scholarly journals Deployment of Electronic Paper Displays in Hospital Operations: Proposal for Hospital Implementation (Preprint)

2021 ◽  
Author(s):  
Guruprasad D. Jambaulikar ◽  
Andrew Marshall ◽  
Mohammad Adrian Hasdianda ◽  
Chenzhe Cao ◽  
Paul C. Chen ◽  
...  
Keyword(s):  
Clinical Care ◽  
Form Factors ◽  
Detailed Comparison ◽  
Content Management ◽  
General Information ◽  
Use Cases ◽  
Privacy And Security ◽  
Implementation Framework ◽  
Care Plans ◽  
Electronic Ink

BACKGROUND Display signage is ubiquitous and essential in hospitals to serve several clerical, operational and clinical functions, from displaying notices to giving directions to showing clinical information. These functions improve efficiency and patient engagement, reduce errors, and enhance the continuity of care. Over time, signage has evolved from analog approaches like whiteboards and handwritten notices to digital displays like LCD, LED and now electronic ink displays. Electronic ink displays are paper-like displays that are not backlit and show content by aligning microencapsulated color beads in response to an applied electric current. Power is only required to generate content and not to retain it. These displays are very readable with low eye strain, minimize emission of blue light, require minimal power and can be driven by several data sources ranging from virtual servers to electronic health record systems. These attributes make their use in hospitals an ideal use case. OBJECTIVE In this manuscript, we outline the usage of signage and displays in hospitals with focus on electronic ink displays. We assess the advantages and limitations of using these displays in hospitals and outline the various public- and patient-facing applications of electronic ink displays. Finally, we discuss the technological considerations and an implementation framework that must be followed in adopting and deploying electronic ink displays. METHODS The general public-facing applications of electronic ink displays included signage and way-finders, timetables for shared workspaces, and notice- and bulletin boards. The clinical display applications may be on smaller form factors such as door signs or bedside cards. The larger 40+ inch form factor may be used within patient rooms or at clinical command centers as a digital whiteboard to display everything from patient and clinician information, to care plans, to any general information. In all these applications, such displays could replace analog whiteboards and noticeboards, and even other digital screens. RESULTS We are conducting pilot research projects to delineate best use cases and practices in adopting electronic ink displays in clinical settings. This will entail liaising with key stakeholders, gathering objective logistical and feasibility data, and ultimately quantifying and describing the effect on clinical care and patient satisfaction. CONCLUSIONS There are several use cases in a clinical setting that may lend themselves perfectly to electronic ink display usage. The main considerations to be studied in this adoption are network connectivity, content management, privacy and security robustness, and detailed comparison to existing modalities. Electronic ink displays offer a superior opportunity to future-proof existing practices. There is a need for theoretical consideration and real-world testing to determine if the advantages of electronic ink displays outweigh their limitations.

scholarly journals Implementation Framework for a Blockchain-Based Federated Learning Model for Classification Problems

Symmetry ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1116
Author(s):  
Zeba Mahmood ◽  
Vacius Jusas
Keyword(s):  
Machine Learning ◽  
Learning Model ◽  
Global Perspective ◽  
Learning Technology ◽  
Classification Problems ◽  
Zero Knowledge ◽  
Privacy And Security ◽  
Implementation Framework ◽  
The Past

This paper introduces a blockchain-based federated learning (FL) framework with incentives for participating nodes to enhance the accuracy of classification problems. Machine learning technology has been rapidly developed and changed from a global perspective for the past few years. The FL framework is based on the Ethereum blockchain and creates an autonomous ecosystem, where nodes compete to improve the accuracy of classification problems. With privacy being one of the biggest concerns, FL makes use of the blockchain-based approach to ensure privacy and security. Another important technology that underlies the FL framework is zero-knowledge proofs (ZKPs), which ensure that data uploaded to the network are accurate and private. Basically, ZKPs allow nodes to compete fairly by only submitting accurate models to the parameter server and get rewarded for that. We have conducted an analysis and found that ZKPs can help improve the accuracy of models submitted to the parameter server and facilitate the honest participation of all nodes in FL.

scholarly journals General Public Views on Uses and Users of Administrative Health Data

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
P. Alison Paprica ◽  
Michael Schull
Keyword(s):  
Private Sector ◽  
General Public ◽  
Personal Data ◽  
Health Data ◽  
General Information ◽  
Privacy And Security ◽  
Administrative Health Data ◽  
Potential Benefits ◽  
Public Views ◽  
Linked Administrative Health Data

ABSTRACTObjectivesHigh profile initiatives and reports highlight the potential benefits that could be realized by increasing access to health data, but do members of the general public share this view? The objective was to gain insight into the general public’s attitudes toward users and uses of administrative health data. ApproachIn fall 2015, four professionally-moderated focus groups with a total of 31 Ontario participants were conducted; two in Thunder Bay, two in Toronto. Participants were asked to review and comment on: general information about research based on linked administrative health data, a case study and models through which various users might use administrative health data. ResultsSupport for research based on linked administrative health data was strongest when people agreed with the purposes for which studies were conducted. The main concerns related to the security of personal data generally (e.g., Canada Revenue Agency hacking incidents were noted) and potentially inappropriate uses of health data, particularly by the private sector (e.g., strong reservations about studies done solely or primarily with a profit motive). Participants were reassured when provided with information about the process for removing or coding identifying information from health data, and about the oversight provided by the Information and Privacy Commissioner of Ontario. However, even when fully informed of privacy and security safeguards, participants still felt that risks unavoidably increase when there are more people and organizations accessing data. ConclusionsMembers of general public were generally supportive of research based on linked administrative health data but with conditions, particularly when the possibility of private sector research was discussed. Notably, and citing security concerns, focus group participants preferred models that had a limited number of individuals or organizations accessing data.

Health Care Information Systems and the Risk of Privacy Issues for the Disabled

Cyber Crime ◽  
2013 ◽  
pp. 870-890
Author(s):  
John Beswetherick
Keyword(s):  
Health Information ◽  
Clinical Care ◽  
Health Care Information ◽  
Privacy And Security ◽  
Increased Risk ◽  
Health Care Information Systems ◽  
The Disabled ◽  
Care Information ◽  
The Impact ◽  
And Storage

The healthcare industry is moving towards adoption of electronic health records. There are associated privacy and security implications to this move towards electronic collection and storage of sensitive health information. This chapter suggests that the impact on the privacy and security of health information for disabled individuals is greater than that for the general populace. Contributors to this increased risk are related to the increase in dependence on the clinical care system and the related increase in volume of the data that is collected, stored and exchanged as a function of providing care to this population.

The LIVESTRONG essential elements of survivorship care: Advancing quality survivorship care in clinical care settings.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 155-155 ◽  
Author(s):  
Sarah R. Arvey ◽  
Ruth Rechis
Keyword(s):  
Iterative Process ◽  
Research Agenda ◽  
Care Delivery ◽  
Clinical Care ◽  
Evidence Base ◽  
Essential Elements ◽  
Standards Of Care ◽  
Survivorship Care ◽  
Distress Screening ◽  
Care Plans

155 Background: The American College of Surgeons Commission on Cancer (COC) has set a 2015 deadline for oncology practices to comply with new patient-centered standards of care to maintain accreditation. Despite this mandate, there is not a strong evidence base on best practices, or guidance on how to implement quality survivorship care services. In September 2011, the Lance Armstrong Foundation (LAF) and the LIVESTRONG Survivorship Center of Excellence Network (Network) convened researchers, providers, advocates, and cancer survivors who identified and prioritized a list of 20 Essential Elements of survivorship care. LAF and the Network continued work to refine this list with input from stakeholders with the goal of disseminating a framework for survivorship care delivery and advancing a research agenda to strengthen the evidence base for implementing these elements as standard care. Methods: LAF and the Network have refined definitions of the Essential Elements through an iterative process and in late 2012 will facilitate a technology-mediated consensus-building process among a broad group of stakeholders. Results: Refinement of the Essential Elements included defining each element in such detail that “basic” and “enriched” levels of implementation are described to guide providers in real-world settings. This work outlines a research agenda aimed to strengthen the evidence-base of the Essential Elements’ effectiveness in improving survivors’ outcomes. In October 2012, the refined definitions will be disseminated to a broad stakeholder audience and subject to review. Details of this iterative process, resulting definitions, and open-forum feedback will be reported here. Conclusions: Once complete, the Essential Elements will represent a consensus-driven platform that provides the cancer care community with a blueprint for the development and implementation of high-quality survivorship care and research. Additionally, the finalized Essential Elements will further facilitate the broad adoption of the new COC standards including the provision of a treatment summary and survivorship care plans, palliative care, psychosocial distress screening, and care coordination.

scholarly journals Initial Pain Management Plans in Response to Severe Pain Indicators on Oncology Clinic Previsit Questionnaires

2014 ◽  
Vol 19 (6) ◽  
pp. 309-312
Author(s):  
Michael S Sanatani ◽  
Maan Kattan ◽  
Dwight E Moulin
Keyword(s):  
Pain Management ◽  
Cancer Treatment ◽  
Severe Pain ◽  
Clinical Care ◽  
Symptom Assessment ◽  
Assessment System ◽  
Care Plan ◽  
Care Plans ◽  
Patient Reported ◽  
Management Plans

BACKGROUND: The issue of how to address patient pain in the outpatient setting remains challenging. At the London Regional Cancer Program (London, Ontario), patients complete the Edmonton Symptom Assessment System (ESAS) before most visits.OBJECTIVES:To perform a chart review assessing the frequency and, if applicable, the type of a clinical care plan that was developed if a patient indicated pain ≥7 on a 10-point scaleMETHODS: The charts of 100 eligible sequential outpatient visits were reviewed and the initial pain management approaches were documented.RESULTS: Between December 2011 and May 2012, visits by 7265 unique patients included 100 eligible visits (pain ≥7 of 10). In 83 cases, active pain management plans, ranging from counselling to hospital admission, were proposed. Active pain management plans were more likely if the cause was believed to be cancer/treatment related: 63 of 65 (96.9%) versus 20 of 35 (57.1%, noncancer/unknown pain cause); P<0.001. There were no differences depending on cancer treatment intent or medical service.CONCLUSIONS: Active pain management plans were documented in 83% of visits. However, patients who reported severe pain that was assessed as benign or unknown in etiology received intervention less frequently, perhaps indicating that oncologists either consider themselves less responsible for noncancer pain, or believe that pain chronicity may lead to a higher ESAS pain score without indicating a need for acute intervention. Further study is needed to determine the subsequent effect of the care plans on patient-reported ESAS pain scores at future clinic visits.

scholarly journals Integrative Medicine Program- MD Anderson Cancer Center

2012 ◽  
Vol 7 ◽  
pp. 19
Author(s):  
Richard T Lee
Keyword(s):  
Clinical Outcomes ◽  
Integrative Medicine ◽  
Clinical Care ◽  
Cancer Center ◽  
Future Research ◽  
Clinical Services ◽  
Care Plans ◽  
Md Anderson ◽  
Integrative Medicine Program ◽  
Group Programs

The Integrative Medicine Program at MD Anderson Cancer Center was first established in 1998.  Our mission is to empower patients with cancer and their families to become active partners in their own physical, psycho-spiritual, and social health through personalized education and evidenced-based clinical care to optimize health, quality of life, and clinical outcomes across the cancer continuum.  The program consists of three main components: clinical care, research, and education.  The Integrative Medicine Center provides clinical services to patients through individual and group programs.  The clinical philosophy of the center is to work collaboratively with the oncology teams to build comprehensive and integrative care plans that are personalized, evidence-based, and safe with the goal of improving clinical outcomes.  The individual services comprise of integrative oncology consultation, acupuncture, meditation, music therapy, nutrition, and oncology massage.  The center also provides a variety of group programs including meditation, yoga, tai chi, cooking classes and others.  Over the past 13 years, over 70,000 patients and families have participated in services and programs offered by the center.  The research portfolio focuses on three main areas: mind-body interventions, acupuncture, and meditation.  This lecture will focus on providing an overview of the Integrative Medicine Program at MD Anderson with a focus on the clinical services provided.  Participants will learn about the integrative clinical model and how this is applied to the care of cancer patients at MD Anderson Cancer Center.  Current and future research topics will be discussed as well as patient cases.

Evaluation of the Clinical Pathway for Laparoscopic Cholecystectomy

2005 ◽  
Vol 71 (1) ◽  
pp. 40-45 ◽  
Author(s):  
VÍctor Soria ◽  
Enrique Pellicer ◽  
Benito Flores ◽  
Milagros Carrasco ◽  
Maria Fe Candel ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hospital Stay ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Clinical Care ◽  
Length Of Hospital Stay ◽  
Care Plans ◽  
Before And After ◽  
The Mean ◽  
Mean Cost

Clinical pathways are comprehensive systematized patient care plans for specific procedures. The clinical pathway for laparoscopic cholecystectomy was implemented in our department in March 2002. The aim of this study is to evaluate the clinical pathway for this procedure 1 year after implementation. A study was conducted on all the patients included in the clinical pathway since its implementation. The assessment criteria include degree of compliance, indicators of clinical care effectiveness, financial impact, and survey-based indicators of satisfaction. The results are compared to a series of patients undergoing surgery the year prior to implementation of the clinical pathway. As our hospital has a system of cost management, we analyzed the mean cost per procedure before and after clinical pathway implementation. Evaluation was made of a series of 160 consecutive patients who underwent surgery during the period 1 year prior to development of the clinical pathway and met the accepted inclusion criteria. The mean length of hospital stay was 3.27 days, and the mean cost per procedure before pathway implementation was 2149 (±768) euros. One year after implementation of the pathway, 140 patients were included (i.e., an inclusion rate of 100%). The mean length of hospital stay of the patients included in the clinical pathway was 2.2 days. The degree of compliance with stays was 66.7 per cent. The most frequent reasons for noncompliance were staff-dependent, followed by patient-dependent causes (oral intolerance, pain, etc.). The mean cost in the series of patients included in the clinical pathway was 1845 (± 618) euros. Laparoscopic cholecystectomy is an ideal procedure for commencing the systemization of clinical pathways. Results show that it has significantly reduced the length of hospital stay and mean cost per procedure with no increased morbidity and with a high degree of patient satisfaction.

scholarly journals Feasibility Study of an Electronic Interface Between Internet-Based Survivorship Care Plans and Electronic Medical Records

2016 ◽  
Vol 12 (4) ◽  
pp. e380-e387 ◽  
Author(s):  
Christine E. Hill-Kayser ◽  
Linda A. Jacobs ◽  
Peter Gabriel ◽  
Steven C. Palmer ◽  
Margaret K. Hampshire ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Clinical Care ◽  
Perceived Usefulness ◽  
Care Plan ◽  
Survivorship Care Plans ◽  
Survivorship Care ◽  
Clinical Testing ◽  
Technology Application ◽  
Chemotherapy Drugs ◽  
Care Plans

Purpose: Survivorship care plans (SCPs) are recommended for all cancer survivors. Myriad barriers to implementation exist. This study was performed to evaluate the feasibility of interface development between an SCP and an electronic medical record (EMR). Methods: An information technology application was developed to extract data from the EMR in use at our center (Epic). Data were transferred to autopopulate an Internet-based tool for creation of SCPs (LIVESTRONG Care Plan) that had been previously used for the creation of more than 35,000 plans. Results: Data (demographic characteristics, surgeries, chemotherapy drugs, radiation site) were extracted from the EMR and transferred to the care plan platform, without transfer of protected health information. Care plans were created and transferred back to the EMR. During clinical testing, SCPs were created by nurse practitioners during scheduled clinic visits for 146 sequential, eligible patients (67% breast cancer, 33% colorectal cancer). All patients received completed care for a single cancer diagnosis at our institution. All data points that were automatically populated were reviewed by practitioners, and missing/blank data fields were populated manually when necessary. Data entered into generated care plans were accurate in 97% of audited cases, and the process of care plan generation could be completed in < 1 minute. Conclusion: This is a feasible solution for the autopopulation of SCPs from the EMR. It represents a future methodology through which widespread implementation of SCPs may be undertaken. Future directions include further clinical testing, assessment of provider-perceived usefulness, and integration into routine clinical care.

Sign in / Sign up

Export Citation Format

Share Document