Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2013
Acquisition of patient information from nurses by other health professionals under electronic medical record implementation.
Most electronic medical record (EMR) systems in Japan are equipped with nursing documentation functions. Electronic nursing records (ENRs) are much more accessible to doctors and paramedical staff than paper-based record systems. Face-to-face communication might be used less often to acquire patient information collected by nurses if EMR systems were effectively used. ⋯ There were 153 responses, which showed that 51% of doctors and 16% of paramedical staff still often used face-to-face communication even though more than 70% of them often accessed the ENR. Only 35% of doctors and paramedical staff recognized that the EMR system helped reduce the time needed to acquire patient information; furthermore, 32% thought that using the EMR system to acquire patient information was bothersome. These results indicate that the operability of EMR systems is still insufficient for health professionals.
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Stud Health Technol Inform · Jan 2013
ReviewIssues of data governance associated with data mining in medical research: experiences from an empirical study.
This chapter is a review of data mining techniques used in medical research. It will cover the existing applications of these techniques in the identification of diseases, and also present the authors' research experiences in medical disease diagnosis and analysis. A computational diagnosis approach can have a significant impact on accurate diagnosis and result in time and cost effective solutions. ⋯ Use of association learning, a well recognised data mining procedure, will also be discussed. Many of the datasets considered in existing medical data mining research are imbalanced, and the chapter focuses on this issue as well. Lastly, the chapter outlines the need of data governance in this research domain.
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Stud Health Technol Inform · Jan 2013
Disseminating context-specific access to online knowledge resources within electronic health record systems.
Clinicians' patient care information needs are frequent and largely unmet. Online knowledge resources are available that can help clinicians meet these information needs. Yet, significant barriers limit the use of these resources within the clinical workflow. ⋯ This paper describes OpenInfobutton (www.openinfobutton.org): a standards-based, open source Web service that was designed to disseminate infobutton capabilities in multiple EHR systems and healthcare organizations. OpenInfobutton has been successfully integrated with 38 knowledge resources at 5 large healthcare organizations in the United States. We describe the OpenInfobutton architecture, knowledge resource integration, and experiences at five large healthcare organizations.
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Stud Health Technol Inform · Jan 2013
Ensuring the security and availability of a hospital wireless LAN system.
Wireless technologies as part of the data communication infrastructure of modern hospitals are being rapidly introduced. Even though there are concerns about problems associated with wireless communication security, the demand is remarkably large. ⋯ The main focus of the availability discussion is on signal reach, electromagnetic noise elimination, and maintaining power supply to the network apparatus. It is our hope that this information will assist others in their efforts to ensure safe implementation of wireless LAN systems, especially in hospitals where they have the potential to greatly improve information sharing and patient safety.
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Stud Health Technol Inform · Jan 2013
Detecting software failures in the MAUDE database: a preliminary analysis.
The MAUDE (Manufacturer and User facility Device Experience) was analyzed to identify challenges in detecting software failure causing Medical Device (MD) adverse events.