Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2017
Point-of-Care Testing Across Rural and Remote Emergency Departments in Australia: Staff Perceptions of Operational Impact.
New South Wales (NSW) Health Pathology is implementing one of the world's largest managed PoCT services across rural and remote Emergency Departments (EDs) in New South Wales, Australia to improve patient access to care. The aim of this qualitative study was to gain a context-rich understanding of the operational impact of the NSW rollout of PoCT across rural and remote ED settings as experienced by frontline clinical staff. ⋯ These factors have a potentially important role in saving lives. Staff also identified innovative and disruptive challenges to clinical work patterns associated with PoCT implementation, particularly in relation to work flows, resource allocation and the governance arrangements.
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Stud Health Technol Inform · Jan 2017
Cybersecurity and the Medical Device Product Development Lifecycle.
Protecting connected medical devices from evolving cyber related threats, requires a continuous lifecycle approach whereby cybersecurity is integrated within the product development lifecycle and both complements and re-enforces the safety risk management processes therein. This contribution reviews the guidance relating to medical device cybersecurity within the product development lifecycle.
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Stud Health Technol Inform · Jan 2017
Development of a Quick SOFA-Based Sepsis Clinical Decision Support System in a Tertiary Hospital Emergency Department.
New definition of sepsis introduced quick sequential organ failure assessment (qSOFA) score. A qSOFA-based sepsis decision support system was designed and developed in an emergency departement. The system has functions of autmatically retrieving qSOFA score, 3 and 6 hours of sepsis and septic shock treatment bundle, semi-automatic calculation of SOFA score, etc. Early usage and user requests are needed to find aspects of improvement.
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Stud Health Technol Inform · Jan 2016
The Development and Evaluation of Delirium Assessment and Nursing Care Decision-Making Assistant Mobile Application for Intensive Care Unit.
Delirium is a common complication among patients in ICU settings. Although it has been repeatedly confirmed that Confusion Assessment Model for Intensive Care Unit (CAM-ICU), one of the most commonly used ICU delirium assessment tool, is highly accurate in validation studies, it's sensitivity and specificity is relatively low during routine practice among bedside nurses. ⋯ The app was programmed with Java and installed on a mobile device with Android system. After completion of reliability and validity testing, the app will be integrated into the existing Hospital Information System in order to automatically retrieve essential information for risk factor identification and formulation of care plan accordingly to prevent or manage ICU delirium.
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Stud Health Technol Inform · Jan 2016
Comparative StudyCurrent Status and Quality Assessment of Cardiovascular Diseases Related Smartphone Apps in China.
To examine current status and quality of CVD related apps available for download in China, a total of 151 apps from the top popular six app stores were analyzed. Data analysis uncovered a range of issues including missing of key variables in the pre-formatted daily records, no platform for interaction with relevant healthcare professionals and undesirable user-interface design. ⋯ This study identified areas for improvement concerning the existing CVD related apps. Information may guide the further advancement of CVD related apps and benefit CVD management in China.