scholarly journals Assuring Privacy of Medical Records in an Open Collaborative Environment - A Case Study of Walloon Region’s eHealth Platform

2010 ◽  
pp. 146-159 ◽  
Author(s):  
Syed Naqvi ◽  
Gautier Dallons ◽  
Arnaud Michot ◽  
Christophe Ponsard
Keyword(s):  
Medical Records ◽  
Collaborative Environment

scholarly journals Registros de enfermagem e suas implicações para a qualidade do cuidado

2019 ◽  
Vol 9 (26) ◽  
pp. 3
Author(s):  
Beatriz Da Silva Sousa ◽  
Ana Clara Maciel Barroso
Keyword(s):  
Medical Records ◽  
Electronic Records ◽  
Structured Interviews ◽  
Health Records ◽  
Study Case ◽  
Artery Disease ◽  
Study Type ◽  
Nursing Professionals

Avaliar o registro dos enfermeiros nos prontuários do paciente eletrônico e convencional, com vista à melhoria da qualidade do cuidado. Estudo descritivo, tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com 8 enfermeiros da enfermaria de coronariopatias e a análise dos registros nos dois tipos de prontuários do paciente. Nos 25 prontuários revistos, constatou-se o número de 51 registros, sendo 37 do prontuário eletrônico e 14 do prontuário convencional, média de 31 dias de internação. Atrelou-se a não realização ao número insuficiente de profissionais de enfermagem no setor em comparação à complexidade dos pacientes atendidos. Destaca-se como obstáculo o quantitativo de pessoal da equipe de enfermagem e sua carga de trabalho. Consequentemente, há necessidade de ajustes quantitativo e qualitativo no processo de trabalho relacionados a execução desta e das demais tarefas para que possam ser adequadamente conduzidas.Descritores: Cuidados de Enfermagem, Registros Eletrônicos de Saúde, Carga de trabalho. Nursing records and their implications for the quality of careAbstract: To evaluate nurses' records in the electronic and conventional patient charts, with a view to improving the quality of care. Descriptive study, case study type. Semi-structured interviews were carried out with 8 nurses from the coronary artery disease ward and the analysis of the records in the two types of patient records. In the 25 revised records, the number of 51 records was verified, being 37 of the electronic records and 14 of the conventional medical records, average of 31 days of hospitalization. There was a lack of achievement of the insufficient number of nursing professionals in the sector compared to the complexity of the patients attended. The number of nursing staff and their workload stands out as an obstacle. Consequently, there is a need for quantitative and qualitative adjustments in the work process related to the execution of this and other tasks so that they can be properly conducted.Descriptors: Nursing Care, Eletronic Health Records, Workload. Registros de enfermería y sus implicaciones para la calidad de la atenciónResumen: Evaluar el registro de los enfermeros en los prontuarios del paciente electrónico y convencional, con objetivo la mejora de la calidad del cuidado. Estudio descriptivo, tipo estudio de caso. Se realizaron entrevistas semiestructuradas con 8 enfermeros de la enfermería de coronariopatias y el análisis de los registros en los dos tipos de prontuarios del paciente. En los 25 prontuarios revisados, se constató el número de 51 registros, siendo 37 del prontuario electrónico y 14 del prontuario convencional, promedio de 31 días de internación. La no realización se debe al número insuficiente de profesionales de enfermería en el sector en comparación a la complejidad de los pacientes atendidos. Se destaca como obstáculo el cuantitativo de personal del equipo de enfermería y su carga de trabajo. En consecuencia, hay necesidad de ajustes cuantitativos y cualitativos en el proceso de trabajo relacionados con la ejecución de ésta y de las demás tareas para que puedan ser adecuadamente conducidas.Descriptores: Atención de Enfermería, Registros Electrónicos de Salud, Carga de Trabajo.

Differences and Dialogic Learning in a Collaborative Virtual Design Studio

2006 ◽  
Vol 31 (3) ◽  
pp. 85-94
Author(s):  
Jeffrey Hou ◽  
Min-Jay Kang
Keyword(s):  
Cultural Dimensions ◽  
Design Studio ◽  
Virtual Design ◽  
Dialogic Learning ◽  
Design Collaboration ◽  
Collaborative Environment ◽  
Traditional Design ◽  
The Social ◽  
Operational Issues

With the ability of linking distant partners and diverse bodies of students and faculty, virtual design studios provide unique opportunities for examining cultural, contextual, and methodological differences in design and design collaboration. However, most evaluations of virtual design studio in the recent literature have focused primarily on technical and operational issues. In contrast, the social and cultural dimensions of virtual design studio and their pedagogical implications have not been adequately examined. To address this gap, this article examines the experience and outcomes of a recent virtual design studio involving international collaboration between faculty and student partners. Specifically, it looks at how presence of differences and process of dialogic learning create pedagogical opportunities in a collaborative 'virtual' environment. Based on the case study, this article argues that through dialogues, collaboration, and negotiation of cultural, contextual and methodological differences, collaborative virtual design studio offers an alternative to traditional design studio based on the primacy of individual practice and the master-apprentice model of learning. By creatively utilizing the collaborative environment involving diverse partners, virtual design studio can foster a critical understanding of cross-cultural design process and the significance of dialogues and negotiation in design.

scholarly journals ELECTRONIC MEDICAL RECORD ALGORITHM TO IDENTIFY UNDIAGNOSED (PRE)DIABETES: A CASE STUDY FROM HAWAIʻI

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S934-S934
Author(s):  
David Stupplebeen ◽  
Tetine L Sentell ◽  
Lance Ching ◽  
Blythe Nett ◽  
Hermina Taylor ◽  
...  
Keyword(s):  
Older Adults ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Older Men ◽  
State Health ◽  
Missed Opportunities ◽  
The Past ◽  
Department Of Health

Abstract An estimated one-quarter of United States’ older adults (≥65 years) have diabetes (DM) while half have prediabetes (PreDM). Timely diagnosis can prevent disease progression, but significant proportions of PreDM/DM are undiagnosed. Among Hawai‘i adults, one-third of diabetes and two-thirds of prediabetes cases are undiagnosed; rates for older adults are unknown. Algorithms integrated into Electronic Medical Records (EMR) may improve care by identifying probable undiagnosed cases in patient panels using clinical/laboratory measures. We assessed one algorithm developed by the Hawai‘i Department of Health that identified individuals overdue for screening or with Pre/DM using the records of 20,362 adult patients (51.33% were >65) from a major state health system. 6,371 (31.3%) patients were excluded from analysis; they had no HbA1c screening in the past year or were overdue for screening (70%) based on standard guidelines. Of the remaining 13,991 patients, 7317 were older adults; 6130 (84%) had a PreDM (50.6%) or DM (33.2%) HbA1c value; the rest were controlled or false-positive. Of those older adults with probable PreDM/DM, 38.6% were undiagnosed. Adults >65 were significantly more likely to be flagged with undiagnosed PreDM compared to their younger counterparts (58 versus 54%, p<.001). Notably, 61% of older men flagged with PreDM were undiagnosed. Of the 5,737 patients identified with DM, 22% of those 65 were undiagnosed. Given the recognized high burden of diabetes among older adults, results indicate substantial missed opportunities for the prevention and early treatment of this condition as identified by an EMR algorithm.

scholarly journals A Fog Computing-Based Architecture for Medical Records Management

2019 ◽  
Vol 2019 ◽  
pp. 1-16 ◽  
Author(s):  
Cícero A. Silva ◽  
Gibeon S. Aquino ◽  
Sávio R. M. Melo ◽  
Dannylo J. B. Egídio
Keyword(s):  
Medical Records ◽  
Fog Computing ◽  
Medical Data ◽  
Data Sources ◽  
Medical Applications ◽  
Records Management ◽  
Medical Field ◽  
Computing Paradigm ◽  
And Storage

The aging of the world’s population and the growth in the number of people with chronic diseases have increased expenses with medical care. Thus, the use of technological solutions has been widely adopted in the medical field to improve the patients’ health. In this context, approaches based on Cloud Computing have been used to store and process the information generated in these solutions. However, using Cloud can create delays that are intolerable for medical applications. Thus, the Fog Computing paradigm emerged as an alternative to overcome this problem, bringing computation and storage closer to the data sources. However, managing medical data stored in Fog is still a challenge. Moreover, characteristics of availability, performance, interoperability, and privacy need to be considered in approaches that aim to explore this problem. So, this article shows a software architecture based on Fog Computing and designed to facilitate the management of medical records. This architecture uses Blockchain concepts to provide the necessary privacy features and to allow Fog Nodes to carry out the authorization process in a distributed way. Finally, this paper describes a case study that evaluates the performance, privacy, and interoperability requirements of the proposed architecture in a home-centered healthcare scenario.

A Framework for Semantic Grid in E-Science

2009 ◽  
pp. 235-240
Author(s):  
Diego Liberati
Keyword(s):  
Web Services ◽  
Open Source ◽  
Organizational Dynamics ◽  
Semantic Grid ◽  
Collaborative Environment ◽  
Cooperative Enterprise ◽  
Open Source Systems ◽  
The Web ◽  
Generally True

A framework is proposed that creates, uses, and communicates information, whose organizational dynamics allows performing a distributed cooperative enterprise in public environments, even over open source systems. The approach assumes the web services as the enacting paradigm possibly over a grid, to formalize interactions as cooperative services on various computational nodes of a network. The illustrated case study shows that some portions, both of processes and of data or knowledge, can be shared in a collaborative environment, which is also more generally true for any kind of either complex or resource demanding (or both) interaction that will benefit any of the approaches.

scholarly journals The mediating role of documents: information sharing through medical records in healthcare

2020 ◽  
Vol 76 (6) ◽  
pp. 1171-1191
Author(s):  
Esther Ebole Isah ◽  
Katriina Byström
Keyword(s):  
Patient Care ◽  
Information Sharing ◽  
Medical Records ◽  
Design Methodology ◽  
University Teaching ◽  
Work Practices ◽  
Content Type ◽  
Mediating Role

PurposeThe focus of this paper is on the mediating role of medical records in patient care. Their informative, communicative and constitutive facets are analysed on the basis of a case study in an African University teaching hospital.Design/methodology/approachA practice-oriented approach and the concept of boundary objects were adopted to examine medical records as information artefacts. Data from nonparticipant observations and interviews with physicians were triangulated in a qualitative analysis.FindingsThree distinctive practices for information sharing – absorbing by reading, augmenting by documenting and recounting by presenting – were identified as central to the mediating role of medical records in the care of patients. Additionally, three information-sharing functions outside the immediate care of patients were identified: facilitating interactions, controlling hegemonic order and supporting learning. The records were both a useful information resource and a blueprint for sustaining shared practices over time. The medical records appeared as an essential part of patient care and amendments to them resulted in changes in several other work practices.Originality/valueThe analysis contributes to research on documents as enacting and sustaining work practices in a workplace.

scholarly journals Synthetic Biology for Teaching Control Engineering: A Case Study in a Student-Directed, Collaborative Environment

2018 ◽  
Author(s):  
Christian Euler ◽  
Radhakrishnan Mahadevan
Keyword(s):  
Curriculum Design ◽  
Chemical Engineering ◽  
Student Feedback ◽  
Student Experiences ◽  
Control Engineering ◽  
Collaborative Environment ◽  
Research And Teaching ◽  
Advanced Control ◽  
Biological Control System

 Abstract –As the bio-based economy expands, Chemical Engineering graduates will find themselves in new contexts for which they must be prepared. The broad shift toward including biology in departmental research and teaching activities reflects this, but relatively little formal thought has been given to the pedagogy of biology within Chemical Engineering curricula. The case study presented here is centered on the use of a biological control system in a lab setting as the means by which advanced control concepts can be taught to upper-year and graduate students within a constructivist framework. This approach was successfully applied to achieve all of the learning outcomes for the lab, but student feedback indicated that structured collaboration and metacognitive activities should have been given higher priority to improve student experiences. A re-iteration of this framework for upper-year lab curriculum design based on student feedback is presented.

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