Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2009
Computer laboratory in medical education for medical students.
Five generations of second year students at the Zagreb University School of Medicine were interviewed through an anonymous questionnaire on their use of personal computers, Internet, computer laboratories and computer-assisted education in general. Results show an advance in students' usage of information and communication technology during the period from 1998/99 to 2002/03. However, their positive opinion about computer laboratory depends on installed capacities: the better the computer laboratory technology, the better the students' acceptance and use of it.
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Stud Health Technol Inform · Jan 2009
Understanding the impact on intensive care staff workflow due to the introduction of a critical care information system: a mixed methods research methodology.
The Intensive Care Unit (ICU) is a complex and dynamic tertiary care environment that requires health care providers to balance many competing tasks and responsibilities. Inefficient and interruption-driven workflow is believed to increase the likelihood of medical errors and, therefore, present a serious risk to patients in the ICU. ⋯ Little objective research, however, has investigated these assertions. This paper reports on the design of a research methodology to explore the impact of a CCIS on the workflow of Respiratory Therapists, Pediatric Intensivists, Nurses, and Unit Clerks in a Pediatric ICU (PICU) and a General Systems ICU (GSICU) in Northern Canada.
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Stud Health Technol Inform · Jan 2009
Endotracheal intubation comparing a prototype Storz CMAC and a glidescope videolaryngoscope in a medical transport helicopter - a pilot study.
In this pilot study, experienced medical helicopter personnel evaluated and compared the prototype Storz CMAC and GlideScope (GS) videolaryngoscopes in intubating a Laerdal Difficult Airway Manikin in a helicopter. No significant differences were found between the devices in the standard airway mode with 100% success rates for the intubations. ⋯ The success rate for intubating the difficult airway was 0% with DV; compared to 63% with the CMAC and 50% with the GS (p = 0.03). The participants answered a post study questionnaire regarding the characteristics of the devices and indicated preference for the CMAC over the GS in intubation of the difficult airway.
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Stud Health Technol Inform · Jan 2009
The electronic health record in Austria: physicians' acceptance is influenced by negative emotions.
Negative emotions like anxiety and fear due to a lack of information may cause change barriers and drag physicians' acceptance of the national electronic health record (ELGA) in Austria. Qualitative, problem-centric interviews were conducted with eight physicians. ⋯ They fear unknown changes, increased costs, workload and surveillance without having advantages from using electronic health records in their daily practice. Impartial information campaigns, tailored to the physicians' needs and questions as well as comprehensive cost-benefit analysis could benefit the physicians' opinion of ELGA.
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Stud Health Technol Inform · Jan 2009
The expert explorer: a tool for hospital data visualization and adverse drug event rules validation.
An important part of adverse drug events (ADEs) detection is the validation of the clinical cases and the assessment of the decision rules to detect ADEs. For that purpose, a software called "Expert Explorer" has been designed by Ideea Advertising. ⋯ Experts can then review the rules, the hospital stays that match the rules, and finally give their advice thanks to specialized forms. Then the rules can be validated, invalidated, or improved (knowledge elicitation phase).