Alberto Guardia, Stéphane Spahni, Thomas Boggini, Antoine Geissbuhler
{"title":"Le plan de traitement partagé: un outil à forte valeur ajoutée pour la plate-forme e-toile","authors":"Alberto Guardia, Stéphane Spahni, Thomas Boggini, Antoine Geissbuhler","doi":"10.4414/SMI.28.13","DOIUrl":"https://doi.org/10.4414/SMI.28.13","url":null,"abstract":"Objectives: To describe the design and implementation of a shared treatment plan to provide unified views of medications for professionals and patients, as a new added-value service on the e-toile platform. Results: Based on previous experiences of patient education about their medications, and through an iterative process involving all key stakeholders, a prototype of the shared treatment plan has evolved and is currently reaching production status. It is based on the e-toile secure architecture of federated documents, and is organised in a modular way to enable various interfaces with existing prescription and dispensation systems. The first version is provided as a web-interface on the e-toile portal, but other mechanisms of integration are possible and will be used to streamline processes around medication reconciliation, as well as integration on larger projects such as epSOS, the European-wide interoperability eHealth platform. Discussion: Initial feedback from key stakeholders shows a strong interest in this functionality. Its feasibility has been demonstrated on the e-toile platform. Deployment is scheduled for the summer of 2012.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"307 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132863720","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":"eHealth to enhance, not to replace, the role of doctors","authors":"Benoît Gaillard, D. Lorré","doi":"10.4414/SMI.28.22","DOIUrl":"https://doi.org/10.4414/SMI.28.22","url":null,"abstract":"Many believe that e-health will make use of complex data and technology to drive efficiency like IT did in other industries. Our findings about what patients actually need go against this belief: e-health raises interest of users if it helps to create a better doctor/patient relationship. Our innovative research methodology eConceptlab.com makes use of experimental Google search ads to test the value of new ideas. Click-Through-Rate is an indication of the interest for a given idea expressed as an advertisement.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114056007","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":"Kriterien im Umgang mit den Tablet-PC","authors":"M. Lysser","doi":"10.4414/SMI.28.20","DOIUrl":"https://doi.org/10.4414/SMI.28.20","url":null,"abstract":"Nurses need to collect patient data on the bedside. For this they should use mobile devices that can access the database at any time. The aim of the proof of principle was to demonstrate how nurses deal with Tablet PC and what demand there is generally on the PC environment. It was found that primarily younger iPhone-owners uses the tablet (iPad) without problems and that ultimately a mix of different devices, the continuous data collection and usage makes it possible. Even if the software has not been drawn for tablets, the devices can be defined for use successfully, if the use-cases are defined.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133956000","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":"Wenn das KIS Fehler macht: von Critical incidents und Adverse events im Alltag","authors":"M. Oertle","doi":"10.4414/SMI.28.25","DOIUrl":"https://doi.org/10.4414/SMI.28.25","url":null,"abstract":"Information and communication technologies have been widely distributed throughout the healthcare system during the past ten years. Process optimisations, increased efficiency and efficacy as well as improved patient safety have been the positive outcomes of this evolution. Negative outcomes exist as well: scaring reports on increased mortality due to badly implemented IT systems might be the top of the pyramid. However, publications addressing computer-related adverse events in healthcare are only scarce. As the risk of e-iatrogenesis rises, this publication presents outcomes of the CIRS database in our hospital, including 312 reports during 2011 with the clinical information system being mentioned most frequently. Additionally, a framework consisting of ten technical and ten sociotechnical archetypes (TST-20) associated with adverse events is proposed. By requesting, recording, classifying and publishing computer-related adverse events, we move ahead towards the era of evidence-based medical informatics.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134359323","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":"Le dossier patient intégré : tellement indispensable et si difficile à mettre en œuvre","authors":"B. Debande","doi":"10.4414/SMI.27.269","DOIUrl":"https://doi.org/10.4414/SMI.27.269","url":null,"abstract":"Sans l’outil informatique, pas de dossier patient integre. En effet, seul un outil informatique disposant d’une cle d’identification unique, permettra de rassembler la multitude d’informations relatives au patient, produites et gerees par des acteurs distincts et parfois dans des endroits tres eloignes. L’informatisation du dossier patient permet enfin de reconsolider l’information medicale du patient, ne fut-ce que de maniere virtuelle. Entendons-nous donc sur le terme «dossier patient integre» auquel je propose d’associer la definition suivante: «outil informatique centre sur le patient, qui rassemble l’ensemble des informations sur son etat de sante (fonction «memoire» du dossier) et assure une vue consolidee de l’etat actuel et futur du processus de prise en charge du patient (fonction «processus» du dossier)».","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124264225","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":"Controversies in eHealth","authors":"D. Kalra","doi":"10.4414/SMI.27.267","DOIUrl":"https://doi.org/10.4414/SMI.27.267","url":null,"abstract":"","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126745352","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":"Von Kühen, Reformen und \"E-Health\"","authors":"A. Schmid","doi":"10.4414/SMI.27.266","DOIUrl":"https://doi.org/10.4414/SMI.27.266","url":null,"abstract":"","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134359267","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":"Hospital IT Challenges: is SOA the Cure?","authors":"J. Kane","doi":"10.4414/SMI.27.270","DOIUrl":"https://doi.org/10.4414/SMI.27.270","url":null,"abstract":"Estimates of maintenance costs as a percentage of overall costs vary between approximately 50 and 90% [3]. The complexity of maintenance work is greatly influenced by the size, heterogeneity, transparency, and structure of the IT landscape and its components. SOA is considered by some to be the answer to these challenges, and its adoption is the next logical step for many IT organisations that have evolved through stages of silo architectures.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114321199","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":"Kontroversen in der Medizinischen Informatik. Wozu benötigen wir standardisierte Terminologien wie SNOMED CT","authors":"S. Schulz","doi":"10.4414/SMI.27.272","DOIUrl":"https://doi.org/10.4414/SMI.27.272","url":null,"abstract":"Summary SNOMED CT is universally recommended as a new medical terminology standard. Its introduction requires considerable human resources and financial costs, while its real benefits are the subject of intense debate, especially in the German-speaking community. In this contribution the author discusses why SNOMED CT has the potential to bring substantial benefits without additional workload for day-to-day clinical documentation. The use of international standards also generates new opportunities not only for routine documentation but also for secondary use of clinical data. Einfuhrung","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"87 23","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120937204","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}