scholarly journals Development of an Accident and Emergency Triage Mobile App Using Open Data Kit

Iproceedings ◽  
10.2196/15248 ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. e15248
Author(s):  
Tsholofelo Molefi

Background The process of triaging is performed as an effective solution to balance limited resources against high patient volumes, based on an assessment of the patient’s medical condition and the application of an established patient categorization protocol. In Princess Marina Hospital (PMH), a national referral government hospital in the capital city of Botswana, the Princess Marina Hospital Accident and Emergency Centre Triage Scale (PATS) has been in use since 2010. Because the rules of these triage scales are very well defined, these protocols have been shown to be amenable to translation into computer algorithms. Thus, clinical decision support systems (CDSSs) that can assist with information management to support clinicians’ decision-making abilities can be developed, leading to improved healthcare quality and patient safety. Objective This study aims to determine the feasibility of development of a mobile triage app based on the adult PATS using Open Data kit (ODK) open source software to be used as a CDSS on smartphones and tablet computers for correct patient categorization. Methods A user-centered design approach was used in designing the app, with participants recruited from the staff at the Accident and Emergency Department (A&E) at PMH. Forty clinical vignettes were used in the evaluation of the performance of the app as compared to the paper-based system currently in use with the emergency physician at PMH providing the gold standard categorization of these vignettes. Usability testing was also performed. Results The app scored 90% (n=36) of the vignettes correctly, as compared to the paper-based system which scored 82.5% (n=33) of the vignettes correctly. Both systems achieved an over-triage score of 7.5% with an equal number of vignettes over-triaged (n=3). The results of the chi-square test indicate that the difference in triage scores between the paper-based system and the mobile app is statistically significant at P=.001 in favour of the ODK app. An overall positive outcome was also achieved in the usability test with ease of use and speed of triage determined to be the most recurring themes in the user feedback survey. While the app does not require an internet connection for triaging patients, a reliable wireless internet connection is required to upload data to the server for viewing by medical officers and physicians in real time, and this can be provided by the hospital as part of the Botswana government eHealth strategy. Additionally, the app developed in this research allows for data collection up to the point of triage categorization, meaning that a separate form would be required for capturing the rest of the information on the PMH A&E triage form. Conclusions The triage app developed in this research was found to determine the triage category of patient vignettes more accurately than the traditional paper-based system based on PATS triage guidelines with good results obtained in usability testing. Future work includes use of the app developed in this research in a live setting involving real patients in the A&E in PMH.

Author(s):  
M. A. Brovelli ◽  
C. E. Kilsedar ◽  
G. Zamboni

GeoWeb 2.0, laying the foundations of Volunteered Geographic Information (VGI) systems, has led to platforms where users can contribute to the geographic knowledge that is open to access. Moreover, as a result of the advancements in 3D visualization, virtual globes able to visualize geographic data even on browsers emerged. However the integration of VGI systems and virtual globes has not been fully realized. The study presented aims to visualize volunteered data in 3D, considering also the ease of use aspects for general public, using Free and Open Source Software (FOSS). The new Application Programming Interface (API) of NASA, Web World Wind, written in JavaScript and based on Web Graphics Library (WebGL) is cross-platform and cross-browser, so that the virtual globe created using this API can be accessible through any WebGL supported browser on different operating systems and devices, as a result not requiring any installation or configuration on the client-side, making the collected data more usable to users, which is not the case with the World Wind for Java as installation and configuration of the Java Virtual Machine (JVM) is required. Furthermore, the data collected through various VGI platforms might be in different formats, stored in a traditional relational database or in a NoSQL database. The project developed aims to visualize and query data collected through Open Data Kit (ODK) platform and a cross-platform application, where data is stored in a relational PostgreSQL and NoSQL CouchDB databases respectively.


Author(s):  
M. A. Brovelli ◽  
C. E. Kilsedar ◽  
G. Zamboni

GeoWeb 2.0, laying the foundations of Volunteered Geographic Information (VGI) systems, has led to platforms where users can contribute to the geographic knowledge that is open to access. Moreover, as a result of the advancements in 3D visualization, virtual globes able to visualize geographic data even on browsers emerged. However the integration of VGI systems and virtual globes has not been fully realized. The study presented aims to visualize volunteered data in 3D, considering also the ease of use aspects for general public, using Free and Open Source Software (FOSS). The new Application Programming Interface (API) of NASA, Web World Wind, written in JavaScript and based on Web Graphics Library (WebGL) is cross-platform and cross-browser, so that the virtual globe created using this API can be accessible through any WebGL supported browser on different operating systems and devices, as a result not requiring any installation or configuration on the client-side, making the collected data more usable to users, which is not the case with the World Wind for Java as installation and configuration of the Java Virtual Machine (JVM) is required. Furthermore, the data collected through various VGI platforms might be in different formats, stored in a traditional relational database or in a NoSQL database. The project developed aims to visualize and query data collected through Open Data Kit (ODK) platform and a cross-platform application, where data is stored in a relational PostgreSQL and NoSQL CouchDB databases respectively.


2020 ◽  
Author(s):  
Sooyoung Yoo ◽  
Kahyun Lim ◽  
Se Young Jung ◽  
Keehyuck Lee ◽  
Donghyun Lee ◽  
...  

BACKGROUND The US Health Information Technology for Economic and Clinical Health Act of 2009, which was intended to stimulate the use of electronic health record (EHR) systems, has been amended to cover the behavioral health sector. Consequently, there is an increased need for research on the adoption of behavioral EHR systems by healthcare professionals. Various quantitative studies based on the unified theory of acceptance and use of technology model and technology acceptance model have been conducted in the general medical sectors, but few studies have been conducted in the behavioral sector and they have all been interview-based qualitative studies. OBJECTIVE To evaluate the adoption and implementation of a behavioral EHR system for behavioral clinical professionals through a modified clinical adoption (CA) research model quantitative study. METHODS We modified the existing CA framework to be suitable for evaluating the adoption of the EHR system by behavioral clinical professionals. The existing CA framework did not present questionnaire items. Accordingly, we designed a questionnaire with items that fit into the dimensions of the CA framework and it was verified through the review of behavioral clinical professionals and a pre-survey. The full-scale survey was administered in 5 US behavioral hospitals. The data were analyzed using a structural equation analysis. Additionally, open-ended question responses were qualitatively analyzed. RESULTS We derived a total of 7 dimensions, excluding dimensions that were evaluated as inappropriate for behavioral clinical professionals to respond. In addition, for 2 dimensions, 2 sub-dimensions were classified. A total of 409 behavioral clinical experts from 5 hospitals were surveyed. The ease of use and organizational support significantly influenced the use of the behavioral EHR system. Although the results were not significant, information quality (path coefficient=1.19, P>.05) and service quality (path coefficient=.085, P>.05) tended to influence the ease of use of the system. And Ease of Use (path coefficient=.253, P<.05) and the Organization (path coefficient=.802, P<.05) influenced the use of the system. The qualitative results indicated that the greatest advantage of the adoption of the behavioral EHR system was the ability to search for information quickly, work efficiently, and access patient information even outside of the hospital through the mobile app, resulting in having more time with patients. Conversely, the greatest disadvantage was an overdependence on the EHR system. Many staff members voiced concerns that their work could be paralyzed when the system was unstable. CONCLUSIONS This study designed a model for evaluating behavioral EHR adoption and conducted a quantitative study to derive the factors associated with the successful introduction of an EHR system in a behavioral environment. CLINICALTRIAL The study was approved by the Institutional Review Board of Seoul National University Bundang Hospital (SNUBH) (IRB No.: B-1904-534-301).


2021 ◽  
Vol 13 (4) ◽  
pp. 2178
Author(s):  
Songkorn Siangsuebchart ◽  
Sarawut Ninsawat ◽  
Apichon Witayangkurn ◽  
Surachet Pravinvongvuth

Bangkok, the capital city of Thailand, is one of the most developed and expansive cities. Due to the ongoing development and expansion of Bangkok, urbanization has continued to expand into adjacent provinces, creating the Bangkok Metropolitan Region (BMR). Continuous monitoring of human mobility in BMR aids in public transport planning and design, and efficient performance assessment. The purpose of this study is to design and develop a process to derive human mobility patterns from the real movement of people who use both fixed-route and non-fixed-route public transport modes, including taxis, vans, and electric rail. Taxi GPS open data were collected by the Intelligent Traffic Information Center Foundation (iTIC) from all GPS-equipped taxis of one operator in BMR. GPS probe data of all operating GPS-equipped vans were collected by the Ministry of Transport’s Department of Land Transport for daily speed and driving behavior monitoring. Finally, the ridership data of all electric rail lines were collected from smartcards by the Automated Fare Collection (AFC). None of the previous works on human mobility extraction from multi-sourced big data have used van data; therefore, it is a challenge to use this data with other sources in the study of human mobility. Each public transport mode has traveling characteristics unique to its passengers and, therefore, specific analytical tools. Firstly, the taxi trip extraction process was developed using Hadoop Hive to process a large quantity of data spanning a one-month period to derive the origin and destination (OD) of each trip. Secondly, for van data, a Java program was used to construct the ODs of van trips. Thirdly, another Java program was used to create the ODs of the electric rail lines. All OD locations of these three modes were aggregated into transportation analysis zones (TAZ). The major taxi trip destinations were found to be international airports and provincial bus terminals. The significant trip destinations of vans were provincial bus terminals in Bangkok, electric rail stations, and the industrial estates in other provinces of BMR. In contrast, electric rail destinations were electric rail line interchange stations, the central business district (CBD), and commercial office areas. Therefore, these significant destinations of taxis and vans should be considered in electric rail planning to reduce the air pollution from gasoline vehicles (taxis and vans). Using the designed procedures, the up-to-date dataset of public transport can be processed to derive a time series of human mobility as an input into continuous and sustainable public transport planning and performance assessment. Based on the results of the study, the procedures can benefit other cities in Thailand and other countries.


Author(s):  
Susan Alexander ◽  
Haley Hoy ◽  
Manil Maskey ◽  
Helen Conover ◽  
John Gamble ◽  
...  

The knowledge base for healthcare providers working in the field of organ transplantation has grown exponentially. However, the field has no centralized ‘space’ dedicated to efficient access and sharing of information.The ease of use and portability of mobile applications (apps) make them ideal for subspecialists working in complex healthcare environments. In this article, the authors review the literature related to healthcare technology; describe the development of health-related technology; present their mobile app pilot project assessing the effects of a collaborative, mobile app based on a freely available content manage framework; and report their findings. They conclude by sharing both lessons learned while completing this project and future directions.


2018 ◽  
Vol 32 ◽  
Author(s):  
Talyta Do Carmo Vilela ◽  
Cristina Arreguy-Sena ◽  
Paulo Ferreira Pinto
Keyword(s):  

<p>Objetivo: analisar o suporte social de idosos e compreender a representação social elaborada por eles sobre “precisar de alguém”. Método: estudo de método misto realizado em domicílio com pessoas acima de 65 anos adstritas às microáreas de uma unidade de saúde. A coleta de dados ocorreu em 2016, por meio de entrevista gravada e registros realizados no Programa Open Data Kit com base em instrumento contendo a caracterização sociodemográfica, o perfil dos contatos sociais e as abordagens estrutural e processual das representações sociais. Foram realizadas análises estatística descritiva, prototípica e de conteúdo alicerçadas na Teoria de Neuman e das Representações Sociais. Resultados: evidenciou-se que 73,7% tinham mais de 70 anos, eram mulheres (78,4%) e de baixa escolaridade (81,5%). Foram identificados estressores intrapessoais (personalidade), interpessoais (isolamento social) e extrapessoais (distanciamento geográfico). Conclusão: o suporte social de idosos alicerçava-se na família nuclear e contemporâneos (cônjuge e irmãos) e/ou em descendentes (filhos e sobrinhos).</p><p>Descritores: Rede Social. Envelhecimento. Enfermagem.</p>


2018 ◽  
Vol 7 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Hory Sankar Mukerjee ◽  
G. K. Deshmukh ◽  
U. Devi Prasad

Present study is an attempt to measure technology readiness of Indian customers towards self checkout service (SCS) through mobile app at retail stores at Hyderabad, India. Self-checkout services (SCS), a key offering of self service technology (SST), ‘is the technological enablement of customers to make payments and complete a checkout, after shopping, with little or no interaction with a service employee.’ Researchers also studied correlations between technology readiness, perceived usefulness, perceived ease of use, and likelihood to use SCS. For the purpose of the study TRI 2.0 developed by Parasuraman and Colby (2015) was used along with items of perceived usefulness and perceived ease of use, adapted from Davis (1989) , and items of ‘likelihood to use’ adapted from Bitner, Ostrom and Meuter (2002) . The findings of the study reveal that respondents’ technology readiness was moderate with respect to mobile based SCS. Significant positive correlations were found between: technology readiness and perceived ease of use, perceived ease of use and perceived usefulness, perceived ease of use and likelihood to use, perceived usefulness and likelihood to use. Further the respondents were categorised in to five technology segments as sceptics, explorers, pioneers, avoiders and hesitators.


Respati ◽  
2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Fransiska Karisma Sara. D, Bambang Soedijono W.A, M. Rudyanto Arief

Pemerintah Kabupaten Rembang mengembangkan teknologi informasi dalam rangka e-government untuk meningkatkan pelayanan publik, informasi dan komunikasi. Situs website Pemerintah Kabupaten Rembang merupakan salah satu implementasi e-government. Penelitian ini difokuskan untuk mengetahui usability website dengan metode usability testing dengan fokus pada mengukur performasi pengguna melalui pelaksanaan beberapa task yang telah dipersiapkan sebelumnya dan juga mengetahui kualitas layanan menggunakan metode e-govqual. Variabel usability menggunakan teori Jacob Nielsen yaitu learnability, efficiency, memorability, error dan satisfaction. Sedangkan kualitas menggunakan enam dimensi metode e-govqual adalah dimensi ease of use, trust, reliability, citizen support, functionality of the interaction environment dan content and appearance of Information. Jumlah sampel adalah 140 responden. Analisis yang digunakan adalah analisis gap untuk kualitas layanan, sedangkan usability menggunkan usability point and coresponding usability tools. Hasil penelitian menunjukkan bahwa usability website Pemerintah Kabupaten Rembang dapat dikategorikan baik dengan rata-rata perhitungan menunjukkan nilai sebesar 0.68. Sedangkan, perhitungan analisis gap diperoleh hasil kualitas layanan website menunjukkan nilai positif yang berarti bahwa kualitas layanan website Pemerintah Kabupaten Rembang sudah sesuai dengan harapan pengguna.Kata kunci— usability testing, e-govqual, teori jacob nielsen, analisis gap, website.


2021 ◽  
Author(s):  
Hyung-Jin Yoon ◽  
Ye Seul Bae ◽  
Yujin Park ◽  
Taekhoon Kim ◽  
Taehoon Ko ◽  
...  

BACKGROUND The concept of MyData emerged as a paradigm shift in personal data management and the process of seeking to transform the current organization-centered system. MyData enables the utilization of one’s own personal information that is scattered among various institutions as a system for data subjects to exercise rights of self-determination. OBJECTIVE We aimed to develop and demonstrate a MyData platform (MyHealthData) that allows data subjects to download and manage health-related personal data stored in various medical institutions. METHODS The platform consists of a mobile app for users, API (application program interface) for data conversion and exchange installed in the hospital information system (HIS), and a relay server connected to the blockchain to prove data integrity. User surveys were conducted to explore perceived usefulness, perceived ease of use, and satisfaction. RESULTS We provided four services to users through the platform developed in this study: inquiring about medical and health checkup records, health coaching, checking conditions of participation in clinical research, and claims, by using an app. A total of 1,228 participants signed for the service and the overall user satisfaction was high, especially with ‘inquire about medical and health checkup records.’ CONCLUSIONS MyData brings a user-centered paradigm in which data subjects can directly participate in the use of their own data. MyData will improve healthcare data interoperability, allowing it to be used not only in research areas but also in other areas by sharing and integrating various healthcare data.  


2019 ◽  
Vol 33 (5) ◽  
pp. 605-619 ◽  
Author(s):  
Turry Ouma ◽  
Agnes Kavoo ◽  
Cornelius Wainaina ◽  
Busayo Ogunya ◽  
Margaret Karanja ◽  
...  

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