Swiss medical informatics最新文献_第8页

Serious Gaming: un environnement de jeu pour améliorer la mobilité des personnes âgées 严肃游戏:提高老年人行动能力的游戏环境

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.277

Emilie Pasche, Rolf Wipfli, C. Lovis

引用次数: 0

Linking the Shared Treatment Plan to Clinical and Decision-Support Systems 将共享治疗计划与临床和决策支持系统联系起来

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.00286

S. Spahni

{"title":"Linking the Shared Treatment Plan to Clinical and Decision-Support Systems","authors":"S. Spahni","doi":"10.4414/SMI.29.00286","DOIUrl":"https://doi.org/10.4414/SMI.29.00286","url":null,"abstract":"Based on previous experiences of educating patients about their medications, and through an iterative process involving all key stakeholders, a shared treatment plan tool has been developed for MonDossierMedical.ch, a service of the e-toile regional health information exchange (HIE) platform. It is based on the secure architecture of federated documents, and is organised in a modular way to enable various interfaces with existing prescription and dispensing systems. Although the first phase provided only a web-interface on the MonDossierMedical.ch portal, the second phase introduces integration mechanisms that are used to streamline processes around medication reconciliation. A true integration of this tool into existing environments and systems (hospital information systems, private practices, pharmacies, etc.) then becomes possible. Support for the integration with larger projects such as epSOS, the European-wide interoperability eHealth platform, is also one of the objectives of this second phase. In addition to communication with external stakeholders, decision support system services are integrated into the global process for providing valuable advice to prescribers. The usefulness of the first phase has been demonstrated on the e-toile platform, where it has been in production since summer 2012. Initial feedback from key stakeholders shows again a high interest in this forthcoming functionality.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"186 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":"121051890","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

LiSA - Live System Analysis: A robust approach for the real time monitoring of clinical environments LiSA -实时系统分析:一种用于临床环境实时监测的稳健方法

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.279

David-Zacharie Issom, C. Lovis

{"title":"LiSA - Live System Analysis: A robust approach for the real time monitoring of clinical environments","authors":"David-Zacharie Issom, C. Lovis","doi":"10.4414/SMI.29.279","DOIUrl":"https://doi.org/10.4414/SMI.29.279","url":null,"abstract":"The use of data produced in the University Hospitals of Geneva for steering and governance is becoming increasingly important. In this regard, many tools have been developed, both for aggregating and consolidating storage and also in terms of analysing Big Data. However, these tools are not generally designed to provide a real-time analysis. Indeed, there is an increasing amount of data available and it is easy to get lost. The potential uses of real-time monitors are numerous and can greatly increase the responsiveness of the institution in various situations by providing relevant data needed in that situation. The LiSA project aims to develop the conceptual and technical architecture for building real-time monitors, objects potentially useful in critical situations. A robust architecture is necessary to build a nearly real-time system. Management of alerts and events in a healthcare environment is so complex and scattered that it has become necessary to centralise. In software engineering, one of the most reliable architectures for such systems is the Publish-Subscribe Design Pattern. This architecture has been implemented in the project in order to give access to any kind of event in the Clinical Information System (CIS). Once data are processed and organised, a data stream that can be read by humans is sent to a web based monitoring interface. This new versatile monitoring model could lead to better and clearer management. We found that this system can stimulate managers to access the CIS events by creating meaningful indicators. It could help governance when it is necessary to obtain some information immediately, or to create statistical charts or gauges.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"59 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":"132951560","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

Der Nutzen der Schweizer Teilnahme im europäischen Projekt epSOS 瑞士参与欧洲计划的好处

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.00280

Caroline Perrin, S. Spahni, S. Wyss, Antoine Geissbuhler, A. Schmid, Patrick Ruch

{"title":"Der Nutzen der Schweizer Teilnahme im europäischen Projekt epSOS","authors":"Caroline Perrin, S. Spahni, S. Wyss, Antoine Geissbuhler, A. Schmid, Patrick Ruch","doi":"10.4414/SMI.29.00280","DOIUrl":"https://doi.org/10.4414/SMI.29.00280","url":null,"abstract":"epSOS (Smart Open Services for European Patients) was launched in July 2008 and is a European project, which is organised by representatives from different countries. The main objective of epSOS is the development and practical implementation of an eHealth framework and an information and communication technology infrastructure in Europe. Switzerland participates with the Canton of Geneva and the University Hospitals of Geneva with epSOS. Each participating country had to build a National Contact Point (NCP) as a national gateway for the transnational data exchange within epSOS. The secure connection between the various national NCPs forms the basis for the epSOS ‘circle of trust’. In epSOS at project start various legal, political, organisational and technical challenges arose based on the heterogeneity of the health systems in the EU countries, especially as health care is not part of the EU treaty. In this sense, the European situation at the beginning of the project is comparable with the Swiss one: firstly both don’t have a uniform legal basis, and secondly, the EU has a federal structure that is similar to the one in Switzerland. Both require a high coordination effort. The epSOS project has achieved the desired proof of concept. Since the second semester of 2012, the first countries are online with their use cases. This demonstrates that it is possible to find unified electronic processes even when starting from diverse situations. However, epSOS probably won’t be the solution for a homogeneous European solution for the transnational exchange of health data in the near future – as there are tremendous differences between the national eHealth infrastructures, policies and levels of development. The in epSOS implemented emergency data sets, electronic patient records and electronic prescriptions can make a major contribution to patient safety, by providing the medical personnel in emergency situations with lifesaving information to prevent treatment errors and to avoid the repetition of diagnostic procedures .","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"1 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":"129812026","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

Outcome of a patient-specific overruling algorithm to reduce drug-drug-interaction alerts 一种针对患者的裁决算法的结果，以减少药物-药物相互作用警报

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.00285

M. Oertle

引用次数: 0

Le projet CASSANDRE ou l’optimisation par diagnostic automatisé des documents cliniques CASSANDRE项目或通过自动诊断临床文件进行优化

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.33

Alberto Guardia, M. Rodolphe

{"title":"Le projet CASSANDRE ou l’optimisation par diagnostic automatisé des documents cliniques","authors":"Alberto Guardia, M. Rodolphe","doi":"10.4414/SMI.29.33","DOIUrl":"https://doi.org/10.4414/SMI.29.33","url":null,"abstract":"Abstract. In January 2007, the Hopitaux Universitaires de Geneve (HUG) went from flat rate billing day basis to flat rate billing case basis. The system used until 2012 was the All Patient Diagnosis Related Group (APDRG) system. Since 2012, the system used is the Swiss DRG. Assuming that nowadays the hospital stay billing depends on the DRG used, and that this DRG is made on a short stay resume basis, we have identified three works areas to optimize the output document and therefore the stay billing. Those three works areas, that are part of the Cassandra project, are the improvement of the completeness of the output document, the optimization of the principal diagnosis choice and finally the creation of an essential comorbidities list. For the first area, we have implemented pathology detection algorithms, especially, for the dyskaliemies detection. In this case the potential gain is almost 2’000’000 CHF. For the second area, the principal diagnosis choice has to be done by having considered the diagnosis having concretely monopolized the most resources during the patient stay, in order to have a billing as fair as possible. Finally, for the third area, we have now identified 33 diagnoses that have an impact on the DRG choice and on the medical resources that those pathologies need. For those reasons, we have initiated a meticulous study regarding their clinical documentation and possible detection algorithms. The initial results being encouraging, we believe that those three works areas will help us to create tools, that once implemented in the coding chain will improve the coding quality at the HUG and especially will achieve a more accurate billing for the patients, the insurers and our institution.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"5 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":"125838256","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

Etude de l'impact médico-économique d'un projet de télémédecine au Mali 马里远程医疗项目的医疗经济影响研究

Swiss medical informatics Pub Date : 2013-08-06 DOI: 10.4414/SMI.29.276

Laurence Thevoz, David Pécoul

{"title":"Etude de l'impact médico-économique d'un projet de télémédecine au Mali","authors":"Laurence Thevoz, David Pécoul","doi":"10.4414/SMI.29.276","DOIUrl":"https://doi.org/10.4414/SMI.29.276","url":null,"abstract":"In the struggle against the medical desertification of rural areas, telemedicine proves itself to be a promising tool. Its impact, as described by numerous studies conducted in Nordic countries, lacks proof in its implementation in developing countries. EQUI-ResHus is a hybrid electrocardiography and echography tele-expertise project in Mali, enabled by an internet connection implemented in four centres countrywide. This study aims to investigate its medico-economic impact through the use of surveys filled in by patients and medical professionals alike. The results show a higher local expertise when conducting echographies but a sizeable use of external consultations when interpreting electrocardiographies. Demands of expertise vary greatly between the different sites. The medical centres showed a higher rate of visits, proving the technology's mass appeal. Even though the exam's utility has been proven, tele-expertise has had a mitigated impact on diagnostics and subsequent follow-up of the patient. The economic benefits to patients are clear in the form of savings accrued from not having to travel and stay in the capital, Bamako. The additional costs brought about by tele-medicine, such as the internet connection, are cushioned by the patient saving money as a result of conducting monthly one or two medical exams at the aforementioned sites.","PeriodicalId":156842,"journal":{"name":"Swiss medical informatics","volume":"85 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":"122088158","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

PEACE: Personal Enhanced Acquisition for Citizen's Environment 和平:公民环境的个人增强收购

Swiss medical informatics Pub Date : 2012-08-20 DOI: 10.4414/SMI.28.7

David-Zacharie Issom

引用次数: 0

Akzeptanz elektronischer Bild- und Dokumentenübermittlung an niedergelassene Ärzte 接受电子图像和文件传送给死去的医生

Swiss medical informatics Pub Date : 2012-08-20 DOI: 10.4414/smi.28.29

M. Oertle

引用次数: 0

e-toile: arrêt sur image à mi-chemin e-toile:中途停留在图像上

Swiss medical informatics Pub Date : 2012-08-20 DOI: 10.4414/smi.28.12

G. Merier, Stéphane Spahni

引用次数: 0