A gamificação como estratégia de ensino e capacitação sob o contexto da administração de medicamentos

The aim was to discuss gamification as a teaching and training strategy in the context of medication administration. This is a bibliographic review, with a descriptive and narrative character. For the search, the Google Scholar bases were pre-established and the others grouped in the Virtual Health Library and the descriptors used: “Gamification”, “Games”, “Teaching”, “Teaching-Learning Methodologies” and “Medicine Administration”, with the help of the Boolean operator “AND”. The search and selection of studies took place in December 2022. Thirty-two studies were selected and analyzed under thematic content analysis, emerging the categories: Gamification: Academic and Health Context and Challenges of Active Methodologies in Teaching and Training in Health: Medication Administration. Active methodologies have become a trend in education as they support and promote interactive activities that include different intelligences and learning profiles. Especially in the health area, the active study on the use of gamification offers unparalleled advantages given the complexity of knowledge related to medication administration, consequently, training, training and updating professionals to provide safe and quality care.Objetivou-se discutir sobre a gamificação como estratégia de ensino e capacitação sob o contexto da administração de medicamentos. Trata-se de uma revisão bibliográfica, de caráter descritivo e narrativo. Para a busca, foram preestabelecidas as bases Google Scholar e as demais agrupadas na Biblioteca Virtual em Saúde e utilizados os descritores: “Gamificação”, “Games”, “Ensino”, “Metodologias de Ensino-Aprendizagem” e “Administração de Medicamentos”, com o auxílio do operador booleano “AND”. A busca e seleção dos estudos ocorreu em dezembro de 2022. Foram selecionados 32 estudos que foram analisados sob a análise temática de conteúdo, emergindo as categorias: Gamificação: Contexto Acadêmico e de Saúde; Ensino e Capacitação em Saúde e Treinamento em Saúde: Administração de Medicamentos. As metodologias ativas se tornaram tendência na educação por subsidiar e promover atividade interativa que contempla diferentes inteligências e perfis de aprendizado. Sobretudo na área da saúde, o estudo ativo sobre o uso da gamificação oferece vantagens inigualáveis tendo em vista a complexidade do conhecimento relacionado à administração de medicamentos, consequentemente, formando, capacitando e atualizando os profissionais a prestarem uma assistência segura e de qualidade

The Implementation of an Open Source Electronic Medical Record at a Faith-Based Community Clinic

Faith-based nursing and healthcare is increasingly gaining popularity as the industry looks to minimize costs and improve health outcomes. Historically, qualitative studies have not shown the extent to which individuals and communities are impacted by health initiatives initiated by faith institutions. Healthcare technology can help support the specialty by providing increased quantity and quality data to analyze. Traditional, proprietary EMRs are too costly; however, open source systems offer a low cost, and easily modifiable option to non-profit, or smaller organizations. The data collected by an open source system allows organizations to improve the care that patients receive, and helps guide screening and preventative health efforts, contributing to the quantitative research available to show the impact of faith-based healthcare on patients and communities

Complexities, variations, and errors of numbering within clinical notes: the potential impact on information extraction and cohort-identification

Abstract Background Numbers and numerical concepts appear frequently in free text clinical notes from electronic health records. Knowledge of the frequent lexical variations of these numerical concepts, and their accurate identification, is important for many information extraction tasks. This paper describes an analysis of the variation in how numbers and numerical concepts are represented in clinical notes. Methods We used an inverted index of approximately 100 million notes to obtain the frequency of various permutations of numbers and numerical concepts, including the use of Roman numerals, numbers spelled as English words, and invalid dates, among others. Overall, twelve types of lexical variants were analyzed. Results We found substantial variation in how these concepts were represented in the notes, including multiple data quality issues. We also demonstrate that not considering these variations could have substantial real-world implications for cohort identification tasks, with one case missing > 80% of potential patients. Conclusions Numbering within clinical notes can be variable, and not taking these variations into account could result in missing or inaccurate information for natural language processing and information retrieval tasks.https://deepblue.lib.umich.edu/bitstream/2027.42/148519/1/12911_2019_Article_784.pd

Evaluating information flow in medication management process in Australian acute care facilities: A multi-professional perspective

Over the years, various interventions have been introduced to improve the medication management process. While these interventions have addressed some aspects predisposing the process to inefficiencies, significant gaps are still prevalent across the process. Studies have suggested that the goal of optimal medication therapy is achievable when information flow integrates across the various medication management process phases, stakeholders and departments involved as the patient moves through the process. To provide a cross-sectional view of the process, this study utilised a systemic philosophy to evaluate the information flow integration across the process. The research approach adopted for this study takes a positivist paradigm, which is guided by the cause and effect (causality) belief. It explored numeric measures to evaluate the relationship between constructs that assessed information flow principles (accessibility, timeliness, granularity and transparency) within the medication process and the information integration. The research design was cross-sectional and analytical, and this ensures that findings are relevant to current situations across the Australian healthcare system. Data for this research was collected using an online self-administered survey and the data assessed information flow principles and technologies used in the medication management process. There were 88 participants in this study, including doctors, nurses and pharmacists. The questions and responses were coded for analysis and data analysis techniques used were frequency analysis, Pearson’s chi-square test and multivariate analysis. Findings from this study indicates that the constructs evaluating accessibility, transparency and granularity had moderate associations with the information integration in the medication management process. Further analysis highlighted accessibility as a significant principle in explaining an increase or decrease in information integration in the medication management process. The accessibility construct referring to information retrieval was significant across the two tests conducted. Accessibility is directly related to information sharing and the assessment and monitoring and evaluation phases in the medication management process were identified as having the highest challenges with information sharing. Furthermore, the hybrid (electronic and paper) channel was preferred to support information integration in the medication management process by the participants. Among the technologies evaluated for the medication process, computer-provider-order-entry was found to be statistically significant in explaining an increase in information integration. Overall, results from this study suggest that interventions for the medication management process in Australian acute care facilities should be directed towards improving accessibility, specifically information retrieval and the sharing of information with emphasis on the assessment and monitoring phases. Implementing strategies to address the gaps identified from this research can improve information integration across the process and thereby reducing medication errors, and improving patient care management. Furthermore, the technology adoption across the process highlights that technology adoption across participants’ facilities remains a challenge in Australia

Pharmacies and medication information system in Jeddah City, Saudi Arabia

It is acknowledged that the introduction of Health Information Systems (HIS) have contributed to the reorganization of the methods used in health services for Health Information Management. Managers in the health services benefit from Health Information Systems provision both strategically and operationally, for example in the planning of new services and more routinely in assisting health professionals in making informed medical decisions. Health services in developed countries already have Health Information Systems (HIS) in place but their adoption in developing countries has been less widespread. In Jeddah, KSA there is a lack of a unified HIS. Health service provision in Jeddah is spread between a wide range of governmental and private health services. The lack of unification of these services and a bespoke HIS has led to problems for both patients and healthcare professionals. This research focuses on the methods of prescribing medication, provision of supplies and the dispensing of medication within pharmacies. [Continues.

Interactive Visual Displays for Results Management in Complex Medical Workflows

Clinicians manage medical orders to ensure that the results are returned promptly to the correct physician and followed up on time. Delays in results management occur frequently, physically harm patients, and often cause malpractice litigation. Better tracking of medical orders that showed progress and indicated delays, could result in improved care, better safety, and reduced clinician effort. This dissertation presents novel displays of rich tables with an interaction technique called ARCs (Actions for Rapid Completion). Rich tables are generated by MStart (Multi-Step Task Analyzing, Reporting, and Tracking) from a workflow model that defines order processes. Rich tables help clinicians perceive each order's status, prioritize the critical ones, and act on results in a timely fashion. A second contribution is the design of an interactive visualization called MSProVis (Multi-Step Process Visualization), which is composed of several PCDs (Process Completion Diagrams) that show the number and duration of in-time, late, and not-completed orders. With MSProVis, managers perform retrospective analyses to make decisions by studying an overview of the order process, durations of order steps, and performances of individuals. I visited seven hospitals and clinics to define sample results management workflows. Iterative design reviews with clinicians, designers, and researchers led to refinements of the rich tables, ARCs, and design guidelines. A controlled experiment with 18 participants under time pressure and distractions tested two features (showing pending orders and prioritizing by lateness) of rich tables. These changes statistically significantly reduce the time from nine to one minute to correctly identify late orders compared to the traditional chronologically-ordered lists. Another study demonstrated that ARCs speed performance up by 25% compared to state-of-the-art systems. A usability study with two clinicians and five novices showed that participants were able to understand MSProVis and efficiently perform representative tasks. Two subjective preference surveys suggested new design choices for the PCDs. This dissertation provides designers of results management systems with clear guidance about showing pending results and prioritizing by lateness, and tested strategies for performing retrospective analyses. It also offers detailed design guidelines for results management, tables, and integrated actions on tables that speed performance for common tasks

Usability analysis of contending electronic health record systems

In this paper, we report measured usability of two leading EHR systems during procurement. A total of 18 users participated in paired-usability testing of three scenarios: ordering and managing medications by an outpatient physician, medicine administration by an inpatient nurse and scheduling of appointments by nursing staff. Data for audio, screen capture, satisfaction rating, task success and errors made was collected during testing. We found a clear difference between the systems for percentage of successfully completed tasks, two different satisfaction measures and perceived learnability when looking at the results over all scenarios. We conclude that usability should be evaluated during procurement and the difference in usability between systems could be revealed even with fewer measures than were used in our study. © 2019 American Psychological Association Inc. All rights reserved.Peer reviewe