Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2011
Toward a simulation and assessment method for the practice of camera-guided rigid bronchoscopy.
We have developed a way to measure performance during a camera-guided rigid bronchoscopy using manikin-based simulation. In an effort to measure contact pressures within the airway during a rigid bronchoscopy, we instrumented pressure sensors in a commercially available bronchoscopy task trainer. ⋯ However, novices touched a greater number of areas than experts, showing that novices induce a higher number of unnecessary soft-tissue contact compared to experts. Moreover, our results show that experts exert significantly less soft tissue pressure compared to novices.
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Stud Health Technol Inform · Jan 2011
Comparative StudyComparison of a disposable bougie versus a newly designed malleable bougie in the intubation of a difficult manikin airway.
The endotracheal bougie is used for difficult intubations when only a minimal glottic view is obtained. Standard bougies are designed for use during direct, line-of-sight viewing of the glottic opening. ⋯ A malleable bougie with an imbedded internal wire was created to enable intubators to shape the curve to best fit a difficult airway. This pilot study examined the malleable bougie compared to the SunMed bougie in a simulated difficult airway intubation using video laryngoscopy.
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Stud Health Technol Inform · Jan 2011
Observing effectiveness of pathology ordering controls in emergency departments.
To demonstrate application of data integration technology for observing the effectiveness of interventions to control pathology orders in Emergency Departments. ⋯ Pathology ordering can be reduced using sustainable protocols. This work has demonstrated HDI capability to extract and link pathology data efficiently to evaluate an ED intervention.
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Stud Health Technol Inform · Jan 2011
Intubation success rates and perceived user satisfaction using the video laryngoscope to train deploying far forward combat medical personnel.
Studies show the video laryngoscope enhances intubation training by facilitating visualization of airway anatomy. We examined the performance and training of military healthcare providers in a brief intubation training course which included both direct and indirect (video) laryngoscopy. This training format with the video laryngoscope improved airway visualization and intubation performance, promoting increased trainee confidence levels for successful intubation. Web-based training paired with hands-on instruction with the video laryngoscope should be considered as a model for military basic airway management training.
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Stud Health Technol Inform · Jan 2011
The single source architecture x4T to connect medical documentation and clinical research.
Clinical trials often require large and redundant documentation efforts, because information systems in patient care and research are separated. In two clinical trials we have assessed the number of study items available in the clinical information system for re-use in clinical research. ⋯ Based on this analysis we have designed and implemented an architecture for an integrated clinical trial documentation workflow. Key aspects are the re-use of existing medical routine data and the integration into current documentation workflows.