scholarly journals Specifying computer-based counseling systems in health care: A new approach to user-interface and interaction design

2009 ◽  
Vol 42 (2) ◽  
pp. 347-355 ◽  
Author(s):  
Dominikus Herzberg ◽  
Nicola Marsden ◽  
Peter Kübler ◽  
Corinna Leonhardt ◽  
Sabine Thomanek ◽  
...  
Keyword(s):  
Health Care ◽  
User Interface ◽  
Interaction Design ◽  
New Approach ◽  
Computer Based

Usability

2011 ◽  
pp. 1931-1937
Author(s):  
Su-Ting Yong
Keyword(s):  
User Interface ◽  
User Experience ◽  
Interaction Design ◽  
Design Principles ◽  
Learning Program ◽  
Design Models ◽  
Computer Based Learning ◽  
History Of ◽  
Computer Based ◽  
Definition Of

This is a brief review of the history of usability and a discussion of usability in developing a computer-based learning program (CBLP). According to ISO 9241, usability is defined as the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use (Bevan, 2001). The main focus of usability in this article is concerned with the user interface and interaction design. To create a usable computer-based learning program, one needs to understand the definition of usability and the goals of usability. Besides achieving usability goals, a usable CBLP should also be able to attain user experience goals. Design principles can be used to develop a CBLP featured with usability. Two design models will be discussed in this review.

scholarly journals Development of Predictive Informatics Tool Using Electronic Health Records to Inform Personalized Evidence-Based Pressure Injury Management for Veterans with Spinal Cord Injury

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 651-658
Author(s):  
Kath M Bogie ◽  
Steven K Roggenkamp ◽  
Ningzhou Zeng ◽  
Jacinta M Seton ◽  
Katelyn R Schwartz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
User Interface ◽  
Veterans Health Administration ◽  
Study Cohort ◽  
Veterans Health ◽  
Health Administration ◽  
Cord Injury

ABSTRACT Background Pressure injuries (PrI) are serious complications for many with spinal cord injury (SCI), significantly burdening health care systems, in particular the Veterans Health Administration. Clinical practice guidelines (CPG) provide recommendations. However, many risk factors span multiple domains. Effective prioritization of CPG recommendations has been identified as a need. Bioinformatics facilitates clinical decision support for complex challenges. The Veteran’s Administration Informatics and Computing Infrastructure provides access to electronic health record (EHR) data for all Veterans Health Administration health care encounters. The overall study objective was to expand our prototype structural model of environmental, social, and clinical factors and develop the foundation for resource which will provide weighted systemic insight into PrI risk in veterans with SCI. Methods The SCI PrI Resource (SCI-PIR) includes three integrated modules: (1) the SCIPUDSphere multidomain database of veterans’ EHR data extracted from October 2010 to September 2015 for ICD-9-CM coding consistency together with tissue health profiles, (2) the Spinal Cord Injury Pressure Ulcer and Deep Tissue Injury Ontology (SCIPUDO) developed from the cohort’s free text clinical note (Text Integration Utility) notes, and (3) the clinical user interface for direct SCI-PIR query. Results The SCI-PIR contains relevant EHR data for a study cohort of 36,626 veterans with SCI, representing 10% to 14% of the U.S. population with SCI. Extracted datasets include SCI diagnostics, demographics, comorbidities, rurality, medications, and laboratory tests. Many terminology variations for non-coded input data were found. SCIPUDO facilitates robust information extraction from over six million Text Integration Utility notes annually for the study cohort. Visual widgets in the clinical user interface can be directly populated with SCIPUDO terms, allowing patient-specific query construction. Conclusion The SCI-PIR contains valuable clinical data based on CPG-identified risk factors, providing a basis for personalized PrI risk management following SCI. Understanding the relative impact of risk factors supports PrI management for veterans with SCI. Personalized interactive programs can enhance best practices by decreasing both initial PrI formation and readmission rates due to PrI recurrence for veterans with SCI.

scholarly journals Evaluation and Validation of a Semiautomatic Image Analysis Method: Quantification of Nares Cell Proliferation of Rhinella arenarum (Anura) Detected with the Avidin-Biotin Complex/Peroxidase, DAB

2015 ◽  
Vol 2015 ◽  
pp. 1-10
Author(s):  
Javier Eduardo Diaz Zamboni ◽  
Daniela Osella ◽  
Enrique Valentín Paravani ◽  
Víctor Hugo Casco
Keyword(s):  
Gold Standard ◽  
Visual Analysis ◽  
Methodological Approach ◽  
Image Features ◽  
Analysis Method ◽  
New Approach ◽  
Image Characteristics ◽  
Microscopy Image ◽  
Computer Based ◽  
Current Report

The current report presents the development and application of a novel methodological approach for computer-based methods of processing and analysis of proliferative tissues labeled by ABC-peroxidase method using 3, 3′-diaminobenzidine (DAB) as chromogen. This semiautomatic method is proposed to replace the classical manual approach, widely accepted as gold standard. Our method is based on a visual analysis of the microscopy image features from which a computational model is built to generate synthetic images which are used to evaluate and validate the methods of image processing and analysis. The evaluation allows knowing whether the computational methods applied are affected by the change of the image characteristics. Validation allows determining the method’s reliability and analyzing the concordance between the proposed method and a gold standard one. Additional strongness of this new approach is that it may be a framework adaptable to other studies made on any kind of microscopy.

scholarly journals Psychometrics of the Computer-Based Relationships With Health Care Provider Scale in Older Adults

2011 ◽  
Vol 19 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Elizabeth H. Anderson ◽  
Patricia J. Neafsey ◽  
Sheri Peabody
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Patient Adherence ◽  
Internal Consistency Reliability ◽  
Scientific Data ◽  
Patient Health ◽  
Computer Based

The type and quality of the provider–patient health care relationship impacts patient adherence. The study purpose was to convert the 5-item paper and pencil Relationships With Health Care Provider Scale (RHCPS) to a reliable and valid computer-based scale for use with older adults. Outpatient adults (N = 121) older than 59 years were recruited. The RHCPS underwent several iterations documenting internal consistency reliability, content and factorial validity, and scale usability in a computer tablet format. A total of 5 expert judges rated all 5 items as valid, which resulted in a scale content validity index of 1. Cronbach’s standardized alpha was .81. Principal components analysis extracted 1 factor (eigenvalue > 1; confirmed by scree plot) as anticipated. Computer-based RHCPS has the potential to reveal valuable clinical and scientific data on patient–provider relationships among older adults.

scholarly journals Development of the Telehealth Usability Questionnaire (TUQ)

2016 ◽  
Vol 8 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Bambang Parmanto ◽  
Allen Nelson Lewis, Jr. ◽  
Kristin M. Graham ◽  
Marnie H. Bertolet
Keyword(s):  
User Interface ◽  
Service Delivery ◽  
Computer Interface ◽  
Commercial Software ◽  
Telehealth Service ◽  
Computer Based

Current telehealth usability questionnaires are designed primarily for older technologies, where telehealth interaction is conducted over dedicated videoconferencing applications. However, telehealth services are increasingly conducted over computer-based systems that rely on commercial software and a user supplied computer interface. Therefore, a usability questionnaire that addresses the changes in telehealth service delivery and technology is needed.  The Telehealth Usability Questionnaire (TUQ) was developed to evaluate the usability of telehealth implementation and services.  This paper addresses: 1) the need for a new measure of telehealth usability, 2) the development of the TUQ, 3) intended uses for the TUQ, and 4) the reliability of the TUQ. Analyses indicate that the TUQ is a solid, robust, and versatile measure that can be used to measure the quality of the computer-based user interface and the quality of the telehealth interaction and services.    

scholarly journals Computer-based courseware for teaching commuication skills in health care

2004 ◽  
Vol 60 (1) ◽  
Author(s):  
L. Grobler ◽  
A. Hugo ◽  
N. Baird ◽  
B. De Klerk ◽  
A. J. Murray ◽  
...  
Keyword(s):  
Health Care ◽  
Computer Based

No abstract available

New Approach for Software Modeling and Transformation

2012 ◽  
Vol 195-196 ◽  
pp. 829-833
Author(s):  
Jin Wei Yu
Keyword(s):  
User Interface ◽  
Expressive Power ◽  
Basic Element ◽  
Static Model ◽  
Software Modeling ◽  
New Approach ◽  
Control Power ◽  
Power And Control ◽  
Action Model ◽  
And Control

In this paper, a new kind of presentation model for software modeling and transformation is proposed, which is composed of three parts: static model, action model and presentation model. Presentation model describes user interface appearance thorough, while interface template describes the macro-layout and relation of interface, whose basic element is interactive object. Interface template-based presentation model can enhance the rationality of macro-layout of the interface, enhance the expressive power and control power, meet the requirement of auto generate high quality user interface. This solution can be used widely for suffering little from the domain and some special techniques of target applications.

A randomized trial of computer-based reminders and audit and feedback to improve HIV screening in a primary care setting

2009 ◽  
Vol 20 (8) ◽  
pp. 527-533 ◽  
Author(s):  
V Sundaram ◽  
L C Lazzeroni ◽  
L R Douglass ◽  
G D Sanders ◽  
P Tempio ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Health Care ◽  
Hiv Testing ◽  
Health Care System ◽  
Control Group ◽  
Hiv Screening ◽  
Risk Behaviours ◽  
Primary Care Clinics ◽  
Computer Based

Despite recommendations for voluntary HIV screening, few medical centres have implemented screening programmes. The objective of the study was to determine whether an intervention with computer-based reminders and feedback would increase screening for HIV in a Department of Veterans Affairs (VA) health-care system. The design of the study was a randomized controlled trial at five primary care clinics at the VA Palo Alto Health Care System. All primary care providers were eligible to participate in the study. The study intervention was computer-based reminders to either assess HIV risk behaviours or to offer HIV testing; feedback on adherence to reminders was provided. The main outcome measure was the difference in HIV testing rates between intervention and control group providers. The control group providers tested 1.0% ( n = 67) and 1.4% ( n = 106) of patients in the preintervention and intervention period, respectively; intervention providers tested 1.8% ( n = 98) and 1.9% ( n = 114), respectively ( P = 0.75). In our random sample of 753 untested patients, 204 (27%) had documented risk behaviours. Providers were more likely to adhere to reminders to test rather than with reminders to perform risk assessment (11% versus 5%, P < 0.01). Sixty-one percent of providers felt that lack of time prevented risk assessment. In conclusion, in primary care clinics in our setting, HIV testing rates were low. Providers were unaware of the high rates of risky behaviour in their patient population and perceived important barriers to testing. Low-intensity clinical reminders and feedback did not increase rates of screening.

scholarly journals Updated Review of Blood Culture Contamination

2006 ◽  
Vol 19 (4) ◽  
pp. 788-802 ◽  
Author(s):  
Keri K. Hall ◽  
Jason A. Lyman
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Blood Culture ◽  
Infection Control ◽  
Clinical Decision ◽  
Potential Utility ◽  
Diagnostic Uncertainty ◽  
Computer Based ◽  
Clinically Significant ◽  
Care Costs

SUMMARY Blood culture contamination represents an ongoing source of frustration for clinicians and microbiologists alike. Ambiguous culture results often lead to diagnostic uncertainty in clinical management and are associated with increased health care costs due to unnecessary treatment and testing. A variety of strategies have been investigated and employed to decrease contamination rates. In addition, numerous approaches to increase our ability to distinguish between clinically significant bacteremia and contamination have been explored. In recent years, there has been an increase in the application of computer-based tools to support infection control activities as well as provide clinical decision support related to the management of infectious diseases. Finally, new approaches for estimating bacteremia risk which have the potential to decrease unnecessary blood culture utilization have been developed and evaluated. In this review, we provide an overview of blood culture contamination and describe the potential utility of a variety of approaches to improve both detection and prevention. While it is clear that progress is being made, fundamental challenges remain.

scholarly journals Introduction: Ethics of Information Technology in Health Care

2006 ◽  
Vol 5 ◽  
pp. 2-5
Author(s):  
Georg Marckmann ◽  
Kenneth W Goodman
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Information And Communication Technologies ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Social Issues ◽  
Communication Technologies ◽  
Theme Issue ◽  
Information And Communication ◽  
Computer Based

Computer-based information and communication technologies continue to transform the delivery of health care and the conception and scientific understanding of the human body and the diseases that afflict it. While information technology has the potential to improve the quality and efficiency of patient care, it also raises important ethical and social issues. This IRIE theme issue seeks to provide a forum to identify, analyse and discuss the ethical and social issues raised by various applications of information and communication technology in medicine and health care. The contributions give a flavour of the extraordinarily broad landscape shaped by the intersection of medicine, computing and ethics. In fact, their diversity suggests that much more work is needed to clarify issues and approaches, and to provide practical tools for clinicians.

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