Studies in health technology and informatics最新文献_第5页

Pathways to Utilisation: Structural Equation Models Comparing Intranet Guidelines and a CDSS. 利用途径：结构方程模型比较内部网指南和CDSS。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251512

Florian Kücking, Hanna Burkhalter, Ann-Kristin Rotegård, Ursula Hübner

{"title":"Pathways to Utilisation: Structural Equation Models Comparing Intranet Guidelines and a CDSS.","authors":"Florian Kücking, Hanna Burkhalter, Ann-Kristin Rotegård, Ursula Hübner","doi":"10.3233/SHTI251512","DOIUrl":"https://doi.org/10.3233/SHTI251512","url":null,"abstract":"The implementation of evidence-based practice continues to pose significant challenges across healthcare settings. This study investigated how factors influencing the use of an intranet folder system (IFS) providing evidence-based guidelines change during the transition to a Clinical Decision Support System (CDSS). A two-wave survey was conducted among nursing staff at a Swiss hospital, assessing system utilisation, Evidence-Based Nursing (EBN) related factors, selected variables from the Unified Theory of Acceptance and Use of Technology (UTAUT), and demographic information. Structural equation modelling was applied to identify key determinants of utilisation. Facilitating Conditions and Social Influence significantly influenced utilisation in both systems. EBN factors, specifically Trust and Knowledge, impacted Effort Expectancy only in the CDSS model. These results suggest that while organisational and social factors consistently promote system use, the successful adoption of a CDSS additionally requires the development of new trust in the technology and expanded knowledge of its functions to reduce perceived effort and enhance utilisation. The findings highlight the need for structural support, social endorsement, and targeted training to facilitate the effective implementation of CDSS in clinical practice.","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"332 ","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215154","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

Can Digital Smart Workflows in a Hospital Free Staff from Documentation and Administrative Work? 医院的数字化智能工作流程能让员工从文件和行政工作中解脱出来吗？

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251509

Jörg Hassmann, Saskia Kröner, Lara Niemöller, Liling Wu, Ursula Hübner

{"title":"Can Digital Smart Workflows in a Hospital Free Staff from Documentation and Administrative Work?","authors":"Jörg Hassmann, Saskia Kröner, Lara Niemöller, Liling Wu, Ursula Hübner","doi":"10.3233/SHTI251509","DOIUrl":"https://doi.org/10.3233/SHTI251509","url":null,"abstract":"This study investigates the impact of implementing smart, digitally supported workflows on administrative efficiency in a large German hospital network through the ScanProCare! project. The primary aim was to assess whether the introduction of standardized digital processes leads to measurable time savings across different clinical departments. A longitudinal evaluation design was employed, comparing pre- and post-implementation data. The study focused on quantifying changes in process frequency and duration in operating rooms (ORs), intensive care units (ICUs), and normal wards. Results demonstrated time reductions in several areas: OR documentation decreased by 9.09% (582 hours/year), with implant and material documentation reduced by 65% and 50%. Material request times halved, saving 2,720 hours annually, while normal wards saw the largest savings-9,235 hours for documentation and 5,804 for requests. Some tasks became more time-consuming or were unchanged. incomplete master data, and ongoing training needs limited full benefits, highlighting the importance of continuous system refinement and user support. The study concludes that while digital workflows can enhance operational efficiency, continuous system refinement and user support are crucial to maximizing benefits.","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"332 ","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215159","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

Clinical Events as Building Blocks for Smart Workflows and Decision Support. 临床事件作为智能工作流程和决策支持的构建模块。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251555

Mobin Yasini, Gaurav Kumar, Dennis Rausch, Ingrid Hochheim, Lise Marin, Laurent Gout, Irina Kozinova, Tracy McClelland

{"title":"Clinical Events as Building Blocks for Smart Workflows and Decision Support.","authors":"Mobin Yasini, Gaurav Kumar, Dennis Rausch, Ingrid Hochheim, Lise Marin, Laurent Gout, Irina Kozinova, Tracy McClelland","doi":"10.3233/SHTI251555","DOIUrl":"https://doi.org/10.3233/SHTI251555","url":null,"abstract":"Background: Traditional electronic medical records (EMRs) are often document-centric and poorly structured for real-time clinical decision support and workflow automation. To address this, we developed a Clinical Events Catalog by decomposing patient pathways into discrete, meaningful clinical events.Objective: To define atomic clinical events that can support dynamic workflows, structured documentation, and decision support systems.Methods: A multidisciplinary team analyzed clinical pathways across specialties and identified 168 atomic clinical events. Each event was defined with a textual definition, associated data payload, and performance metrics (KPIs), and categorized into thematic domains. The catalog was developed through iterative validation and expert consensus.Results: The resulting Clinical Events Catalog covers nine clinical domains and provides standardized, actionable representations of clinical moments. Examples include \"Vitals Examined,\" \"Medication Administered,\" and \"Risk Identified,\" each linked to measurable indicators. These events can serve as modular triggers for workflow engines and clinical decision support.Discussion & conclusion: The catalog reflects a transition from static documentation to process-aware EMRs. While real-world deployment is planned, the catalog already offers a framework for improving data structure, auditability, and workflow transparency. This study lays the foundation for more responsive and intelligent digital health systems that support interoperability, clinical safety, and decision support integration.","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"332 ","pages":"325-329"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215164","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

A Scalable Multi-Layer AI Adoption Model to Support the Comprehensive Goals of 6P Medicine. 支持6P医学综合目标的可扩展多层人工智能采用模型

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251543

Aly Khalifa, Rada Hussein

引用次数: 0

A Proposed Feasibility Process: Lessons Learned from the Precision MS Project. 建议的可行性过程：精密质谱项目的经验教训。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251542

Sinead Impey, Sinead Jordan, Linda Douris, Gaye Stephens, Lucy Hederman, Mark Heverin, Miriam Galvin, Ronan McDonnell, Frances Gibbons, Orla Hardiman

引用次数: 0

A FHIR Specification to Formalize Cohort Definitions. 一个FHIR规范来形式化队列定义。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251519

Britta Berens, Joscha Grüger, Carolin Poschen, Konstantin Knorr

引用次数: 0

Real-World Breast Cancer Mobile Applications for Patients in the Treatment Stage: A Post-Pandemic Scoping Review. 真实世界的乳腺癌移动应用程序在治疗阶段的患者：大流行后的范围审查。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251503

Panagiota E Theofilou, Panos Bonotis, Pantelis Angelidis

引用次数: 0

Structuring Laboratory Classes of Artificial Intelligence in Medicine. 构建医学人工智能实验课。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251551

Gheorghe Ioan Mihalas

引用次数: 0

A Trustworthy Health AI Development Framework with Example Code Pipelines. 一个值得信赖的健康AI开发框架与示例代码管道。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251522

Carlos De-Manuel-Vicente, David Fernández-Narro, Vicent Blanes-Selva, Juan M García-Gómez, Carlos Sáez

{"title":"A Trustworthy Health AI Development Framework with Example Code Pipelines.","authors":"Carlos De-Manuel-Vicente, David Fernández-Narro, Vicent Blanes-Selva, Juan M García-Gómez, Carlos Sáez","doi":"10.3233/SHTI251522","DOIUrl":"https://doi.org/10.3233/SHTI251522","url":null,"abstract":"Trustworthy health Artificial Intelligence (AI) must respect human rights and ethical standards, while ensuring AI robustness and safety. Despite the availability of general good practices, health AI developers lack a practical guide to address the construction of trustworthy AI (TAI). We introduce a TAI development framework (TAIDEV) as a reference guideline for the creation of TAI health systems. The framework core is a TAI matrix that classifies technical methods addressing the EU guideline for Trustworthy AI requirements (privacy and data governance; diversity, non-discrimination and fairness; transparency; and technical robustness and safety) across the different AI lifecycle stages (data preparation; model development, deployment and use, and model management). TAIDEV is complemented with generic, customizable example code pipelines for the different requirements with state-of-the-art AI techniques using Python. A related checklist is provided to help validate the application of different methods on new problems. The framework is validated using two open datasets, the UCI Heart Disease and the Diabetes 130-US Hospitals, with four code pipelines adapting TAIDEV for each dataset. The TAI framework and its example tutorials are provided as Open Source in the GitHub repository: https://github.com/bdslab-upv/trustworthy-ai. The TAIDEV framework provides health AI developers with an extensible theoretical development guideline with practical examples, aiming to ensure the development of ethical, robust and safe health AI and Clinical Decision Support Systems.","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"332 ","pages":"180-184"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215010","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

An Intelligent and Visual Clinical Decision Support System for Medication Reconciliation at Admission in a Hospital Setting. 一个智能和可视化的临床决策支持系统，用于医院入院时的药物调解。

Studies in health technology and informatics Pub Date : 2025-10-02 DOI: 10.3233/SHTI251505

Rory Schofield, Jean-Baptiste Lamy

{"title":"An Intelligent and Visual Clinical Decision Support System for Medication Reconciliation at Admission in a Hospital Setting.","authors":"Rory Schofield, Jean-Baptiste Lamy","doi":"10.3233/SHTI251505","DOIUrl":"https://doi.org/10.3233/SHTI251505","url":null,"abstract":"Medication reconciliation (MR) aims to prevent medication errors during transitions of care, particularly at hospital admission. Despite its importance, MR remains time-consuming, and existing electronic tools lack collaborative features and visual approaches. This study describes the design of a new electronic tool for MR, developed within ABiMed, a clinical decision support system for medication review and polypharmacy management. The tool follows the main steps of the MR process: the best possible medication history (BPMH) elaborated by the pharmacist is compared to the admission medication order (AMO), and discrepancies are semi-automatically identified and classified. Unresolved discrepancies can be directly sent to the prescriber. The tool builds on features included in ABiMed, such as an ontology-based structure allowing for integration in other tools, real-time collaboration between pharmacists and prescribers, visual drug data specific to the patient, and automatic execution of STOPP/START clinical guidelines. These approaches encourage shared responsibility, and support more clinically relevant and useful pharmacist interventions. The tool has yet to undergo clinical evaluation. Future work will assess usability and impact on outcomes such as time spent on MR, prescriber acceptance of interventions, and the tool will further be expanded to include more clinical guidelines.","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"332 ","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215034","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