Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2011
The tool positioning tutor: a target-pose tracking and display system for learning correct placement of a medical device.
Safe and successful performance of medical procedures often requires the correct manual positioning of a tool. For example, during endotracheal intubation a laryngoscope is used to open a passage in the airway through which a breathing tube is inserted. During training it can be challenging for an experienced practitioner to effectively communicate to a novice the correct placement and orientation of a tool. ⋯ The system displays to the learner the fixed, target pose and a real-time display of the current, "live" laryngoscope position. Positional error metrics are displayed as color-coded visual cues to guide the user toward successful targeting of the reference position. This technique provides quantitative assessment of the degree to which a learner has matched a specified "expert" position with a tool, and is potentially applicable to a wide variety of tools and procedures.
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Stud Health Technol Inform · Jan 2011
Healthcare professionals' experiences with EHR-system access control mechanisms.
Access control mechanisms might influence on the information seeking and documentation behavior of clinicians. In this study, we have surveyed healthcare professionals in nursing homes and hospitals on their attitudes to, and experiences with using access control mechanisms. ⋯ Not all clinicians logged out of the system when they left a workstation, and some clinicians reported to do some of their documentation work in the name of others. The reported practices might have implications for the safety of the patient.
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Stud Health Technol Inform · Jan 2011
ReviewEvaluation of telephone triage and advice services: a systematic review on methods, metrics and results.
Telephone triage and advice services (TTAS) have been increasingly used to assess patients' symptoms, provide information and refer patients to appropriate levels of care (attempting to pursue efficiency and quality of care gains while ensuring safety). However, previous reviews have pointed out for the need for adequately evaluating TTAS. ⋯ To review TTAS evaluation studies, compile methodologies and metrics used and compare results. Systematic search in PubMed database; data collection and categorization by TTAS features and context, type of evaluation, methods, metrics and results; critical assessment of studies; discussion on research needs. 395 articles screened, 55 of them included in the analysis. In conclusion, several aspects of TTAS impact on healthcare systems remain unclear either due to a lack of research (e.g. on long term clinical outcomes, clinical pathways, safety, enhanced access) or because of huge disparities in existing studies on the accuracy of advice, patient compliance, system use, satisfaction and economic evaluation. Further research on TTAS impact is required, comprising multiple perspectives and broad range of metrics.
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Stud Health Technol Inform · Jan 2011
Randomized Controlled TrialControl over the virtual environment influences the presence and efficacy of a virtual reality intervention on pain.
The main aim of this study is to investigate whether the control the user has over a virtual environment (VE) influences the sense of presence. A secondary purpose is to explore the relationship between Virtual Reality (VR) presence and pain tolerance during a cold-pressor experience. Ninety-four participants underwent two consecutive cold-pressor trials, one without VR exposure and the other providing a VR stereoscopic figure used as a symbolic representation of the sensation of pain. ⋯ Participants had a higher pain tolerance during both VR conditions than in the no-VR trial, with a greater increase in pain tolerance from the non-VR trial in the interactive condition. Presence scores correlated significantly and positively with pain tolerance scores. We discuss the importance of VR interaction and control over the VR environments used in VR pain interventions designed to increase cognitive control over pain.
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Stud Health Technol Inform · Jan 2011
Generation of connectivity-preserving surface models of multiple sclerosis lesions.
Progression of multiple sclerosis (MS) results in brain lesions caused by white matter inflammation. MS lesions have various shapes, sizes and locations, affecting cognitive abilities of patients to different extents. ⋯ This tool allows users to create 3D models of lesions quickly and to visualize the lesions and brain tissues using various visual attributes and configurations. The software package is based on breadth-first search based 3D connected component analysis and a 3D flood-fill based region growing algorithm to generate 3D models from binary or non-binary segmented medical image stacks.