Studies in health technology and informatics
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To optimise the development and implementation process of an electronic patient record, attitudes toward computers in health care and satisfaction with paper records of nurses and physicians of a department in an academic hospital were determined. For this purpose participants received two questionnaires. ⋯ Users who considered themselves as experienced computer users had more positive attitudes. Inexperienced users were more satisfied with the nursing paper record, while no significant differences existed for the paper medical record.
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In this article, we present an Interventional Cardiology Training System developed by the Medical Application Group at Mitsubishi Electric in collaboration with the Center for Innovative Minimally Invasive Therapy. The core of the ICTS is a computer simulation of interventional cardiology catheterization. This simulation integrates clinical expertise, research in learning, and technical innovations to create a realistic simulated environment. ⋯ The haptics device controls the tool and provides appropriate feedback when contact with a vessel wall is detected. When the catheter is in place, a contrast agent can be injected into the coronary arteries; blood and contrast mixing is computed and a visual representation of the angiogram is displayed by the x-ray renderer. By bringing key advances in the area of medical simulation--with the real-time x-ray renderer for instance--and by integrating in a single system both high quality simulation and learning tools, the ICTS opens new perspectives for computer based training systems.
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Stud Health Technol Inform · Jan 2000
AUDIX: a knowledge-based system for speech-therapeutic auditory discrimination exercises.
AUDIX is a knowledge-based multimedia system for auditory discrimination exercises. The aim of AUDIX is to provide patients with a computer-based therapy system which they can use between sessions with the human therapist, at home on an 'on-demand' basis. It is centered around computer based cognitive rehabilitation therapy whereas most existing programs in this area are only used for assessment. ⋯ The system provides computer-based auditory discrimination training. Through the knowledge-based design the domain dependent therapy knowledge is separated from the system core and provides a way for the therapist to add new knowledge, as new stimuli, or to create a new knowledge base to provide special exercises for an individual patient. The AUDIX architecture is described and the advantages of computer-based therapy are discussed.
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Stud Health Technol Inform · Jan 2000
Opportunities for improving quality in the health care industry.
This paper discusses the current state of health care quality and describes some of the factors that are hindering efforts to move toward evidence-based practice. The President's Advisory Commission on Consumer Protection and Quality spent one year looking at the state of health care quality and developed a set of recommendations to tackle the serious quality problem in the health care industry. The Institute of Medicine has started an initiative, Quality of Health Care in America Project, which is addressing many of the quality of care areas identified by the President's Advisory Commission on Consumer Protection and Quality. This paper discusses the work of these two groups and concludes with key issues in the advancement of quality health care.