{"title":"Formal Methods And Their Potential For Achieving Highly Dependable Computer Based Medical Applications","authors":"J. McHugh","doi":"10.1109/ICTMA.1988.669599","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669599","url":null,"abstract":"","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115435543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Software for designing large systems","authors":"R. Shapiro","doi":"10.1109/ICTMA.1988.669594","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669594","url":null,"abstract":"","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127664225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Software Quality In The Design Of Reliable Medical Instrumentation","authors":"D. Barth","doi":"10.1109/ICTMA.1988.669600","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669600","url":null,"abstract":"","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131127640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Use Of Systematic Training To Minimize Risk In Operating Medical Devices","authors":"B. Schimmel","doi":"10.1109/ICTMA.1988.669606","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669606","url":null,"abstract":"This paper describes four requirerents for training that can minimize legal and medical risk in the operation of medical devices. developing effective training is also described. Introduction A systematic process for Effective, safe operation of most medical devices requires that both sides of the human-machine interface function properly. The majority of speakers at this symposium have focused on the machine side of that interface. This paper concentrates on the design of the human coqponent. In the preparation of medical device operators, at least three factors appear necessary to minimize legal and medical risk: training that produces reliably competent Performance, tests and documentation to certify that a ccmpetent level of performance has been achieved, and an organization that will maintain post-training performance at a canpetent level over time. to reliably competent performance. and maintenance of performance will be cited briefly. The assunption is that the audience for this volume has little familiarity with instructional design. Requirements of Training This paper will focus on the design of training that leads Issues related to the testing Training t o minimize risk has at least four requirements: it leads to highly reliable performance, it is accessible to all target audience members who need it, and the content and expected levels of student proficiency are consistent over time and across instructors. These requirements will be elaborated. Reliability. Given the high medical and legal risk associated with the operation of many medical devices, training must result in consistently good performance. Reliability, to borrow from a software description, has been defined as \"the probability of error-free operation of a ccmputer program for a specified time in a specified environment\" 16, w . 151. This appears applicable to human performance. is tested during developent, a high probability of competent performance can be obtained. members of the population that will operate a medical device presents a challenge. devices at many hospitals are multilingual and widely varying in educational preparation. After hospital discharge many patients require home nursing care provided by dispersed, multilingual individuals who vary in educational preparation and receiye little supervision. entire range of this variegated audience; for example, the reading level of training materials must be simple for trainees with relatively little education, yet adult in tone. teachers of a course to emphasize different parts of the content or skim sections they individually consider less important. For example, in training for a new imaging device, one instructor may go into detail on patient positioning under the device, while another instructor may skim that information and stress the operation of the device. Once the optimal content is determined, it should be held uniform across students. instructors are more denanding than others or have more stringent expec","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125782954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical Decision Maring And Computers: Where Does Patient Responsibility Lie?","authors":"W. Hendee","doi":"10.1109/ICTMA.1988.669610","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669610","url":null,"abstract":"","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125205872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Illustrative Risks To The Public In The Use Of Computer Systems And Related Technology","authors":"P. Neumann","doi":"10.1145/134292.134293","DOIUrl":"https://doi.org/10.1145/134292.134293","url":null,"abstract":"Copyright 2004, Peter G. Neumann, SRI International EL243, Menlo Park CA 94025-3493 (e-mail Neumann@csl.sri.com; http://www.CSL.sri.com/neumann; telephone 1-650-859-2375; fax 1-650-859-2844): Editor, ACM SIGSOFT Software Engineering Notes, 1976–93, Assoc.Ed., 1994–; Chairman, ACM Committee on Computers and Public Policy (CCPP); Moderator of the Risks Forum (comp.risks); cofounder with Lauren Weinstein of People For Internet Responsibility (http://www.pfir.org).","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129753680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Hospital Information System","authors":"C. Chapman","doi":"10.1109/ICTMA.1988.669582","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669582","url":null,"abstract":"Christine A. Chapman The Compucare Company 12355 Sunrise Valley Drive, Suite 400","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121858519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Responsible Use of Expert Systems in Medicine: What Can We Learn From the Pharmaceutical Experience?","authors":"M. Baram","doi":"10.1109/ICTMA.1988.669608","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669608","url":null,"abstract":"","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"302 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121274585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Real World of Instrument Development","authors":"R.C. Lelf, S. B. Leif, S. H. Leif","doi":"10.1109/ICTMA.1988.669583","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669583","url":null,"abstract":"A brief description of three c:linical laboratory instruments and their computer interfaces is given as a framework €or describing the real world of software engineering development for biomedi.ca1 instrumentation. The constraints and considerations involved in this development are discussed and rules for testing and insuring reliability are presented.","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116425199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Promotion Communication Technologies And Their Associated Risks","authors":"M. McDonald","doi":"10.1109/ICTMA.1988.669588","DOIUrl":"https://doi.org/10.1109/ICTMA.1988.669588","url":null,"abstract":"The occurrence and cure of the major life-threatening and disabling illnesses today are greatly dependent upon the decisions and behaviors that individuals adopt over time in their own homes, schools, workplaces, and recreational mas. This is also true of the most prevalent minor illnesses, and almost all prevention and health promobion strategies. The American public is beginning to obtain direct aiccess to and is becoming increasingly motivated to use health information, decision-support tools, and reliable mechanisms for improving self-efficacy and realizing specific behavior change objectives. If this trend continues, a substantial impact will be made on the health and self-esteem of the American public. However, with these new opportunities come new responsibilities to guard against both errors of commission and omission as a result of the introduction of new health promotion communications technologies (HPCTs). The central focus of health promotion communications technologies as a field is the utilization of new electronic technologies to give people direct access to information and decision-making tools which will help them prevent illness, improve their state of well-being, and build their productive capacities as individuals. The present state-ofthe-art of HPCTs is still nascent relative to its potential. However, systems which offer comprehensive health information 24 hours a day, 7 days a week will soon be available to an ever widening spectrum of the American public. The liabilities, regulations, and guidelines directing the evolution of HPCTs need to be carefully thought through to ensure both the safety and potential contribution of these technologies. This paper focuses on: 1) the factors behind the emergence of communications and computer applications used by the general public to improve their own health; 2) the recent history of the public's involvement in influencing their own health; 3) the nature and genmtions of health promotion communications technologies; and 4) the risks unique to having the general public using communications and computer applications to influence their own health. The United States, and other nations in the developed world, are shifting From an industrial to an information-based society. (1) The majority of American workers are now employed within the information sector. The single largest non-sleeping activity outside the workplace is the consumption of information (albeit not necessarily wisdom) through television viewing. Two characteristics of the transition to an infomtion society of particular importance to the health system, are shifts from: 1) institutional help to self-help, and 2) folrced technologies to \"high techhigh touch (or in other words, user-friendly technologies that are intrinsically democratizing and humanizing). The heakth system, influenced by the larger societal shift, is undergoing a major revolution. (2) The first phase of this health revolutioa is being driven by measures to s","PeriodicalId":121085,"journal":{"name":"Symposium Record Policy Issues in Information and Communication Technologies in Medical Applications","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1988-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121022003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}