Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2015
Computationally Comparing and Analyzing All Published Scoring Systems for Diagnosis of Disseminated Intravascular Coagulation.
The clinical literature presents four different scoring systems (SS) for the diagnosis of disseminated intravascular coagulation (DIC) by four institutions: ISTH, JMHLW, JAAM and KSTH. In this study a Java program was written to retrieve medical records from the MIMIC-II database and apply the criteria of all four. ⋯ Furthermore, the average internal composition of each score was also quantified. All source code produced is available for download at https://github.com/fabkury/hedicim.
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Stud Health Technol Inform · Jan 2015
Development and Usability Evaluation of the Mobile Delirium Assessment App Based on Confusion Assessment Method for Intensive Care Unit (CAM-ICU).
Delirium is a common complication among patients in ICU settings. The accuracy of using the assessment tool CAM-ICU to detect delirium is relatively low during routine practice among bedside nurses. The aim of this study is to develop a mobile application (app) to detect delirium in early stage and to test its usability among ICU nurses. ⋯ A questionnaire was created based on the Technology Acceptance Model (TAM) measuring their response to the four domains of TAM: perceived usefulness (PU), perceived ease of use (PEOU), attitudes towards usage (ATU) and behavioral intention to use (BIU). One hundred and two ICU nurses completed the survey. The result indicated that the app we developed has easy to use interfaces and is easier to use compared to the regular CAM-ICU.
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Stud Health Technol Inform · Jan 2015
Design and development of an EMR for Ebola Treatment Centers in Sierra Leone using OpenMRS.
Ebola treatment presents unique challenges for medical records because strict infection control requirements rule out most conventional record-keeping systems. We used the OpenMRS platform to rapidly develop an EMR system for the recently opened Kerry Town, Sierra Leone Ebola Treatment Centre. This system addresses the need for recording patient data and communicating it between the infectious and non-infectious zones, and is specifically designed for maximum usability by staff wearing cumbersome protective equipment. This platform is interoperable with other key eHealth systems in the country, and is extensible to other sites and diseases.
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Assessment of vital signs is an essential part of surveillance of critically ill patients to detect condition changes and clinical deterioration. While most modern electronic medical records allow for vitals to be recorded in a structured format, the frequency and quality of what is electronically stored may differ from how often these measures are actually recorded. We created a tool that extracts blood pressure, heart rate, temperature, respiratory rate, blood oxygen saturation, and pain level from nursing and other clinical notes recorded in the course of inpatient care to supplement structured vital sign data.
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Stud Health Technol Inform · Jan 2015
New technologies applied to surgical processes: Virtual Reality and rapid prototyping.
AYRA is software of virtual reality for training, planning and optimizing surgical procedures. AYRA was developed under a research, development and innovation project financed by the Andalusian Ministry of Health, called VirSSPA. ⋯ They are used for surgical planning support, intraoperative reference or defect reconstruction. In this paper, some of these tools and some real cases are presented.