A Service-Oriented Privacy-Aware System for Medication Safety and Prescription Compliance in Smart Home Environments

2011 ◽  
pp. 198-225
Author(s):  
José M. Reyes Álamo ◽  
Ryan Babbitt ◽  
Hen-I Yang ◽  
Tanmoy Sarkar ◽  
Johnny Wong ◽  
...  
Keyword(s):  
Health Information ◽  
Medication Safety ◽  
Patient Management ◽  
Cognitive Impairments ◽  
Medication Management ◽  
Health Conditions ◽  
Service Oriented ◽  
Rapid Pace ◽  
Smart Home Environments

Medication management is becoming more complex, and the likelihood of unsafe prescriptions has increased because of the rapid pace of new medications introduced to the market, the trend of modern healthcare towards specialization, and the variety of medication interactions that complicate the prescribing process and patient management of medications. The severity of this problem is magnified when patients require multiple medications or have cognitive impairments. To counter this problem and improve the quality of patient healthcare, we designed and implemented a service-oriented system for medication management that collects and integrates information from patient smart homes, doctor offices and pharmacies to 1) detect adverse reactions among prescribed medications, existing health conditions, and foods, and 2) monitor and promote compliance with prescription instructions. The system is privacy-aware and designed to support information privacy regulations, such as the Health Information Portability and Accountability Act (HIPAA).

Support for Medication Safety and Compliance in Smart Home Environments

2011 ◽  
pp. 2091-2110
Author(s):  
José M. Reyes Álamo ◽  
Hen-I Yang ◽  
Ryan Babbitt ◽  
Johnny Wong
Keyword(s):  
United States ◽  
Medication Safety ◽  
Cognitive Impairments ◽  
The United States ◽  
Information Support ◽  
Medicine Information ◽  
Related Information ◽  
Rapid Pace ◽  
Smart Home Environments

The rapid pace of new medications introduced to the market and the trend of modern healthcare towards specialization complicates doctors’ prescribing process and patients’ management of medications, resulting in an increase in the likelihood of unsafe prescriptions. The severity of this problem is magnified when patients require multiple medications or have cognitive impairments. The Medicine Information Support System (MISS) is designed to integrate related information systems from doctor offices, pharmacies and patients’ smart homes with a universal database of medication conflicts to enable safety checks for adverse reactions among prescribed medications. MISS enhances the quality of patients’ healthcare by monitoring and promoting the compliance of patients’ medication intake. It also ensures patients’ medical records remain private by following the privacy guidelines and regulations such as the Health Information Portability and Accountability Act (HIPAA) law in the United States.

Support for Medication Safety and Compliance in Smart Home Environments

2009 ◽  
Vol 1 (3) ◽  
pp. 42-60 ◽  
Author(s):  
José M. Reyes Álamo ◽  
Hen-I Yang ◽  
Ryan Babbitt ◽  
Johnny Wong
Keyword(s):  
Medical Records ◽  
Smart Home ◽  
Adverse Reactions ◽  
Cognitive Impairments ◽  
The United States ◽  
Information Support ◽  
Medicine Information ◽  
Related Information ◽  
Rapid Pace

The rapid pace of new medications introduced to the market and the trend of modern healthcare towards specialization complicates doctors’ prescribing process and patients’ management of medications, resulting in an increase in the likelihood of unsafe prescriptions. The severity of this problem is magnified when patients require multiple medications or have cognitive impairments. The Medicine Information Support System (MISS) is designed to integrate related information systems from doctor offices, pharmacies and patients’ smart homes with a universal database of medication conflicts to enable safety checks for adverse reactions among prescribed medications. MISS enhances the quality of patients’ healthcare by monitoring and promoting the compliance of patients’ medication intake. It also ensures patients’ medical records remain private by following the privacy guidelines and regulations such as the Health Information Portability and Accountability Act (HIPAA) law in the United States.

Quality Assessment of Health Information about Scaphoid Fracture in Chinese Websites (Preprint)

2019 ◽  
Author(s):  
Yaobin Yin ◽  
Jianguang Ji ◽  
Peng Lu ◽  
Wenyao Zhong ◽  
Liying Sun ◽  
...  
Keyword(s):  
Social Networks ◽  
Health Information ◽  
Search Engines ◽  
Medical Information ◽  
Scaphoid Fracture ◽  
Family Members ◽  
Online Information ◽  
Specific Content ◽  
The Mean

BACKGROUND With online health information becoming increasingly popular among patients and their family members, concerns have been raised about the accuracy from the websites. OBJECTIVE We aimed to evaluate the overall quality of the online information about scaphoid fracture obtained from Chinese websites using the local search engines. METHODS We conducted an online search using the keyword “scaphoid fracture” from the top 5 search engines in China, i.e. Baidu, Shenma, Haosou, Sougou and Bing, and gathered the top ranked websites, which included a total of 120 websites. Among them, 81 websites were kept for further analyses by removing duplicated and unrelated one as well as websites requiring payment. These websites were classified into four categories, including forum/social networks, commercials, academics and physician’s personals. Health information evaluation tool DISCERN and Scaphoid Fracture Specific Content Score (SFSCS) were used to assess the quality of the websites. RESULTS Among the 81 Chinese websites that we studied, commercial websites were the most common one accounting more than half of all websites. The mean DISCERN score of the 81 websites was 25.56 and no website had a score A (ranging from 64 to 80).The mean SFSCS score was 10.04 and no website had a score A (range between 24 and 30). In addition, DISCERN and SFSCS scores from academic and physician’s websites were significantly higher than those from the forum/social networks and commercials. CONCLUSIONS The overall quality of health information obtained from Chinese websites about scaphoid fracture was very low, suggesting that patients and their family members should be aware such deficiency and pay special attentions for the medical information obtained by using the current search engines in China.

A new tool for assessing the quality of online health information on the McMaster Optimal Aging Portal

2017 ◽  
Author(s):  
Maureen Dobbins ◽  
Susannah Watson ◽  
Kristin Read ◽  
Kelly Graham ◽  
Reza Yousefi Nooraie ◽  
...  
Keyword(s):  
Health Information ◽  
Online Health Information ◽  
Optimal Aging

scholarly journals Using the Google™ Search Engine for Health Information: Is There a Problem? Case Study: Supplements for Cancer

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Hannah C Cai ◽  
Leanne E King ◽  
Johanna T Dwyer
Keyword(s):  
Health Information ◽  
Search Engine ◽  
Information Quality ◽  
Nutrition Information ◽  
High Quality ◽  
Search Results ◽  
Health And Nutrition ◽  
Quality Rating

ABSTRACT We assessed the quality of online health and nutrition information using a Google™ search on “supplements for cancer”. Search results were scored using the Health Information Quality Index (HIQI), a quality-rating tool consisting of 12 objective criteria related to website domain, lack of commercial aspects, and authoritative nature of the health and nutrition information provided. Possible scores ranged from 0 (lowest) to 12 (“perfect” or highest quality). After eliminating irrelevant results, the remaining 160 search results had median and mean scores of 8. One-quarter of the results were of high quality (score of 10–12). There was no correlation between high-quality scores and early appearance in the sequence of search results, where results are presumably more visible. Also, 496 advertisements, over twice the number of search results, appeared. We conclude that the Google™ search engine may have shortcomings when used to obtain information on dietary supplements and cancer.

scholarly journals A pilot comparison of medical records sensitivity perspectives of patients with behavioral health conditions and healthcare providers

2021 ◽  
Vol 27 (2) ◽  
pp. 146045822110099
Author(s):  
Hiral Soni ◽  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Darwyn Chern ◽  
...  
Keyword(s):  
Mental Health ◽  
Drug Abuse ◽  
Behavioral Health ◽  
Health Information ◽  
Healthcare Providers ◽  
Health Conditions ◽  
Mixed Methods Approach ◽  
Record Data ◽  
Category Labels

This pilot study compares medical record data sensitivity (e.g., depression is sensitive) and categorization perspective (e.g., depression categorized as mental health information) of patients with behavioral health conditions and healthcare providers using a mixed-methods approach employing patient’s own EHR. Perspectives of 25 English- and Spanish-speaking patients were compared with providers. Data categorization comparisons resulted in 66.3% agreements, 14.5% partial agreements, and 19.3% disagreements. Sensitivity comparisons obtained 54.5% agreement, 11.9% partial agreement, and 33.6% disagreements. Patients and providers disagreed in classification of genetic data, mental health, drug abuse, and physical health information. Factors influencing patients’ sensitivity determination were sensitive category comprehension, own experience, stigma towards category labels (e.g., drug abuse), and perception of information applicability (e.g., alcohol dependency). Knowledge of patients’ sensitivity perceptions and reconciliation with providers could expedite the development of granular and personalized consent technology.

scholarly journals Sleep Disturbance, Sleep Disorders and Co-Morbidities in the Care of the Older Person

2021 ◽  
Vol 9 (2) ◽  
pp. 31
Author(s):  
Christine E. Mc Carthy
Keyword(s):  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Older Patients ◽  
Disease Risk ◽  
Medication Management ◽  
Sleep Complaints ◽  
Co Morbidity ◽  
Sleep Assessment ◽  
Form Part

Sleep complaints can be both common and complex in the older patient. Their consideration is an important aspect of holistic care, and may have an impact on quality of life, mortality, falls and disease risk. Sleep assessment should form part of the comprehensive geriatric assessment. If sleep disturbance is brought to light, consideration of sleep disorders, co-morbidity and medication management should form part of a multifaceted approach. Appreciation of the bi-directional relationship and complex interplay between co-morbidity and sleep in older patients is an important element of patient care. This article provides a brief overview of sleep disturbance and sleep disorders in older patients, in addition to their association with specific co-morbidities including depression, heart failure, respiratory disorders, gastro-oesophageal reflux disease, nocturia, pain, Parkinson’s disease, dementia, polypharmacy and falls. A potential systematic multidomain approach to assessment and management is outlined, with an emphasis on non-pharmacological treatment where possible.

scholarly journals Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s disease - A cochrane review summary with commentary

2021 ◽  
pp. 1-3
Author(s):  
Tobias Loetscher
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Training ◽  
Verbal Memory ◽  
Cognitive Impairments ◽  
Cochrane Review ◽  
Cognitive Domains ◽  
Training Interventions

BACKGROUND: The majority of people living with Parkinson’s disease will develop impairments in cognition. These impairments are associated with a reduced quality of life. OBJECTIVE: The Cochrane Review aimed to investigate whether cognitive training improves cognition in people with Parkinson’s disease and mild cognitive impairments or dementia. METHODS: A Cochrane Review by Orgeta et al. was summarized with comments. RESULTS: The review included seven studies with a total of 225 participants. There was no evidence for improvements in global cognition when cognitive training was compared to control conditions. Observed improvements in attention and verbal memory measures after cognitive training could not be confirmed in a subsequent sensitivity analysis. There was no evidence for benefits in other cognitive domains or quality of life measures. The certainty of the evidence was low for all comparisons. CONCLUSIONS: The effectiveness of cognitive training for people with Parkinson’s disease and cognitive impairments remains inconclusive. There is a pressing need for adequately powered trials with higher methodological quality.

scholarly journals Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency

2021 ◽  
Vol 18 (14) ◽  
pp. 7225
Author(s):  
Beniamino Schiavone ◽  
Andrea Vitale ◽  
Mena Gallo ◽  
Gianlucasalvatore Russo ◽  
Domenico Ponticelli ◽  
...  
Keyword(s):  
Health Information ◽  
Nationwide Survey ◽  
Public Hospitals ◽  
Communication Strategy ◽  
Private Hospitals ◽  
The Public ◽  
Access To Health ◽  
Facebook Pages ◽  
Pandemic Wave

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.

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