Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2015
Implementation of Data Drive Heart Rate and Respiratory Rate parameters on a Pediatric Acute Care Unit.
The majority of hospital physiologic monitor alarms are not clinically actionable and contribute to alarm fatigue. In 2014, The Joint Commission declared alarm safety as a National Patient Safety Goal and urged prompt action by hospitals to mitigate the issue [1]. It has been demonstrated that vital signs in hospitalized children are quite different from currently accepted reference ranges [2]. Implementation of data-driven, age stratified vital sign parameters (Table 1) for alarms in this patient population could reduce alarm frequency.
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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
Randomized Controlled Trial3D CPR Game Can Improve CPR Skill Retention.
Adequate cardiopulmonary resuscitation (CPR) skill is essential in improving survival rate of sudden cardiac arrest (SCA). However, the skill deteriorates rapidly following CPR training. We developed a computer game by using 3-Dimensional virtual technology (3-D CPR game) for laypersons in the purpose to improve skill retention. ⋯ The usability of the game was also tested using a 33 item questionnaire rated with 5-point Likert scale. Three months after the initial CPR training, the retention rate of CPR skill in the game group was significantly higher compared with the control (p<0.05) and the average score on 4 dimensions of usability were 3.99-4.05. Overall, using 3-D CPR game in improving CPR skill retention is feasible and effective.
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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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The pHealth 2015 Conference is the 12th in a series of scientific events bringing together expertise from medical, technological, political, administrative, and social domains, and even from philosophy or linguistics. It opens a new chapter in the success story of the series of international conferences on wearable or implantable micro and nano technologies for personalized medicine by presenting keynotes, invited talks, oral presentations, and short poster presentations provided by close to 100 authors from 20 countries from various parts of the world. Starting in 2003 with personal health management systems, pHealth conferences have evolved to truly interdisciplinary and global events by covering technological and biomedical facilities, legal, ethical, social, and organizational requirements and impacts as well as necessary basic research for enabling future proof care paradigms. ⋯ The editors are also grateful to the dedicated efforts of the Local Organizing Committee members and their supporters for carefully and smoothly preparing and operating the conference. They especially thank all team members from the School of Innovation, Design and Engineering, Mälardalen University, Västerås, Sweden, for their dedication to the event. Bernd Blobel, Maria Lindén, Mobyen Uddin Ahmed (Editors).