An Activity Theory Perspective on Creating a New Digital Government Service in Finland

Digitalization of government services is a central goal in many countries. At policy-making level, digital government services are often expected to simultaneously reduce cost and provide citizens with better and more versatile services. Development of new digital government services, however, often involves companies, which typically have differences in their approach to the development and implementation of new digital services compared to the public sector. This study applies activity theory as a lens to identify the similarities and differences between the private and public sector in the development and implementation of a new government digital service. The aim is to identify the contradictions that can lead to expansive learning in the activity system encompassing a national level digital government service for the social welfare and healthcare of citizens in Finland

Real-Time Heart Pulse Monitoring Technique Using Wireless Sensor Network and Mobile Application

Wireless Sensor Networks (WSNs) for healthcare have emerged in the recent years. Wireless technology has been developed and used widely for different medical fields. This technology provides healthcare services for patients, especially who suffer from chronic diseases. Services such as catering continuous medical monitoring and get rid of disturbance caused by the sensor of instruments. Sensors are connected to a patient by wires and become bed-bound that less from the mobility of the patient. In this paper, proposed a real-time heart pulse monitoring system via conducted an electronic circuit architecture to measure Heart Pulse (HP) for patients and display heart pulse measuring via smartphone and computer over the network in real-time settings. In HP measuring application standpoint, using sensor technology to observe heart pulse by bringing the fingerprint to the sensor via used Arduino microcontroller with Ethernet shield to connect heart pulse circuit to the internet and send results to the web server and receive it anywhere. The proposed system provided the usability by the user (user-friendly) not only by the specialist. Also, it offered speed andresults accuracy, the highest availability with the user on an ongoing basis, and few cost

A rapidly moving target: Conformance with e-health standards for mobile computing

The rapid adoption and evolution of mobile applications in health is posing significant challenges in terms of standards development, standards adoption, patient safety, and patient privacy. This is a complex continuum to navigate. There are many competing demands from the standards development process, to the use by clinicians and patients. In between there are compliance and conformance measures to be defined to ensure patient safety, effective use with integration into clinical workflow, and the protection of data and patient privacy involved in data collection and exchange. The result is a composite and intricate mixture of stakeholders, legislation, and policy together with national and individual perspectives. The challenges for standards development are numerous and include the cross over from traditional medical devices and mobile devices with apps, as well as harmonisation for consistent semantic terminology, and the diverse range of standards required in mobile health solutions. These issues affect the ability of conformance and compliance to be undertaken. Additionally, the need for interoperability in development of safe and secure mHealth software whilst being mindful of the implications for patient safety is vital. Conformance and compliance to established international standards is the first and, at present, the only step in meeting the mobile health challenges

A rapidly moving target: Conformance with e-health standards for mobile computing

The rapid adoption and evolution of mobile applications in health is posing significant challenges in terms of standards development, standards adoption, patient safety, and patient privacy. This is a complex continuum to navigate. There are many competing demands from the standards development process, to the use by clinicians and patients. In between there are compliance and conformance measures to be defined to ensure patient safety, effective use with integration into clinical workflow, and the protection of data and patient privacy involved in data collection and exchange. The result is a composite and intricate mixture of stakeholders, legislation, and policy together with national and individual perspectives. The challenges for standards development are numerous and include the cross over from traditional medical devices and mobile devices with apps, as well as harmonisation for consistent semantic terminology, and the diverse range of standards required in mobile health solutions. These issues affect the ability of conformance and compliance to be undertaken. Additionally, the need for interoperability in development of safe and secure mHealth software whilst being mindful of the implications for patient safety is vital. Conformance and compliance to established international standards is the first and, at present, the only step in meeting the mobile health challenges

Multi-function intelligent robotic in metals detection applications

Recent technologies for robotics have been offered an effective and efficient solution to safeguard workers from risks in their work environments. These risks involve radioactive, toxic, explosive and mines. In this paper, design and implement computer robot based on metal detection as well as avoiding obstacles automatically. The proposed wireless controlled robotic vehicle can be used in metal detection applications such as landmine detection, obstacles avoidance, selecting best routing without imposing human's harms and workforce aspects. The robotic wheel can sense the obstacles that positioning at ahead of its path, and also avoids the obstacles forward, left and right of its routes. The robot is controlled by using Bluetooth wireless communication to interface between the controller and the implemented robot. Furthermore, sensor IR (FC-03) for the metal detector and used ultrasonic sensor (HC-SR04) for objects or obstacles sensing. The presented controlled robotic designed for desert and dry soil that can replace the human role in avoiding obstacles and metal detection capabilities. The produced robot was useful due to it can detect metals and avoiding obstacles consecutively besides it was effective to select the best route based on the intelligent technique that adopted, the predefined metals by using an intelligent decision maker for route finder in a flat surface environment

Critical factors in the information management process: the analysis of hospital-based patient safety incident reports

The purpose of this study is to describe the nature of patient safety incidents relating to information management and to identify critical factors for a safe information management process in a university hospital. A total of 813 information management incidents in hospital-based adverse event reports were analyzed using directed content analysis. Descriptive statistics and cross tabulations were used to quantify the results. The results of this study showed that the majority of incidents occurred during the information distribution phase. The most frequent incidents fell into the category of written information transfer and communication; furthermore, many of these incidents concerned medication data. There was a high amount of inaccurate data and omissions in the different phases of the information management process. Information organization and storage, information distribution, and information use phases are critical in terms of patient safety, and a high proportion of the problems in this area are potentially preventable. It is thus essential to develop more effective strategies to ensure safe information management. The data from this study also suggest that while incident reports can help to identify breakdowns in the information management process, the quality of reporting needs to be improved

Steps in Moving Evidence-Based Health Informatics from Theory to Practice.

OBJECTIVES: To demonstrate and promote the importance of applying a scientific process to health IT design and implementation, and of basing this on research principles and techniques. METHODS: A review by international experts linked to the IMIA Working Group on Technology Assessment and Quality Development. RESULTS: Four approaches are presented, linking to the creation of national professional expectations, adherence to research-based standards, quality assurance approaches to ensure safety, and scientific measurement of impact. CONCLUSIONS: Solely marketing- and aspiration-based approaches to health informatics applications are no longer ethical or acceptable when scientifically grounded evidence-based approaches are available and in use

Do interoperable national information systems enhance availability of data to assess the effect of scale-up of HIV services on health workforce deployment in resource-limited countries?

Sub-Saharan Africa (SSA) bears the heaviest burden of the HIV epidemic. Health workers play a critical role in the scale-up of HIV programs. SSA also has the weakest information and communication technology (ICT) infrastructure globally. Implementing interoperable national health information systems (HIS) is a challenge, even in developed countries. Countries in resource-limited settings have yet to demonstrate that interoperable systems can be achieved, and can improve quality of healthcare through enhanced data availability and use in the deployment of the health workforce. We established interoperable HIS integrating a Master Facility List (MFL), District Health Information Software (DHIS2), and Human Resources Information Systems (HRIS) through application programmers interfaces (API). We abstracted data on HIV care, health workers deployment, and health facilities geo-coordinates. Over 95% of data elements were exchanged between the MFL-DHIS and HRIS-DHIS. The correlation between the number of HIV-positive clients and nurses and clinical officers in 2013 was R2=0.251 and R2=0.261 respectively. Wrong MFL codes, data type mis-match and hyphens in legacy data were key causes of data transmission errors. Lack of information exchange standards for aggregate data made programming time-consuming.Also published as" MEDINFO 2015 : eHealth-enabled health : proceedings of the 15th World Congress on Health and Biomedical Informatics (Studies in health technology and informatics, v. 216).2015PEPFAR/United States26262137634

Clinical information quality of digital health technologies: protocol for an international eDelphi study

INTRODUCTION: Digital health technologies (DHTs) such as electronic health records, clinical decision support systems and electronic prescribing systems are widely used in healthcare. While adoption of DHTs can improve healthcare delivery, information quality (IQ) problems associated with DHTs can compromise quality and safety of care. The clinical information quality (CLIQ) framework for digital health is a novel approach to assessing the quality of clinical information from DHTs. This study aims to appraise the CLIQ framework by exploring clinicians’ perspectives on the relevance, definition and assessment of IQ dimensions as defined in the framework. This study will adapt the CLIQ framework to the needs of clinical information users—the clinicians. The contextualised CLIQ framework will offer a pragmatic approach to assessing clinical information from DHTs and may help to forestall IQ problems that can compromise quality and safety of care. METHODS AND ANALYSIS: The electronic Delphi (eDelphi) approach will be used to engage a heterogeneous group of clinicians with patient-facing and/or information governance roles recruited through purposive and snowball sampling techniques. A semi-structured online questionnaire will be used to explore clinicians’ perspectives on relevance, definition and assessment of IQ dimensions in the CLIQ framework. Survey responses on the relevance of dimensions will be summarised using descriptive statistics to inform decisions on retention of dimensions and termination of the study, based on pre-specified rules. Analysis of the free-text responses will be used to revise definition and assessment of dimensions. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the Imperial College Research Governance and Integrity Team (Imperial College Research Ethics Committee (ICREC) Reference number: 20IC6396). The results of the study will be published in a peer-reviewed journal and presented at scientific conferences