AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Nov 2010
Comprehensive yet scalable health information systems for low resource settings: a collaborative effort in sierra leone.
We address the problem of how to integrate health information systems in low-income African countries in which technical infrastructure and human resources vary wildly within countries. We describe a set of tools to meet the needs of different service areas including managing aggregate indicators, patient level record systems, and mobile tools for community outreach. We present the case of Sierra Leone and use this case to motivate and illustrate an architecture that allows us to provide services at each level of the health system (national, regional, facility and community) and provide different configurations of the tools as appropriate for the individual area. Finally, we present a, collaborative implementation of this approach in Sierra Leone.
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AMIA Annu Symp Proc · Jan 2010
Emergency medical services: the frontier in health information exchange.
Emergency medical service (EMS) providers routinely lack even basic access to pre-existing patient information when delivering patient care in the field. Improving access to pre-existing patient information could improve the quality, safety and efficiency of care that they can deliver. ⋯ Over a six month study period, there were 28,986 911 calls to EMS, with 4,332 (16%) requests for patient data. Of the 58 medics surveyed, a substantial majority felt the information delivered was an important tool for delivering quality patient care.
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Ontologies establish relationships between different terms, yet their potential in querying has not yet been fully realized. In this paper, we study the problem of ontology-supported profile-based retrieval of medical records. We present an algorithm that provides two independent techniques (used in isolation or in unison) to address the shortcomings of existing keyword-based retrieval solutions, and provide an implementation and experiments to illustrate the merits of our approach.
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AMIA Annu Symp Proc · Jan 2009
Video-mediated communication in hospice interdisciplinary team meetings: examining technical quality and content.
This study aims to determine how videoconferencing quality impacts the style and content of communication between members of hospice interdisciplinary teams and patients and their families. We videotaped video-calls between hospice teams and family caregivers based on the use of low-cost videophones. We assessed their audio and video quality using both a form that was filled out on site and a protocol for retrospective analysis. ⋯ The time spent on general informal talk was significantly correlated to the video and audio quality of the session (r=0.43 and 0.41 respectively, p<0.001). The time spent addressing psychosocial issues and on caregiver education correlated significantly to video and audio quality. This study demonstrates the potential of video-mediated communication that supports shared decision making in hospice.
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AMIA Annu Symp Proc · Jan 2009
Care coordination and electronic health records: connecting clinicians.
To examine the association between use of electronic health records (EHR) and care coordination. ⋯ EHR use is associated with aspects of care coordination involving information transfer and communication of treatment goals.