scholarly journals Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

2019 ◽  
Vol 58 (S 01) ◽  
pp. e14-e25 ◽  
Author(s):  
Jochen Steil ◽  
Dominique Finas ◽  
Susanne Beck ◽  
Arne Manzeschke ◽  
Reinhold Haux
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Care Professionals ◽  
New Technologies ◽  
Health Information Systems ◽  
Robotic Systems ◽  
Intelligent Machines ◽  
Wide Range ◽  
Machine Interaction

Background Health information systems have developed rapidly and considerably during the last decades, taking advantage of many new technologies. Robots used in operating theaters represent an exceptional example of this trend. Yet, the more these systems are designed to act autonomously and intelligently, the more complex and ethical questions arise about serious implications of how future hybrid clinical team–machine interactions ought to be envisioned, in situations where actions and their decision-making are continuously shared between humans and machines. Objectives To discuss the many different viewpoints—from surgery, robotics, medical informatics, law, and ethics—that the challenges of novel team–machine interactions raise, together with potential consequences for health information systems, in particular on how to adequately consider what hybrid actions can be specified, and in which sense these do imply a sharing of autonomous decisions between (teams of) humans and machines, with robotic systems in operating theaters as an example. Results Team–machine interaction and hybrid action of humans and intelligent machines, as is now becoming feasible, will lead to fundamental changes in a wide range of applications, not only in the context of robotic systems in surgical operating theaters. Collaboration of surgical teams in operating theaters as well as the roles, competencies, and responsibilities of humans (health care professionals) and machines (robotic systems) need to be reconsidered. Hospital information systems will in future not only have humans as users, but also provide the ground for actions of intelligent machines. Conclusions The expected significant changes in the relationship of humans and machines can only be appropriately analyzed and considered by inter- and multidisciplinary collaboration. Fundamentally new approaches are needed to construct the reasonable concepts surrounding hybrid action that will take into account the ascription of responsibility to the radically different types of human versus nonhuman intelligent agents involved.

scholarly journals Researching, characterising, co-creating and testing innovations in Paper Health Information Systems (PHISICC) to support frontline health workers decision-making: protocol of a multi-country, transdisciplinary, mixed-methods research programme in three Sub-Saharan countries

2021 ◽  
Author(s):  
Xavier Bosch-Capblanch ◽  
David O'Donnell ◽  
L Kendall Krause ◽  
Christian Auer ◽  
Angela Oyo-Ita ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Workers ◽  
Health Information Systems ◽  
Frontline Health Workers ◽  
Rural Settings ◽  
Wide Range ◽  
Sub Saharan

Abstract BackgroundHealth Information Systems (HIS) are crucial to provide data for decision-making and data demands are constantly growing. However, the link between data and decisions is not always rational nor linear and the management of data ends up overloading frontline health workers, who may have to compromise the health care. Despite limited evidence, there is an increasing push for HIS digitalisation, which faces enormous challenges, particularly in remote, rural settings in low- and middle-income countries. Paper-based tools will continue to be used and this warrants efforts to make them more responsive to local needs. Paper Health Information Systems (PHISICC) is a transdisciplinary, multi-country research initiative to create and test innovative paper-based HIS in three Sub-Saharan African countries.MethodsThe PHISICC initiative is taking place in remote, rural settings, in Côte d’Ivoire, Mozambique and Nigeria, through partnership with Ministries of Health and research institutions. We began with research syntheses to acquire the most up to date knowledge on HIS. These were coupled with field work in the three countries to understand the current design, patterns and contexts of use, and health care worker perspectives. Frontline health workers, with designers and researchers, used co-creation methods to produce the new PHISICC tools. This suite of tools is being tested in the three countries. Throughout the project we have engaged with a wide range of stakeholders and have kept the highest scientific standards to keep it relevant to health policy in each of the three countries.DiscussionWe have deployed a comprehensive research approach to ensure the robustness and future policy uptake of the finding. Beyond the resulting paper-based tool design innovations, our process itself was innovative. Rather than emphasizing the data management compliance aspects we focused instead on frontline health workers’ decision-making; by tackling the whole scope of health care areas in PHC rather than incremental improvement to existing tools, we developed an entirely new design approach and language for a suite of tools in Primary Health Care. The initiative is being tested in remote, rural areas where the most vulnerable live.

scholarly journals Health Care Professionals' Use of Health Information Systems (HIS) in Indian Hospitals

2021 ◽  
Vol 174 (28) ◽  
pp. 5-12
Author(s):  
Mohammed Najimudeen Abdulai ◽  
Hassan Faisal Aldheleai ◽  
Mohammed Ubaidullah Bokhari
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Care Professionals ◽  
Health Information Systems

Health Information Systems (Informationssysteme im Gesundheitswesen)

2006 ◽  
Vol 48 (1) ◽  
Author(s):  
Mario Beyer ◽  
Richard Lenz ◽  
Klaus A. Kuhn
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Care Professionals ◽  
Health Information Systems ◽  
Semantic Heterogeneity ◽  
Seamless Integration ◽  
Health Networks ◽  
Essential Information ◽  
Continuous Quality

SummaryHospital Information Systems have been emerging towards Health Information Systems (HIS) for more than a decade. Systems have spread across institutional borders, and regional health networks are being supported. Furthermore, E-Health is starting to become a reality. In the same time, HIS functionality has significantly improved: systems have become by far more comprehensive, providing essential information and knowledge to health care professionals, supporting quality management, improving patient safety, and providing means to inform patients. Old and new problems, however, remain to be solved, and significant challenges exist. Among them are the need for flexibility, extensibility, seamless integration, and adaptation to work processes. Health Information Systems need to cope with change and with the evolution of medical concepts. Continuous quality improvement of distributed health care processes needs to be supported. The underlying IT infrastructure has to gradually overcome semantic heterogeneity of systems, and to provide support for inter-institutional workflow. In this article, we will present both challenges and architectural approaches for future HIS.

scholarly journals State of the practice of health information systems: a survey study amongst health care professionals in intellectual disability care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joep Tummers ◽  
Hilde Tobi ◽  
Bianca Schalk ◽  
Bedir Tekinerdogan ◽  
Geraline Leusink
Keyword(s):  
Health Care ◽  
Intellectual Disability ◽  
Information Systems ◽  
Health Information ◽  
Health Care Professionals ◽  
Health Information Systems ◽  
Professional Associations ◽  
Survey Study ◽  
Care Providers ◽  
Online Questionnaire

Abstract Background Care for people with an Intellectual Disability (ID) is complex: multiple health care professionals are involved and use different Health Information Systems (HISs) to store medical and daily care information on the same individuals. The objective of this study is to identify the HISs needs of professionals in ID care by addressing the obstacles and challenges they meet in their current HISs. Methods We distributed an online questionnaire amongst Dutch ID care professionals via different professional associations and care providers. 328 respondents answered questions on their HISs. An inventory was made of HIS usage purposes, problems, satisfaction and desired features, with and without stratification on type of HIS and care professional. Results Typical in ID care, two types of HISs are being used that differ with respect to their features and users: Electronic Client Dossiers (ECDs) and Electronic Patient Dossiers (EPDs). In total, the respondents mentioned 52 unique HISs. Groups of care professionals differed in their satisfaction with ECDs only. Both HIS types present users with difficulties related to the specifics of care for people with an ID. Particularly the much needed communication between the many unique HISs was reported a major issue which implies major issues with inter-operability. Other problems seem design-related as well. Conclusion This study can be used to improve current HISs and design new HISs that take ID care professionals requirements into account.

Towards Multi-Agent Health Information Systems

2015 ◽  
Vol 6 (4) ◽  
pp. 20-38 ◽  
Author(s):  
Andrea Claudi ◽  
Paolo Sernani ◽  
Aldo Franco Dragoni
Keyword(s):  
Information Systems ◽  
Health Information ◽  
New Technologies ◽  
Health Information System ◽  
Emergency Situation ◽  
Health Information Systems ◽  
International Standards ◽  
Radiology Workflow ◽  
Healthcare Sector ◽  
Multi Agent

One of the key challenges in the healthcare sector is to adapt Health Information Systems to requirements coming from changing societies. In recent years, governments and international healthcare organizations defined a series of requirements for new generation Health Information Systems: they have to preserve past investments on legacy systems, but must also integrate new technologies, include the patient among their users, and ensure that clinical information are available at all times, even in places far from where information are physically stored. This paper proposes a multi agent-oriented architecture for Health Information Systems, which uses international standards for communication and management of clinical documents. The architecture tries to effectively model a generic healthcare organization, and aims at being easily extensible and adaptable to the particularities of specific healthcare systems. The authors present two experimental scenarios to test the proposed multi-agent health information system. In the first, they show how to model a specific use case, a radiology workflow, using agents and well-known standards; in the second one the authors demonstrate how a mobile application can use the services provided by the agents to support the medical staff in an emergency situation.

scholarly journals Discussion of “Representation of People’s Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health”

2017 ◽  
Vol 56 (S 01) ◽  
pp. e20-e29 ◽  
Author(s):  
Najeeb Al-Shorbaji ◽  
Elizabeth Borycki ◽  
Michio Kimura ◽  
Christoph Lehmann ◽  
Nancy Lorenzi ◽  
...  
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Population Health ◽  
Health Care Systems ◽  
Health Information Systems ◽  
Letters To The Editor ◽  
Discussion Section ◽  
Complementary Approach ◽  
Care Systems

SummaryThis article is part of a For-Discussion-Section of Methods of Information in Medicine about the paper “Representation of People’s Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health” written by Fernan Gonzalez Bernaldo de Qui-ros, Adriana Ruth Dawidowski, and Silvana Figar. It is introduced by an editorial. This article contains the combined commentaries invited to independently comment on the paper of de Quiros, Dawidowski, and Figar. In subsequent issues the discussion can continue through letters to the editor.

scholarly journals Health Information Systems

2010 ◽  
Vol 19 (01) ◽  
pp. 30-33
Author(s):  
C. Bréant ◽  
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
It Alignment

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2010. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The elected articles illustrate how health care IT alignment, assessment and benchmarking have become a challenge and a key aspect to the strengthening of health information systems in order to maintain and expand the objectives and strategies of organizations.

Sign in / Sign up

Export Citation Format

Share Document