Swiss medical informatics最新文献

{"title":"Big-Bang introduction of an Clinical Information System","authors":"M. Lysser","doi":"10.4414/smi.30.00314","DOIUrl":"https://doi.org/10.4414/smi.30.00314","url":null,"abstract":"Big Bang introduction of a clinic information system The replacement of existing hospital information systems will be a future must for many hospitals. For this, extensive preparation and proceedings are necessary. Good experience with “Big Bang” has been made by the Uniklinik Balgrist. Starting on day X, the hospital personnel were only allowed to work using the new clinic information system (CIS). From this date on, all stakeholders had to enter their information, prescriptions, and other documentation into the new system. The subsequent monitoring by and support from experienced system users proved crucial for the success of the new CIS. Lessons learned: good preparation, customized IT environment, and close accompaniment at introduction.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131497119","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":"Infomed: premiers retours sur la mise en œuvre du dossier patient partagé","authors":"C. Michelet, A. Gnaegi","doi":"10.4414/smi.30.00307","DOIUrl":"https://doi.org/10.4414/smi.30.00307","url":null,"abstract":"Infomed: first feedbacks The first phase of the project Infomed is now in production. At this point, medical documents from the hospitals are being sent to private doctors. A pilot with 10 doctors gave us 2 main feedback subjects: Firstly, all the types of documents shared are judged “ Helpful ” to “ Very helpful ” . Secondly, it is essential to have a strong integration of the eHealth platform directly in the local patient record in order to save time and have added values. Also, during this step some technical problems arose regarding the authentication and the use of the X.509 certificate of the Health Professional Card (HPC).","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125443630","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":"COMPASS: COntinuous Multi-variate monitoring for Patients Affected by chronic obstructive pulmonary diSeaSe","authors":"Thomas Hofer, M. Schumacher, M. Talary, Stephan Bachofen, P. Zakharov, S. Bromuri","doi":"10.4414/SMI.30.312","DOIUrl":"https://doi.org/10.4414/SMI.30.312","url":null,"abstract":"Demographic development in the past years has shown that populations are growing older. This leads to more patients with chronic diseases. Chronic Obstructive Pulmonary Disease (COPD) is one such chronic disease and is the fourth leading cause of death worldwide [1]. To mitigate the effects of COPD, fast detection of exacerbation episodes is essential. This project will combine the expertise of Biovotion in multi-sensor development for healthcare applications with those of HES-SO in the integration and evaluation of multi-variate data. The results of this collaboration will be a Swiss telemedicine eHealth environment to monitor patients affected with COPD and be able to recognise or even predict episodes of exacerbation.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121060620","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":"All is about Medicinal Product Dictionary","authors":"Delphine Carli-Ghabarou","doi":"10.4414/SMI.30.00322","DOIUrl":"https://doi.org/10.4414/SMI.30.00322","url":null,"abstract":"a Department of Pharmacy, Geneva University Hospitals, Geneva, Switzerland b School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Geneva, Switzerland c International Organization for Standardization Technical Committee 215, Working Group 6 (Pharmacy and Medicines Business) d GS1 Healthcare e Division of Medical Information Sciences, Geneva University Hospitals and University of Geneva, Switzerland","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115564297","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":"Welcome to the 26th annual congress of the Swiss Society for Medical Informatics","authors":"M. Oertle","doi":"10.4414/smi.29.00292","DOIUrl":"https://doi.org/10.4414/smi.29.00292","url":null,"abstract":"Our society has chosen Integrated Care as main topic for the conference. Not only health managers and politicians are talking about integrated care as one of the most important scenarios in healthcare for the very near future. In the last decade, information officers invested most of their time in completing homework within their institutions. Clinical information systems were implemented, processes have been redesigned, clinical decision support has been implemented, and steps toward automatisation and personalisaton have been made. However, many of these efforts never crossed the borders of a hospital or a private practice. In the next decade, building transition of information will be much more in the forefront of our daily work than it is today. So that we can profit most from current experiences, this congress will show some existing pilot systems dealing with information transfer across institutions, cantons or even the country. We should learn as much as we can from pioneering groups and from practice examples, as Switzerland is lagging behind many other countries in terms of eHealth. Hopefully, the boards of directors in Swiss hospitals will recognise the signs of the times, the potential lying in information technologies, and will support the efforts made by information managers. A second important theme of this congress covers the evidence base behind our daily work. Not only do we know many things about how to design and implement information technologies, but we also have to learn from our failures. Contributions by international and national speakers will focus on how to perform – and how not to perform – in our area of interest. Not surprisingly, errors occur most where we don’t tailor our information systems to information needs and work processes, and also where we make too-rigid rules. One area of concern in this context – as shown during the congress – is data protection. The interpretation of our data protection laws, which resemble a pendulum swinging from the paper period when there was no real data protection to a period where data protection finally decides the possibilities in work with information technologies, determines many ICT implementations in these days. And they provoke e-iatrogenesis! In coexistence with the main topic of integrated care, all stakeholders should engage in working together and finding common, consensual solutions for the best of our healthcare systems! I finally wish you two intensive, vivid, interesting and communication-full medical informatics days!","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128073228","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":"Users’ Attitudes towards Health-related Web 2.0 Platforms","authors":"Helinä Kalalahti, N. Pletneva, I. V. D. Heijden, C. Boyer","doi":"10.4414/SMI.29.00031","DOIUrl":"https://doi.org/10.4414/SMI.29.00031","url":null,"abstract":"The Health On the Net Foundation’s (HON) mission is to guide users of the Internet towards transparent and trustworthy online health information. In May of 2012, HON conducted two surveys. The first survey had the objective of identifying current trends of the use of Web 2.0 platforms for health purposes among users and to gain a better understanding of their need for guidelines. The second survey aimed to find out the needs of webmasters regarding the implementation of Web 2.0 guidelines on their websites as well as to receive feedback on these guidelines. This paper presents the main findings of the first survey. The data gathered from a total of 115 respondents, representing men and women as well as all predefined age groups, was analysed. In tota 55% of them reported to checking a Web 2.0 platform dedicated to a health topic at least once on a weekly basis. Forums were the most used (46%) Web 2.0 platform, and the main purposes of using platforms were to get health-related information (42%) and to communicate with peers about health-related issues (34%). In total, 81% agreed that a set of ethical guidelines would be “very helpful” or “helpful” in guiding users of Web 2.0 platforms towards trustworthy health information. However, 37% did not know whether the platform they use applies ethical guidelines or not. The results of this survey have shown that the users have a need to be better informed about the guidelines used on Web 2.0 platforms. The webmasters of health websites play a key role in fulfilling this need, and the HONcode certification is a tool that can be used to assist in this task.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125934165","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":"La réalité virtuelle et l'imagerie motrice dans le contrôle moteur des amuptés du membre supérieur: une révue de la littérature","authors":"Anne-Gabrielle Mittaz Hager, E. Brison, Guillaume Callias","doi":"10.4414/SMI.29.284","DOIUrl":"https://doi.org/10.4414/SMI.29.284","url":null,"abstract":"Introduction: Motor imagery (MI) and virtual reality (VR) are used in the upper limb amputee’s (ULA) rehabilitation. ULAs using  an advanced technical prosthesis are more and more numerous. Our aim was to better understand the motor working of ULAs, wearing prosthesis and using MI and VR. Method: A systematic research using Pubmed, Cochrane, ProQuest, Web of Science, CINAHL, and PSYCHINFO was conducted to analyse the consequences of such therapies on myoelectric and cerebral activities, motor performance and subjective data related to movement. Inclusion criteria for articles were: motor control of ULAs practicing MI or VR was investigated. Exclusion criteria were: only healthy subjects were tested or other therapies  except MI and VR were practiced. Results: Initial search provided 2,635 articles, in which 10 have been included in the analysis. ULAs and healthy subjects do not have the same neurological way of working when practicing MI or VR. The number of possible controlled movements and their accuracy are different. Some aspects, such as visual content of VR systems, may have an influence. If such therapies are interesting to be used for some ULAs, they have to be used as a supplement, but not as a substitute for classical therapies. Discussion: Supplemental search such as RCTs have to be conducted to provide strong evidences, that MI or VR are appropriate to be used for ULAs rehabilitation. MI and VR procedures have to be defined more clearly. These techniques must absolutely be tested with ULAs.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130725783","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":"Infomed: le dossier patient partagé valaisan","authors":"A. Gnaegi","doi":"10.4414/SMI.29.288","DOIUrl":"https://doi.org/10.4414/SMI.29.288","url":null,"abstract":"The project Infomed, aims to implement a Health Information Exchange (HIE) in the Canton of Valais according to the recommendations of the Swiss Confederation eHealth strategy. Infomed is entirely based on international standards, e.g. IHE for the exchange and storage of documents and HL7 CDA-CH for the format of documents, in order to improve the interoperability of Infomed with other Swiss communities and partners. The connection of electronic health records from physician practices and hospitals is not trivial for editors who aren’t familiar with IHE. Therefore, a connection kit is offered; it contains a digest of IHE documentation and samples of SOAP messages. To allow the set-up of the Shared Electronic Patient Record regional legislation will be adapted upon the adoption of a dedicated ordinance.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121336523","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":"Zwischen Wunschkonzert und radikaler Standardisierung: Bilanz einer Gratwanderung nach einem mehrjährigen KIS-Projekt","authors":"D. Voellmy","doi":"10.4414/SMI.29.283","DOIUrl":"https://doi.org/10.4414/SMI.29.283","url":null,"abstract":"After the complete rollout of an electronic patient record in a university hospital from 2007 to 2013, a critical review of some project issues was undertaken. One issue is the complexity resulting  from a highly configurable and scriptable product. Complexity can be kept within reasonable limits by concepts that emphasise enterprise wide standards, and an effectual ICT governance. The rollout strategy  had three functional blocks throughout all clinics in three rounds. The rollout strategy proved  to be not ideal, but this was inevitable due to the evolving software development process. Requirements engineering turned out to be the key issue. Effective and consistent functionality should be ensured by a formal specification process combined with early and frequent software reviews including the clinical stakeholders. To minimise quality issues, software testing has to be formalised and intensified.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129121604","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":"Applications mobiles pour soignants: construire l’interface basé sur des faits","authors":"Frédéric Ehrler","doi":"10.4414/SMI.29.278","DOIUrl":"https://doi.org/10.4414/SMI.29.278","url":null,"abstract":"Les soignants sont deja nombreux a consulter des references medicales par le biais d’outils portables. Ils ne comprennent pas pourquoi l’utilisation de leur smartphone devrait stopper a la porte de l’hopital. Ces outils pourraient etre couple au dossier patient informatise et permettre un acces constant et immediats aux informations des patients partout dans l’hopital. Malgre ces promesses, les decideurs restent prudents face a l’introduction de ces outils dans les processus de soins. Leur utilisation ouvre de nombreuses interrogations quand a la qualite des donnees enregistrees a travers ces outils. En se basant sur l’hypothese que la qualite des donnees est influencee par l’interface de saisie, nous avons mis en place une etude pour decouvrir celle qui est la plus appropriees. Les smartphones etant adaptes a la prise de signes vitaux au lit du patient, nous utilisons cette tâche pour comparer les performances de six modeles de saisie. Un programme a ete developpe afin d’accompagner les participants tout au long de l’experience sans intervention exterieur. Durant l’etude, les participants passent tout d’abord par une phase de familiarisation des interfaces de saisies avant de saisir les signes vitaux le plus rapidement possible. A la fin du test, les participants peuvent donner leur avis concernant les differents modeles. Les mesures enregistrees durant l’experience ont permis de decouvrir quelle interface est la plus precise et la mieux acceptee par les utilisateurs. Environ 150 soignants ont participe a l’experience. De facon generale, au vu des resultats obtenus, deux groupes d’interfaces emergent. Le groupe qui contient les interfaces que nous pouvons qualifier de standards et celui contenant les interfaces plus innovantes. Les interfaces standards obtiennent globalement de meilleurs resultats que ce soit au niveau de la precision ou de la vitesse de saisie. Plus precisement, les resultats ont montres que le clavier numerique prend significativement moins de temps pour entrer les mesures. Concernant la precision, le clavier numerique ne domine pas mais occupe les meilleures places. L’evaluation faite par les utilisateurs reflete bien ces resultats etant donne qu’ils ont unanimement elu le clavier numerique comme etant leur modele favori. Les resultats montrent clairement que le clavier numerique est l’interface la plus efficace pour rentrer des mesures numeriques. C’est non seulement le model le plus rapide mais aussi le plus precis et prefere des utilisateurs. Ce resultat est tres important pour le developpent futur d’application medicale mobile afin de s’assurer de la qualite des donnees enregistrees ainsi que l’acceptation des utilisateurs.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128506866","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}