyze these problems concerning the model "Human-Social Interaction model for e-health interfaces" presented on this paper. We include three axes and their specifications. “User Innovator” with personal experience (Own needs, motivation and recognize news sets of designs); “User Designer” with Interaction Design skills (Interaction design, usability tests and wireframe); “User Patient” with Cronic Disease (Experience, patient perspective and social integration).
7
Shandybina, N., S. Ananyev, А. Aliev, I. Shalmiev, S. Kozureva, M. Averkiev, V. Bulanov, et al. "On the effectiveness of integration of a rehabilitation device based on a neurointerface and neurostimulation of the spinal cord in the rehabilitation of patients with impaired upper limb movement due to neurological disorders." In VIII Vserossijskaja konferencija s mezhdunarodnym uchastiem «Mediko-fiziologicheskie problemy jekologii cheloveka». Publishing center of Ulyanovsk State University, 2021. http://dx.doi.org/10.34014/mpphe.2021-217-221.
Анотація:
Millions of people around the world suffer from disorders caused by injuries and diseases of the brain and spinal cord. The combination of brain-computer interfaces and neuromodulation technologies is a new approach that could revolutionize the treatment of these disorders. In this study, we tested the effectiveness of a technique in which a patient with a spinal cord injury first undergoes spinal cord stimulation and then participates in a rehabilitation session using a brain-computer interface based on the P300 principle, which decodes visual-motor transformation and uses an assistive robot that moves the patient’s arm, and virtual reality. All healthy participants of the study were able to combine these two techniques without any undesirable effects; studies on patients with spinal cord injury are ongoing. System integration of the two methods has been already performed, and in the future, upon completion of this work, the neural interface will be able to control the stimulation parameters. We propose such integrated systems as a new approach to neurorehabilitation.
Key words: brain-computer interface, neuromodulation, spinal cord stimulation, spinal cord trauma, P300, visuomotor transformation.
8
Sarh, K., K. Ravi-Chandar, M. Miller, and C. Patrick. "Towards a Biomechanical Model of the Breast: A Simulation-Based Study." In ASME 2001 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2001. http://dx.doi.org/10.1115/imece2001/bed-23068.
Анотація:
Abstract The clinical and financial impact of breast cancer on the U. S. health care system is great. In addition to the tangible metrics of costs and number of diagnoses, the psychological distress that accompanies a lump found in the breast is compounded by the apparent problems noted with contemporary reconstructive procedures. Currently, breast reconstruction is conducted largely by trial and error and varies with physician experience. For instance, a surgeon today will request three to four different sized implants for the operating room and will try each one, siting the patient up each time, until the desired volume and shape of the breast is achieved. The novel union of surgeons with machines and multi-modality information, made possible by advances in engineering and computing, has enormous potential in overcoming limitations realized with contemporary standard of care. For example, a virtual model of a patient’s breast will assist the surgeon in deciding a priori what implant size to order for the operating room such that desired breast outcomes are achieved. Our long-term goal is to develop novel computer-assisted surgical systems to significantly change breast cancer health care. Our approach builds upon four broad core areas of enabling knowledge and techniques, namely (1) multi-modality imaging, (2) simulation, (3) soft tissue biomechanics, and (4) interface subsystems. Recently, we developed a parametric deformable model of a female breast’s shape that allows the surgeon to manipulate the shape of the breast by varying key shape variables, analogous to the aesthetic and structural elements surgeons inherently vary manually during breast reconstruction [2]. Such a system may enhance the practice of breast surgery at multiple points. It enables the patient to communicate her expectations more clearly to the surgeon. It allows the surgeon to educate the patient with more accurate explanations about what can be accomplished, and after the consultation, it helps the surgeon plan specific aspects of the procedure to achieve the agreed upon goals.
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Vaughan, Neil, and Venketesh N. Dubey. "Hip Replacement Simulator for Predicting Dislocation Risk." In ASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/detc2016-59286.
Анотація:
This paper reports development of a novel haptic 3D computer-based hip replacement simulator. A haptic device provides a kinesthetic interface in a virtual environment to conduct hip surgery. Predictive software enables modelling the risk of hip dislocation which was missing from previous simulators. The developed neural network autonomously matches compatible implant components from a library of industry standard part codes and sizes. The parameter driven simulator enables patient-specific modeling of femur and acetabulum. Combining haptic feedback with 3D graphics, the simulator enables training and assessment of orthopedic surgeons. The simulator includes haptic feedback for the orthopedic tools including reamer, saws, hip stems, acetabular cup implants. The hip replacement simulator allows surgeons to practice placing the stem and cup, providing a haptic sense of touch to replicate the in-vivo procedure. The novel capability to assess risk of dislocation could reduce post-operative dislocation. Enhancing the skill and accuracy of trainee hip surgeons can reduce the number of revision surgeries required, extend the life of artificial hip implants and improve patient safety, reducing costs for the health service.
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Migliorelli, Lucia, Annalisa Cenci, Michele Bernardini, Luca Romeo, Sara Moccia, and Primo Zingaretti. "A Cloud-Based Healthcare Infrastructure for Neonatal Intensive-Care Units." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-97526.
Анотація:
Abstract Intensive medical attention of preterm babies is crucial to avoid short-term and long-term complications. Within neonatal intensive care units (NICUs), cribs are equipped with electronic devices aimed at: monitoring, administering drugs and supporting clinician in making diagnosis and offer treatments. To manage this huge data flux, a cloud-based healthcare infrastructure that allows data collection from different devices (i.e., patient monitors, bilirubinometers, and transcutaneous bilirubinometers), storage, processing and transferring will be presented. Communication protocols were designed to enable the communication and data transfer between the three different devices and a unique database and an easy to use graphical user interface (GUI) was implemented. The infrastructure is currently used in the “Women’s and Children’s Hospital G.Salesi” in Ancona (Italy), supporting clinicians and health opertators in their daily activities.