Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2011
The combined use of Skype and the STORZ CMAC video laryngoscope in field intubation training with the Nebraska National Air Guard.
This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants.
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Stud Health Technol Inform · Jan 2011
Field use of the STORZ C-MAC video laryngoscope in intubation training with the Nebraska National Air Guard.
Previous studies have shown that the videolaryngoscope is an excellent intubation training tool as it allows the student and trainer to share the same anatomical view of the airway. Use of this training tool is limited; however, as many times intubation training must take place outside the hospital environment (as in the training of military health care providers). ⋯ This study examined the use of the Storz CMAC, a compact video laryngoscope system, for intubation training in a simulated field hospital setting with the Nebraska National Air Guard. The study showed that the C-MAC was well-received by the trainees and would be useful in a deployment or hospital setting.
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Stud Health Technol Inform · Jan 2011
A methodology and supply chain management inspired reference ontology for modeling healthcare teams.
Numerous studies and strategic plans are advocating more team based healthcare delivery that is facilitated by information and communication technologies (ICTs). However before we can design ICTs to support teams we need a solid conceptual model of team processes and a methodology for using such a model in healthcare settings. This paper draws upon success in the supply chain management domain to develop a reference ontology of healthcare teams and a methodology for modeling teams to instantiate the ontology in specific settings. This research can help us understand how teams function and how we can design ICTs to support teams.
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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.