HDLalert – a healthcare DL alerting system: from user needs to implementation

In the health domain, there are many circumstances where clinicians (i.e. doctors, nurses, allied health professionals) and patients wish to track changes in medical knowledge. However, existing 'news' or 'alert' services provide relatively limited means for selecting which information to receive. The result is that clinicians and patients often receive information that is inappropriate, irrelevant or simply too much. In this paper, we detail alert-relevant findings from several international user studies (e.g. UK, Germany and New Zealand) incorporating both clinical staff (across several hospitals) and patients' perceptions. These findings demonstrate the importance of context, in terms of both the user's task and immediate environment. We introduce a novel alerting architecture that can provide a finely tailored stream of alerts to the user, and provides further support to assist the interpretation of received material

Health alerts: Interaction protocols in remote health care monitoring

Remote health care monitoring is a promising technology to make health care more efficient and cost-effective. A crucial aspect of remote health care monitoring is interaction protocols that govern how alert and information messages are delivered to patients and health care professionals. Proper interaction protocols are essential in ensuring that not only the right messages are delivered to the right receiver in a timely manner but also that the intended actions are understood and carried out and any entailed exceptions are taken care of. In this paper, we discuss various issues in designing interaction protocols for remote health care monitoring. We also present a prototype implementation of an interaction protocol. A simple case study is shown to illustrate how the prototype works in a real-life scenario. © 2010 IADIS

Improving quality of medical service with mobile health software

An increasing number of m-Health applications are being developed benefiting health service delivery. In this paper, a new methodology based on the principle of calm computing applied to diagnostic and therapeutic procedure reporting is proposed. A mobile application was designed for the physicians of one of the Portuguese major hospitals, which takes advantage of a multi-agent interoperability platform, the Agency for the Integration, Diffusion and Archive (AIDA). This application allows the visualization of inpatients and outpatients medical reports in a quicker and safer manner, in addition to offer a remote access to information. This project shows the advantages in the use of mobile software in a medical environment but the first step is always to build or use an interoperability platform, flexible, adaptable and pervasive. The platform offers a comprehensive set of services that restricts the development of mobile software almost exclusively to the mobile user interface design. The technology was tested and assessed in a real context by intensivists

Clin Biochem

ObjectiveTo conduct a systematic review of automatic notification methods and consider evidence-based recommendations for best practices in improving the timeliness and accuracy of critical value reporting.Results196 bibliographic records were identified, with nine meeting review inclusion criteria. Four studies examined automated notification systems and five assessed call center performance. Average improvement from implementing automated notification systems is d = 0.42 (95% CI = 0.2 \u2013 0.62) while the average odds ratio for call centers is OR = 22.1 (95% CI = 17.1 \u2013 28.6).ConclusionsThe evidence, though suggestive, is not sufficient to make a recommendation for or against using automated notification systems as a best practice to improve the timeliness and accuracy of critical value reporting in an in-patient care setting. Call centers, however, are effective in improving the timeliness and accuracy of critical value reporting in an in-patient care setting, and are recommended as an \u201cevidence-based best practice.\u201d20122015-07-29T00:00:00ZCC999999/Intramural CDC HHS/United States22750773PMC4518392759

Mobile e-commerce: study and model generation, implementation issues and analysis

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LMBP Phase 3 Final Report

BACKGROUND AND PURPOSE: This report summarizes the third phase of an ongoing effort sponsored by the Division of Laboratory Science and Standards (DLSS), Centers for Disease Control and Prevention. The purpose is to develop new systematic evidence review and evaluation methods for identifying pre- and post-analytic laboratory medicine practices that are effective at improving healthcare quality.1 This effort began in 2006, when CDC convened the Laboratory Medicine Best Practices Workgroup (Workgroup), a multidisciplinary panel of experts in such fields as laboratory medicine, clinical medicine, health services research, and health care performance measurement. The Workgroup also includes two ex officio representatives from the Centers for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA).An outcome of Phase 1 (2006 \ue2\u20ac\u201c 2007) was to act on a Workgroup recommendation to enlarge the search for evidence to unpublished studies, including assessments performed for the purposes of quality assurance, process improvement and/or accreditation documentation. Phase 2 (2007-2008) involved a pilot test of further refined methods to obtain, review, and evaluate published and unpublished evidence, along with collecting observations via key informant interviews about organizational and implementation issues successfully addressed by other recommending bodies about the development and dissemination of guidelines and best practice recommendations. These evidence review methods were adapted from those established by the GRADE group, The Guide to Community Preventive Services (Community Guide), the Agency for Healthcare Research and Quality (AHRQ) (US Preventive Services Task Force (USPSTF), Evidence-based Practice Centers (EPCs), and Effective Healthcare Program), and others, and modified to better accommodate the non-controlled study designs typically found in quality improvement research.Phase 3 (2008-2010), the subject of this report, involved further development of methods for identifying evidence-based laboratory medicine quality improvement best practices, and validated these methods with reviews of practices associated with three topics: patient specimen identification, critical value reporting, and reducing blood culture contamination.Prepared for: Division of Laboratory Science and Standards, Laboratory Science, Policy and Practice Program Office. Office of Surveillance, Epidemiology, and Laboratory Sciences (OSELS), Centers for Disease Control and Prevention; prepared by the CDC Laboratory Medicine Best Practices Team.Contract No. W911NF-07-D-0001 / TCN 08319/DO 0567LMBP Yr3 FINAL Technical Report FINALW911NF-07-D-0001 / TCN 08319/DO 056

Real-time Notification of Laboratory Data Requested by Users through Alphanumeric Pagers

The authors developed a novel feature in their clinical information systems, which allows clinicians to request notification about laboratory results. Clinicians who are expecting a particular laboratory result for a particular patient can request a report of the result via an alphanumeric pager as soon as the result is filed into the patient database. This feature has gained popularity and is heavily used in both inpatient and outpatient settings, at a rate of about 2,300 times per month. This event-monitor-based feature illustrates one way that information technology can be applied to improve communication in health care

Sim Phony : voice group communication

Thesis (S.M.)--Massachusetts Institute of Technology, School of Architecture and Planning, Program in Media Arts and Sciences, 2004.Includes bibliographical references (p. 71-73).Communication is vital in any workplace. However, as workers become less tied to their desktops and computers, the need to provide them with a flexible, easy to use, mobile method of communication becomes more necessary. This is particularly true in "non-traditional" workplaces like factories or hospitals. Cell phones, PDA's, and walkie-talkies provide the mobility and most are easy to use, however, they are not designed specifically with the workplace in mind and as a result, they do not adapt to a worker's changing environment. The Simphony communication system is a mobile, voice-controlled, voice communication system built on the iPaq (or any similar PDA) designed specifically for distributed workgroups. It uses the 802.11b network to transmit either synchronous or asynchronous voice data depending on the worker's environment or preference. The system allows for one-to-one or one-to-many communication with voice instant messages or synchronous audio. Simphony transitions between different communication styles as the communication becomes more frequent. When at least 3 voice instant messages are exchanged between two individuals or between an individual and a group, the system automatically transitions them into a synchronous audio chat. The Simphony interface looks much like an instant messaging client but is accessible by voice commands or by button presses on the PDA screen. Simphony allows users to define groups of individuals with whom they can communicate with simultaneously. When a group that a user is a member of becomes active, the user receives notification of the activity by hearing approximately 10 seconds of the audio from that group.(cont.) If the user is currently in another conversation, she can decide to remain in her present conversation or switch to the newly active group. This thesis describes the design and implementation of the Simphony system and its various applications in different areas.by Vidya Lakshmipathy.S.M