A home-care PDA-based program for the management of COPD patients.
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This paper proposes a PDA-based system, SERVANDO, for the home-care management of patients with COPD. In addition to making the supervision of such patients easier, the system permits the collection and structuring of large quantities of information on the evolution of COPD, allowing the application of data-mining techniques, which could open up new lines of research on this disease.Keywords:
Structuring
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With the current trend toward discharge of cardiac artery bypass graft (CABG) patients from the hospital after 5 days, clinicians must make effective use of existing computer technology to provide more efficiently the services once available during the patient's lengthier hospital stay. This paper describes the design of the HeartCare initiative, a computerized cardiac recovery service designed to provide home-care support for patients in the first three months following CABG surgery. Capitalizing on the expansion in health resources on the Internet, and building on the lessons from the ComputerLink projects, HeartCare will employ the World Wide Web platform in the generation of personalized in-home computerized access to recovery resources. Key implementation decisions include selection of WebTV/ as the home-based device, and application of Metadata to organizing health-related knowledge resources on the WWW.
Home health
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Information technology is proving to be a vital element in the administration
of healthcare. Specifically, most healthcare institutions in this country are adopting
information systems that provide more accurate and timely information regarding
patient care. Appropriate patient care requires the use of clinical procedures aswell as
applied research protocols. Information must beaccurate and immediately available to
individuals involved in the care of patients. Total Integrated Clinic Information
System was introduced as a way to facilitate a centralized patient information
repository. Benefits realized by this system included improvements in patient care,
clinical research, and patient service and satisfaction. The ultimate goal ofthis project
was to provide a paperless patient medical record that linked research and clinical
data
(Keywords: project, Administration of Healthcare, centralize patient information
system, clinical research, paperless patient medical record, research, clinical data,
individuals, patient care.)
Patient Care
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This paper describes the design and implementation of a Intranet for chronic home care. The primary system is intended for providing tele\|monitoring of diabetes, asthma and heart cared at their homes and community. The Modular form of the design allows the system to be modified for othr applications. The communication infrastructure of the system is based on the available phone lines and PSTN. The discussion for software design is presented here for references to hospital Intranet designation.
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Symptom control is one of the most important components of delivering effective palliative care, and adequate symptom assessment is a prerequisite for good symptom control. Patient receiving treatment in palliative home healthcare is geographically separated from the caregivers making symptom control a challenge, a challenge that could be met by the use of information and communication technology.This paper describes experiences from a project focused on symptom assessment using digital pen technology in advanced palliative home healthcare. As part of an ongoing quality assurance work within the hospital-based home care clinic at Linkoping University Hospital, the project has designed, developed and implemented an IT-support system for pain assessments for patients at home using digital pen technology. The system uses mobile Internet technology together with digital pen technology from Anoto™ AB. From December 2002 to August 2003 the system was in use at the hospital-based home care clinic. Alternative techniques, for example the use of a PC or a touch-tone telephone for symptom assessment, are discussed.
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The clinical information system of intensive care unit(ICU) covers all aspects of work related to ICU and makes the routine work in ICU standardized and automated,which strengthens the quality control of medical treatment.The physical signs data that will be used to form the documents of medical treatment can be collected automatically from care facilities,which improves the working efficiency and reduces the working burdens of medical staffs.
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In North Norway no routine home telemonitoring services for chronic heart failure has yet been established and hence no investigations in the field have been published, although large distances and a sparse population are causes for extra public and private expenditure on travelling for patients when they make a visit to the hospital. In this paper we describe the ePoint.telemed platform for home telemonitoring of patients with chronic heart failure (CHF). The core of the platform is a dashboard, which is accessible through a browser window. Integrated with the dashboard are a blood pressure meter, a weight scale and a web-based patient questionnaire. The ePoint.telemed platform is a fully automatic internet based system meant for early warning in a CHF rehabilitation program. Unlike traditional remote medical technologies (RMT) building on dedicated medical equipment, we are applying easy-to-use personal health system (PHS) components geared towards the wellness and sports market. A Randomized Controlled Trial (RCT) has been started using the platform. 50 patients will be involved in the study with the aim of finding out if the home telemonitoring of CHF is clinically effective in Northern Norway and if it is cost-effective.
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Objective
Community health services are an emerging trend. We have found in practice that diagnosis and treatment of respiratory diseases in the community are distinct. The respiratory department’s daily work involves a number of outpatient registration items and a vast workload. The routine manual operation is inefficient and it is not convenient to make effective statistical analysis of the outpatient data to identify the risk factors closely related to diseases. Therefore, it is imperative to process the outpatient information of patients with respiratory diseases effectively and efficiently in a unified manner by means of computer technology.Methods
The design and realization of the Community Health Service-oriented computer-assisted Information System for Diagnosis and Treatment of Respiratory Diseases (CHS-DTRD) was completed as part of the community intervention study on bronchial asthma that was carried out jointly by the Nanjing First Hospital Affiliated to Nanjing Medical University and the Hospital of Nanjing University of Science & Technology, and based on 2 years of experience and the needs of an overall analysis.Results
The computer-assisted information system for diagnosis and treatment was developed using Java Server Page (JSP) technology and introducing the advanced Asynchronous JavaScript XML (AJAX) technique and MS-SQL Server was used in the background database. CHS-DTRD was composed of eight functional modules (outpatient data maintenance, outpatient appointment, intelligent analysis for disease risk factors, query and statistics, data dictionary maintenance, database manipulation, access control, and system configuration). CHS-DTRD featured a friendly interface, convenient operation, and stability and reliability.Conclusion
Community health-oriented diagnosis and treatment of respiratory diseases is simple, programmable, and intuitive, thus the workload of physicians is significantly reduced and the work efficiency is improved. This system facilitates an intelligent analysis of disease risk factors using data mining technology, and provides physicians with suggestions on intelligent analysis for diagnosis of disease and conclusion of disease causes.Attendance
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Abstract Introduction Critical care physicians may benefit from immediate access to medical reference material. We evaluated the feasibility and potential benefits of a handheld computer based knowledge access system linking a central academic intensive care unit (ICU) to multiple community-based ICUs. Methods Four community hospital ICUs with 17 physicians participated in this prospective interventional study. Following training in the use of an internet-linked, updateable handheld computer knowledge access system, the physicians used the handheld devices in their clinical environment for a 12-month intervention period. Feasibility of the system was evaluated by tracking use of the handheld computer and by conducting surveys and focus group discussions. Before and after the intervention period, participants underwent simulated patient care scenarios designed to evaluate the information sources they accessed, as well as the speed and quality of their decision making. Participants generated admission orders during each scenario, which were scored by blinded evaluators. Results Ten physicians (59%) used the system regularly, predominantly for nonmedical applications (median 32.8/month, interquartile range [IQR] 28.3–126.8), with medical software accessed less often (median 9/month, IQR 3.7–13.7). Eight out of 13 physicians (62%) who completed the final scenarios chose to use the handheld computer for information access. The median time to access information on the handheld handheld computer was 19 s (IQR 15–40 s). This group exhibited a significant improvement in admission order score as compared with those who used other resources ( P = 0.018). Benefits and barriers to use of this technology were identified. Conclusion An updateable handheld computer system is feasible as a means of point-of-care access to medical reference material and may improve clinical decision making. However, during the study, acceptance of the system was variable. Improved training and new technology may overcome some of the barriers we identified.
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Objective: This study focuses on the development of a systematic and efficient information system for effective management of patient data in home hospice care. It is easily implemented in the hospice environment and is based on wired and wireless communications along with mobile computing technology. Methods: The design of this portable home hospice information system was based on an analysis of the services provided by visiting nurses and on the opinions of users, in accordance with the Ministry of Health and Welfare’s Guidelines for Cancer Patient Management Program 2005. The system has eight main menus, each of which performs a different function. The system includes the home hospice information system (HHIS), a compact .NET framework, and the health center information system (HCIS). Results: A trial was conducted with three experienced visiting nurses, who each used a personal digital assistant (PDA) loaded with the new system to add patient information. The functions include registering a new patient, performing appropriate nursing service according to established guidelines, based on the patient’s condition, and searching data records. The system resulted in a saving of 8.5 minutes in nursing data recording time. Conclusion: The findings of this study are expected to help field workers in community nursing to decrease the nursing data recording time by using PDAs. (Journal of Korean Society of Medical Informatics 14-1, 65-74, 2008)
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