bluuebunny/crossref_metadata_2025 huggingface dataset:
Feasibility of Describing Wellbeing and Strengths at the Community Level Utilizing the Omaha System
Authors: Gao Grace  , Kerr Madeleine J.  , Monsen Karen A.
Published: February 2025

Capturing strengths at the community level offers an emergent perspective to a strength-based approach for population health. The Omaha System standardized terminology has been found feasible to describe individual strengths in patient care planning. This study depicts results of using the Omaha System to capture strengths at the community level. Descriptive statistics and visualization were used to examine patterns of strengths and signs/symptoms by Omaha System Problem concept based on the secondary data analysis from 118 student-generated community assessments. Results suggest that it is feasible to use the Omaha System as a method classifying strengths and problems at the community level. The relationship between strengths and signs/symptoms is consistent with the pattern observed at the individual-level. Utilizing a strength-based model may provide robust information about community strengths leading to new approaches to population health management in support of community wellbeing.
Analysis the Nursing Documentation of the Observation Plans and Practices of Breast Cancer Using Nursing NAVI
Authors: Inoue Manami  , Tsuru Satoko  , Omori Miho  , Sudo Kumiko  , Wako Fumiko
Published: February 2025

We analyzed in nursing observation planning and practices circumstances of a breast cancer patient using the Nursing NAVI® Contents. The result of this analyzed were clearly that the master plan item was satisfying a vital signature, so it could be practiced 100%. But even if the observation item of in-out balance were not records so the implementation rate of the 50%, comparison with the Nursing NAVI® Contents. About the item esteemed as required item, like, the thing with the low observation implementation rate became clear. We found that problem about estrangement of the difference between the planning the observation drafting and the implementation. The implementation item can see a little tendency much, and later, the plan item will be also a problem about the current state to which the necessary item is inferior.
Development and Evaluation of a Low Fertility Ontology for Analyzing Social Data in Korea
Authors: Lee Ji-Hyun  , Park Hyeoun-Ae  , Song Tae-Min
Published: February 2025

The purpose of this study is to develop a low fertility ontology for collecting and analyzing social data. A low fertility ontology was developed according to Ontology Development 101 and formally represented using Protégé. The content coverage of the ontology was evaluated using 1,387 narratives posted by the public and 63 narratives posted by public servants. Six super-classes of the ontology were developed based on Bronfenbrenner's ecological system theory with an individual in the center and environmental systems impacting their as surroundings. In total, 568 unique concepts were extracted from the narratives. Out of these concepts, 424(74.6%) concepts were lexically or semantically mapped, 67(11.8%) were either broadly or narrowly mapped to the ontology concepts. Remaining 77(13.6%) concepts were not mapped to any of the ontology concepts. This ontology can be used as a framework to understand low fertility problems using social data in Korea.
Lightweight Expression of Granular Objects (LEGO) Content Modeling Using the SNOMED CT Observables Model to Represent Nursing Assessment Data
Authors: Johnson Christie
Published: February 2025

This poster presentation presents a content modeling strategy using the SNOMED CT Observable Model to represent large amounts of detailed clinical data in a consistent and computable manner that can support multiple use cases. Lightweight Expression of Granular Objects (LEGOs) represent question/answer pairs on clinical data collection forms, where a question is modeled by a (usually) post-coordinated SNOMED CT expression. LEGOs transform electronic patient data into a normalized consumable, which means that the expressions can be treated as extensions of the SNOMED CT hierarchies for the purpose of performing subsumption queries and other analytics. Utilizing the LEGO approach for modeling clinical data obtained from a nursing admission assessment provides a foundation for data exchange across disparate information systems and software applications. Clinical data exchange of computable LEGO patient information enables the development of more refined data analytics, data storage and clinical decision support.
Transforming Clinical Documentation in EHRs for 2020: Recommendations from University of Minnesota's Big Data Conference Working Group
Authors: Weaver Charlotte  , O'Brien Ann
Published: February 2025

In 2014, a group of diverse informatics leaders from practice, academia, and the software industry formed to address how best to transform electronic documentation to provide knowledge at the point of care and to deliver value to front line nurses and nurse leaders. This presentation reports the recommendations from this Working Group geared towards a 2020 framework. The recommendations propose redesign to optimize nurses' documentation efficiency while contributing to knowledge generation and attaining a balance that ensures the capture of nursing's impact on safety, quality, yet minimizes “death by data entry.”
Ten Demands of Improved Usability in eHealth and Some Progress – Co-Creation by Health and Social Care Professionals
Authors: Scandurra Isabella  , Liljequist David
Published: February 2025

Current healthcare organizations often do not accomplish the intended effects of their eHealth systems due to inadequate usability. Commissioned by the Swedish Ministry of Health and Social Affairs, the usability of current eHealth systems in Swedish health and social care has been analysed from the perspective of their professionals. The objective of the study was to report on current problems, potential solutions as well as to relate these to research in relevant areas. Using a participatory approach, nine workshops were held where health informatics researchers guided staff from different care organizations, representatives of the national associations of health and social care professionals and the national eHealth system vendor organization. This paper presents ten demands that Swedish health and social care professionals find imperative to prioritize. The study emphasizes that development of eHealth systems must be integrated into the care practice improvement process and iteratively evaluated regarding usability.
Clinical Simulation in the Development of eHealth: In-Situ and Laboratory Simulation
Authors: Jensen Sanne  , Borycki Elizabeth M.
Published: February 2025

Health information technology (IT) may improve patient safety and quality, but the application of new technology in health care may also increase patient safety hazards. The complexity of organizations, work practices and physical environments within the healthcare sector impacts the development and application of health IT. Clinical simulation can be used to evaluate technology in differing clinical contexts, throughout the software development life cycle in nursing informatics. Clinical simulation may be conducted in a range of settings varying from simulation laboratories to simulation in real settings. Clinical simulation supports involvement of context in pre-implementation design and evaluation of health IT involving real end-users as they use technology in realistic environments performing realistic tasks. The inclusion of clinical context is a powerful element of clinical simulation and enables visualization of technology in connection with clinical context without endangering patients.
Social Media Training for Professional Identity Development in Undergraduate Nurses
Authors: Mather Carey  , Cummings Elizabeth  , Nichols Linda
Published: February 2025

The growth of social media use has led to tension affecting the perception of professionalism of nurses in healthcare environments. The aim of this cross-sectional study was to explore first and final year undergraduate student use of social media to understand how it was utilised by them during their course. Descriptive statistical analysis was undertaken to compare differences between first and final year student use. No difference indicated there was a lack of development in the use of social media, particularly concerning in relation to expanding their professional networks. There is a need for the curriculum to include opportunities to teach student nurses methods to ensure the appropriate and safe use of social media. Overt teaching and modelling of desired behaviour to guide and support the use of social media to positively promote professional identity formation, which is essential for work-readiness at graduation, is necessary.
Evaluating the Feasibility of Using Mobile Devices for Nurse Documentation
Authors: Schachner María B.  , Sommer Janine A.  , González Zulma A.  , Luna Daniel R.  , Benítez Sonia E.
Published: February 2025

The use of electronic health records (EHR) has changed the quality of clinical documentation and improved quality of patient assistance, allowing better communication between health professionals and increased data recording that helps the nursing assistance process. The use of mobile devices for compiling data at the assistance moment has increased, and more studies have demonstrated its usefulness. The aim of this study was to evaluate the use of mobile devices in the nursing staff of the Hospital Italiano de Buenos Aires, in a pilot test to measure their use and user satisfaction.
Ambulance Protocols: A Mobile Solution
Authors: Losiouk Eleonora  , Quaglini Silvana  , Visetti Enrico  , Perfetti Francesca  , Lanzola Giordano
Published: February 2025

The paper illustrates a pilot study involving nurses and paramedic staff to evaluate a mobile platform for rendering and distributing emergengy care protocols. Its specific features were developed to simplify the consultation and reduce the factors that negatively affect the adherence to standards. The study was planned to last one month and two questionnaires are administered to the participants: one at the starting phase, pre-intervention, and one at the end, post-intervention. Here we report the results and considerations coming from the first administration.
Effects of Using Multimedia Situational Teaching in Establish Nurse-Patient Relationship for New Nurses
Authors: Lin Jing-Yi  , Chen Hui-Fen
Published: February 2025

In recent years, endless stream of news for medical violence to make Nurse-Patient Relationship (NPR) was valued. This study is using Multimedia Situation Teaching (MST) to intervene in Nursing training process keep 6 months, probe the effects of new nurses to establish of NPR. Choose 11 new nurses in a medical ward for the study. Using Therapeutic Interpersonal substantive capacity questionnaire survey effects of new nurses establish NPR. After intervention, 94.45% of new nurses can use positive attitude to establish NPR, 90.90% of new nurses represent MST can effectively convey the right attitude in a clinical situation. Using MST can effectively improve new nurses established NPR, we can further enhance the quality of Nursing care, reduce the incidence of medical violence.
Advancing Nursing Informatics in the Next 5–10 Years: What Are the Next Steps?
Authors: Ronquillo Charlene
Published: February 2025

Objective: This panel will explore expert perspectives on what is needed to advance nursing informatics (NI) based on results of an international survey conducted by the IMIA-NISIG Student Group in 2015. This panel will build on results of the survey's thematic analysis findings, highlighting: research, practice, education, collaboration, and visibility, as key areas needing action.
Twenty Years of Health On the Net: Committed to Reliable Information
Authors: Ball Marion J.
Published: February 2025

In 1996, at the beginning of the World Wide Web, a group of health specialists anticipated the need for trustworthy health information online. Thus the Health On the Net Foundation (HON) was born. HON was created to promote the deployment of useful and reliable health information online and to enable its appropriate and efficient use. Two decades on, HON is the oldest and most valued quality marker for health information online. For a number of years under the guidance of the late Jean-Raoul Scherrer, the foundation has established its reputation through dynamic measures, innovative endeavors and a dedication to upholding key values and goals. This panel discussion provides an overview of the HON Foundation, its activities, challenges and achievements over the years.
Health Informatics Competencies, Workforce and the DNP: Why Connect These ‘Dots’?
Authors: Brixey Juliana J.
Published: February 2025

This panel will provide the perspectives of nurse informatics experts on the development of informatics education integrating health information technology (HIT) and immersive simulation. The panel will also address student and provider access to the electronic health record (EHR) for educational purposes. This panel examines the education and preparation of students and practicing nurses to meaningfully use EHRs. The target audience is clinicians, educators, trainers, students and those interested in the meaningful use of EHRs and achievement of the Informatics competencies defined by AACN and TIGER.
Nursing Informatics Competencies for Emerging Professionals: International Leaders Panel
Authors: Pruinelli Lisiane
Published: February 2025

To achieve a cursory review of the competencies necessary for acquire a successful career in a competitive job market, the panel will bring together leaders from renowned academic, successful health corporations, and international leaders in nursing informatics to the table for discussion, dialogue, and make recommendations. Panelists will reflect on their experiences within the different types of informatics organizations and present some of the current challenges when educating skillful professionals. The panel will provide personal experiences, thoughts, and advice on the competencies development in nursing informatics from their lens.
The Future of Informatics in Aged Care: An International Perspective
Authors: Alexander Gregory L.  , Abbott Patti  , Fossum Mariann  , Shaw Ryan J.  , Yu Ping  , Alexander Mary M.
Published: February 2025

The panel will share global technology research initiatives in aged care. Panel objectives: 1) Describe international informatics research initiatives by experts addressing health needs of the aged, 2) Contrast health technologies used to manage aging patients, and 3) Explain challenges and opportunities to improve healthcare informatics for aging patients. Intended audience: researchers, consumers, practitioners, vendors, care providers, and policy makers with interests in aged care technology design, development, implementation and management.
Using Mixed Methods in Health Information Technology Evaluation
Authors: Sockolow Paulina  , Dowding Dawn  , Randell Rebecca  , Favela Jesus
Published: February 2025

With the increasing adoption of interactive systems in healthcare, there is a need to ensure that the benefits of such systems are formally evaluated. Traditionally quantitative research approaches have been used to gather evidence on measurable outcomes of health technology. Qualitative approaches have also been used to analyze how or why particular interventions did or did not work in specific healthcare contexts. Mixed methods research provides a framework for carrying out both quantitative and qualitative approaches within a single research study. In this paper an international group of four informatics scholars illustrate some of the benefits and challenges of using mixed methods in evaluation. The diversity of the research experience provides a broad overview of approaches in combining robust analysis of outcome data with qualitative methods that provide an understanding of the processes through which, and the contexts in which, those outcomes are achieved. This paper discussed the benefits that mixed methods brought to each study.
Outcomes of Medication Administration Information System for Nurses
Authors: Lin Jen-Chun  , Lee Ting-Ting
Published: February 2025

The purpose of this study is to survey nurses' use of the new information system (IS) and to compare the outcomes of the medication errors (MEs) due to the use of this technology. A questionnaire with the system successful model was distributed from October to November 2014 (n = 210). Additionally, medication errors due to workflow design in patient assessment, MA regulations, MA standard of operation procedure (SOP), double checks, and others were collected before and after the MAIS implementation. The highest scored category is the charting time and the lowest is the screen speed. Nurses are unsatisfied on downtime and intranet speed. Three main MEs factors are: not following MA SOP, no MA regulations, and others based on 275 (before) and 124 (after) incident reports. While nurses valued the MAIS use, network speed has been raised. ME incidents are decreased but the workflow factors are different for both before-after implementation stages.
The Impact of Nursing Students' Cultural Diversity on the Intention and Attitudes Towards the Use of Information Technology (IT)
Authors: Gonen Ayala  , Sharon Dganit  , Lev-Ari Lilac  , Straus Ester  , Segev Ronen
Published: February 2025

This research highlights the challenge for nursing educators in understanding, developing awareness, and preparing strategies to manage the impact of nursing students' cultural diversity on the relationship between the intention to use computer and attitudes, self-efficacy, innovativeness, and threat and challenge.
Health Consumers eHealth Literacy to Decrease Disparities in Accessing eHealth Information
Authors: Park Hyejin  , Cormier Eileen  , Glenna Gordon
Published: February 2025

The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that health care professionals can effectively address skills gaps in health consumers' ability to access and use high quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth literacy scale (eHEALS) was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high from low quality information was considerably less. The findings suggest the need for eHealth education and support to health consumers from health care professionals, in particular, how to access and evaluate the quality of health information.
Organizational Benefits of Computerized Physican Order Entry (CPOE) System in Pakistan
Authors: Atique Suleman  , Hsu Chien-Yeh  , Shabbir Syed-Abdul
Published: February 2025

Electronic prescribing is also known as Computerized Physician Order Entry (CPOE). It is a computer-aided system which offers the health professionals a robust platform for entering the prescription electronically. Due to paucity of facilities in Pakistan which are available around the world, there is an observable overburden on the health professionals and practitioners. CPOE system has shown to be very effective in minimizing medication errors. CPOE is beneficial for both patient and health organizations. There is great deal of interest in the adoption of this system in our healthcare system. The results state clearly that this system is equally beneficial for organizations who want to adopt this system as perceived by the health professionals. It supports the idea of adoption and implementation of CPOE in healthcare facilities healthcare institutes. CPOE must be adopted to ease and optimize nursing services in Pakistani healthcare system.
Network Visualization of Dementia Tweets
Authors: Yoon Sunmoo  , Co Jr. Manuel C.  , Bakken Suzanne
Published: February 2025

We applied topic modeling techniques to 123,229 Tweets to gain insights about dementia caregiving as the foundation for future interventions. Network visualization elucidated the cultural similarities and differences of topics.
Developing Customer Oriented eHealth Services to High Schools in City of Espoo
Authors: Rosenqvist Susanne  , Rajalahti Elina
Published: February 2025

The purpose of this research was to study the hopes and needs of high school first grade students and student healthcare nurses about development of eServices for student healthcare mainly by improving existing ITC solutions and planning new eHealth services. The secondary purpose was to innovate how to share general knowledge about health to students. Four (n=4) high school nurses were group interviewed and an electronic questionnaire was made for high school first grade students. Nearly 15% (n=247) of the target group answered the questionnaire. Preventive eHealth solutions need improvements in student health care in Finland.
e-Health Interventions for Healthy Aging: A Systematic Review Protocol
Authors: Gagnon Marie-Pierre  , Beogo Idrissa  , Buyl Ronald
Published: February 2025

e-Health interventions could contribute to healthy aging (HA) but their effectiveness has not been synthesised. This study aims to systematically review the effectiveness of e-health interventions for supporting HA. We will perform standardized searches to identify experimental and quasi-experimental studies evaluating the effectiveness of e-health interventions for HA. Outcomes of interest are: wellbeing, quality of life, activities of daily living, leisure activities, knowledge, evaluation of care, social support, skill acquisition and healthy behaviours. We will also consider adverse effects such as social isolation, anxiety, and burden on informal caregivers. Two reviewers will independently assess studies for inclusion and extract data using a standardised tool. We will calculate effect sizes related to e-health interventions. If not possible, we will present the findings in a narrative form. This systematic review will provide unique knowledge on the effectiveness of e-health interventions for supporting HA.
Evaluation of Knowledge, Attitude, Practise and Adoption Among Health Care Professionals for Informatics/Computerised Technology Systems
Authors: Karthik Kavitha  , Munuswamy Suresh
Published: February 2025

This proposed study will be conducted in Telangana and Tamil Nadu states in India. Mapping of Health care Professionals by a web-based Delphi technique followed by Focus Group Discussion and Evaluation of Knowledge, Attitude, Practise and Adoption among Health Care Professionals for informatics/computerised technology systems by using structured questionnaire for knowledge and practice and for Attitudes toward Computers in Healthcare (P.A.T.C.H.) Scale will be used to collect the data. This study results will create evidence on present and relevant informatics/computerized technology systems needs and help the research team to develop informatics competencies list and design an online or offline skill up gradation programs for health professionals in India according to their diverse roles in the health care system. The researcher team believes these results will have National relevance to the current focus areas of Government of India and to strengthen the Health Informatics Program offered in IIPH, Hyderabad.
Mapping and Verification of the Time Ontology in SUMO
Authors: Silva Muñoz Lydia  , Grüninger Michael
Published: February 2025

Many software systems rely on ontologies for semantic interoperation. However, ontologies which admit unintended models might cause misunderstandings that hinder interoperability because their vocabularies are ambiguously defined. Foundational ontologies, such as SUMO, provide rich characterizations for general concepts that underly every knowledge representation enterprise. Those ontologies are intended to be broadly reused as a reference for semantics. Ontology verification is the process by which a theory is checked to rule out unintended models by means of further axiomatization, and characterize missing intended ones. In this paper, we verify the subtheory of core temporal concepts of the SUMO foundational ontology and relate its axiomatization via ontology mapping with other time ontologies, the foundational ontology DOLCE, and the generic ontology PSL. As a result, we propose the addition of some missing axioms that we have identified during our verification task, and the correction of others.
Towards an Ontology of Requirements at Runtime
Authors: Duarte Bruno Borlini  , Souza Vítor E. Silva  , Leal André Luiz de Castro  , Falbo Ricardo de Almeida  , Guizzardi Giancarlo  , Guizzardi Renata S.S.
Published: February 2025

The use of Requirements at Runtime (RRT) is an emerging research area. Many methodologies and frameworks that make use of requirements models during the execution of software can be found in the literature, but very few of them use ontologies to ground the models that are used at runtime. In this paper, we introduce the Runtime Requirements Ontology (RRO), a domain ontology that intends to represent the nature and context of RRT. Following a well-known Ontology Engineering method, we evaluate RRO using verification and validation techniques.
Powers of Wholes and Parts
Authors: Mumford Stephen
Published: February 2025

Philosophers have long struggled to understand the notion of strong, as opposed to merely epistemic, emergence. One such genuinely metaphysical way would be to accept that the powers of wholes can under certain conditions be more than the sums of the powers of the parts. But what are the conditions under which emergence occurs and can we be sure that the suggested sense of emergence is strong enough? Arrangement of component powers will be crucial as the same powers differently arranged can constitute different resultant powers of their wholes. This shows that the composition of powers is not always linear and is non-mereological but it also shows an inadequacy of the vector model. On the plus side, it gives us a model for composition that is apt for technical artefacts and complex socio-technical systems. This version of emergentism also permits plausible cases of top-down causation given that causes and effects are simultaneous on the powers view.
Evaluation of a Video-Based Intervention to Promote Condom Use Among College Students in Taiwan
Authors: Lin Yu-Ju  , Lee Chiu-Hsiang  , Chang Chi-Chang  , Lin Chia-Hsuan
Published: February 2025

Almost of HIV/AIDS cases in Taiwan occur in the age range of 20 to 29 yrs. Many of the reported cases are in the college-age and infection might have occurred through unprotected sexual behaviors. This study was to identify the effectiveness of a video-based intervention has important implications for health provider to plan evidence-based address the specific needs of college students.The research design of this study was based on TranstheoreticalModel (TTM). In addition, through an experimental design with groups: (i) to evaluate the effectiveness of a video-based intervention on the TTM stages of change,condom use self-efficacy, perceived benefits of and barriers to condom use by Taiwanese college students and (ii) to explore the factors affecting the TTM constructs for condom use. Overall, students have higher score in the pretest HIV knowledge scale, pretest self-efficacy scale and perceived benefits scale than the posttest. The score in perceived barriers scale of condom use also reduced after receiving intervention. This result shows that the videos and health education intervention can be effective in changing the college's intention to use condoms.
Evaluating Open-Source Full-Text Search Engines for Matching ICD-10 Codes
Authors: Jurcău Daniel-Alexandru  , Stoicu-Tivadar Vasile
Published: February 2025

This research presents the results of evaluating multiple free, open-source engines on matching ICD-10 diagnostic codes via full-text searches. The study investigates what it takes to get an accurate match when searching for a specific diagnostic code. For each code the evaluation starts by extracting the words that make up its text and continues with building full-text search queries from the combinations of these words. The queries are then run against all the ICD-10 codes until a match indicates the code in question as a match with the highest relative score. This method identifies the minimum number of words that must be provided in order for the search engines choose the desired entry. The engines analyzed include a popular Java-based full-text search engine, a lightweight engine written in JavaScript which can even execute on the user's browser, and two popular open-source relational database management systems.
Overcoming Constraints in Healthcare with Cloud Technology
Authors: Hucíková Anežka  , Babic Ankica
Published: February 2025

Transitioning enterprise operations to the cloud brings a variety of opportunities and challenges. Such step requires a deep and complex understanding of all elements related to the technology as well as defining the manner in which specific cloud challenges can be dealt with. To provide a better understanding of these opportunities and challenges within healthcare, systematic literature overview and industrial cases review is used. Results of the two methods show interconnection between cloud deployment advantages and constrains. However, healthcare case studies provide interesting insights emphasizing cloud complexity and superposition which seems to balance organizational limitations.
Developing Emergency Room Key Performance Indicators: What to Measure and Why Should We Measure It?
Authors: Khalifa Mohamed  , Zabani Ibrahim
Published: February 2025

Emergency Room (ER) performance has been a timely topic for both healthcare practitioners and researchers. King Faisal Specialist Hospital and Research Center, Saudi Arabia worked on developing a comprehensive set of KPIs to monitor, evaluate and improve the performance of the ER. A combined approach using quantitative and qualitative methods was used to collect and analyze the data. 34 KPIs were developed and sorted into the three components of the ER patient flow model; input, throughput and output. Input indicators included number and acuity of ER patients, patients leaving without being seen and revisit rates. Throughput indicators included number of active ER beds, ratio of ER patients to ER staff and the length of stay including waiting time and treatment time. The turnaround time of supportive services, such as lab, radiology and medications, were also included. Output indicators include boarding time and available hospital beds, ICU beds and patients waiting for admission.
Lean Six Sigma in Health Care: Improving Utilization and Reducing Waste
Authors: Almorsy Lamia  , Khalifa Mohamed
Published: February 2025

Healthcare costs have been increasing worldwide mainly due to over utilization of resources. The savings potentially achievable from systematic, comprehensive, and cooperative reduction in waste are far higher than from more direct and blunter cuts in care and coverage. At King Faisal Specialist Hospital and Research Center inappropriate and over utilization of the glucose test strips used for whole blood glucose determination using glucometers was observed. The hospital implemented a project to improve its utilization. Using the Six Sigma DMAIC approach (Define, Measure, Analyze, Improve and Control), an efficient practice was put in place including updating the related internal policies and procedures and the proper implementation of an effective users' training and competency check off program. That resulted in decreasing the unnecessary Quality Control (QC) runs from 13% to 4%, decreasing the failed QC runs from 14% to 7%, lowering the QC to patient testing ratio from 24/76 to 19/81.
Exploring Overtime Utilization Patterns in Healthcare Organizations
Authors: Almorsy Lamia  , Khalifa Mohamed
Published: February 2025

To control healthcare costs it is essential to analyze and improve staffing, the largest organizational expense, by improving utilization of human resources. King Faisal Specialist Hospital and Research Center explored overtime utilization patterns. There was no significant correlation between overtime utilization and workload (P=0.91, r=0.04) or number of staff (P=0.71, r=0.12). Some departments showed a positive correlation between overtime utilization and workloads, others showed no correlation or even a negative correlation between overtime utilization and workloads. Consideration of other factors is recommended, including staff turnover rates, productivity and efficiency, staff competency and training. Further analysis of overtime utilization should be conducted per employees' grade and profession, to compare the utilization of the technical, non-technical and administrative staff members. The hospital information system should not only be used to login overtime utilization and workload, but should also be enhanced to monitor, control and analyze these performance indicators.
My Home Is My Hospital on Recent Research on Health-Enabling Technologies
Authors: Haux Reinhold
Published: February 2025

During the last years there has been considerable progress in the area of health-enabling and ambient assistive technologies (HEAAT). Based on HEAAT, there is the chance that health care and preventive health will more and more take place again in a person's home. The objective of this essay is to report about this progress and to point out and discuss consequences, mainly by referring to a publication in the IMIA Yearbook of Medical Informatics 2016 about “Health-Enabling and Ambient Assistive Technologies: Past, Present, Future”. As a person's home is becoming an important additional ‘institution’ for health care, new forms of care will have to be implemented with consequences that diagnostic and therapeutic procedures, offered by health care institutions, will not end at their ‘walls’. Through HEAAT we now have received new ‘informatics diagnostics’ and new ‘informatics therapeutics’, which might be called engymetric diagnosis and engymetrictherapy. Engymetry, technically based on HEAATand on transinstitutional health information systems, isone of the most promising fields of informatics, helping to contribute to high quality care through new diagnostic and therapeutic opportunities and to a good quality of life for the people on our planet.
Model-Based Individualized Treatment of Chronic Granulomatous Disease
Authors: Liu Fang-Ching  , Chang Chi-Chang
Published: February 2025

The cost of collecting the data and assessing the benefits derived from better information about chronic granulomatous disease (CGD) are rarely examined. Bayesian decision analyses to incorporate individual risk and clinical data to identify patients for when to take the treatment. This study developed a sensitivity analysis to calculate individualized information as a function of individual outcome risk. In addition, we used simulation to explore how the ranges of numerical values for which each option will be most efficient with respect to the input parameters and decision-making thresholds. Experimental results show that, this proposed model can not only for taking action in the light of all available relevant information, but also for minimizing expected loss by considering the optimal prior / posterior decision making.
Finding ‘Evidence of Absence’ in Medical Notes: Using NLP for Clinical Inferencing
Authors: Carter Marjorie E.  , Divita Guy  , Redd Andrew  , Rubin Michael A.  , Samore Matthew H.  , Gupta Kalpana  , Trautner Barbara W.  , Gundlapalli Adi V.
Published: February 2025

Extracting evidence of the absence of a target of interest from medical text can be useful in clinical inferencing. The purpose of our study was to develop a natural language processing (NLP) pipelineto identify the presence of indwelling urinary catheters from electronic medical notes to aid in detection of catheter-associated urinary tract infections (CAUTI). Finding clear evidence that a patient does not have an indwelling urinary catheter is useful in making a determination regarding CAUTI. We developed a lexicon of seven core concepts to infer the absence of a urinary catheter. Of the 990,391 concepts extractedby NLP from a large corpus of 744,285 electronic medical notes from 5589 hospitalized patients, 63,516 were labeled as evidence of absence.Human review revealed three primary causes for false negatives. The lexicon and NLP pipeline were refined using this information, resulting in outputs with an acceptable false positive rate of 11%.
Various Cinematic Forms of Educational Videos About the Physical Examination – Are There Differences in the Evaluation by Medical Students?
Authors: Behrends Marianne  , Stiller Gerald  , Dudzinska Agnieszka  , Schneidewind Sabine
Published: February 2025

To improve medical students' competences in physical examination videos clips were created, with and without an explaining commentary. The uncommented videos show the communication and interaction between physician and patient during a physical examination, the commented videos show the single steps of the physical examination supplemented with an off-screen commentary emphasizing important facts. To investigate whether uncommented and more authentic videos are more helpful to practice a physical examination than commented videos we interviewed 133 students via online surveys. 72% of the students used the uncommented videos for practicing with others, compared to 55% using the commented videos. 37% of the students think that practical skills can be learned better with the uncommented videos. In general, 97% state that the videos helped them to improve their skills. Our findings indicate that the cinematic form of an educational video has an effect on learning behavior, learning success and didactic quality.
Development of an Electronic Notification System for Influenza-Like Illness Sentinel Surveillance
Authors: Adnan Mehnaz  , Peterkin Donald  , Mackereth Graham
Published: February 2025

An electronic Influenza like Illness surveillance system developed to support general practices to electronically notify the cases of influenza like illness (ILI) for national sentinel surveillance in New Zealand. Content analysis was performed to capture the information necessary for ILI surveillance. An online form was implemented within the patient management system to record the details of ILI cases. A middleware framework was developed to manage the information flow between GPs and national influenza surveillance coordinators. The framework used an HL7 version 2.4 messaging standard to receive the notification data and Rhapsody integration engines to parse the message and store the information in national ILI data base. This paper presents the system design and implementation details of electronic ILI notification system. It presents data model designed to capture information for ILI case along with the HL7 messages structure implemented in the system.
Integrating the Radiology Information System with Computerised Provider Order Entry: The Impact on Repeat Medical Imaging Investigations
Authors: Vecellio Elia  , Georgiou Andrew
Published: February 2025

Repeat and redundant procedures in medical imaging are associated with increases in resource utilisation and labour costs. Unnecessary medical imaging in some modalities, such as X-Ray (XR) and Computed Tomography (CT) is an important safety issue because it exposes patients to ionising radiation which can be carcinogenic and is associated with higher rates of cancer. The aim of this study was to assess the impact of implementing an integrated Computerised Provider Order Entry (CPOE)/Radiology Information System (RIS)/Picture Archiving and Communications System (PACS) system on the number of XR and CT imaging procedures (including repeat imaging requests) for inpatients at a large metropolitan hospital. The study found that patients had an average 0.47 fewer XR procedures and 0.07 fewer CT procedures after the implementation of the integrated system. Part of this reduction was driven by a lower rate of repeat procedures: the average inpatient had 0.13 fewer repeat XR procedures within 24-hours of the previous identical XR procedure. A similar decrease was not evident for repeat CT procedures. Reduced utilisation of imaging procedures (especially those within very short intervals from the previous identical procedure, which are more likely to be redundant) has implications for the safety of patients and the cost of medical imaging services.
Feasibility of Technology Enabled Speech Disorder Screening
Authors: Duenser Andreas  , Ward Lauren  , Stefani Alessandro  , Smith Daniel  , Freyne Jill  , Morgan Angela  , Dodd Barbara
Published: February 2025

One in twenty Australian children suffers from a speech disorder. Early detection of such problems can significantly improve literacy and academic outcomes for these children, reduce health and educational burden and ongoing social costs. Here we present the development of a prototype and feasibility tests of a screening and decision support tool to assess speech disorders in young children. The prototype incorporates speech signal processing, machine learning and expert knowledge to automatically classify phonemes of normal and disordered speech. We discuss these results and our future work towards the development of a mobile tool to facilitate broad, early speech disorder screening by non-experts.
Interpretable Encoding of Densities Using Possibilistic Logic
Authors: Kuželka Ondřej  , Davis Jesse  , Schockaert Steven
Published: February 2025

Probability density estimation from data is a widely studied problem. Often, the primary goal is to faithfully mimic the underlying empirical density. Having an interpretable model that allows insight into why certain predictions were made is often of secondary importance. Using logic-based formalisms, such as Markov logic, can help with interpretability, but even in Markov logic it can be difficult to gain insight into a model's behavior due to interactions between the logical formulas used to specific the model. This paper explores an alternative approach to representing densities that makes use of possibilistic logic. Concretely, we propose a novel way to transform a learned density tree into a possibilistic logic theory. An advantage of our transformation is that it permits performing both MAP and, surprisingly, marginal inference, with the converted possibilistic logic theory. At the same time, we still retain the benefits conferred by using possibilistic logic, such as the ability to compact the theory and the interpretability of the model.
Simple Epistemic Planning: Generalised Gossiping
Authors: Cooper Martin C.  , Herzig Andreas  , Maffre Faustine  , Maris Frédéric  , Régnier Pierre
Published: February 2025

The gossip problem, in which information (secrets) must be shared among a certain number of agents using the minimum number of calls, is of interest in the conception of communication networks and protocols. We extend the gossip problem to arbitrary epistemic depths. For example, we may require not only that all agents know all secrets but also that all agents know that all agents know all secrets. We give optimal protocols for the generalised gossip problem, in the case of two-way communications, one-way communications and parallel communication. In the presence of negative goals testing the existence of a successful protocol is NP-complete.
Salient Region Detection Based on the Global Contrast Combining Background Measure for Indoor Robots
Authors: Li Na  , Wang Zhenhua  , Sun Lining  , Chen Guodong
Published: February 2025

In this paper, we propose a new method of salient region detection for indoor robots, which integrate the background distribution into the primary saliency. Region roundness is proposed to describe the compactness of a region to measure background distribution more robustly. In order to validate the proposed method, several influential ones are compared on the DSD dataset. The results demonstrate that the proposed approach outperforms existing methods and is useful for indoor robots.
Long-Time Sensor Data Analysis for Estimation of Physical Capacity
Authors: Sato Yoshikuni  , Sawada Yoshihide  , Nakada Toru  , Nonoyama Tadayoshi  , Kubota Masafumi  , Koie Yusuke  , Yasutake Masaki  , Yamamura Osamu
Published: February 2025

In this paper, we present a feature learning method for long-time sensor data. Although feature learning methods have been successfully used in many applications, they cannot extract features efficiently when the dimension of training data is quite large. To address this problem, we propose a method to search effective features from long-time sensor data. The important characteristic of our method is that it searches the features based on the gradient of input vectors to minimize the objective function of the learning algorithm. We apply our method to the estimation of physical capacity from wearable sensor data. The experimental results show that our method can estimate leg muscle strength more accurately than conventional methods using a feature learning method and current clinical index.
Not Being at Odds with a Class: A New Way of Exploiting Neighbors for Classification
Authors: Bounhas Myriam  , Prade Henri  , Richard Gilles
Published: February 2025

Classification can be viewed as a matter of associating a new item with the class where it is the least at odds w.r.t. the other elements. A recently proposed oddness index applied to pairs or triples (rather than larger subsets of elements in a class), when summed up over all such subsets, provides an accurate estimate of a global oddness of an item w.r.t. a class. Rather than considering all pairs in a class, one can only deal with pairs containing one of the nearest neighbors of the item in the target class. Taking a step further, we choose the second element in the pair as another nearest neighbor in the class. The oddness w.r.t. a class computed on the basis of pairs made of two nearest neighbors leads to low complexity classifiers, still competitive in terms of accuracy w.r.t. classical approaches.
Adaptive Condorcet-Based Stopping Rules Can Be Efficient
Authors: Reingold Omer  , Narodytska Nina
Published: February 2025

A crowdsourcing project is usually comprised of many unit tasks known as Human Intelligence Tasks (HITs). As answers to each HIT varies between workers, each HIT is often contracted to more than one worker to obtain a reliable and consistent enough answer. When implementing a project, an important design decision is how to formulate HITs and how to aggregate workers' answers. These decisions have strong impact on the quality of results and cost of elicitation process. One way to design an efficient elicitation procedure is to use adaptive stopping rules, which allows terminating the elicitation process as soon as a high quality result is guaranteed.
Classical Planning with Communicative Actions
Authors: Marques Tânia  , Rovatsos Michael
Published: February 2025

Explicit communication planning is an increasing necessity for agent systems. Furthermore, there has also been a renewed interest in using classical planning to perform this planning in addition to physical actions in a goal-directed way. Existing approaches, however, are not applicable to a broad spectrum of domains. We present several generic pre-processing strategies and adaptations of the Fast-Forward (FF) planner that we compare in two different domains in terms of time complexity.