bluuebunny/crossref_metadata_2025 huggingface dataset:
A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings
Authors: Shachak Aviv  , Domb Sharon  , Borycki Elizabeth  , Fong Nancy  , Skyrme Alison  , Kushniruk Andre  , Reis Shmuel  , Ziv Amitai
Published: February 2025

We previously developed a prototype computer-based simulation to teach residents how to integrate better EMR use in the patient-physician interaction. To evaluate the prototype, we conducted usability tests with three non-clinician students, followed by a pilot study with 16 family medicine residents. The pilot study included pre- and post-test surveys of competencies and attitudes related to using the EMR in the consultation and the acceptability of the simulation, as well as ‘think aloud’ observations. After using the simulation prototypes, the mean scores for competencies and attitudes improved from 14.88/20 to 15.63/20 and from 22.25/30 to 23.13/30, respectively; however, only the difference for competencies was significant (paired t-test; t=-2.535, p=0.023). Mean scores for perceived usefulness and ease of use of the simulation were good (3.81 and 4.10 on a 5-point scale, respectively). Issues identified in usability testing include confusing interaction with some features, preferences for a more interactive representation of the EMR, and more options for shared decision making. In conclusion, computer-based simulation may be an effective and acceptable tool for teaching residents how to better use EMRs in clinical encounters.
Generation of Natural-Language Textual Summaries from Longitudinal Clinical Records
Authors: Goldstein Ayelet  , Shahar Yuval
Published: February 2025

Physicians are required to interpret, abstract and present in free-text large amounts of clinical data in their daily tasks. This is especially true for chronic-disease domains, but holds also in other clinical domains. We have recently developed a prototype system, CliniText, which, given a time-oriented clinical database, and appropriate formal abstraction and summarization knowledge, combines the computational mechanisms of knowledge-based temporal data abstraction, textual summarization, abduction, and natural-language generation techniques, to generate an intelligent textual summary of longitudinal clinical data. We demonstrate our methodology, and the feasibility of providing a free-text summary of longitudinal electronic patient records, by generating summaries in two very different domains – Diabetes Management and Cardiothoracic surgery. In particular, we explain the process of generating a discharge summary of a patient who had undergone a Coronary Artery Bypass Graft operation, and a brief summary of the treatment of a diabetes patient for five years.
Heart Failure Medications Detection and Prescription Status Classification in Clinical Narrative Documents
Authors: Meystre Stéphane M.  , Kim Youngjun  , Heavirland Julia  , Williams Jenifer  , Bray Bruce E.  , Garvin Jennifer
Published: February 2025

Angiotensin Converting Enzyme Inhibitors (ACEI) and Angiotensin II Receptor Blockers (ARB) are two common medication classes used for heart failure treatment. The ADAHF (Automated Data Acquisition for Heart Failure) project aimed at automatically extracting heart failure treatment performance metrics from clinical narrative documents, and these medications are an important component of the performance metrics. We developed two different systems to detect these medications, rule-based and machine learning-based. The rule-based system used dictionary lookups with fuzzy string searching and showed successful performance even if our corpus contains various misspelled medications. The machine learning-based system uses lexical and morphological features and produced similar results. The best performance was achieved when combining the two methods, reaching 99.3% recall and 98.8% precision. To determine the prescription status of each medication (i.e., active, discontinued, or negative), we implemented a SVM classifier with lexical features and achieved good performance, reaching 95.49% accuracy, in a five-fold cross-validation evaluation.
Named Entity Recognition in Chinese Clinical Text Using Deep Neural Network
Authors: Wu Yonghui  , Jiang Min  , Lei Jianbo  , Xu Hua
Published: February 2025

Rapid growth in electronic health records (EHRs) use has led to an unprecedented expansion of available clinical data in electronic formats. However, much of the important healthcare information is locked in the narrative documents. Therefore Natural Language Processing (NLP) technologies, e.g., Named Entity Recognition that identifies boundaries and types of entities, has been extensively studied to unlock important clinical information in free text. In this study, we investigated a novel deep learning method to recognize clinical entities in Chinese clinical documents using the minimal feature engineering approach. We developed a deep neural network (DNN) to generate word embeddings from a large unlabeled corpus through unsupervised learning and another DNN for the NER task. The experiment results showed that the DNN with word embeddings trained from the large unlabeled corpus outperformed the state-of-the-art CRF's model in the minimal feature engineering setting, achieving the highest F1-score of 0.9280. Further analysis showed that word embeddings derived through unsupervised learning from large unlabeled corpus remarkably improved the DNN with randomized embedding, denoting the usefulness of unsupervised feature learning.
Automated Detection of Postoperative Surgical Site Infections Using Supervised Methods with Electronic Health Record Data
Authors: Hu Zhen  , Simon Gyorgy J.  , Arsoniadis Elliot G.  , Wang Yan  , Kwaan Mary R.  , Melton Genevieve B.
Published: February 2025

The National Surgical Quality Improvement Project (NSQIP) is widely recognized as “the best in the nation” surgical quality improvement resource in the United States. In particular, it rigorously defines postoperative morbidity outcomes, including surgical adverse events occurring within 30 days of surgery. Due to its manual yet expensive construction process, the NSQIP registry is of exceptionally high quality, but its high cost remains a significant bottleneck to NSQIP's wider dissemination. In this work, we propose an automated surgical adverse events detection tool, aimed at accelerating the process of extracting postoperative outcomes from medical charts. As a prototype system, we combined local EHR data with the NSQIP gold standard outcomes and developed machine learned models to retrospectively detect Surgical Site Infections (SSI), a particular family of adverse events that NSQIP extracts. The built models have high specificity (from 0.788 to 0.988) as well as very high negative predictive values (>0.98), reliably eliminating the vast majority of patients without SSI, thereby significantly reducing the NSQIP extractors' burden.
Developing a National-Level Concept Dictionary for EHR Implementations in Kenya
Authors: Keny Aggrey  , Wanyee Steven  , Kwaro Daniel  , Mulwa Edwin  , Were Martin C.
Published: February 2025

The increasing adoption of Electronic Health Records (EHR) by developing countries comes with the need to develop common terminology standards to assure semantic interoperability. In Kenya, where the Ministry of Health has rolled out an EHR at 646 sites, several challenges have emerged including variable dictionaries across implementations, inability to easily share data across systems, lack of expertise in dictionary management, lack of central coordination and custody of a terminology service, inadequately defined policies and processes, insufficient infrastructure, among others.
Semantic Alignment between ICD-11 and SNOMED CT
Authors: Rodrigues Jean-Marie  , Robinson David  , Della Mea Vincenzo  , Campbell James  , Rector Alan  , Schulz Stefan  , Brear Hazel  , Üstün Bedirhan  , Spackman Kent  , Chute Christopher G.  , Millar Jane  , Solbrig Harold  , Brand Persson Kristina
Published: February 2025

Due to fundamental differences in design and editorial policies, semantic interoperability between two de facto standard terminologies in the healthcare domain – the International Classification of Diseases (ICD) and SNOMED CT (SCT), requires combining two different approaches: (i) axiom-based, which states logically what is universally true, using an ontology language such as OWL; (ii) rule-based, expressed as queries on the axiom-based knowledge. We present the ICD–SCT harmonization process including: a) a new architecture for ICD-11, b) a protocol for the semantic alignment of ICD and SCT, and c) preliminary results of the alignment applied to more than half the domain currently covered by the draft ICD-11.
Extending the coverage of phenotypes in SNOMED CT through post-coordination
Authors: Dhombres Ferdinand  , Winnenburg Rainer  , Case James T.  , Bodenreider Olivier
Published: February 2025

Objectives: To extend the coverage of phenotypes in SNOMED CT through post-coordination.
Analyzing Operative Note Structure in Development of a Section Header Resource
Authors: Melton Genevieve B.  , Wang Yan  , Arsoniadis Elliot  , Pakhomov Serguei V.S.  , Adam Terrence J.  , Kwaan Mary R.  , Rothenberger David A.  , Chen Elizabeth S.
Published: February 2025

Operative notes contain essential details of surgical procedures and are an important form of clinical documentation. Sections within operative notes segment provide high level note structure. We evaluated the HL7 Implementation Guide for Clinical Document Architecture Release 2.0 Operative Note Draft Standard for Trial Use (HL7-ON DSTU) Release 1 as well as Logical Observation Identifiers Names and Codes (LOINC®) section names on 384 unique section headers from 362,311 operative notes. Overall, HL7-ON DSTU alone and HL7-ON DSTU with LOINC® section headers covered 66% and 79% of sections headers (93% and 98% of header instances), respectively. Section headers contained large numbers of synonyms, formatting variation, and variation of word forms, as well as smaller numbers of compound sections and issues with mismatches in header granularity. Robust operative note section mapping is important for clinical note interoperability and effective use of operative notes by natural language processing systems. The resulting operative note section resource is made publicly available.
An electronic device to record consensual reflex in human pupil
Authors: Pinheiro H.M.  , Costa R.M.  , Camilo E.N.R.  , Gang Hua
Published: February 2025

Examination of the pupil offers an objective evaluation of visual function as well as the vegetative pathways to the eye. This work proposes the development of an effective method and a portable device to test the consensual pupillary reflex. The first results demonstrate the success of a new device construction and methodology to record the consensual reflex with different stimulus, in a situation of complete blockage of light.
Evaluation of a Cyber Security System for Hospital Network
Authors: Faysel Mohammad A.
Published: February 2025

Most of the cyber security systems use simulated data in evaluating their detection capabilities. The proposed cyber security system utilizes real hospital network connections. It uses a probabilistic data mining algorithm to detect anomalous events and takes appropriate response in real-time. On an evaluation using real-world hospital network data consisting of incoming network connections collected for a 24-hour period, the proposed system detected 15 unusual connections which were undetected by a commercial intrusion prevention system for the same network connections. Evaluation of the proposed system shows a potential to secure protected patient health information on a hospital network.
Measuring ICTs Adoption in Health Care Facilities in Uruguay
Authors: Muxí Cecilia  , Gil Juan  , Martínez Elisa  , Arispe Betania  , Occhiuzzi Rossana  , Lozano Juan  , Forcella Jorge
Published: February 2025

The use of Information and Communication Technologies (ICTs) has gained an important role to enhance healthcare systems by increasing access to services, and improving the quality and equity of care. In order to evaluate the stage of ICTs adoption in the Uruguayan healthcare system, the Governmental Salud.uy Program carried out a national survey to establish the baseline for ICTs adoption, as well as define a set of indicators so as to evaluate the progress on this topic. Data was recorded following the OECD methodology.
First Step to Big Data Research in Hospital
Authors: Shin Yongdon  , Choi Changmin  , Lee JaeHo  , Shin Soo-Yong
Published: February 2025

Hospitals have accumulated large amounts of data driven by hospital information system such as EMR, PACS, CPOE, and LIMS. While most data are stored in hospital systems, researchers have still experienced trouble to use clinical data. To overcome this problem and promote “big data” research, clinical research information system is necessary. Here an example of such a system, ABLE (Asan BiomedicaL research Environment), will be introduced.
Service Quality: A Main Determinant Factor for Health Information System Success in Low-resource Settings
Authors: Tilahun Binyam  , Fritz Fleur
Published: February 2025

With the increasing implementation of different health information systems in developing countries, there is a growing need to measure the main determinants of their success. The results of this evaluation study on the determinants of HIS success in five low resource setting hospitals show that service quality is the main determinant factor for information system success in those kind of settings.
Standardization of Information about Birth in the Obstetric Discharge Summary
Authors: Nogueira Reis Zilma S.  , Gaspar Juliano S.  , Oliveira Isaias J.R.  , de Souza Andreia C.  , Maia Thais A.
Published: February 2025

Clinical information about the birth composes an important set of data to the documentation about the care provided during childbirth. Formalized in the document Obstetric Impatient Discharge Summary (OIDS), such information are essential for continuity of mother and child attention, in the health care network. The main paper's objective is to propose an Information Model for this document based on ISO Standard 13606 for interoperability between health information systems in Minas Gerais, Brazil.
The Challenge of e-Health Presence on a Petroleum Platform: Using Telemedicine to Make Operation of Pre-Salt Wells a Reality
Authors: Nunes Ferreira R.  , Lopes da Rosa T.  , Benevenuto de Campos Lima C.  , Brito Alves de Lima G.  , dos Santos Ramos P.  , Dias da Silva T.  , Barbieri A.  , Takeo Ueda E.
Published: February 2025

Telemedicine can be defined as the use of electronic media for the transmission of clinical data and information from one location to another using information technology and telecommunication in order to provide immediate clinical health care at long distances. This new approach can involve specialized medical service centers in the oil production at great distances from the offshore installations in Brazil. The importance of the right health diagnosis, taken at the proper time, will make a serious difference in the facilities, which will be located around 300 km offshore. This paper presents an overview of telemedicine and its different applications, comparing them according to level of maturity and applicability. Important results from a case study in a fixed oil platform are analyzed. At the end of this work, the strategy of telemedicine implementation in a Brazilian petroleum operator is discussed.
Virtual Oncological Networks – IT Support for an Evidence-based, Oncological Health Care Management
Authors: Heiden Katja  , Sinha Monika  , Böckmann Britta
Published: February 2025

An interdisciplinary and intersectoral coordinated therapy management along Clinical Practice Guidelines can ensure that all patients receive adequate diagnostic, treatment, and supportive services that lead most likely to optimal outcomes. Within the research project “Virtual Oncological Networks”, guideline-compliant pathways are defined and enacted within a Health Care Management Platform to support treatment planning and ongoing care of oncological diseases.
Semantic Interoperability in Clinical Decision Support Systems: A Systematic Review
Authors: Marco-Ruiz Luis  , Bellika Johan Gustav
Published: February 2025

The interoperability of Clinical Decision Support (CDS) systems with other health information systems has become one of the main limitations to their broad adoption. Semantic interoperability must be granted in order to share CDS modules across different health information systems. Currently, numerous standards for different purposes are available to enable the interoperability of CDS systems. We performed a literature review to identify and provide an overview of the available standards that enable CDS interoperability in the areas of clinical information, decision logic, terminology, and web service interfaces.
Audit of primary care electrocardiograms sent as emergency to a telehealth service – the Telehealth Network of Minas Gerais, Brazil
Authors: Marcolino Milena S.  , Carvalho Bárbara C.  , Lucena Aline M.  , França Ana Luiza N.  , Pessoa Cristiane G.  , Neves Daniel S.  , Alkmim Maria Beatriz M.
Published: February 2025

The Telehealth Network of Minas Gerais (TNMG) is a public telehealth service in Brazil that has performed electrocardiogram (ECG) analysis since 2005. From February to March 2014, 28% of ECGs were classified as “emergency” by the primary care tele-health sites. This quasi-experimental study aimed to investigate the reasons behind the high number of emergency ECGs being sent in, the implementation of corrective actions, and an assessment of the impact of these actions. In the 1st phase, primary care units that sent >70% of ECGs as emergency from February to March 2014 were selected. The 2nd phase consisted of the intervention. In the 3rd phase, the proportion of ECGs sent as an emergency during the 1st and 2nd months post intervention were assessed. Of the 63 cities selected during the 1st phase, 50% of the practitioners did not know the proper definition of emergency. After the intervention, 67% of the cities had a significant reduction in the proportion of ECGs sent as an emergency during the 1st month, and 17% had a significant reduction during the 2nd month.
Routine Health Information Systems in South Africa – Opportunities for Improvement
Authors: Nicol Edward  , Hanmer Lyn A.
Published: February 2025

A recurring theme in published studies is the need for the appropriate human and other resources to support routine health information system (RHIS) implementation. While training in the use of specific RHIS and the availability of the required resources for implementation are essential for all users, other factors such as managers' understanding of the role of RHIS in supporting health services; the ability to interpret RHIS data; and a focus on data quality are further requirements for effective RHIS implementation.
Paper-Based Textbooks with Audio Support for Print-Disabled Students
Authors: Fujiyoshi Akio  , Ohsawa Akiko  , Takaira Takuya  , Tani Yoshiaki  , Fujiyoshi Mamoru  , Ota Yuko
Published: February 2025

Utilizing invisible 2-dimensional codes and digital audio players with a 2-dimensional code scanner, we developed paper-based textbooks with audio support for students with print disabilities, called “multimodal textbooks.” Multimodal textbooks can be read with the combination of the two modes: “reading printed text” and “listening to the speech of the text from a digital audio player with a 2-dimensional code scanner.” Since multimodal textbooks look the same as regular textbooks and the price of a digital audio player is reasonable (about 30 euro), we think multimodal textbooks are suitable for students with print disabilities in ordinary classrooms.
Can We Fix The Web?
Authors: Kolar Irena  , Whitney Gill
Published: February 2025

This paper reports on an innovative approach to facilitating the expedient reporting of web accessibility issues using volunteers. The aim of the Fix the Web website and project is not to replace existing formal methods of reporting inaccessible websites, but to provide an easy, informal way by which users with disabilities can report inaccessible websites quickly and can be assured that a volunteer on their behalf will take the issue up with the website owner or administrator. Fix the Web was launched in 2010 and from a small start has gone onto success in dealing with nearly 150 inaccessible websites. The results of an analysis of reports of inaccessible websites received by the Fix the Web are also presented and the practical benefits and limitations of using an informal approach to achieve accessibility are discussed.
Designing GUIs for low vision by simulating reduced visual acuity: reduced resolution versus shrinking
Authors: Sandnes Frode Eika
Published: February 2025

The visual uniqueness of information carrying icon and text elements has received little attention in the HCI research literature. The information carrying elements of graphical designs must be visually unique in order to be visually recognizable. This is increasingly important with the diversity of form factors and types of information displays. This paper explores two simple strategies for testing visual designs by simulating low visual acuity, namely by reducing the resolution and by shrinking. Two case studies demonstrate that low vision simulation by shrinking is more effective than reducing the resolution. Moreover, the case studies show how the low vision simulation can help identify design aspects that need attention. Design shrinking is not a substitute for user testing on actual user groups, but meant as a tool for early screening of designs and an aid for designers to help understand the effects of their design. The method can also be used as a tool for communicating design problems and justifying design decisions to stakeholders of a project through presentations and reports.
Barriers and Facilitators to Uptake of Assistive Technologies: Summary of a Literature Exploration
Authors: Draffan E.A.  , James Abi  , Cudd Peter  , Bentley Claire
Published: February 2025

This paper aims to highlight some of the issues that arise with the uptake of assistive technology as found in the literature across four different domains: Telehealth; Telecare; Augmentative and Alternative Communication; and Education. The authors were not looking so much at service delivery models as user centred experiences and key words that were used to describe outcomes. The results showed remarkable similarities in the concerns of patients, families, users and other stakeholders. However, different terminologies across the fields highlighted the gulf between the fields, with professional ‘silo-ing’ of expertise occurring. There is a necessity for increased collaboration that could allow for knowledge sharing and enhanced assessment, uptake and continued use of assistive technologies for all potential users.
The Assistance Dog System in Finland. An Overview of the Current Situation and Suggestions
Authors: Töytäri Outi  , Savolainen Sarianna
Published: February 2025

This paper describes the current situation of the assistance dog system in Finland; problems, development needs, benefits of assistance dogs and suggestions for a new system.
Wearable technology to help with visual challenges – two case studies
Authors: Kálmán Viktor  , Baczó Csaba  , Livadas Makis  , Csielka Tamás
Published: February 2025

Today as embedded computing technology and sensors become cheaper and smaller wearable technologies experience an unprecedented boom. This article presents two wearable systems that aim to help people with low vision and the blind in performing everyday tasks and doing sports. DIGIGLASSES is a project aimed at creating a pair of augmented reality digital glasses that present controlled light and contrast levels and marks selectable features on the field of vision to aid in everyday tasks. BLINDTRACK is guidance system that uses wireless localization and an innovative haptic feedback belt to guide blind runners along the running track. Both systems are briefly presented along with the most relevant technical details and user feedback where applicable. Both projects were funded by the EU FP7. Corresponding author V. Kalman: viktor.kalman@ateknea.com
E-inclusion: Digital equality – young people with disabilities
Authors: Hemmingsson H.  , Bolic-Baric V.  , Lidström H.
Published: February 2025

The United Nations' position is that digital access is a matter involving equality between groups of people, the securing of democratic rights, and equal opportunities for all citizens. This study investigates digital equality in school and leisure between young people with and without disabilities. A cross-sectional design with group comparisons was applied. Participants were young people (10–18 years of age) with disabilities (n=389) and a reference group in about the same ages. Data were collected by a survey focusing on access to and engagement in ICT activities in school and during leisure time. The results demonstrated young people with disabilities had restricted participation in computer use in educational activities, in comparison to young people in general. During leisure time young people with disabilities had a leading position compared to the reference group with respect to internet use in a variety of activities. Beneficial environmental conditions at home (and the reverse in schools) are discussed as parts of the explanation for the differing engagement levels at home and in school, and among young people with disabilities and young people in general.
Development of Integrated Public Administration Custom Services in Hungary
Authors: Laki Tamas
Published: February 2025

The paper is a case-study introducing a national project in Hungary establishing a countrywide public administration customer service system where accessibility was a key issue. Starting from the concept the paper describes the methods and organisational background how accessible design was integrated in the planning method and gives a feedback of site experiences
A Functional Analysis Of An Assistive Device Information Database in Flanders: A Qualitative Study
Authors: Cardinaels Loes  , Verbrugghe Jonas  , Haesen Mieke  , Schouten Ben  , Ceccarelli Bianca  , Timmermans Annick  , Spooren Annemie
Published: February 2025

Since 1989–1990, Vlibank is the Flemish AT information database managed by the Flemish government and aims to have a complete overview of AT devices in Flanders. The growing AT market increases the need for unbiased information on AT. However, maintaining and keeping a database up-to-date is a very challenging task. Because of recent changes in policy, the Flemish government needs to be able to reimburse a bigger group of AT devices, but also the changing needs of a larger group of people, regardless of their age. Because the crucial role of an AT information database in the selection of AT devices and the effectiveness of the service delivery, a functional analysis of an online information database is made. This paper describes the qualitative part of the study, in particular the focus groups that were held to gather views of three groups of stakeholders. Preliminary results indicate that there is consensus on the information needs next to product information and on the use of generic questions as a selection tool for AT devices. The biggest issue raised is the difficulty of keeping an information database up-to-date, especially for individualized devices. All participants, except one, are very wary of the use of user ratings and reviews.
Towards mHealth Assessment Guidelines for interoperability: HL7 FHIR
Authors: Chronaki Catherine  , Ploeg Frank
Published: February 2025

The number of health-related mobile apps (mHealth apps) has increased dramatically over the last three years. Health professionals have started recommending apps to their patients, while healthcare systems, advocacy groups, and professional societies review or commission apps of relevance to their members. Still the issues surrounding mHealth apps are strongly debated as policy makers and legislators seek to strike the right balance between a voluntary code of conduct and regulation that can offer eHealth consumers the guidance and support they need. This paper reviews the EU policy landscape surrounding mobile health focusing on issues identified in the Green paper and follow-up activities. Then, it moves on to discuss HL7 FHIR, the mHealth WG, and relevant standardization projects and reflect on the implications for large scale eHealth deployment in Europe.
Establishing Long-Term Nursing Informatics Capacity in Malawi, Africa
Authors: O'Connor Siobhan  , Gallagher Joe  , Wamba Nathalis  , Moyo Chris  , Chirambo Griphin Baxter  , O'Donoghue John
Published: February 2025

The capacity of developing countries to implement nursing informatics education, research and practice is limited. Therefore, an international partnership was established to provide teaching and research opportunities in the field of eHealth for nursing faculty at Mzuzu University, Malawi. This resulted in staff development and capacity building with nursing faculty undertaking mHealth research and beginning doctoral studies as well as the creation of an online repository of educational resources to teach nursing informatics to undergraduate students. Collaborative international partnerships can assist in building nursing informatics capacity in low resource settings.
Nursing Students' Opinion on the Use of Smartphone Applications (Apps) in Clinical Education and Training: A Study Protocol
Authors: O'Connor Siobhan  , Andrews Tom
Published: February 2025

Nurse educators are exploring different mobile technologies to provide additional support to nursing students in clinical practice. However, the view of nursing students on the use of smartphone applications (apps) to enhance clinical education has not been explored. This proposed study will use a self-reported questionnaire to examine the opinions of nursing students on the current and potential use of smartphone apps when training in clinical settings. Descriptive and inferential statistics will be performed on the quantitative data. Qualitative data from open ended questions will be thematically analysed using the framework approach. This will be the first study to examine the use of smartphone apps as a support in clinical teaching from a students' perspective. Their opinion is vital if the right mobile technology is to be designed and implemented.
Preliminary Findings of the Delivery of the National Diabetes Prevention Program via a Mobile Application
Authors: Tiase Victoria L.  , Licata Marissa  , Fleck Elaine M.
Published: February 2025

NewYork-Presbyterian Hospital partnered with Noom Health to pilot the virtual delivery of the proven National Diabetes Prevention Program (NDPP) to prediabetic patients. Goals were to understand if the patients can use a mobile device to receive the NDPP content, perform tasks and communicate with a virtual health coach. This poster describes our preliminary findings and responses from patients and staff.
The Educational and Supportive Mobile Application for Caregivers of Dementia People
Authors: Cho Sumi  , Lee Je Hyeok  , Kim Il Kon  , Kim Min Gyu  , Sik Kim Young  , Lee Eunjoo
Published: February 2025

This paper presents a healthcare mobile app for caregivers of dementia patients. The app had been implemented to run on wearable and mobile devices, and it helps caregivers to take dementia test, review dementia test history, and search location of public health centers in the vicinity. The collective purpose of these features is to provide meaningful healthcare services to elderly at risk of dementia. The app uses the time and change (T&C) test for screening for dementia. The app was tried for its validity and usability for the intended purpose, and participating users were surveyed to evaluate its usefulness.
Success Criteria for Implementing Standardized Care Plans in Community Health Care
Authors: Østensen Elisabeth  , Hellesø Ragnhild
Published: February 2025

Standardized Care Plans (SCPs) based on ICNP® are currently being piloted in the community health care setting in four Norwegian municipalities. The goal is that SCPs will improve the quality of nursing documentation, and that they will contribute to improved continuity of care and thereby increased patient safety. We are studying the implementation process of the SCPs, and will report on success criteria for them to become an integral part of everyday nursing documentation in community health care.
Proposal for Inclusion of New Terms for Submission to the ICNP
Authors: Leal Rodrigo Guerra  , Carvalho Deborah Ribeiro  , Santos Bruna Silva  , de Souza Amanda  , Cubas Marcia Regina
Published: February 2025

The present study aims to validate 15 terms and definitions for submission to the International Classification for Nursing Practice ICNP®. The terms were extracted from 148,299 narratives of the evolution of nursing care, free texts from Electronic Health Records, in a Brazilian university hospital. These terms were mapped with ICNP®2013 for identifying differences, similarities and nonexistent terms. Definitions were made for the 15 most frequent nonexistent terms. Five Brazilian experts evaluated the settings through the Content Validity Index (CVI). Validation by 68 clinical practice experts is in progress. 2,638 different terms have been identified. After mapping and analysis, 15 terms were selected. Despite the importance of experts' assessment, the terminology is used by nurses in their daily practice. The classification of concepts is essential for the development of standards for Electronic Health Records.
Developing Standardized Physiologic Assessments
Authors: Matney Susan A.  , Settergren Theresa (Tess)  , Westra Bonnie  , Pruinelli Lisiane
Published: February 2025

A terminology for nursing assessments does not exist to support exchange of information and research. A team of nurse informaticts collaborated to create a standard for medical/surgical assessment terms coded in LOINC and SNOMED CT. Nursing assessments represented 106 observation (50% new LOINC), and 348 Values (20% New SNOMED CT) organized into fifteen panels (86% new LOINC).
Using the Virtual Reality World of Second Life to Promote Patient Engagement
Authors: Weiner Elizabeth  , Trangenstein Patricia  , McNew Ryan  , Gordon Jeffry
Published: February 2025

Patients have typically been passive participants in their own healthcare. However, with a change in philosophy towards outcomes driven care, it has become necessary to make sure that patients mutually set their healthcare goals with their providers Both eHealth and mobile health applications have required patient participation in ways never before valued. The virtual reality world of Second Life offers one eHealth solution that requires computer literate patients to participate via avatars in synchronous healthcare visits and support groups, as well as explore online resources asynchronously. This paper describes the development of a Second Life environment that served as a platform for nurse practitioner driven care supplemented by a patient portal as well as the institutional electronic health record. In addition, the use of Second Life is described as an active exercise to expose students in a Consumer Health course to support groups and resources available to actively engage patients.
A Personal Health Network for Chemotherapy Care Coordination: Evaluation of Usability Among Patients
Authors: Kim Katherine K.  , Bell Janice F.  , Bold Richard  , Davis Andra  , Ngo Victoria  , Reed Sarah C.  , Joseph Jill G.
Published: February 2025

Cancer is a top concern globally. Cancer care suffers from lack of coordination, silos of information, and high cost. Interest is emerging in person-centered technology to assist with coordination to address these challenges. This study evaluates the usability of the “personal health network” (PHN), a novel solution leveraging social networking and mobile technologies, among individuals undergoing chemotherapy and receiving care coordination. Early results from interviews of 12 participants in a randomized pragmatic trial suggest that they feel more connected to the healthcare team using the PHN, find value in access to the patient education library, and are better equipped to organize the many activities that occur during chemotherapy. Improvements are needed in navigation, connectivity, and integration with electronic health records. Findings contribute to improvements in the PHN and informs a roadmap for potentially greater impact in technology-enabled cancer care coordination.
Information Literacy in a Digital Era: Understanding the Impact of Mobile Information for Undergraduate Nursing Students
Authors: Doyle Glynda J.  , Furlong Karen E.  , Secco Loretta
Published: February 2025

Recent entry-to-practice nursing informatics competencies for Registered Nurses in Canada mean nurse educators need educational strategies to promote student competency within the rapidly evolving informatics field. A collaborative research team from three Canadian nursing programs completed a mixed method survey to describe how nursing students used mobile nursing information support and the extent of this support for learning. The Mobile Information Support Evaluation Tool (MISET) assessed Usefulness/Helpfulness, Information Literacy Support, and Use of Evidence-Based Sources. The quantitative and qualitative data were analyzed to describe students' perspectives and the ways they used mobile resources in learning situations. Findings suggest nursing students mainly accessed mobile resources to support clinical learning, and specifically for task-oriented information such as drug medication or patient conditions/diagnoses. Researchers recommend a paradigm shift whereby educators emphasize information literacy in a way that supports evidence-based quality care.
Determining Optimal Nursing Resources in Relation to Functions During the Oulu University Hospital Nurse Staffing Management Project
Authors: Liljamo Pia  , Lavander Päivi  , Kejonen Pirjo
Published: February 2025

The Oulu University Hospital's staffing management project sought information on the number of nursing staff in relation to treatment days and visits, using existing indicators to describe the activities involved. The retrospective data obtained was compared to human resources and the personnel structure. On this basis an optimal number of staff was determined for the units, taking account of a range of explanatory indicator data. The project made use of the computational model for nurse staffing and the World Health Organisation's (WHO) Workload Indicators of Staffing Need (WISN) method. The project provided extensive information on human resources issues within the units. Its results indicated the differences between wards with respect to the number and structure of resources. In addition, the nurse administrators lacked skills in gathering and using data from administrative datasets. This information will provide support for the further development of nursing operations and nursing management decision-making.
Exchange of Information Between Hospital and Home Health Care: A Longitudinal Perspective
Authors: Hellesø Ragnhild  , Melby Line  , Brattheim Berit  , Toussaint Pieter
Published: February 2025

In this paper we present a longitudinal perspective of exchange of information providers in hospital and home health care. More specifically we address how this practice has changed over the last six years. In three different studies we have investigated how the information exchange between hospital and home health care throughout a patient transition from admission to discharge has changed over the last six years. The information processes have gone from being mainly paper-based to being digitalized. However, there are still professional challenges to overcome which may contribute to improvements for patients in transition.
Strategic Deployment of Clinical Models
Authors: Goossen William
Published: February 2025

The selection, implementation, and certification of electronic health records (EHR) could benefit from the required use of one of the established clinical model approaches. For the lifelong record of data about individuals, issues arise about the permanence and preservation of data during or even beyond a lifetime. Current EHR do not fully adhere to pertinent standards for clinical data, where it is known for some 20 plus years that standardization of health data is a cornerstone for patient safety, interoperability, data retrieval for various purposes and the lifelong preservation of such data. This paper briefly introduces the issues and gives a brief recommendation for future work in this area.
Use of Social Media in Facilitating Health Care Research Among Nursing and Allied Health Undergraduates in Sri Lanka
Authors: Silva S.N.
Published: February 2025

A mentoring program was designed to promote conduction, completion and dissemination of undergraduate research among Nursing and Allied Health students in Sri Lanka. Several social media platforms were used; mainly the Facebook, YouTube and Google Hangouts. Knowledge sharing, interaction and collaboration were promoted. Student motivation was also done. Research presentation skills and applying for conferences was also facilitated. Over 90% of the participated 262 students completed a research project and close to 50% presented them both locally and internationally.
Deep Dive: Evaluation Methods for Electronic Health Records
Authors: Collins Sarah
Published: February 2025

Clinicians currently use electronic health records (EHR) which have often not been designed with the user in mind. Participatory design requires a thorough evaluation of the system using mixed methods. When different methods yield conflicting results, synthesis is challenging. This panel will present four cases of triangulation approaches to evaluate EHR usability and usage in multiple institutions. The audience will have a better idea how to triangulate results from multiple innovative methods such as the use of eye-tracking techniques and mixed methods approaches to evaluation.
The Relationship Between Nursing Workload, Quality of Care and Nursing Payment in Intensive Care Units
Authors: Chang Li-Yin  , Yu Hsiu-Hui
Published: February 2025

Nursing workload adversely affects patient safety in intensive care units, the higher nursing care hours were lower incidence rate of bedsores.
Improving Patient Safety with a Mobile Application for Patients with Peripherally Inserted Central Venous Catheters (PICC)
Authors: Nüssli Stephan  , Schnyder Florian  , Zenhäusern Raphael  , Bosshart Katharina
Published: February 2025

Peripherally inserted central venous catheters (PICCs) are of growing interest because they allow intravenous therapies up to several months. The appropriate management of the PICCs is crucial to minimize complications and largely depends on the right information for everyone who cares for the patient. To reach this goal we develop the mobile application “PICC App” to provide the necessary information for all involved persons in the outpatient setting. We expect to be able to report about the PICC App and the results of the usability evaluation with pilot users.
Effects of Reflection Using the iPad on Students' Motivation to Learn Nursing Techniques
Authors: Saito Yukie
Published: February 2025

In technical nursing training, it is necessary for students to adopt extensive perspectives, focusing on not only the accuracy of manual procedures, but also surrounding environments, in order to appropriately evaluate their own practices. Therefore, based on the idea that students need opportunities to objectively evaluate their own practices and improve their learning levels, a method of reflection using videos recorded by themselves with the iPad was developed. These results highlight the importance of providing students with learning materials that will promote discussions, as well as opportunities for successful learning experiences.
Diffusing Innovations in Nursing Education: From PDAs to OERs
Authors: Doyle Glynda  , Budz Bernice
Published: February 2025

The Canadian educational and healthcare practice landscapes are ever-evolving technologically. In response to these changes, the British Columbia Institute of Technology (BCIT) has integrated various educational technologies using Rogers Diffusion of Innovation model as a guiding framework for this integration with considerable success. This poster describes BCIT's journey with diffusing innovations, discusses examples of these technological integrations in accordance with Roger's model, and outlines several implications for educational practice.
Detecting Duplicates at Hospital Admission: Comparison of Deterministic and Probabilistic Record Linkage
Authors: Waldenburger Andreas  , Nasseh Daniel  , Stausberg Jürgen
Published: February 2025

Effective detection of corresponding or duplicate records in medical data sets is vital for a high quality health care system. We evaluate the efficacy of several current and novel record linkage approaches by modeling a hospital-admission scenario, wherein an incoming patient may or may not have been previously treated. Our work is to develop recommendations for how an automated system could operate in such a scenario, especially regarding comparison and classification. By using a large, anonymous, real-world data set, we can gain insight into the robustness of these methods in a way that artificial data sets cannot provide. Preliminary results show that even minor confounders have deleterious effects on our ability to classify matches. We aim to evaluate and refine a semi-supervised classification technique to cope with these influences.
Gesture Interaction Browser-Based 3D Molecular Viewer
Authors: Virag Ioan  , Stoicu-Tivadar Lăcrămioara  , Crişan-Vida Mihaela
Published: February 2025

The paper presents an open source system that allows the user to interact with a 3D molecular viewer using associated hand gestures for rotating, scaling and panning the rendered model. The novelty of this approach is that the entire application is browser-based and doesn't require installation of third party plug-ins or additional software components in order to visualize the supported chemical file formats. This kind of solution is suitable for instruction of users in less IT oriented environments, like medicine or chemistry. For rendering various molecular geometries our team used GLmol (a molecular viewer written in JavaScript). The interaction with the 3D models is made with Leap Motion controller that allows real-time tracking of the user's hand gestures. The first results confirmed that the resulting application leads to a better way of understanding various types of translational bioinformatics related problems in both biomedical research and education.
Telemedicine Systems in Uterine Transplant: A Feasibility and Reliability Study of the Pre-Grafting Teleradiological Evaluation of the Uterus Graft
Authors: Mammas Constantinos S.  , Saatsakis George  , Poulou Loukia  , Toulas Panagiotis  , Chasiakos Demetrios
Published: February 2025

The pre-grafting Tele-Radiological (TRE) evaluation of the Uterus Graft (UG) on Telemedicine Systems, in Uterus Transplant (UT) is studied by diagnostic sensitivity-specificity analysis based on simulation of TRE of the UG on 10 MR sets of female pelvic digital images by two radiologists, assessing a. The vascular variations of the grafts, and b. The inflammatory and neoplastic lesions of the UG. The pre-grafting TRE of the UG showed: a. Diagnostic unreliability for vascular variations, b. A high diagnostic reliability for inflammatory and neoplastic diseases of the UG (100%), making the MRI based TRE of the UG in UT, feasible and highly reliable for the remote pre-grafting diagnosis of UG pathologic lesions, but unreliable for integrated vascular anatomic and pathologic UG remote evaluation for pre-grafting and pre-transplant decision support and planning.