Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2011
Single and multi-user virtual patient design in the virtual world.
This research addresses the need for the flexible creation of immersive clinical training simulations for multiple interacting participants and virtual patients by using scalable open source virtual world technologies. Initial development of single-user surgical virtual patients has been followed by that of multi-user multiple casualties in a field environment and an acute hospital emergency department. The authors aim to validate and extend their reproducible framework for eventual application of virtual worlds to whole hospital major incident response simulation and to multi-agency, pan-geographic mass casualty exercises.
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Developing a surgical simulation is a very complex task, requiring various components and usually the involvement of multiple people. As the complexity of the simulator increases, the functionality and the functional semantics of the components become very challenging to manage. In order to mitigate these issues, in this work we introduce a novel language that facilitates the development of surgical simulations and also supports semantic embedding in the surgical simulation development without extra programming effort.
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Stud Health Technol Inform · Jan 2011
Intubation success rates and perceived user satisfaction using the video laryngoscope to train deploying far forward combat medical personnel.
Studies show the video laryngoscope enhances intubation training by facilitating visualization of airway anatomy. We examined the performance and training of military healthcare providers in a brief intubation training course which included both direct and indirect (video) laryngoscopy. This training format with the video laryngoscope improved airway visualization and intubation performance, promoting increased trainee confidence levels for successful intubation. Web-based training paired with hands-on instruction with the video laryngoscope should be considered as a model for military basic airway management training.
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Stud Health Technol Inform · Jan 2011
Serious adverse event reporting in a medical device information system.
The paper describes the design of a module that manages Serious Adverse Events (SAEs) reporting within a Clinical investigation on Medical devices. This module is integrated in a Medical Device Information System (MEDIS) that collects data and documents exchanged between applicants and the National Competent Authority during the clinical investigation lifecycle. To improve information sharing among different stakeholders and systems MEDIS design and developed were based on the HL7 v.3 standards. The paper provides a conceptual model on SAEs based on HL7 RIM that underlines Medical Device characteristics.
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Stud Health Technol Inform · Jan 2011
The single source architecture x4T to connect medical documentation and clinical research.
Clinical trials often require large and redundant documentation efforts, because information systems in patient care and research are separated. In two clinical trials we have assessed the number of study items available in the clinical information system for re-use in clinical research. ⋯ Based on this analysis we have designed and implemented an architecture for an integrated clinical trial documentation workflow. Key aspects are the re-use of existing medical routine data and the integration into current documentation workflows.