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Results for “Medical Informatics Applications”

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At least 1,171 records · Page 65Linked to original sources
PubMed2005

Planning for the rapidly emerging digital OR.

Nurses working in today's operating room environments are faced with new technologies being added as the trend toward the digitalization of ORs becomes a reality. Many hospitals across the country are currently undergoing renovations to include updated equipment. This means nurses must adapt to new systems and become familiar with the driving forces behind the trend and how it will affect their daily work. Here, the author explores why digital ORs are increasingly becoming the norm and what today's nurses need to understand in order to be effective in this emerging environment.

Humans↗
PubMed2005

HIPAA: a few years later.

This article addresses the impact of the Health Insurance Portability and Accountability Act (HIPAA) several years after implementation. The rationale for HIPAA and a clarification of key terms, including covered entities, personal health information, and designated record sets, is reviewed. The impact of HIPAA at work, including increased cost and the complexities of educating employees and patients is assessed. Implications for homeland security, disaster planning, unique patient identifiers, the compilation of personal health records, and research are discussed.

Attitude of Health Personnel↗
PubMed1992

Understanding and using teleradiology.

In 1972, Webber and his coauthors closed their landmark paper with some visionary remarks that have proved to be remarkably perceptive. They hypothesized that special telephone circuits or radiofrequency channels could be used to yield "images whose grey scale and resolution are satisfactory enough to be virtually indistinguishable from the original." Speaking of transmitting still-frame images in a reasonable length of time and at a reasonable cost, they were limited by the current state of technology, but not by failing to use available technology creatively. We now have the tools they lacked; we must analyze alternatives and apply them. First, define the clinical problem. Determine the minimum acceptable function level of the proposed teleradiology system. Then use your best judgement to sort our convenience, reliability, cost, and various other considerations in light of the needs of your practice. As you develop the scenario, frequently refocus on the problem to be solved. Very likely you will find, as you look closer at current options, that by using teleradiology you could increase the quality of service to your patients by extending your presence electronically to areas where constant physical presence is simply not possible, affordable, or convenient.

Medical Informatics Applications↗
PubMed2005

[Advances of research on medical image fusion].

This paper analyzes the present situation and focuses of medical image fusion and especially places emphasis on the developing trend of intelligent image fusion and comachine image fusion technologies.

Diagnostic Imaging↗
PubMed2005

Healthwear: medical technology becomes wearable.

Widespread adoption of sensors that monitor the wearer's vital signs and other indicators promises to improve care for the aged and chronically ill while amassing a database that can enhance treatment and reduce medical costs.

Biomedical Technology↗
PubMed2005

Interfacing biology and computing for health: the future of home diagnostics.

Major advances in science and technology are converging to enable the development of a broad range of diagnostic aids for use in the home. These range from devices designed to diagnose infectious disease, to real-time continuous monitoring of endogenous biomarkers for cancer, cardiovascular health, and the like. This chapter briefly reviews some of the technical, biological, and social challenges associated with home diagnostic aids. In addition to providing several scenarios of how such devices might be used, we describe our own efforts in this area.

Diagnosis, Computer-Assisted↗
PubMed2005

Designing and Evaluating Home-Based, Just-in-Time Supportive Technology.

At MIT, a multi-disciplinary team of researchers is studying how to create pervasive computing environments for the home. We are developing technologies and design strategies that use context-aware sensing to empower people with information by presenting it at precisely the right time and place. Contrary to many visions of future home environments in the literature, we advocate an approach that uses technology to teach as opposed to using technology primarily for automated control. We have constructed a "living laboratory" that will provide a unique, flexible infrastructure for scientifically studying the power of pervasive computing for motivating learning and behavior change in the home. This facility, called the PlaceLab, is being used to study technology for creating homes that are supportive.

Biomedical Technology↗
PubMed2005

Situated, strategic, and AI-Enhanced technology introduction to healthcare.

We work hard on creating AI-wings for physicians to let them fly higher and faster in diagnosing patients--a task that physicians do not want to automate. What we do not work hard on is determining the ENVIRONMENT in which physicians' AI wings are supposed to function. It seems to be a job for social/business analysts that have their own separate kingdom. For the sake of all of us (potential patients!) social/business consultants and their methodologies should not be treated as a separate kingdom. The most urgent task is to achieve synergy between (1) AI/Fuzzy/Neural research, (2) Applied medical AI, (3) Social/Business research on medical institutions. We need this synergy in order to assure humanistic medical technology; technology flexible and sensitive enough to facilitate healthcare work while leaving space for human pride and creativity. In order to achieve humanistic technology, designers should consider the impact of technological breakthroughs on the organizations in which this technology will function and the nature of work of humans destined to use this technology. Situated (different for each organization), Strategic (based on an in-depth knowledge of Healthcare business), and AI-Enhanced (ended with a dynamic model) method for introducing technology to Healthcare allows identifying areas where technology can make medical work easier. Using this method before automating human work will get us closer to the ideal where there is no discontinuity between design and use of programs; where the technology matches users' needs perfectly--the world with humanistic technology and healthcare workers with AI-wings.

Artificial Intelligence↗
PubMed2005

Multi-agent model for Indian rural health care.

PURPOSE: The objective of this paper is to present a model that uses multi-agent system (MAS) technology to assist doctors based at rural areas to receive timely expert opinions from specialist doctors working in medical institutions like the Postgraduate Institute of Medical Research, Chandigarh or the All India Institute of Medical Sciences, New Delhi. DESIGN/METHODOLOGY/APPROACH: A MAS is a software entity wherein agent metaphor is used to represent human-like intelligence and behavior. These agents are distributed over geographical areas and are part of software running at these sites. The foundation for this model lies in the fact that medical intelligence is distributed in nature and, if it is possible to bring this knowledge together, it could prove to be advantageous in providing improved health care to those people in rural areas. A few existing research works are included to demonstrate the usage of MAS in health care. FINDINGS: It has been observed that the health scenario in India is ranked poor world-wide by international organizations and, with the increasing population, this will worsen. RESEARCH LIMITATIONS/IMPLICATIONS: Initially, the aim is to concentrate on a few medical departments only. It can be extended into more detailed framework. PRACTICAL IMPLICATIONS: Physical computing and networking infrastructure are required for practical implementation along with training for the doctors. ORIGINALITY/VALUE: The primary beneficiaries of this system are likely to be those patients in the rural sector requiring expert medical opinion. The government health organizations will be able to provide quality medical facilities comparable with the medical facilities available in the developed nations. Currently this would seem to be a distant dream.

Delivery of Health Care↗
PubMed2006

Why a system awarded as "MIE '99 Best Paper" failed to be used and hence to affect patient's health?

OBJECTIVE: The failure of a promising system is described with the aim of identifying the errors and the unfavourable conditions that led to such a result. METHODS: The system, based on the AHCPR guideline for pressure ulcers prevention and integrated into the already existing clinical information system, is aimed at supporting nurse's activities for: the risk assessment of the inpatient at the beginning of the hospitalization; the prevention plan, customized to each specific patient; the work plan for each day for all the patients; the report of the non-compliances to the GL and of the workload of the nurses. RESULTS: The system was abandoned after a short period. The reported reasons for the abandonment were: too strict constraints in the work-plan and the mandatory updating of the tasks at the end of each shift (both executed and not); the double writing activity, on paper first and afterward on the workstation. The first complaint was almost unrecoverable and not related to the system from the implementation point of view. Portable notebooks and wireless connections to the LAN could have been a solution for the second problem. Simultaneously a portable device at the bed side could have benefited many other features of the clinical information system. We proposed to quantify the added value, if any, due to making the information system available as close as possible to the points on the wards where information are both generated and used. The proposal was rejected. CONCLUSIONS: In our experience in a hospital setting, closing the gap among the medical informatics minority, the health professionals and the hospital management, through their collaborative responsibilities and participation in the decision-making process, can make the difference between the success and the failure of a good computer-based solution.

Awards and Prizes↗