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PubMed1992

The MEDLINE Button.

We have developed a computerized method for performing bibliographic searches directly from patient data involving five steps: 1) identifying specific patient data which raises a question in the mind of the user, 2) selection (from a list of generic questions) of a small number of questions which fit the selected patient data, 3) automated translation of the patient data into appropriate terms used for bibliographic indexing, 4) conversion of the question selected by the user into a search strategy, and 5) transfer of the search strategy to a search engine for a bibliographic database. We have modified the Columbia-Presbyterian Clinical Information System to experiment with this method. The first implementation converts patient diagnoses and procedures coded in ICD9-CM into Medical Subject Headings (MeSH) and searches Medline using BRS/Onsite. Challenges include development of a useful set of generic questions and translation from ICD9-CM to MeSH using the Unified Medical Language System (UMLS).

Diagnosis, Computer-Assisted↗
PubMed2003

Security, safety and quality in Health Information Systems.

The issues of Safety and Security are closely intertwined in Health information Systems. The paper explores the development of interest in these issues and looks to the next steps in the development of Safety standards. These efforts are compatible with the wider activities aimed at avoiding "adverse incidents" in the delivery of Healthcare.

Computer Security↗
PubMed1992

[The medical record at the center of medical informatics].

Several areas in medical institutions, particularly the technical and administrative ones have been governed by computers for a long time. The proper medical work field (diagnosis, treatment, follow-up, correspondence and billing) however has hitherto mostly been ignored by data processing. We describe an electronic medical record introduced 4 years ago. All aspects of medical practise and all the specialists involved in patient care are integrated in the electronic document. In the center is a medical base of knowledge adaptable to all specialties as well as an expert system for direct control of the data entered by all concerned persons.

Ambulatory Surgical Procedures↗
PubMed2002

A message model designed by EDISANTE WG 11.

WG 11 is one of the Working Groups of the EDISANTE Association. First, his mission was to define message models with two parts: The envelope of the message, including a header, the characteristics of the transmitter, of the receiver, and of the patient concerned. The contents of the message, including medical data which could be exchanged between different middleware. This second part was halted by the " Réseau Santé Social", public network for all the healthcare professionals, who want to have a structured content for his "medical message format". The prupose of EDISANTE is essentially to promote the use of EDI in health care. In a second time, this association decide to include work about envelope in a larger domain concerning all exchanges in medical domains, so the GT 11 centred his action on content.

Computer Communication Networks↗
PubMed2002

Using stereoscopy for medical virtual reality.

The use of stereoscopy to enhance the immersive experience obtained from a virtual environment is well known, and many medical applications can benefit from this technology. The stereoscopic projection sessions at the last two MMVR conferences contain many excellent examples. Stereoscopy need not be expensive to implement, and can easily be provided on a desktop PC. This paper looks at the different options available today, from active stereo, to passive stereo, to autostereoscopic displays, and their deployment on both high-end and low-end systems. The potential benefits of these different approaches are illustrated with examples from medical visualisation projects currently being carried out at the Manchester Visualization Centre (MVC).

Depth Perception↗
PubMed2004

On-body diagnosis for wearable systems serving biomedical needs.

Early diagnosis as well as a healthy and preventive lifestyle can help slowing the onset of many health problems and save millions of lives per year. To achieve this objective, long-term monitoring of human vital signs are required to obtain knowledge on a person's health status. Continuous monitoring of vital signs is mandatory, but continuous transmission is expensive, in terms of financial costs as well as power consumption for battery operated portable systems. Clothing is like a second skin to us: intelligent biomedical clothes may make everyday life easier for people in poor health, helping them to lead productive lives, senior citizens and also for athletes. Clothing means fashion and fun: smart clothes will combine health problem prevention, entertainment, comfort, convenience and communication with fashion. This paper presents essential issues in wearable electronics, including interface with the garment, signal sensing and enhancement, signal processing of signal combination, on-body diagnosis and on-body and distant communication. The paper reports on experience acquired through related projects running at the Swiss Center for Electronics and Microtechnology.

Biosensing Techniques↗
PubMed2006

New technology and old habits: The role of age as a technology chasm.

Familiarity with and use of computers is increasingly cited as a limiting factor related to the potential of the Internet as an effective healthcare resource for the elderly. This study sought to examine differences across age groups in their access to and use of computers and the Internet as a health information resource. We perform multivariate analysis with data from a stratified sample of survey-reported health information-seeking behaviors on the Internet. The results suggest that access to online health information among Internet users varies significantly from the use of computers and Internet. Younger participants showed the highest rates in the use of computer and Internet, and exhibited the lowest rates in the access to online health information. In 2000, 56.7% and 55.9% of medium and older Internet users ever looked for health information on the Web, respectively, whereas 49.4% of young Internet users ever did. By 2002, these fractions had increased by 14.6%, 13.5% and 9.1%, respectively. The comparison of ORs between 2000 and 2002 indicated that the gap is somewhat increased, although the increase was not statistically significant at 0.05 level (the ORs of old to young at2000 = 1.30 [0.933, 1.817]; the ORs at2002 = 1.61 [1.157, 2.255]). Findings show that the gap between old and young seekers users of computers and the Internet for information appears to have widened in recent years, even as advocates of consumer-centric healthcare continue to promote the Internet as a key source of empowerment for the elderly.

Adolescent↗
PubMed2005

Using a context-aware medical application to address information needs for extubation decisions.

Information overload has been one of the causes of preventable medical errors [1] and escalating costs [2]. A context-aware application with embedded clinical knowledge is proposed to provide practitioners with the appropriate amount of information and content. We developed a prototype of a context-aware medical application to address clinicians' information needs that arise in a data intensive unit, the Cardio-Thoracic Intensive Care Unit (CTICU). A major clinical decision supported by the prototype, the extubation decision, is illustrated.

Decision Making, Computer-Assisted↗
PubMed2006

[Contributions of university hospitals to local health integration networks].

The use of ICT (Information and Communication Technology) has supported the widespread sharing of healthcare data. Collaboration among medical or health facilities in the community using a telemedicine infrastructure has been promoted by the Strategy of IT-related Structural Reform (the Acceleration and Advancement of e-Japan Priority Policy Program) of the Japanese government. Many university hospitals have been playing leading roles of facilitating collaboration with community healthcare. Through advances in broadband networking and security technology, we have made great progress from the trial stage to the practical stage in the electronic sharing of clinical data. Although many efforts are being made spread the cooperation areas or widen the scope of information sharing for utilization in disease prevention or clinical trials of newly developed drugs as well as medical information, university hospitals have to continue working on these areas to support patients and staff as core hospitals in the community.

Computer Communication Networks↗
PubMed2006

Development of a web-based health information service system for maternal health care.

Information technology skills are essential for effective and efficient practice in maternal and child health. The purpose of this study was to develop a web-based multimedia health information system for maternal health care using principals of user centered design. Research process includes needs assessment, needs analysis, design, development/testing, and application release. This system will be a new way of nursing intervention and contribute to the maternal health promotion.

Female↗
PubMed2006

Human factors engineering for clinical applications.

This position paper advocates the necessity for promoting a Human Factors Engineering (HFE) approach to new clinical applications in the medical informatics domain. We first describe the negative consequences of NOT using HFE methods for such sensitive applications as medication Computerized Physicians Order Entry systems. We then describe rapidly the HF technology and how it would apply to the healthcare domain. The specific and complex problem of the necessary re-engineering of existing applications is then addressed. We conclude on the mandatory cooperative characteristic of any practical HFE project for designing or re-engineering safety-sensitive clinical applications.

Ergonomics↗
PubMed1989

Teaching hospital information systems by simulating what really happens.

This paper discusses the teaching of a course which simulates what a hospital goes through when it conceptualizes the need for a Hospital Information System, identifies its goals and objectives for the system, prepares a Request for Proposal (RFP), and selects a particular system. The course is taught entirely in simulation and role playing modes. Students are taken on site visits, vendors come to the University to demonstrate their systems, and consultants are brought in to give advice. The pros and cons of this particular style of teaching are discussed.

Attitude to Computers↗