Studies in health technology and informatics
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The greatest source of delay in patient flow is the waiting time from the health care request, and especially the bed request to exit from the Pediatric Emergency Department (PED) for hospital admission. It represents 70% of the time that these patients occupied in the PED waiting rooms. Our objective in this study is to identify tension indicators and bottlenecks that contribute to overcrowding. ⋯ This model allowed us to identify sources of delay in patient flow and aspects of the PED activity that could be improved. It must be enough retailed to produce an analysis allowing to identify the dysfunctions of the PED and also to propose and to estimate prevention indicators of tensions. Our survey is integrated into the French National Research Agency project, titled: "Hospital: optimization, simulation and avoidance of strain" (ANR HOST).
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Stud Health Technol Inform · Jan 2014
Building a common ground on the clinical case: design, implementation and evaluation of an information model for a Handover EHR.
Handovers need a common ground on the clinical cases between the members of the successive shifts to establish continuity of care. Conventional electronic patient record systems (EHR) proved to be only insufficiently suitable for supporting the grounding process. Against this background we proposed a basic concept for a handover EHR that extends general EHRs in particular openEHR based systems. ⋯ The information items of these cases could be mapped successfully to the model, however, the new class "anticipatory guidance" needed to be introduced. The evaluation also demonstrated the importance of highly aggregated information on the clinical case, opinions and meta-information such as the relevance of an item during handovers. Based on these findings, in particular the handover database, handover EHR applications are currently developed to support the grounding process.
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Stud Health Technol Inform · Jan 2014
A reference data model of a metadata registry preserving semantics and representations of data elements.
Integration and analysis of clinical data collected in multiple data sources over a long period of time is a major challenge even when data warehouses and metadata registries are used. Since most metadata registries focus on describing data elements to establish domain consistent data definition and providing item libraries, hierarchical and temporal dependencies cannot be mapped. Therefore we developed and validated a reference data model, based on ISO/IEC 11179, which allows revision and branching control of conceptually similar data elements with heterogeneous definitions and representations.
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The pHealth 2014 Conference is the 11th in a series of scientific events bringing together expertise from medical, technological, political, administrative, and social domains, all related to the provision of personalized health services. Aspects such as cooperation between primary, secondary and tertiary health care establishments, the inclusion of social care, home care and lifestyle management, practical experiences with local or regional telemedicine services, management of chronic diseases, Quality assurance challenges, health games, terminologies and ontologies, data management and visualizations, medical decision support, monitoring of environmental and living conditions of citizens using mobile wearable or implementable technologies as well as social and ethical issues of health (care) provision are to be addressed by almost 40 speakers from various parts of the world. Keynotes, invited talks, and oral presentations discuss foundations and principles, requirements and solutions for pHealth. ⋯ The editors are also grateful to the dedicated efforts of the Local Organizing Committee members and their supporters for carefully and smoothly preparing and operating of the conference. They especially thank all team members of the eHealth Research and the management of the University of Applied Sciences Technikum Wien for their continuous involvement in the organization and realization of the conference. Bernd Blobel, Stefan Sauermann, Alexander Mense Editors.
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Stud Health Technol Inform · Jan 2014
Pre-implementation investigation of the readiness of allied health professionals to adopt electronic health records.
There has been limited uptake of electronic health records (EHR) by allied health professionals. Yet, not much attention has been given to their information needs. For EHR to work for these health professionals, it is essential to understand their current practice of information management and their perceptions towards EHR. ⋯ It appears that allied health professionals today are information technology (IT) savvy and ready to adopt EHR. EHR for allied health practices in Australia are long overdue. The health informatics community can no longer ignore the need and want of allied health professionals for EHR that are tailored and built to support their information and practice management.