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Biomedical subjects

H B Jimison

Publications and source records attributed to H B Jimison.

4 recordsLinked to original sources

Techniques for identifying the applicability of new information management technologies in the clinical setting: an example focusing on handheld computers.

This article describes techniques and strategies used to judge the potential applicability of new information management technologies in the clinical setting and to develop specific design recommendations for new features and services. We focus on a project carried out to identify the potential uses of handheld computers (i.e., the Palm Pilot or a small WinCE-based device) in the ambulatory practice setting. We found that the potential for a robust handheld computing device to positively affect the outpatient ambulatory clinical setting is enormous, and that the information derived from the exploratory research project is useful in creating specific design recommendations for further development.

Ambulatory Care Facilities↗

Advances in health information technology for patients.

Patients now have access to a wide variety of health-related educational material via computers and other sources. To ensure quality, security, and data integrity, it is likely that these databases of patient health information will become part of the information that HIM professionals manage and coordinate for patient use in the clinical setting. This article describes the health information resources available to patients.

Advance Directives↗

A QRS detection algorithm.

In this article we present the choices that the designers of any QRS detector must make and explain the constraints we adopted. We outline the signal processing that precedes and the beat analysis that follows QRS detection in our single-channel, arrhythmia-monitoring algorithm and then expound the QRS detection algorithm in detail. Finally, we present the results of a QRS detector performance evaluation and comment on their importance. This article can be read to three depths: the text affords an overview of QRS detection for on-patient, ambulatory arrhythmia analysis; the commented pseudocode documents the logic of our QRS detector; and the pseudocode "footnotes" supply technical detail.

Algorithms↗

The use of multimedia in the informed consent process.

OBJECTIVE: The goal of the project was to create recommendations and design specifications for a multimedia tool to enhance the informed consent process for clinical trials. The authors focused on the needs of patients with potential cognitive impairment. DESIGN: The authors first performed a needs assessment using focus groups and interviews with health care researchers, institutional review board members, and three groups of patients (who had depression, breast cancer, or schizophrenia). Their feedback was incorporated into the design of a prototype multimedia tool. The design included general modules with information about clinical trials and informed consent as well as trial-specific modules. The authors then used the resulting prototype multimedia tool for informed consent in follow-up focus groups and interviews to obtain feedback on the feasibility and potential effectiveness of using such a tool routinely for clinical trials. RESULTS: The authors showed that it was feasible to adapt a structured multimedia informed consent system to a specific clinical trial and to incorporate techniques to improve the understandability of informed consent content. Patients generally felt the prototype system was useful and could replace the paper document. They felt using the system would be less stressful, because they would have a greater sense of control and could proceed at their own pace. They liked the hierarchic and modular approach to providing information and felt that the use of video made information more understandable. Researchers and institutional review board members also found the system to be valuable in these ways but had concerns about how to review the system for potential biases in presentation and about the legal issues associated with replacing the paper document.

Adult↗