scholarly journals 5G Edge Computing Enabled Directional Data Collection for Medical Community Electronic Health Records

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Xiaoqiang Yan ◽  
Xiaogang Ren

It is important to promote the development and application of hospital information system, community health service system, etc. However, it is difficult to realize the intercommunication between various information systems because it is not enough to realize the in-depth management of health information. To address these issues, we design the 5G edge computing-assisted architecture for medical community. Then, we formulate the directional data collection (DDC) problem to gather the EMR/HER data from the medical community to minimize the service error under the deadline constraint of data collection deadline. Moreover, we design the data direction prediction algorithm (DDPA) to predict the data collection direction and propose the data collection planning algorithm (DCPA) to minimize the data collecting time cost. Through the numerical simulation experiments, we demonstrate that our proposed algorithms can decrease the total time cost by 62.48% and improve the data quality by 36.47% through the designed system, respectively.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kim De Groot ◽  
Elisah B. Sneep ◽  
Wolter Paans ◽  
Anneke L. Francke

Abstract Background Patient participation in nursing documentation has several benefits like including patients’ personal wishes in tailor-made care plans and facilitating shared decision-making. However, the rise of electronic health records may not automatically lead to greater patient participation in nursing documentation. This study aims to gain insight into community nurses’ experiences regarding patient participation in electronic nursing documentation, and to explore the challenges nurses face and the strategies they use for dealing with challenges regarding patient participation in electronic nursing documentation. Methods A qualitative descriptive design was used, based on the principles of reflexive thematic analysis. Nineteen community nurses working in home care and using electronic health records were recruited using purposive sampling. Interviews guided by an interview guide were conducted face-to-face or by phone in 2019. The interviews were inductively analysed in an iterative process of data collection–data analysis–more data collection until data saturation was achieved. The steps of thematic analysis were followed, namely familiarization with data, generating initial codes, searching for themes, reviewing themes, defining and naming themes, and reporting. Results Community nurses believed patient participation in nursing documentation has to be tailored to each patient. Actual participation depended on the phase of the nursing process that was being documented and was facilitated by patients’ trust in the accuracy of the documentation. Nurses came across challenges in three domains: those related to electronic health records (i.e. technical problems), to work (e.g. time pressure) and to the patients (e.g. the medical condition). Because of these challenges, nurses frequently did the documentation outside the patient’s home. Nurses still tried to achieve patient participation by verbally discussing patients’ views on the nursing care provided and then documenting those views at a later moment. Conclusions Although community nurses consider patient participation in electronic nursing documentation important, they perceive various challenges relating to electronic health records, work and the patients to realize patient participation. In dealing with these challenges, nurses often fall back on verbal communication about the documentation. These insights can help nurses and policy makers improve electronic health records and develop efficient strategies for improving patient participation in electronic nursing documentation.


2019 ◽  
Author(s):  
Kelsey Berg ◽  
Chelsea Doktorchik ◽  
Hude Quan ◽  
Vineet Saini

Abstract Background: Electronic Health Records (EHRs) are key tools for integrating patient data into health information systems (IS). Advances in automated data collection methodology, particularly the collection of social determinants of health (SDOH), provide opportunities to advance health promotion and illness prevention through advanced analytics (i.e. “Big Data” techniques). We ask how current data collection processes in EHRs permit SDOH data to flow throughout health systems. Methods: Using a scoping review framework, we searched through medical literature to identify current practices in SDOH data collection within EHR systems. We extracted relevant information on data collection methodology, specifically focusing on uses of automated technology. We discuss our findings in the context of research methodology and potential for health equity. Results: Practitioners collect a variety of SDOH data at point of care through EHR, predominantly via embedded screening tools and clinical notes, and primarily capturing data on financial security, housing status, and social support. Health systems are increasingly using digital technology in data collection, including natural language processing algorithms. However overall use of automated technology is limited to date. End uses of data pertain to improving system efficiency, patient care-coordination, and addressing health disparities. Discussion & Conclusion: EHRs can realistically promote collection and meaningful use of SDOH data, although EHRs have not extensively been used to collect and manage this type of information. Future applied research on systems-level application of SDOH data is necessary, and should incorporate a range of stakeholders and interdisciplinary teams of researchers and practitioners in fields of health, computing, and social sciences.


PEDIATRICS ◽  
1987 ◽  
Vol 79 (2) ◽  
pp. 275-280
Author(s):  
Robert A. deLemos ◽  
Thomas J. Kuehl

The need for a better defined and controlled approach to new therapies for possible neonatal application appears clear in light of present practice and recent history. At this conference several animal models were discussed that could be used for pharmacokinetic and pharmacodynamic studies and for evaluation of efficacy and safety prior to human newborn testing. This, coupled with a requirement for comprehensive human data collection following preliminary approval of new drugs, would, we believe, significantly improve present practice. It will, however, require pressure from the medical community and patient advocates to encourage change in current government regulations and industry policies.


Author(s):  
Devendra Dilip Potnis

This paper equips researchers for addressing a wide range of data collection challenges experienced when interacting with marginalized communities as part of ICT4D projects in developing countries. This secondary research categorizes data collection challenges reported in multiple disciplines, and summarizes the guidance from the past literature to deal with the challenges. The open, axial, and selective coding of data collection challenges reported by the past literature suggests that it is necessary to manage scope, time, cost, quality, human resources, communication, and risks for addressing the data collection challenges. This paper illustrates the ways to manage these seven dimensions using (a) the success stories of data collection in the past, (b) the lessons learned by researchers during data collection as documented by the past literature, and (c) the advice they offer for collection data from marginalized communities in developing countries.


2019 ◽  
Vol 7 (5) ◽  
pp. 132 ◽  
Author(s):  
Zhen Zhang ◽  
Defeng Wu ◽  
Jiadong Gu ◽  
Fusheng Li

It is well known that path planning has always been an important study area for intelligent ships, especially for unmanned surface vehicles (USVs). Therefore, it is necessary to study the path-planning algorithm for USVs. As one of the basic algorithms for USV path planning, the rapidly-exploring random tree (RRT) is popular due to its simple structure, high speed and ease of modification. However, it also has some obvious drawbacks and problems. Designed to perfect defects of the basic RRT and improve the performance of USVs, an enhanced algorithm of path planning is proposed in this study, called the adaptive hybrid dynamic stepsize and target attractive force-RRT(AHDSTAF-RRT). The ability to pass through a narrow area and the forward speed in open areas of USVs are improved by adopting the AHDSTAF-RRT in comparison to the basic RRT algorithm. The improved algorithm is also applied to an actual gulf map for simulation experiments, and the experimental data is collected and organized. Simulation experiments show that the proposed AHDSTAF-RRT in this paper outperforms several existing RRT algorithms, both in terms of path length and calculating speed.


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