Informática em Enfermagem: aprendendo com o passado para construir um novo futuro

Health care and health information have been around since the time of Hippocrates or even before. Through the historical evolution, it is observed that the knowledge and information that were simple and easy to learn and retain by that time, became much more complex. This paper presents a brief reviewing on the evolution of nursing informatics and how it grew up and made itself visible during all these years of International Medical Informatics Association (IMIA) conferences.La atención a la salud y la información en salud han sido discutidas desde el tiempo de Hiprocates o hasta antes de esto. Través de la evolución historica, es observado que el conocimiento y la información que eran simples y faciles de se aprender y retener en esto tiempo, tornaranse mucho más complejos. Esto artículo presenta una breve revisión sobre la evolución de la Informática en Enfermería y como la misma se ha tornado grande y visible durante los años en los congressos de la Associación Internacional de Informática Medica (IMIA).A assistência à saúde e a informação em saúde são discutidas desde o tempo de Hipócrates ou até antes disto. Através da evolução histórica, é observado que o conhecimento e a informação que eram simples e fáceis de se aprender e reter naquele tempo, tornaram-se muito mais complexas. Este artigo apresenta uma breve revisão da evolução da Informática em Enfermagem e como a mesma cresceu e se fez visível ao longo destes anos nos congressos da Associação Internacional de Informática Médica (IMIA) .Federal University of São PauloUERJClínica São VicenteUNIFESPSciEL

Data wars over data stores: challenges in medical data linkage

A primary concern of the medical e-research community is the availability of suitable data sets for their analysis requirements. The quantity and dubious quality of data present significant barriers to the application of many automated analysis technologies, including data mining, to the medical and health domain. Publicly available data is frequently poorly coded, incomplete, out-of-date or simply not applicable to the analysis or algorithm being applied. Work has been done to overcome these issues through the application of data linking processes but further complications have been encountered resulting in slow progress. The use of locally held medical data is difficult enough due to its structural complexity and non-standardised language, however linking data from disparate electronic sources adds the challenges of privacy, security, semantic compatibility, provenance, and governance, each with its own inherent issues. A focal requirement is a mechanism for the sharing of medical and health data across multiple sites which incorporates careful management of the semantics and limitations of the data sets whilst maintaining functional relevance for the end user. Our paper addresses this requirement by exploring recent conceptual modeling and data evaluation methodologies that facilitate effective data linking whilst ensuring the semantics of the data are maintained and the individual needs of the end user are met

modeling of HEDIS quality measures and prototyping of related decision support rules

PosterWe describe the application of the RetroGuide analytical toolset to quality improvement in osteoporosis and cholesterol management. Our graphical executable scenarios enable user-friendly modeling of temporal processes and retrospective prototyping of decision support on real EHR data. The graphical format is well understood by clinicians and improves the analyst-clinician collaboration

Developing capacity in health informatics in a resource poor setting: lessons from Peru

The public sectors of developing countries require strengthened capacity in health informatics. In Peru, where formal university graduate degrees in biomedical and health informatics were lacking until recently, the AMAUTA Global Informatics Research and Training Program has provided research and training for health professionals in the region since 1999. The Fogarty International Center supports the program as a collaborative partnership between Universidad Peruana Cayetano Heredia in Peru and the University of Washington in the United States of America. The program aims to train core professionals in health informatics and to strengthen the health information resource capabilities and accessibility in Peru. The program has achieved considerable success in the development and institutionalization of informatics research and training programs in Peru. Projects supported by this program are leading to the development of sustainable training opportunities for informatics and eight of ten Peruvian fellows trained at the University of Washington are now developing informatics programs and an information infrastructure in Peru. In 2007, Universidad Peruana Cayetano Heredia started offering the first graduate diploma program in biomedical informatics in Peru

A Unified Framework for Biomedical Terminologies and Ontologies

The goal of the OBO (Open Biomedical Ontologies) Foundry initiative is to create and maintain an evolving collection of non-overlapping interoperable ontologies that will offer unambiguous representations of the types of entities in biological and biomedical reality. These ontologies are designed to serve non-redundant annotation of data and scientific text. To achieve these ends, the Foundry imposes strict requirements upon the ontologies eligible for inclusion. While these requirements are not met by most existing biomedical terminologies, the latter may nonetheless support the Foundry’s goal of consistent and non-redundant annotation if appropriate mappings of data annotated with their aid can be achieved. To construct such mappings in reliable fashion, however, it is necessary to analyze terminological resources from an ontologically realistic perspective in such a way as to identify the exact import of the ‘concepts’ and associated terms which they contain. We propose a framework for such analysis that is designed to maximize the degree to which legacy terminologies and the data coded with their aid can be successfully used for information-driven clinical and translational research

Recherche d'information médicale pour le patient Impact de ressources terminologiques

National audienceABSTRACT. The right of patients to access their clinical health record is granted by the code of Santé Publique. Yet, this content remain difficult to understand. We propose an experience, in which we use queries defined by patients in order to find relevant documents. We utilise the Indri search engine, based on statistical language modeling and semantic resources. We stress the point related to the terminological variation (e.g. synonyms, abbreviations) to make the link between expert and patient languages. Various combinations of resources and Indri settings are explored, mostly based on query expansion. Our system shows up to 0.7660 P@10 and up to 0.6793 [email protected]ÉSUMÉ. Le droit d'accès au dossier clinique par les patients est inscrit dans le code de Santé Publique. Cependant, ce contenu reste difficile à comprendre. Nous proposons une expérience, où les requêtes des patients sont utilisées pour retrouver les documents pertinents. Nous util-isons le moteur de recherche Indri, basé sur le modèle statistique de la langue, et des ressources sémantiques. L'accent est mis sur la variation terminologique (e.g. synonymes, abréviations) pour faire le lien entre la langue des experts et des patients. Différentes combinaisons de ressources et du paramétrage de Indri sont testées, essentiellement à travers l'expansion des requêtes. Notre système montre jusqu'à 0,7660 de P@10 et 0,6793 de NDCG@10

The use of social network analysis to explore relationships between the medical informatics and information systems literature

Health informatics (HI) research has evolved over several decades from its roots in computer science (CS) and artificial intelligence in medicine (AIM). Information Systems (IS) evolved independently, but recently IS within health environments are being embraced as a new test bed for Information Systems theories. The purpose of this paper is to present an objective view of the level of cross reference between the IS and MI bodies of literature, and to either provide evidence of uptake of IS theories in HI or of outlets that would provide appropriate targets for such work due to their antecedents and influence. The extent of the cross fertilization between the two disciplines is still thought to be low. Using social network analysis (SNA) we present an exploratory study which identifies the bridges and cutpoints within a basket of 44 key journals and identify the impact of Information Systems research on the Health Informatics discipline. This work is informed by a number of recent studies using this approach

Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study

<p>Abstract</p> <p>Background</p> <p>Widespread adoption of information and communication technologies (ICT) is a key strategy to meet the challenges facing health systems internationally of increasing demands, rising costs, limited resources and workforce shortages. Despite the rapid increase in ICT investment, uptake and acceptance has been slow and the benefits fewer than expected. Absent from the research literature has been a multi-site investigation of how ICT can support and drive innovative work practice. This Australian-based project will assess the factors that allow health service organisations to harness ICT, and the extent to which such systems drive the creation of new sustainable models of service delivery which increase capacity and provide rapid, safe, effective, affordable and sustainable health care.</p> <p>Design</p> <p>A multi-method approach will measure current ICT impact on workforce practices and develop and test new models of ICT use which support innovations in work practice. The research will focus on three large-scale commercial ICT systems being adopted in Australia and other countries: computerised ordering systems, ambulatory electronic medical record systems, and emergency medicine information systems. We will measure and analyse each system's role in supporting five key attributes of work practice innovation: changes in professionals' roles and responsibilities; integration of best practice into routine care; safe care practices; team-based care delivery; and active involvement of consumers in care.</p> <p>Discussion</p> <p>A socio-technical approach to the use of ICT will be adopted to examine and interpret the workforce and organisational complexities of the health sector. The project will also focus on ICT as a potentially <it>disruptive innovation </it>that challenges the way in which health care is delivered and consequently leads some health professionals to view it as a threat to traditional roles and responsibilities and a risk to existing models of care delivery. Such views have stifled debate as well as wider explorations of ICT's potential benefits, yet firm evidence of the effects of role changes on health service outcomes is limited. This project will provide important evidence about the role of ICT in supporting new models of care delivery across multiple healthcare organizations and about the ways in which innovative work practice change is diffused.</p