Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2011
Comparative StudyA comparison of videolaryngoscopic technologies.
Difficulty in managing the airway is a major contributor to the morbidity and mortality of the trauma patient. The video laryngoscope, with its camera at the distal tip of the intubation blade, allows the practitioner an improved view of the glottic opening during intubation. ⋯ The purpose of the present study was to assess and compare the video quality of commercially available video laryngoscopy systems. It was found that between the STORZ C-MAC and the Verathon GlideScope® there was little difference between the video quality; the difference came down to user preference.
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Stud Health Technol Inform · Jan 2011
The SignOut Discharge Summary System: using workflow byproducts to pre-populate and assemble discharge summaries.
At the time of hospital discharge, communication between inpatient and outpatient physicians is poor. Multiple studies demonstrate that discharge summaries, a means of improving information exchange between inpatient and outpatient providers, are frequently not available to the outpatient provider at the time of the post discharge visit. ⋯ The system has generated 78740 D/C summaries for 17 specialties since going live July 2005. Overall SDSS is responsible for 69% of all hospital discharge summaries and SDSS discharge summaries on average are available 1.91 days after discharge.
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Stud Health Technol Inform · Jan 2011
A pilot study on understanding the journey of advanced prostate cancer patients.
To understand the journey of advanced prostate cancer patients for supporting development of an innovative patient journey browser. ⋯ The results have provided a foundation to the architecture of the proposed technology solution. The outcomes of this study are incorporated in design of the proposed patient journey browser system. A basic version of the system is currently being used at the advanced prostate cancer MDT meetings.
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This paper describes the deployment of a platform to enable processing of currently uncharted high frequency, high fidelity, synchronous data from medical devices. Such a platform would support the next generation of informatics solutions for neonatal intensive care. We present Artemis, a platform for real-time enactment of clinical knowledge as it relates to multidimensional data analysis and clinical research. Through specific deployment examples at two different neonatal intensive care units, we demonstrate that Artemis supports: 1) instantiation of clinical rules; 2) multidimensional analysis; 3) distribution of services for critical care via cloud computing; and 4) accomplishing 1 through 3 using current technology without a negative impact on patient care.
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Stud Health Technol Inform · Jan 2011
Acquisition of technical skills in ultrasound-guided regional anesthesia using a high-fidelity simulator.
Despite the increasing popularity of ultrasound-guided regional anesthesia (UGRA), structured training programs during residency are often lacking. The lack of a regional block area, lack of expertise, and lack of structured training programs have limited hands-on experience in residency programs. ⋯ Despite some improvement in the second trial with the simulator, the ability to maintain visualization of their needle (p<0.05), align needle with probe (p<0.05), and angle their needle approach (p<0.05), as well as reduce needle passes (p<0.05) did not improve. The results show students had difficulty learning skills requiring more coordination and fine motor control.