Transforming Health Information Management Through the Digital Pen and Paper (DPP) Technology

2019 ◽  
Vol 4 (1) ◽  
pp. 22-42
Author(s):  
Dimitrios P Tsoromokos ◽  
Athina A Lazakidou
Keyword(s):  
Information Management ◽  
Operating Cost ◽  
Public Hospitals ◽  
User Training ◽  
Accountability System ◽  
Manual Recording ◽  
Digital Pen ◽  
Health Organization ◽  
Digital Pen And Paper ◽  
Of Greece

The aim of this article is the development and use of a smart accountability system (both systemic and individual) during the provision of health services, which will free up a large number of resources within a Health Organization. Compared to traditional manual recording, the new system of Digital Pen and Paper (DPP) achieves a significant reduction in the organization's operating cost. Over the duration of seven months from January to July 2016, 693 forms were collected from three public hospitals of Greece. 49 nurses who worked in intensive care units (ICU) took part in the survey. 18,934 fields were filled in 1,466 of which were counted with errors. The accuracy percentage rate of the data amounts to 92.3% and the corresponding rate of errors to 7.7%. The average time for a form to be filled in by a nurse using the digital pen amounts to 3 minutes and 35 seconds. The highest percentage rate of data accuracy reached 94.76% and the best time of filling in the form was under 3 minutes per form. Results can be improved even more through user training and application of entry rules.

The Digital Pen and Paper

2005 ◽  
Vol 44 (03) ◽  
pp. 359-368 ◽  
Author(s):  
R. Landau ◽  
O. Rutschmann ◽  
J. Simon ◽  
C. Lovis ◽  
C. Despont-Gros
Keyword(s):  
Data Acquisition ◽  
Stress Test ◽  
Time Frame ◽  
Quality Of Data ◽  
Good Tool ◽  
User Training ◽  
Clinical Environments ◽  
Digital Pen ◽  
Paper Technology ◽  
Digital Pen And Paper

Summary Objectives: To evaluate the efficiency and acceptance of digital pen and paper technology for real-time clinical data acquisition. Methods: A prospective interventional unblinded study involving consecutive patients in two clinical settings during a defined time-frame was proposed. The first trial was designed as a stress test to evaluate acceptance in a workload-intensive environment. Acceptance was assessed using observations and a satisfaction questionnaire. The second trial was intended to determine the reliability of data acquisition in a controlled environment. Reliability was assessed by comparing the performance of the digital pen against scanner analysis and a double human blinded acquisition. Results: Overall, users were satisfied with the use of the digital pen (median 3 on a Likert-scale (–5, 5)). Without any specific user training, successful data acquisition was greater than 80%. Use of this technology required less adaptation than standard computer devices, and was easy to learn and use. Ergonomic problems shaded the perception of the technology by inducing an increased cognitive load. Digitalized data was missing either because of a bug or due to lack of data validation. The reliability obtained with the digital pen was significantly lower to that obtained with the scanner. Conclusions: Natural technology such as the digital pen proved to be a good tool in stressful clinical environments without interfering with the normal workload or increasing the time for data acquisition. However, in order to improve quality of data acquisition, designing acquisition forms specifically for the use of digital pens is of paramount importance.

scholarly journals Magnitude of infertility and associated factors among women attending selected public hospitals in Addis Ababa, Ethiopia: a cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mekdes Akalewold ◽  
Getachew W. Yohannes ◽  
Ziyad Ahmed Abdo ◽  
Yonas Hailu ◽  
Aynye Negesse
Keyword(s):  
World Health Organization ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
World Health ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
The World ◽  
Health Organization

Abstract Introduction The World Health Organization estimated that approximately 48 million couples and 186 million people are infertile worldwide. Although the problem of infertility is increasing worldwide, as well as in Ethiopia, there are limited studies done. Therefore, this study aims to determine the magnitude of infertility and the major risk factors in three governmental hospitals in Addis Ababa, Ethiopia. Method An institutional-based cross-sectional study design was used to conduct the study. The participants were selected by using a systematic random sampling technique. Data were collected through an interview using a structured questionnaire. The data were entered into Epi Data version 3.1 and exported to SPSS version 25 for analysis. Logistic regression was used to identify the predictor variables. Statistical significance was considered at a P < 0.05 with an adjusted odds ratio calculated at 95% CI. Result The overall prevalence of infertility was 27.6% (95%CI = 23.2, 32.0). Of these, 14.4% had primary infertility, and 13.2% had secondary infertility. Those whose duration of marriage was less than 60 months [AOR = 3.85; 95%CI 1.39, 10.64], had a history of fallopian tube obstructions [AOR = 8.27; 95%CI 2.36, 28.91], had irregular frequency of coitus [AOR = 37.4; 95%CI 11.29, 124.114], had more than one sex partner [AOR = 3.51; 95%CI 1.64, 7.54], had an abortion greater than 3 times [AOR = 6.89; 95%CI 1.28, 37.09], and had partners who currently consumed alcohol [AOR = 1.31; 95%CI 1.11, 1.86] were more likely to be infertile than their counterparts. Conclusion According to the results of this study, the prevalence of infertility was high compared to the global estimate of the World Health Organization. The government, health care providers, and researchers should emphasize developing appropriate strategies, research, education, and awareness creation of infertility and its potential causes.

scholarly journals Understanding health information management practices in public hospitals in Kuwait

2019 ◽  
Vol 49 (2-3) ◽  
pp. 127-136
Author(s):  
Dari Alhuwail
Keyword(s):  
Health Information ◽  
Information Management ◽  
Healthcare Reform ◽  
Management Practices ◽  
Digital Health ◽  
Developed Countries ◽  
Health Information Management ◽  
Public Hospitals ◽  
Health It ◽  
Management Standard

Background: Health information technology (IT) solutions can aid healthcare reform efforts, but without proper information management, these efforts are futile. In this study, we used Kuwait as an example of a high per-capita gross domestic product country that faces information management challenges to draw insights that can be generalised to other developed countries. Objective: (i) to uncover the status quo of information management practices in public hospitals and (ii) to offer recommendations to improve them. Method: This study analysed qualitative and quantitative accreditation-related data pertaining to the compliance with the information management standard at all secondary care public hospitals over two accreditation cycles. Results: Overall, public hospitals had made positive progress in their compliance with the information management standard. However, issues still existed with (i) developing and implementing an information management plan, (ii) involving the appropriate stakeholders in selecting health IT solutions and (iii) access to the Internet by staff and patients. Conclusion: Evidence underscored the importance of proper information management driven by clear centralised strategic plans. Implications: With the rapid adoption of digital health systems, the role of health information management leaders should not be undervalued. Embracing health IT solutions with strong information management practices can aid healthcare reform efforts.

scholarly journals Development of a laboratory analytical method beneficial to the policies of the Canada-wide standards for dioxins and furans

2021 ◽  
Author(s):  
Eric Paul Buan
Keyword(s):  
Correction Factor ◽  
Operating Cost ◽  
Cost Savings ◽  
World Health ◽  
Enzyme Linked Immunosorbent Assay ◽  
Equivalency Factors ◽  
Soils And Sediments ◽  
Toxic Equivalency Factors ◽  
Toxic Equivalents ◽  
Health Organization

An enzyme-linked immunosorbent assay (ELISA) was tested for its ability to screen for PCDD/F in soils and sediments at 50, 1000 and 10,000 picograms toxic equivalents per gram of soil pgTEQ g-₁ (n=48, r²=0.994, slope=0.94). These results relied on two concepts developed in this thesis. The first, a congener correction factor, corrects ELISA results for differences in how ELISA and GC-HRMS calculate the dioxin content of a sample. The congener correction factor increased the correlation between ELISA and GC-HRMS TEQ values calculated using World Health Organization (WHO) toxic equivalency factors (TEF) from 83% to 94%. The correlation between ELISA and GC-HRMS TEQ values calculated using North Atlantic Treaty Organization (NATO) TEF remained strong when the correction factor was applied, falling from 102% to 94%. The second concept, a sample algorithm allows ELIAS to efficiently measure unknown PCDD/F concentrations between 30 and 10,5000 pgTEQ g-¹. The algorithm successfully placed 24 of 28 samples into their correct concentration ranges in a maximum of two ELISA each. A cost analysis of using the algorithm predicted that ELISA can screen samples three times faster than GC-HRMS while at a 60% reduction in operating cost. The success of ELISA in conjunction with its time and cost savings indicate that it can replace GC-HRMS in situations where the high precision of GC-HRMS is not required.

scholarly journals Final Year Students’ Knowledge on Basic Manual Wheelchair Provision: The State of Occupational Therapy Programs in Colombia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
María L. Toro-Hernández ◽  
Liliana Alvarez ◽  
María C. Vargas-Chaparro ◽  
Mary Goldberg
Keyword(s):  
Occupational Therapy ◽  
Core Competencies ◽  
Occupational Therapists ◽  
World Health ◽  
Human Right ◽  
Personal Mobility ◽  
Mobility Impairments ◽  
User Training ◽  
Occupational Therapy Students ◽  
Health Organization

Access to personal mobility is a human right and as such, it implies the provision of wheelchair services for those with mobility impairments that need one. Lack of appropriately trained personnel is a major contributor to the gap in access to wheelchairs. Assistive technology provision is one of the core competencies of occupational therapists. The goal of this study was to assess the current wheelchair provision knowledge of final year occupational therapy students in Colombia as measured by the International Society of Wheelchair Professionals Basic Wheelchair Service Knowledge Test. A total of 83 students from 7 universities took the test. None of the students met the 70% passing threshold. The highest scores were in the assessment domain while the lowest in the fitting and user training domains. These results suggest that the current wheelchair provision education received in these programs do not meet the World Health Organization guidelines on appropriate wheelchair provision. The implementation of strategies to improve current wheelchair provision education in Colombian occupational therapy programs is granted.

scholarly journals Digital pen and paper technology is an effective way of capturing variance data when using arthroplasty clinical pathways

2009 ◽  
Vol 33 (3) ◽  
pp. 453 ◽  
Author(s):  
Patrick H Derhy ◽  
Karen A Bullingham ◽  
Andrew J Bryett
Keyword(s):  
Real Time ◽  
Clinical Pathway ◽  
Clinical Decision Making ◽  
Clinical Pathways ◽  
Care Facility ◽  
User Acceptance ◽  
Digital Format ◽  
Digital Pen ◽  
Paper Technology ◽  
Digital Pen And Paper

The aim of this study was to test the effectiveness of digital pen and paper technology (DP&PT) to capture clinical pathway variance data in real time and at the point of care for patients on an arthroplasty pathway. This study was conducted across multiple departments providing orthopaedic services in a public health care facility. Treating clinicians were required to record variance data on a predefined coded template, and these data were uploaded to a database for analysis and reporting. The information could be represented in a web-based user interface for immediate review. User acceptance, length of stay (LOS), accuracy of data, and reliability of the DP&PT hardware were measured. User acceptance was high; LOS reduced; and the data and hardware were, respectively, found to be accurate and robust. This technology provides a dependable, real-time solution to transform handwritten clinical data into a digital format. The data available will help inform clinicians of areas for clinical practice improvement, and provide ongoing monitoring of care processes for patients on a clinical pathway. Future studies should aim to assess if using this method to capture variance data is a more efficient and effective means of informing clinical decision making than retrospective review processes.

IMPACT OF KNOWLEDGE AND PRACTICE OF HAND HYGIENE IN HEALTH CARE WORKERS TOWARD INFECTION CONTROL MEASURES IN A TERTIARY CARE HOSPITAL IN INDIA

2021 ◽  
pp. 69-71
Author(s):  
Ruby Naz ◽  
Akil Hussain ◽  
Sameena Khan
Keyword(s):  
Health Workers ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Control Measures ◽  
World Health ◽  
Care Hospital ◽  
Indirect Contact ◽  
Infection Control Measures ◽  
Health Organization ◽  
Hospital Acquired

Hospital acquired infections (HAIs) are a major concern in the intensive care units (ICU)and postoperative wards. HAIs prolonged the stay of patient in hospital and increase the cost of treatment and morbidity. In ICU, stroke unit, neurosurgery ward burn unit patients are prone to have a variety of nosocomial infections. The World Health Organization (WHO) has described HAIs as one of the infectious diseases which have a huge economic impact on health industry. (1). many health workers like Staff Nurses, resident doctors and housekeeping are in direct or indirect contact with the Patients and surrounding in wards around the clock. These HCW play major role in preventing and controlling HAIs. In overpopulated country like India majority of public hospitals are overcrowded.

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