bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving Handovers Between Hospitals and Primary Care: Implementation of E-Messages and the Importance of Training
Authors: Netteland Grete
Published: February 2025

The transfer of information and responsibility for care of a patient from one healthcare provider to another is referred to as a handover. While some handovers are effective and achieve high quality communication, others represent a barrier to continuity of care. To increase the patient safety, Norway decided to replace handovers with an electronic e-message system (EMS). This paper refers to a quantitative study of this implementation and examines the opinions of first-line leaders and nurses (N = 108) on how organisational factors were taken into account and how the implementation might be improved. The findings indicate that such factors generally did not receive very much attention in the implementation of the EMS, and less for the nurses than for the first-line leaders. Particularly, the factor most prominently identified by both groups as warranted improvement, was the training.
Timed Up-and-Go Device for Unsupervised Functional Assessment of Elderly Patients
Authors: Ziegl Andreas  , Modre-Osprian Robert  , Sánchez Alberto  , Falgenhauer Markus  , Kastner Peter  , Schreier Günter
Published: February 2025

Functional evaluation of elderly patients is one key component in a comprehensive Geriatric Assessment. The increased workload and high costs associated to close and continuous monitoring in clinical settings may be counterbalanced by the application of ICT-supported remote follow-up. Although clinical parameters and questionnaires can be supported with smartphones and smart gadgets, physical performance trials pose a challenge for community-based approaches with difficulties arising from setting up trials, the lack of guidance and supervision. We developed an ultrasonic-based device to overcome all of these barriers and enable elderly people to perform the Timed Up-and-Go test in an autonomous and unsupervised setting. Moreover, we introduce an algorithm to verify the successful performance of the test in order to increase the reliability of the information provided.
Physicians' Use of Online Clinical Evidence in Mashhad University of Medical Sciences, Iran
Authors: Sarbaz Masoumeh  , Kimiafar Khalil  , Banaye Yazdipour Alireza
Published: February 2025

The Internet is an important source of medical information. It is expected that the use of online sources will improve clinical decisions. This study aims to evaluate online information seeking behavior of physicians of Mashhad University of Medical Sciences on the use of online clinical evidence. A cross-sectional, questionnaire-based study was carried out between November and December 2014 in the five academic hospitals. A total of 252 physicians completed the questionnaire. The majority of physicians (63.6 of specialists and 58.5% of residents) had no internet access in their consultation and visit rooms. The majority of physicians (77.8% of specialists and 80% of residents) respectively used Google, as well as 67.5% specialists and 52.2% residents always used Medline or PubMed, among electronic sources, to searching for information. The main reasons for physicians' dissatisfaction with the Internet, as a source of health information, were lack of access to medical sources owing to the non-targeted filtering (61% specialists and 74.6% residents) and very slow connection of the Internet (75.6% specialists and 83.1% residents). It is recommended that medical informatics training programs should be incorporated, where physicians are required to search for health information in the Internet
Supporting Molecular Tumor Boards in Molecular-Guided Decision-Making – The Current Status of Five German University Hospitals
Authors: Hinderer Marc  , Boerries Melanie  , Haller Florian  , Wagner Sebastian  , Sollfrank Stefanie  , Acker Till  , Prokosch Hans-Ulrich  , Christoph Jan
Published: February 2025

Background: German university hospitals have started to establish molecular tumor boards in order to enable physicians to make molecular-guided decisions.
Enhancing Long-Term Motivation of Cardiac Patients by Applying Exergaming in Rehabilitation Training
Authors: Volmer Joe  , Burkert Malte  , Krumm Heiko  , Abodahab Abdurrahman  , Dinklage Patrick  , Feltmann Marius  , Kröger Chris  , Panta Pernes  , Schäfer Felix  , Scheidt David  , Sellung Marcel  , Singerhoff Hauke  , Steingrefer Christofer  , Schmidt Thomas  , Hoffmann Jan-Dirk  , Willemsen Detlev  , Reiss Nils
Published: February 2025

Although regular physical activities reduce mortality and increase quality of life many cardiac patients discontinue training due to lack of motivation, lack of time or having health concerns because of a too high training intensity. Therefore, we developed an exergaming based system to enhance long-term motivation in the context of rehabilitation training. We combined different hardware components such as vital sensors, a virtual reality headset, a motion detecting camera, a bicycle ergometer and a motion platform to create an immersive and fun experience for the training user without having to worry about any negative health impact. Our evaluation shows that the system is well accepted by the users and is capable of tackling the aforementioned reasons for an inactive lifestyle. The system is designed to be easily extensible, safe to use and enables professionals to adjust and to telemonitor the training at any time.
Benefits of Open Science: An Analytical Framework Illustrated with Case Study Evidence from Argentina
Authors: Arza Valeria  , Fressoli Mariano
Published: February 2025

Doing open science is to collaborate with others in a scientific endeavor and to share the outcomes of the scientific process. However, there are many dimensions of openness. Thus when analyzing concrete open science initiatives one finds a full lot of hybrid forms of openness. We identify and discuss different elements of open science and their benefits, under the contention that benefits are related to how openness is achieved. We propose a bi-dimensional framework to characterize openness along research stages, which allows anticipating expected benefits. The first dimension accounts for the characteristics of the collaboration, while the second for aspects of access to shared outputs. We illustrate our framework by discussing four Argentinean open science initiatives.
Co-Constructing an Open and Collaborative Manifesto to Reclaim the Open Science Narrative
Authors: Albornoz Denisse  , Posada Alejandro  , Okune Angela  , Hillyer Rebecca  , Chan Leslie
Published: February 2025

The OCSDNet Manifesto is a result of one year of participatory consultations and debates amongst members of the ‘Open and Collaborative Science in Development Network’ (OCSDNet), a network of 12 research-practitioner teams from Latin America, Africa, the Middle East and Asia. Through research projects grounded in diverse regions and disciplines, OCSDNet members explore the scope of Open Science as a transformative tool for development thinking and practice and offer the ‘Open and Collaborative Science Manifesto’ as a foundation upon which to reclaim the mainstream narrative about what Open Science means and how it can realise a more inclusive science in development. This paper describes the mechanisms used for collaboration and consensus building, and explores the ways in which the process of building this document serves as a case study for the opportunities and limitations of integrating collaboration, opportunities for participation and openness into research activities.
Pitfalls of Ontology in Medicine
Authors: Aldosari Bakheet  , Alanazi Abdullah  , Househ Mowafa
Published: February 2025

Much research has been done in the last few decades in clinical research, medicine, life sciences, etc. leading to an exponential increase in the generation of data. Managing this vast information not only requires integration of the data, but also a means to analyze, relate, and retrieve it. Ontology, in the field of medicine, describes the concepts of medical terminologies and the relation between them, thus, enabling the sharing of medical knowledge. Ontology-based analyses are associated with a risk that errors in modeling may deteriorate the results' quality. Identifying flawed practices or anomalies in ontologies is a crucial issue to be addressed by researchers. In this paper, we review the negative sides of ontology in the field of medicine. Our study results show that ontologies are perceived as a mere tool to represent medical knowledge, thus relying more on the computer science-based understanding of medical terms. While this approach may be sufficient for data entry systems, in which the users merely need to browse the hierarchy and select relevant terms, it may not suffice the real-world scenario of dealing with complex patient records, which are not only grammatically complex, but also are sometimes documented in many native languages. In conclusion, more research is required in identifying poor practices and anomalies in the development of ontologies by computer scientists within the field of medicine.
Telehealth and the Re-Design of Emergency Medical Services
Authors: Jones Richard W.  , Despotou George  , Arvanitis Theodoros N.
Published: February 2025

As patient numbers continue to rise Emergency Department's (ED's) are struggling to not only control patient wait times but also to maintain the quality of patient care. Improving patient flow through the ED has been a priority for many years with techniques such as Lean Six–Sigma being implemented specifically to help alleviate the problem. The Institute for Healthcare Improvement recently stated that the best opportunities to improving patient flow relate to the front-end of the ED, namely triage. This contribution examines the use of Telehealth initiatives at the front-end of the ED, specifically tele-consultation, to reduce patient loading, provide timelier healthcare (with improved patient outcomes) and reduce costs.
Enabler for Interdisciplinary eHealthcare: A Qualitative Study
Authors: Yu Dan  , Poon Simon K.  , Tran Vivienne  , Lam Mary K.  , Hines Monique  , Brunner Melissa  , Power Emma  , Shaw Tim  , Togher Leanne
Published: February 2025

The complex relations between Health Technologies and clinical practices have been the focus of intensive research in recent years. This research represents a shift towards a holistic view where evaluation of health technologies is linked to organisational practices. In this paper, we address the gaps in existing literature regarding the holistic evaluation of e-health in clinical practice. We report the results from a qualitative study conducted to gain insight into e-health in practice within an interdisciplinary healthcare domain. Findings from this qualitative study, provides the foundation for the creation of a generic measurement model that allows for the comparative analysis of health technologies and assist in the decision-making of its stakeholders.
Context Sensitive Health Informatics: Delivering 21st Century Healthcare – Building a Quality-and-Efficiency Driven System
Authors: Wong Zoie Shui-Yee  , Nøhr Christian  , Kuziemsky Craig E.  , Leung Eman  , Chen Frank
Published: February 2025

Health informatics applications will be a cornerstone in the next generation quality-and-efficiency health care system. Health care is delivered from many different specialties, to many different patients with complex diseases and comorbidity. A one size fits all approach is not adequate to reach the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. Health informatics applications must be built to be adaptable and sensitive to the complex contexts they will be used in. To enhance patient-centeredness in the 21st Century healthcare, research attention should be focused on investigating and designing models contributing to effective health information retrieval process.
The Role of ICT in Home Care
Authors: Wass Sofie  , Vimarlund Vivian
Published: February 2025

With an ageing population and limited resources, ICT is often mentioned as a solution to support elderly people in maintaining an independent and healthy lifestyle. In this paper, we describe how ICT can support access to information and rationalization of work processes in a home care context. We do this by modelling the workflow and identifying the possible impact of ICT. The results show a complex process and indicate that the available resources are not used in the best possible way. The introduction of ICT could increase patient safety by reducing the risk of misplacing information about the care recipients and at the same time provide real time information about the care recipients' needs and health at the point of care. However, to rationalize the work processes there is a need to combine ICT with a changed procedure for handling keys.
Creativity as a Key Driver for Designing Context Sensitive Health Informatics
Authors: Zhou Chunfang  , Nøhr Christian
Published: February 2025

In order to face the increasing challenges of complexity and uncertainty in practice of health care, this paper aims to discuss how creativity can contribute to design new technologies in health informatics systems. It will firstly introduce the background highlighting creativity as a missing element in recent studies on context sensitive health informatics. Secondly, the concept of creativity and its relationship with activities of technology design will be discussed from a socio-culture perspective. This will be thirdly followed by understanding the roles of creativity in designing new health informatics technologies for meeting needs of high context sensitivity. Finally, a series of potential strategies will be suggested to improve creativity among technology designers working in healthcare industries. Briefly, this paper innovatively bridges two areas studies on creativity and context sensitive health informatics by issues of technology design that also indicates its important significances for future research.
Machine Learning Based Evaluation of Reading and Writing Difficulties
Authors: Iwabuchi Mamoru  , Hirabayashi Rumi  , Nakamura Kenryu  , Dim Nem Khan
Published: February 2025

The possibility of auto evaluation of reading and writing difficulties was investigated using non-parametric machine learning (ML) regression technique for URAWSS (Understanding Reading and Writing Skills of Schoolchildren) [1] test data of 168 children of grade 1 – 9. The result showed that the ML had better prediction than the ordinary rule-based decision.
Education in Care and Technology; Development and Evaluation of a First Cohort of an International Master Course
Authors: Willems Charles G.
Published: February 2025

A report written as a personal communication based on the experience gathered by developing and delivery of a international professional master course. The organization of the curriculum consists of 16 modules. Using a framework of the user centered design and development cycle students receive domain knowledge related to user-orientation, business, innovation and implementation. Also, introduction is given to tools that can be used to investigate certain aspects. The course will be completed by the performance of master thesis research related of a practice oriented problem relevant to the work environment of the student. This master-course has been followed by a first cohort of 8 students. In this report, an evaluation is given on this first delivery. Organization of this course is complicated by the marketing conditions that have to be used. Students and teachers are well supported by the distance based learning environment. The 16 modules representing the content of the course contains a variety of subjects and methods and represents a huge educational load to the students. Translating this content to the development of the own applied research subject contributes to the learning process. The first cohort of students will complete their master thesis in July 2017. Further introduction of new cohorts will mainly depend on the possibility to reduce the financial constraints to participation.
The Benefits of Gaze-Based Assistive Technology in Daily Activities for Children with Disabilities
Authors: Borgestig Maria  , Hemmingsson Helena
Published: February 2025

This article reports research findings on how gaze-based assistive technology contributed to performance of daily activities for a group of children with severe physical impairments and without speech.
Quantitative Indicators for Behaviour Drift Detection from Home Automation Data
Authors: Veronese Fabio  , Masciadri Andrea  , Comai Sara  , Matteucci Matteo  , Salice Fabio
Published: February 2025

Smart Homes diffusion provides an opportunity to implement elderly monitoring, extending seniors' independence and avoiding unnecessary assistance costs. Information concerning the inhabitant behaviour is contained in home automation data, and can be extracted by means of quantitative indicators. The application of such approach proves it can evidence behaviour changes.
Electronic Assisted Living Technology: Interim Systematic Review Results – The Evidence for Creative Methodologies
Authors: Holliday Nikki  , Moody Louise  , Ward Gillian
Published: February 2025

Despite reported benefits of creative methodologies for the design and development of electronic Assisted Living Technologies (eALT), there exists a divide between design and health research, leaving health researchers wishing to pursue creative methods uninformed with regards choice of appropriate methods. This paper describes interim and emerging results from a systematic review which aimed to explore the value of creative methodologies for the design and development of eALT which may form part of the solution to the challenges of the ageing population.
A Study on Evaluations of Living Spaces by Caregivers for Elderly People
Authors: Nihei Misato  , Tamashima Yuya  , Yoshida Takumi  , Matsumoto Masumi  , Kamata Minoru
Published: February 2025

Caregivers who provide nursing-care visits to the elderly learn to notice changes in the physical and mental functions of residents by looking for signs of disorder in living spaces and changes in the orderliness of living spaces. In this research, to understand what draws caregiver attention and how they evaluate them, 15 caregivers are interviewed and asked to evaluate images of 33 living spaces. The results show variances in evaluations concerning the degree of clutter of living spaces even among experienced caregivers, but that it is possible to classify the degree of clutter using a two-axis scale.
The Hollybank Challenges: AT for People with Profound Disabilities
Authors: King Pam  , Ludi Kim  , Mortimer Deb  , Potter Stephen
Published: February 2025

The use of Assistive Technology with people with profound and multiple disabilities is a specialised subfield. Drawing on its authors' experiences and observations at a UK charitable foundation that offers specialised educational, residential and therapeutic facilities, this paper describes the distinct challenges that present themselves when applying AT to address the needs of this often-overlooked sector of the community. It is hoped that this will help raise awareness and contribute to improving the overall quality of AT provision in this area.
Fuzzy Logic to Determine the Likelihood of Survival for Trauma Injury Patients
Authors: Saleh Mohammed  , Saatchi Reza  , Lecky Fiona  , Burke Derek
Published: February 2025

A system to determine the likelihood of survival for trauma injury patients is being developed. It uses a fuzzy logic approach that can model complex processes without reliance on sophisticated mathematical formulations and may have the potential to be more accurate than the existing approaches. The outline operation of the system that is currently in a prototype stage is described.
Overview of Robotic Devices for Nursing Care Project
Authors: Hirukawa Hirohisa
Published: February 2025

METI/AMED are conducting a project on the development and deployment of robotic devices for nursing care to enhance the autonomy of elderly persons and assist care givers. An evaluation protocol is presented and the devices developed in the project are introduced. The devices consist of transfer assist devices (wearable/non-wearable), walking assist devices (outdoor/indoor), safety surveillance sensors (nursing home/private home), bath lift and toilet assist.
Web Widgets Barriers for Visually Impaired Users
Authors: Seixas Pereira Letícia  , Archambault Dominique
Published: February 2025

Currently, websites are mainly composed of web widgets, dynamic elements and updatable sections – like autosuggest list, carousel, slideshow etc. In order to contribute with the development of accessible rich internet applications, this work aims to better understand the interaction of severely visually impaired users with these pages, gathering their main barriers and difficulties.
Cognitive Performance of Users Is Affected by Electronic Handovers Depending on Role, Task and Human Factors
Authors: Przysucha Mareike  , Flemming Daniel  , Schulte Georg  , Hübner Ursula
Published: February 2025

Patient handovers are cognitively demanding, crucial for information continuity and patient safety, but error prone. This study investigated the effect of an electronic handover tool, i.e. the handoverEHR, on the memory and care planning performance of nurse students (n=32) in a randomised, controlled cross-over design with the factors handover task and handover role. On a descriptive level, handover recipients could improve their memory performance with electronic support, handover givers their performance of writing care plans. Statistically meaningful differences occurred, however, only when the participants were givers. Without handover experience and with low fluency to word problems, givers performed badly in the most demanding of the handover tasks. Final recommendations, however, can only be made after replicating this study in a clinical setting with mixed groups.
Extending the Query Language of a Data Warehouse for Patient Recruitment
Authors: Dietrich Georg  , Ertl Maximilian  , Fette Georg  , Kaspar Mathias  , Krebs Jonathan  , Mackenrodt Daniel  , Störk Stefan  , Puppe Frank
Published: February 2025

Patient recruitment for clinical trials is a laborious task, as many texts have to be screened. Usually, this work is done manually and takes a lot of time. We have developed a system that automates the screening process. Besides standard keyword queries, the query language supports extraction of numbers, time-spans and negations. In a feasibility study for patient recruitment from a stroke unit with 40 patients, we achieved encouraging extraction rates above 95% for numbers and negations and ca. 86% for time spans.
From a Content Delivery Portal to a Knowledge Management System for Standardized Cancer Documentation
Authors: Schlue Danijela  , Mate Sebastian  , Haier Jörg  , Kadioglu Dennis  , Prokosch Hans-Ulrich  , Breil Bernhard
Published: February 2025

Heterogeneous tumor documentation and its challenges of interpretation of medical terms lead to problems in analyses of data from clinical and epidemiological cancer registries. The objective of this project was to design, implement and improve a national content delivery portal for oncological terms. Data elements of existing handbooks and documentation sources were analyzed, combined and summarized by medical experts of different comprehensive cancer centers. Informatics experts created a generic data model based on an existing metadata repository. In order to establish a national knowledge management system for standardized cancer documentation, a prototypical tumor wiki was designed and implemented. Requirements engineering techniques were applied to optimize this platform. It is targeted to user groups such as documentation officers, physicians and patients. The linkage to other information sources like PubMed and MeSH was realized.
Evaluation of an Interactive Visualization Tool for the Interpretation of Pediatric Laboratory Test Results
Authors: Hirschmann Johannes  , Sedlmayr Brita  , Zierk Jakob  , Rauh Manfred  , Metzler Markus  , Prokosch Hans-Ulrich  , Toddenroth Dennis
Published: February 2025

The physiological age-related development of pediatric laboratory results interferes with pathological derangements, which can complicate the interpretation of test results. Recently proposed continuous reference intervals (RIs) promise to be beneficial, although their clinical use may depend on graphical presentations. To estimate the clinical utility of continuous RIs, we developed and evaluated an interactive visualization tool, and examined the differentiation of hemoglobinopathies that is attainable based on the underlying innovative RI model. The implemented web application allows users to easily enter laboratory test results, and displays various visualizations in conjunction with the corresponding RIs, such as charts and personalized Z-scores. To evaluate the usability of the visualization tool, we conducted concurrent think-aloud sessions with four physicians, who were prompted to solve a set of typical interpretation tasks, and acquired additional information through a questionnaire including the System Usability Scale (SUS). We used 85 de-identified clinical cases for an exemplified assessment of how well model-based interpretations of blood count parameters reproduced previously diagnosed hemoglobinopathies. Usability tests as well as questionnaire responses indicated that the developed tool was well received by the physicians. Results from the think-aloud evaluation revealed only minor problems and the tool reached an average SUS score of 86.9, suggesting good usability. Hemoglobinopathy discrimination depended on the considered subtype, although the overall performance of the novel method rivaled the one of the conventional approach. The interactive visualization of innovative continuous reference intervals demonstrated promising results, which justifies further testing on the path towards clinical routine.
Considering Information Up-to-Dateness to Increase the Accuracy of Therapy Decision Support Systems
Authors: Gaebel Jan  , Cypko Mario A.  , Oeltze-Jafra Steffen
Published: February 2025

During the diagnostic process a lot of information is generated. All this information is assessed when making a final diagnosis and planning the therapy. While some patient information is stable, e.g., gender, others may become outdated, e.g., tumor size derived from CT data. Quantifying this information up-to-dateness and deriving consequences are difficult. Especially for the implementation in clinical decision support systems, this has not been studied. When information entities tend to become outdated, in practice, clinicians intuitively reduce their impact when making decisions. Therefore, in a system's calculations their impact should be reduced as well. We propose a method of decreasing the certainty of information entities based on their up-to-dateness. The method is tested in a decision support system for TNM staging based on Bayesian networks. We compared the actual N-state in records of 39 patients to the N-state calculated with and without decreasing data certainty. The results under decreased certainty correlated better with the actual states (r=0.958, p=0.008). We conclude that the up-to-dateness must be considered when processing clinical information to enhance decision making and ensure more patient safety.
Weighting Experience-Based Decision Support on the Basis of Clinical Outcomes' Assessment
Authors: Muro Naiara  , Larburu Nekane  , Bouaud Jacques  , Seroussi Brigitte
Published: February 2025

Technologies such as decision support systems are expected to help clinicians implement clinical practice guidelines (CPGs) with the aim of decreasing practice variations and improving clinical outcomes. However, if CPGs provide recommendations to improve patient care, they may fail to take into account actual clinical outcomes associated to the recommended treatment, such as adverse events or secondary effects. In this paper, we present a novel experience-based decision support approach applied to the management of breast cancer, the most commonly diagnosed cancer among women worldwide. Capitalizing on the clinical know-how of physicians and the modeling of patient's outcomes and toxicities in a computer interpretable way, we are able to discover new knowledge that helps improving patient-centered clinical care. This work is conducted within the EU Horizon 2020 project DESIREE.
Identifying Personal Goals of Patients With Long Term Condition: A Service Design Thinking Approach
Authors: Lee Eunji  , Gammon Deede
Published: February 2025

Care for patients with long term conditions is often characterized as fragmented and ineffective, and fails to engage the resources of patients and their families in the care process. Information and communication technology can potentially help bridge the gap between patients' lives and resources and services provided by professionals. However, there is little attention on how to identify and incorporate the patients' individual needs, values, preferences and care goals into the digitally driven care settings. We conducted a case study with healthcare professionals and patients participated applying a service design thinking approach. The participants could elaborate some personal goals of patients with long term condition which can potentially be incorporated in digitally driven care plans using examples from their own experiences.
Strengthen Cancer Surveillance in Sri Lanka by Implementing Cancer Registry Informatics to Enhance Cancer Registry Data Accuracy, Completeness, and Timeliness
Authors: Seneviratne Kamal  , Samaraweera Sudath  , Fernando Eshani  , Perera Suraj  , Hemarathna Asanga
Published: February 2025

Cancer surveillance is a process of systematic, continuous collection, storage, analysis, interpretation and dissemination of epidemiological information on cancer cases occurring in a particular geographic area. The process of cancer surveillance is also called ‘cancer registration’. A system to conduct cancer registration is called ‘cancer registry’. The purpose of the project is to implement cancer registry informatics to enhance electronic cancer registry reporting activities that take advantage of emerging health information technology. The expected function of the application is to strengthen the cancer registry data accuracy, completeness, and timeliness. The goals to be achieved are: determine the incidence of cancers with respect to geographic, demographic characteristics; monitor trends and patterns of cancer incidences over time; identify high-risk populations; provide data for epidemiological studies and prioritize health resource allocations.
Medical Effect of Venous Thromboembolism Prophylaxis Systems and Common Input Categories: Preliminary Findings from a Systematic Review
Authors: Varghese Julian  , Kleine Maren  , Gessner Sophia Isabella  , Sandmann Sarah  , Dugas Martin
Published: February 2025

Computerized Clinical Decision Support Systems (CDSS) are implemented in hospitals to improve prevention of Venous Thromboembolisms (VTE). A physician-driven review was conducted to assess extent of patient outcome effects of recently published CDSS studies. To facilitate future re-implementations within existing hospital information systems, input variables of included systems were extracted, standardized and annotated with semantic codes. Item category coverages of the different systems were then compared. 73% of studies showed positive medical effect. Of these, 53% showed strong positive medical effect by reducing incidence of deep vein thromboses and pulmonary embolisms. Outcome-improving systems tend to cover more item categories. A broad set of clinically relevant input variables should be taken into account or reused from the electronic health record if considering CDSS implementation. Input data models are provided for download in different standardized formats. Site-specific organizational factors that determine how systems are introduced, implemented and tested are also crucial for success.
A Homemade Easy Information System: The Example of Patient Satisfaction Survey
Authors: Yin Hang  , Yan Pingping  , Cui Yanyan  , Chang Polun  , Lei Jun
Published: February 2025

An informatics system was developed based-on Excel Visual Basic for Applications (Excel VBA). It allows patients waiting for appointment complete their admission or satisfaction forms on a Window-based mobile device in-stead of paper. Their data will be stored in the tool and analytical charts will automatically be presented in the interfaces.
Nurses' Interest, Readiness and Absorptive Capacity to Information Technology: A Survey in China
Authors: Zhang Boning  , Liu Ping  , Xiao Qian
Published: February 2025

To investigate nurses' interest, readiness and absorptive capacity to information technology, 261 nurses were investigated using anonymous questionnaires. This study showed: 1) the top 3 information technologies were personal digital assistant (PDA), Hospital Information System (HIS) and wireless mobile nursing trolley; and 2) the mean scores of interest, readiness and absorptive capacity to information technology were 16.3, 56.7 and 46.8, respectively. Further educational programs should be provided for nurses.
Constructing an Open-Access Bio-Signal Repository from Intensive Care Units
Authors: Kim Doyeop  , Lee Sukhoon  , Kim Tae Young  , Jin Sanghyung  , Park JaeYeon  , Ko JeongGil  , Park Rae Woong  , Yoon Dukyong
Published: February 2025

Bio-signals can be crucial evidence in detecting urgent clinical events. However, until now, access to this data was limited. We aim to construct and provide a new open bio-signal repository with data gathered from more than 40 intensive care unit (ICU) beds. For doing so, we completed the interfacing system with the patient monitors at the target beds and plan to expand this data set to more than 100 ICU beds. Once completed, we plan to publicly open the data to catalyze interesting clinical-event detection research.
A Performance Comparison on the Machine Learning Classifiers in Predictive Pathology Staging of Prostate Cancer
Authors: Kim Jae Kwon  , Yook In Hye  , Choi Mun Joo  , Lee Jong Sik  , Park Yong Hyun  , Lee Ji Youl  , Choi In Young
Published: February 2025

This study objectives to investigate a range of Partin table and several machine learning methods for pathological stage prediction and assess them with respect to their predictive model performance based on Koreans data. The data was used SPCDB and gathered records from 944 patients treated with tertiary hospital. Partin table has low accuracy (65.68%) when applied on SPCDB dataset for comparison on patients with OCD NOCD conditions. SVM (75%) represents a promising alternative to Partin table from which pathology staging can benefit.
Discovery of Psychoactive Substance Addiction Patterns Based on Information Mining Engineering
Authors: García-Martínez Ramón  , Martins Sebastián  , Bianco Santiago  , Navas Hernán
Published: February 2025

The evolution of Medical Data Mining has been possible from use of Health Information Systems. In Argentina, consumption of psychoactive substances is quantified through the National Survey on Prevalence of Psychoactive Substance of the National Institute of Statistics and Census. This paper presents the use of Information Mining Engineering as an alternative approach to identifying novel patterns.
Implementation of an Outsourced Transnational Service of Clinical Decision Support System
Authors: Teixeira Vania  , Rubin Luciana  , Rebrij Romina  , Tamborindeguy Alvaro  , Martinez Rodrigo  , Bacigalupo Juan Carlos  , Luna Daniel
Published: February 2025

The aim of this study is to describe the implementation and evaluation of an outsourced Clinical Decision Support Systems (CDSS) service of drug-drug interaction (DDI) alerts in an Uruguayan outpatient healthcare network. A cross-sectional study was developed. 1.5 alerts were triggered of every 1000 prescriptions. Clinicians accepted 44% of the total alerts. In conclusion, the implementation of CDSS was achievable.
A Secure Architecture to Provide a Medical Emergency Dataset for Patients in Germany and Abroad
Authors: Storck Michael  , Wohlmann Jan  , Krudwig Sarah  , Vogel Alexander  , Born Judith  , Weber Thomas  , Dugas Martin  , Juhra Christian
Published: February 2025

The ongoing fragmentation of medical care and mobility of patients severely restrains exchange of lifesaving information about patient's medical history in case of emergencies. Therefore, the objective of this work is to offer a secure technical solution to supply medical professionals with emergency-relevant information concerning the current patient via mobile accessibility. To achieve this goal, the official national emergency data set was extended by additional features to form a patient summary for emergencies, a software architecture was developed and data security and data protection issues were taken into account. The patient has sovereignty over his/her data and can therefore decide who has access to or can change his/her stored data, but the treating physician composes the validated dataset. Building upon the introduced concept, future activities are the development of user-interfaces for the software components of the different user groups as well as functioning prototypes for upcoming field tests.
Development of a Smartphone Application to Monitor Pediatric Patient-Reported Outcomes
Authors: Wang Jingting  , Yao Nengliang (Aaron)  , Liu Yanyan  , Geng Zhaohui  , Wang Yuanyuan  , Shen Nanpin  , Zhang Xiaoyan  , Shen Min  , Yuan Changrong
Published: February 2025

This paper is to document the development process of a smartphone app to track patient-reported outcomes (PROs) of children with chronic diseases, and to share the usability study results. A multidisciplinary research team including health services researchers, pediatric nurses, and software engineers worked synergistically in development. Group discussions and several rounds of feedback and modification were conducted. Ten pediatric patients, five parents, and two nurses participated in usability study. Qualitative content analyses were employed in development and usability evaluation. The app collects demographic information and PROs. The web-based administration portal helps to manage demographic information, questionnaires, administrators, and survey-conducting organizations. All participants felt this app was easy to use and the interfaces were friendly to children. Nurses thought administration portal interfaces were simple and data was convenient to download for further analysis. The app and administration portal have potential to promote PROs in assessing quality of life and symptoms in pediatric patients.
The Impact of “Possible Patients” on Phenotyping Algorithms: Electronic Phenotype Algorithms Can Only Be Reproduced by Sharing Detailed Annotation Criteria
Authors: Kagawa Rina  , Kawazoe Yoshimasa  , Shinohara Emiko  , Imai Takeshi  , Ohe Kazuhiko
Published: February 2025

Phenotyping is an automated technique for identifying patients diagnosed with a particular disease based on electronic health records (EHRs). To evaluate phenotyping algorithms, which should be reproducible, the annotation of EHRs as a gold standard is critical. However, we have found that the different types of EHRs cannot be definitively annotated into CASEs or CONTROLs. The influence of such “possible patients” on phenotyping algorithms is unknown. To assess these issues, for four chronic diseases, we annotated EHRs by using information not directly referring to the diseases and developed two types of phenotyping algorithms for each disease. We confirmed that each disease included different types of possible patients. The performance of phenotyping algorithms differed depending on whether possible patients were considered as CASEs, and this was independent of the type of algorithms. Our results indicate that researchers must share annotation criteria for classifying the possible patients to reproduce phenotyping algorithms.
Conversion of National Health Insurance Service-National Sample Cohort (NHIS-NSC) Database into Observational Medical Outcomes Partnership-Common Data Model (OMOP-CDM)
Authors: You Seng Chan  , Lee Seongwon  , Cho Soo-Yeon  , Park Hojun  , Jung Sungjae  , Cho Jaehyeong  , Yoon Dukyong  , Park Rae Woong
Published: February 2025

It is increasingly necessary to generate medical evidence applicable to Asian people compared to those in Western countries. Observational Health Data Sciences a Informatics (OHDSI) is an international collaborative which aims to facilitate generating high-quality evidence via creating and applying open-source data analytic solutions to a large network of health databases across countries. We aimed to incorporate Korean nationwide cohort data into the OHDSI network by converting the national sample cohort into Observational Medical Outcomes Partnership-Common Data Model (OMOP-CDM). The data of 1.13 million subjects was converted to OMOP-CDM, resulting in average 99.1% conversion rate. The ACHILLES, open-source OMOP-CDM-based data profiling tool, was conducted on the converted database to visualize data-driven characterization and access the quality of data. The OMOP-CDM version of National Health Insurance Service-National Sample Cohort (NHIS-NSC) can be a valuable tool for multiple aspects of medical research by incorporation into the OHDSI research network.
Enhanced LexSynonym Acquisition for Effective UMLS Concept Mapping
Authors: Lu Chris J.  , Tormey Destinee  , McCreedy Lynn  , Browne Allen C.
Published: February 2025

Concept mapping is important in natural language processing (NLP) for bioinformatics. The UMLS Metathesaurus provides a rich synonym thesaurus and is a popular resource for concept mapping. Query expansion using synonyms for subterm substitutions is an effective technique to increase recall for UMLS concept mapping. Synonyms used to substitute subterms are called element synonyms. The completeness and quality of both element synonyms and the UMLS synonym thesaurus is the key to success in such applications. The Lexical Systems Group (LSG) has developed a new system for element synonym acquisition based on new enhanced requirements and design for better performance. The results show: 1) A 36.71 times growth of synonyms in the Lexicon (lexSynonym) in the 2017 release; 2) Improvements of concept mapping for recall and F1 with similar precision using the lexSynonym.2017 as element synonyms due to the broader coverage and better quality.
The Study of Pulse Condition of Traditional Chinese Medicine in Information Age
Authors: Shi Cheng  , Zhang Yu  , Gong Qingyue  , Zhou Jinhai  , Xu Lisheng
Published: February 2025

Using the study of pulse condition in Traditional Chinese Medicine (TCM) as a case example, this paper discusses the characteristics of pulse information obtained by Chinese medicine practitioners, how to correctly understand the relationship between the human body and Chinese medicine in the information age, how to deal with pulse data, and how to study TCM pulse condition . Furthermore, we point out that the application of modern big data processing technology to the pulse of Chinese medicine offers new opportunities.
Equality Challenges in the Use of eHealth: Selected Results from a Danish Citizens Survey
Authors: Petersen Lone Stub  , Bertelsen Pernille
Published: February 2025

The increased focus on and use of citizen/patient generated health data has spurred a wide range of personal health technology projects within digital intervention in health, e.g. telehealth. These developments are focused on objectives of improving health, but also claiming to provide health services at a lower cost. However, the question is: do the ways healthcare technologies are designed and developed support and improve healthcare services for those who need it the most?
Evaluate the Usability of the Mobile Instant Messaging Software in the Elderly
Authors: Wen Tzu-Ning  , Cheng Po-Liang  , Chang Po-Lun
Published: February 2025

Purpose: Instant messaging (IM) is one kind of online chat that provides real-time text transmission over the Internet. It becomes one of the popular communication tools. Even it is currnetly an era of smartphones, it still a great challenge to teach and promote the elderly to use smart phone. Besides, the acceptance of the elderly to use IM remains unknown. This study describes the usability and evaluates the acceptance of the IM in the elderly, who use the smartphone for the first time. This study is a quasi-experimental design study. The study period started from October, 2012 to December, 2013. There were totally 41 elderly recruited in the study. All of them were the first time to use LINE app on the smartphones. The usability was evaluated by using the Technology Acceptance Model which consisted of four constructs: cognitive usability, cognitive ease of use, attitude and willingness to use. Overall, the elderly had the best “attitude” for LINE APP communication software, with the highest rating averaging 4.07 points on four constructs, followed by an average of 4 points on “cognitive usefulness”. The socres of “cognitive ease of use” and “willingness to use” scores were equal which are an average score of 3.86. It can be interpreted that (1) the elders thought that the LINE APP as an excellent communication tool for them; (2) they found the software is useful (3) it was convenient for them to communicate. However, it was necessary to additionally assist and explain the certain functions such as the options. It would play a great role in the “willingness to use”. The positive acceptance of LINE APP in elderly refer to the probable similar acceptance for them to use other communication software. Encouraging the willingness the elderly to explore more technology products and understanding their behavior will be the basic knowledge to develop further software.
Expressing Biomedical Ontologies in Natural Language for Expert Evaluation
Authors: Amith Muhammad  , Manion Frank J.  , Harris Marcelline R.  , Zhang Yaoyun  , Xu Hua  , Tao Cui
Published: February 2025

We report on a study of our custom Hootation software for the purposes of assessing its ability to produce clear and accurate natural language phrases from axioms embedded in three biomedical ontologies. Using multiple domain experts and three discrete rating scales, we evaluated the tool on clarity of the natural language produced, fidelity of the natural language produced from the ontology to the axiom, and the fidelity of the domain knowledge represented by the axioms. Results show that Hootation provided relatively clear natural language equivalents for a select set of OWL axioms, although the clarity of statements hinges on the accuracy and representation of axioms in the ontology.
E-HOSPITAL – A Digital Workbench for Hospital Operations and Services Planning Using Information Technology and Algebraic Languages
Authors: Gartner Daniel  , Padman Rema
Published: February 2025

In this paper, we describe the development of a unified framework and a digital workbench for the strategic, tactical and operational hospital management plan driven by information technology and analytics. The workbench can be used not only by multiple stakeholders in the healthcare delivery setting, but also for pedagogical purposes on topics such as healthcare analytics, services management, and information systems. This tool combines the three classical hierarchical decision-making levels in one integrated environment. At each level, several decision problems can be chosen. Extensions of mathematical models from the literature are presented and incorporated into the digital platform. In a case study using real-world data, we demonstrate how we used the workbench to inform strategic capacity planning decisions in a multi-hospital, multi-stakeholder setting in the United Kingdom.