Multimedia and Information Technology in Healthcare Systems, Biosignal Communications and Biometrics

2021 ◽  
Vol 16 (2) ◽  
pp. 92-92
Author(s):  
Mohammad R. Khosravi
Keyword(s):  
Information Technology ◽  
Healthcare Systems

Why Using Actor Network Theory (ANT) Can Help to Understand the Personally Controlled Electronic Health Record (PCEHR) in Australia

2012 ◽  
Vol 4 (2) ◽  
pp. 44-60 ◽  
Author(s):  
Imran Muhammad ◽  
Say Yen Teoh ◽  
Nilmini Wickramasinghe
Keyword(s):  
Information Technology ◽  
Electronic Health Record ◽  
Network Theory ◽  
Healthcare Delivery ◽  
Actor Network Theory ◽  
Healthcare Systems ◽  
Health Record ◽  
Actor Network ◽  
Healthcare Reforms ◽  
Electronic Health

Globally, healthcare reforms are being initiated to address the tremendous challenges facing healthcare systems. Without exception these reforms include the implementation of a variety of e-health solutions. Such e-health solutions are complex and have far reaching implications. In this paper, the authors argue that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used to maximise and sustain the benefits of IS/IT (information systems/information technology) in healthcare delivery. Hence, in this paper, the authors proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate, in the context of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution for Australia.

Responding to health information technology reported safety events: Insights from patient safety event reports

2019 ◽  
Vol 24 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Katharine T Adams ◽  
Tracy C Kim ◽  
Allan Fong ◽  
Jessica L Howe ◽  
Kathryn M Kellogg ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare Systems ◽  
Healthcare Staff ◽  
Or Education ◽  
Training And Education ◽  
Safety Event ◽  
Policy Information

Objective We analyzed the described resolutions of patient safety event reports related to health information technology to determine how healthcare systems responded to these events, recognizing that certain types of solutions such as training and education have a limited impact. Methods A large database of over 1.7 million patient safety event reports was filtered to include those identified by the reporter as being related to health information technology. The resolution text was manually reviewed and coded into one or more of four categories: No Resolution, Training/Education, Policy, Information Technology-oriented solution. Results Most events (64%) did not include a resolution. Of those that did, Training/Education was the most commonly reported single or component of a multi-pronged solution (55%), followed by Information Technology (45%). Only 59 events (6% of resolutions) described more than one method of resolution. Conclusion Health information technology-related patient safety event resolutions most often described a solution that suggested additional training or education for healthcare staff, despite the recognized limitations of training and education in resolving these events. Few events suggested multiple resolution methods. Ensuring health information technology-related events are resolved and incorporate effective solutions should be a continued focus area for healthcare systems.

scholarly journals Electronic consultations and clinician burnout: An antidote to our emotional pandemic?

2020 ◽  
Author(s):  
Michelle S Lee ◽  
Vinod E Nambudiri
Keyword(s):  
Primary Care ◽  
Information Technology ◽  
Primary Care Providers ◽  
Healthcare Systems ◽  
Wait Times ◽  
Care Providers ◽  
Contributing Factors ◽  
Work Processes ◽  
Loss Of Autonomy ◽  
Improve Access

Abstract Health information technology is a major source of clinician burnout due to increased administrative burden and inefficient work processes. Electronic consultations (eConsults) represent a promising innovation to improve access to specialty care by reducing wait times for specialist visits and reducing unnecessary in-person specialist visits. While eConsults have clear benefits for patients and healthcare systems, their potential effects on provider burnout should be considered. Using a framework which outlines that the loss of autonomy, competence, and relatedness as the main contributing factors to clinician “amotivation” and burnout, we discuss the use of eConsults and their potential to mitigate or exacerbate burnout for primary care providers and specialists, as well as recommendations for implementation of eConsults to reduce burnout.

Technology's Enabling Role to Improve Care Coordination

2020 ◽  
pp. 358-365
Author(s):  
Rima Gibbings ◽  
Nilmini Wickramasinghe
Keyword(s):  
Information Technology ◽  
Drug Interactions ◽  
Patient Care ◽  
Prescription Drug ◽  
Care Coordination ◽  
Healthcare Systems ◽  
Care Plans ◽  
Treatment Services ◽  
Drug Errors ◽  
The U.S

The U.S. healthcare system has been often characterized as fragmented and disconnected. Lack of effective and concurrent adoption of information technology has been known to be a factor that contributes to the decentralization of healthcare systems. Fragmented systems are also responsible for creating silos that operate with minimal coordination. Clinicians in such systems are providing duplicate services because they are not aware of patient care plans set by other practitioners. These duplications could lead to prescription drug errors due to inconsistencies and lack of coordination in the treatment services and in some cases drug-drug interactions. The following suggests a role for technology to facilitate better care coordination.

scholarly journals Biomedical Monitoring Technologies and Future Healthcare Systems

2017 ◽  
Vol 3 (1) ◽  
pp. 59 ◽  
Author(s):  
Marie Chan ◽  
Eric Campo ◽  
Damien Brulin ◽  
Daniel Est`eve
Keyword(s):  
Information Technology ◽  
Healthcare Delivery ◽  
The Elderly ◽  
Quality Of Healthcare ◽  
Healthcare Systems ◽  
Home Healthcare ◽  
Healthcare Delivery System ◽  
Biomedical Monitoring ◽  
Challenges And Opportunities ◽  
Monitoring Technologies

Healthcare Systems (HCSs) throughout the world undergo important changes driven by aging populations and advances in biomedical technologies. At the same time, in the current economic climate, many Western countries are struggling to reduce public spending on all kinds of services, including healthcare. With this tension between tightening budgets and skyrocketing costs, many countries are seeking to identify ways of using Information Technology (IT) and Monitoring Technologies (MTs) to improve the efficiencies of HCSs while not reducing, or possibly even improving, the quality of healthcare and their delivery. Many experiments have been in progress since the 1990s. This paper has conducted a review evaluating such HCSs in terms of advantages and drawbacks. The objective of this review is to provide some illustrative publications and works and examples of Health Information Technology (HIT) systems to finally determine the place of biomedical MTs in the future HCS. We present the healthcare delivery system (HCDS) organization with roles of the different stakeholders, state initiatives in healthcare information delivery systems and the new relation between the hospital and the home though a new equilibrium. We mentioned the increasing role of telemedicine (TM), telecare (TLC) and telemonitoring (TLM) and expectations for monitoring the elderly. These expectations lead to preventive approaches based on monitoring technologies and pervasive healthcare (PH) which made healthcare improvements and cost reductions possible. Finally, we show the challenges and opportunities of the hospital versus home healthcare delivery.

Access and Access Controls

2019 ◽  
pp. 162-169
Author(s):  
Karl E. Misulis ◽  
Mark E. Frisse
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare Systems ◽  
Access To Information ◽  
Access Controls ◽  
Privacy And Confidentiality ◽  
Efficient Care ◽  
Regulatory Landscape

Evolution of healthcare systems and the constantly changing regulatory landscape continuously alter all facets of health information technology including access. Access to information systems must be controlled in order to protect privacy and confidentiality. Access systems must be flexible enough to be applicable regardless of device and location. While access must be secure, it cannot obstruct the efficient care of patients. Access controls depend on position because privileges and permissions depend on position. These controls are the method of enforcing authorization through mechanisms and policies. This chapter discusses some of the mechanisms of controlling access. Also discussed are some practical considerations for client and device strategy.

scholarly journals ІНФОРМАЦІЙНА ТЕХНОЛОГІЯ ОЦІНЮВАННЯ І ЗАБЕЗПЕЧЕННЯ ГАРАНТОЗДАТНОСТІ МЕДИЧНИХ ІоТ СИСТЕМ

2019 ◽  
pp. 48-54
Author(s):  
Анастасія Андріївна Стрєлкіна
Keyword(s):  
Information Technology ◽  
Internet Of Things ◽  
Healthcare Systems ◽  
The Internet ◽  
Synthesis Design ◽  
New Concepts ◽  
Functional Scheme ◽  
Definition Of ◽  
Data Elements ◽  
The Internet Of Things

Healthcare systems operating in the Internet of things are becoming more widespread and their impact is predicted to only increase. However, new concepts and applications of the latest technologies carry some risks, including the failure of end-user devices, infrastructure, which in turn can lead to the worst outcome. In this regard, the problems of evaluation and assurance when using this technology are increasing. The object of research and analysis in this work is a medical system that operates on the Internet of Things. The purpose of this study is to describe and develop the structure and functional scheme of information technology (IT) dependability assessment and providing of healthcare systems based on the Internet of Things, which is based on models, methods and procedures for evaluation and assurance and formalized design methods that contain such stages of synthesis design decisions: model selection, method selection, problem solving and decision making. The process of the information technology creating consists of such steps as determining: the basic processes that occur when evaluating and ensuring the security of medical IoT systems; input data; source data; elements of mechanisms; controls. The developed structure of information technology consists of the following processes: formation of requirements for the warranty of medical IoT systems; identifying components of medical IoT systems that are susceptible to failure and cyberattack; determination of indicators of availability of medical IoT systems; definition of indicators of functionality of healthcare devices; selection of countermeasures to protect the healthcare IoT system against cyberattacks; case-oriented assessment of cybersecurity of healthcare IoT systems. As a result, this paper provides an IDEF0 diagram of the information technology of dependability assessment and providing healthcare systems based on the Internet of Things. The basic stages of the implementation of the developed information technology are also presented.

scholarly journals A study on the speed of governments’ healthcare response to COVID-19; cases: China, Hong Kong, Korea, Italy, the US, and Iran

2020 ◽  
Author(s):  
Farshad Nourian ◽  
Ahmad Sarabi ◽  
S.Alireza Mousavinezhad
Keyword(s):  
Decision Making ◽  
Information Technology ◽  
Mortality Rate ◽  
Healthcare Systems ◽  
The Novel ◽  
Analytic Hierarchy ◽  
Contagious Diseases ◽  
The Us ◽  
Hierarchy Process ◽  
Death Date

Abstract Background The spread of the novel COVID-19 virus has raised many questions on the performance of the national and global healthcare systems. Methods In this paper, we present the results of a study on how the decision-making speed at the national and city levels on dealing with the spread of the Corona virus has impacted the rate of mortality by means of Analytic Hierarchy Process (AHP) and Bubble chart. Results We considered variables such as the level of infrastructures in health, Information Technology, and human development in China and 5 other countries as all these factors could affect the rate of mortality in those countries as well. For each country, the data has been collected and analyzed starting with the time when the first patient was detected as a positive case up to three weeks later. For the time of decision-making, the data which could be used to illustrate the delay or promptitude of decisions included date of first death, date of quarantine, and the date of aviation suspension. Conclusion Our findings support the hypothesis that the timing of a government’s decision, either proactive or preemptive, along with its level of sophistication in urban and social infrastructures, can impact the mortality rate of contagious diseases such as COVID-19.

scholarly journals Stroke Rehabilitation in Ontario: An Opportunity for Health Care Transformation

2011 ◽  
Vol 38 (6) ◽  
pp. 810-814 ◽  
Author(s):  
Matthew J Meyer ◽  
John P Meyer ◽  
Norine Foley ◽  
Katherine Salter ◽  
J Andrew McClure ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information ◽  
Stroke Rehabilitation ◽  
Quality Care ◽  
Healthcare Systems ◽  
Rehabilitation System ◽  
The Face ◽  
Provide Quality Care ◽  
Health Care Transformation

In this article, Ontario's stroke rehabilitation system is used to exemplify the challenges faced by rehabilitation and healthcare systems across Canada who are attempting to provide quality care to patients in the face of increasing demands. Currently, Ontario's rehabilitation system struggles in its efforts to provide accessible and comprehensive care to patients recovering from stroke. We begin our exploration by identifying both the primary stakeholders and the underlying factors that have contributed to the current challenges. The framework put forward in the Canadian Medical Association's recommendations for transformation is then used to suggest a vision for a more patient-focused system incorporating three key principles: a broader perspective, a patient-first approach, and greater unity. The use of health information technology, proper incentives, and greater accountability are discussed as mechanisms to improve the quality and efficiency of care.

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