Swiss medical informatics最新文献_第2页

E-general consent: development and implementation of a nationwide harmonised interactive electronic general consent 电子一般同意:开发和实施全国统一的交互式电子一般同意

Swiss medical informatics Pub Date : 2018-09-08 DOI: 10.4414/smi.34.00412

J. Maurer, R. Saccilotto, C. Pauli-Magnus

引用次数: 2

Swiss Variant Interpretation Platform for Oncology (SVIP-O) 瑞士肿瘤变异解释平台(SVIP-O)

Swiss medical informatics Pub Date : 2018-09-08 DOI: 10.4414/SMI.34.00411

D. Stekhoven, Patrick Ruch, V.V. Barbi

引用次数: 6

Patientenflusssteuerung mittels elektronischer Ressourcenplanung und digitalem Wegleitsystem 他用电子资源规划和数字路径控制病人的生命

Swiss medical informatics Pub Date : 2018-09-08 DOI: 10.4414/smi.34.00413

B. Haller

引用次数: 0

Essais cliniques multicentriques: transparence et contrôle de la qualité grâce à la blockchain et aux systèmes multi-agents 多中心临床试验:区块链和多药系统的透明度和质量控制

Swiss medical informatics Pub Date : 2018-09-08 DOI: 10.4414/SMI.34.00416

Alevtina Dubovitskaya, Davide Calvaresi, M. Schumacher

引用次数: 2

Opioid dependence and the use of analgesics in a Swiss teaching hospital 瑞士一家教学医院阿片类药物依赖与镇痛药的使用

Swiss medical informatics Pub Date : 2018-09-08 DOI: 10.4414/smi.34.00414

J. Blaser, E. Battegay, L. Krebs, P. Beeler

引用次数: 0

MedRed: A healthcare data acquisition service for research purposes MedRed:用于研究目的的医疗保健数据采集服务

Swiss medical informatics Pub Date : 2017-09-20 DOI: 10.4414/SMI.33.00389

J. Calbimonte, Fabien Dubosson, R. Hilfiker, Alexandre Cotting, M. Schumacher

引用次数: 0

Implementation of innovation projects in healthcare: the expected and the unexpected 医疗保健创新项目的实施:预期和意外

Swiss medical informatics Pub Date : 2017-09-20 DOI: 10.4414/SMI.33.00399

Frédéric Ehrler, C. Lovis, K. Blondon

{"title":"Implementation of innovation projects in healthcare: the expected and the unexpected","authors":"Frédéric Ehrler, C. Lovis, K. Blondon","doi":"10.4414/SMI.33.00399","DOIUrl":"https://doi.org/10.4414/SMI.33.00399","url":null,"abstract":"Introduction: Healthcare institutions welcome innovation projects aiming to improve processes by fulfilling previously identified needs. Despite the adoption of a specific methodology and the identification of potential risk, conducting an innovation project in healthcare often has unexpected consequences. We present and contrast the expected and unexpected difficulties encountered during the design and implementation of an innovative app to facilitate nursing workflow at a patient’s bedside. Methods: Expected risks were collected during feasibility assessment and risk identification analysis, and compared with those obtained during the briefing before the pilot evaluation of the project. The findings were compared using a thematic analysis. Results: Although many problems were forecast, unexpected problems were encountered due to change of leadership, difficulty in implementing functionality for heterogeneous practice, security issues due to the introduction of new devices, or insufficiently controlled communication. Discussion: Based on our experience, we recommend defining a very clear communication strategy as a preventive measure for unexpected events that can be encountered during the development of innovative solutions.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126202994","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}

引用次数: 1

Misidentifications prevented in a closed-loop environment by a wristband-based information system 通过基于腕带的信息系统，在闭环环境中防止了错误识别

Swiss medical informatics Pub Date : 2017-09-15 DOI: 10.4414/smi.33.00371

M. Oertle

{"title":"Misidentifications prevented in a closed-loop environment by a wristband-based information system","authors":"M. Oertle","doi":"10.4414/smi.33.00371","DOIUrl":"https://doi.org/10.4414/smi.33.00371","url":null,"abstract":"Background: Error prevention in healthcare is paramount. Beyond introducing computerised provider order entry (CPOE) and automated medication dispensing systems, patient identification systems have also been proposed in an effort to increase patient safety while reducing misidentification. Electronic patient records are thus integrated into closed-loop systems. In Switzerland, there are no systematic data available on misidentification rates in hospitals. This study sought to evaluate the nature and frequency of the misidentifications prevented using a computerised, multipurpose, workflow-integrated patient identification system as part of a fully electronic patient record. We analysed actions comprising phlebotomy, drug administration, and transfusion. Methods: Over a 30-month period, 24 879 in-patient stays in a public hospital were analysed concerning identification system usage and prevented misidentification, focusing on phlebotomy, transfusion, and drug administration areas. All identification checks were performed using the same device and software. Results: The results of 38 199 bedside checks revealed low misidentification rates and moderate system usage within a non-mandatory setting Clear differences were noted between specific tasks. In this setting, a total of 457 misidentifications were prevented by the system. Conclusion: Misidentifications are not common, generally occurring in less than 2% of bedside actions. The absolute numbers are, however, cause for concern and thus merit significant preventive efforts. While implementing a multipurpose system can increase nurse acceptance, this is associated with additional workload pertaining to identification checks, which proves an issue. Increasing patient safety by introducing a wristband identification system, for example, thus appears worthwhile, although it must be designed as to respect the socio-technical environment.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133603859","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}

引用次数: 0

Welche elektronischen Arzneimitteldatenbanken mit pädiatrischen Dosierungen werden von Schweizer Medizinalpersonen konsultiert 瑞士医药人士和有儿科剂量的电子药品数据库在协商中

Swiss medical informatics Pub Date : 2017-08-02 DOI: 10.4414/SMI.33.00392

Sabina Hiltbrunner, C. Glanzmann, P. Vonbach

{"title":"Welche elektronischen Arzneimitteldatenbanken mit pädiatrischen Dosierungen werden von Schweizer Medizinalpersonen konsultiert","authors":"Sabina Hiltbrunner, C. Glanzmann, P. Vonbach","doi":"10.4414/SMI.33.00392","DOIUrl":"https://doi.org/10.4414/SMI.33.00392","url":null,"abstract":"Background: Determining the correct drug dosages for children is delicate. Drugs are frequently used \"off-label\" or \"unlicensed\" and dosage recommendations in the summary of product characteristics (SPC) are rarely available. The aim of our survey wsa to analyze the behaviour of Swiss healthcare professionals regarding their use of electronic drug databases, focusing on databases for pediatric dosages. Method/Results: An online survey was sent to Swiss pediatricians (N=1806) and pharmacists (N=2073). The rate of return was 23% (N=882). Over 70% of all participants use electronic drug databases at least once a week, whereas 36% use them daily. Only 6% never use electronic drug databases. The utilization of different information systems was analyzed. Websites on the computer and guidelines of the respective institution are mostly used. Such guidelines are crucial for pediatricians on the children's ward, 57% use them at least once a week. However, only 13% of the Swiss healthcare professionals use mobile apps at least once a week to look up pediatric dosages, 65% never use mobile apps. The most important database for pediatric dosages was www.compendium.ch followed by the website of the University Children's Hospital (www.kinderdosierungen.ch). Conclusion: Our results show that electronic information about pediatric dosages is frequently used by pediatricians and pharmacists and crucial for their daily work. The most important sources for pediatric dosages are the SPC and www.kinderdosierungen.ch . Especially in case of \"off-label\" or \"unlicensed use\" this website is an important tool for Swiss healthcare professionals.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134418138","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}

引用次数: 0

Blockchain dans la eSanté: perspectives et une application pour le traitement quotidien 区块链在电子健康中的应用:日常治疗的前景和应用

Swiss medical informatics Pub Date : 2017-08-02 DOI: 10.4414/SMI.33.00400

Alevtina Dubovitskaya, Zhigang Xu, S. Ryu, M. Schumacher, Fusheng Wang

引用次数: 2