BMC Med Inform Decis Mak - Designing privacy-friendly digital whiteboards for mediation of clinical progress.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ patient(2315) diseas(1263) diabet(1191) }
{ care(1570) inform(1187) nurs(1089) }
{ can(774) often(719) complex(702) }
{ process(1125) use(805) approach(778) }
{ case(1353) use(1143) diagnosi(1136) }
{ system(1050) medic(1026) inform(1018) }
{ data(1714) softwar(1251) tool(1186) }
{ patient(2837) hospit(1953) medic(668) }
{ cost(1906) reduc(1198) effect(832) }
{ method(1557) propos(1049) approach(1037) }
{ survey(1388) particip(1329) question(1065) }
{ data(1737) use(1416) pattern(1282) }
{ studi(2440) review(1878) systemat(933) }
{ problem(2511) optim(1539) algorithm(950) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ import(1318) role(1303) understand(862) }
{ group(2977) signific(1463) compar(1072) }
{ record(1888) medic(1808) patient(1693) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ activ(1452) weight(1219) physic(1104) }
{ imag(1057) registr(996) error(939) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ algorithm(1844) comput(1787) effici(935) }
{ howev(809) still(633) remain(590) }
{ research(1085) discuss(1038) issu(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: In hospitals, digital versions of dry-erase whiteboards are increasingly becoming more common. One of the purposes with such whiteboards is to support coordination of care by augmenting visibility and availability of clinical information. However, clinical information usually concerns patients and is regarded as sensitive personal health information, meaning that it should be access controlled. The purpose of this study is to explore how digital whiteboards can be designed for supporting coordination of care, by providing clinicians with useful information in a usable way, and at the same time protect patient privacy.METHODS: A demo application was designed, demonstrated and evaluated iteratively. In total, 15 professional ward nurses role-played a scenario in which the application played a central part. Afterwards, the participants were interviewed. All interviews were recorded, transcribed verbatim, and analysed qualitatively.RESULTS: The participants valued having updated clinical information presented on a digital whiteboard, even if the information was de-identified and abstracted. According to the participants, such information could possibly improve inter-departmental communication, reduce the number of electronic health record-logins, and make nurses more rapidly aware of new information. The participants expected that they would be able to re-identify much of the de-identified information in real situations based on their insight into their patients' recent and expected care activities. Moreover, they also valued being able to easily access more detailed information and verify patient identities. While abstraction and de-identification was regarded to sufficiently protect the patients' privacy, the nurses also pointed out the importance of having control over what can be seen by other patients and passers-by if detailed medical information was accessed on a digital whiteboard.CONCLUSIONS: Presenting updated information from patient care activities on a digital whiteboard in a de-identified and abstracted format may support coordination of care at a hospital ward without compromising patient privacy.

Resumo Limpo

ckground hospit digit version dryeras whiteboard increas becom common one purpos whiteboard support coordin care augment visibl avail clinic inform howev clinic inform usual concern patient regard sensit person health inform mean access control purpos studi explor digit whiteboard can design support coordin care provid clinician use inform usabl way time protect patient privacymethod demo applic design demonstr evalu iter total profession ward nurs roleplay scenario applic play central part afterward particip interview interview record transcrib verbatim analys qualitativelyresult particip valu updat clinic inform present digit whiteboard even inform deidentifi abstract accord particip inform possibl improv interdepartment communic reduc number electron health recordlogin make nurs rapid awar new inform particip expect abl reidentifi much deidentifi inform real situat base insight patient recent expect care activ moreov also valu abl easili access detail inform verifi patient ident abstract deidentif regard suffici protect patient privaci nurs also point import control can seen patient passersbi detail medic inform access digit whiteboardconclus present updat inform patient care activ digit whiteboard deidentifi abstract format may support coordin care hospit ward without compromis patient privaci

Resumos Similares

IEEE J Biomed Health Inform - Integration of Personalized Healthcare Pathways in an ICT platform for Diabetes Management: a small-scale exploratory study. ( 0,701679849661339 )
Appl Clin Inform - Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED. ( 0,66120142641436 )
Int J Med Inform - A combined disease management and process modeling approach for assessing and improving care processes: a fall management case-study. ( 0,655225261909281 )
Perspect Health Inf Manag - Assessment of success on the RHIA certification examination: a comparison of baccalaureate program graduates and postbaccalaureate certificate program graduates. ( 0,647984229007685 )
J. Med. Internet Res. - What e-patients want from the doctor-patient relationship: content analysis of posts on discussion boards. ( 0,641238911421902 )
J Med Syst - A password-based user authentication scheme for the integrated EPR information system. ( 0,639663340081247 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,635983924975803 )
Int J Med Inform - Online self-management interventions for chronically ill patients: cognitive impairment and technology issues. ( 0,625547921581715 )
J Med Syst - An architecture model for multiple disease management information systems. ( 0,619825608298489 )
BMC Med Inform Decis Mak - The cloud paradigm applied to e-Health. ( 0,615834522464075 )
Int J Med Inform - Information quality of a Nursing Information System depends on the nurses: a combined quantitative and qualitative evaluation. ( 0,612031931551346 )
Telemed J E Health - What makes teens start using and keep using health information web sites? A mixed model analysis of teens with chronic illnesses. ( 0,609285387514242 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,604195382391871 )
AMIA Annu Symp Proc - A mobile/web app for long distance caregivers of older adults: functional requirements and design implications from a user centered design process. ( 0,603759705159056 )
Health Informatics J - Information and decision support needs in patients with type 2 diabetes. ( 0,60337937456323 )
J. Med. Internet Res. - Dr Google and the consumer: a qualitative study exploring the navigational needs and online health information-seeking behaviors of consumers with chronic health conditions. ( 0,602795049839935 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,601327893196458 )
Int J Med Inform - The integration of Information and Communication Technology into nursing. ( 0,596506323008351 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,593776662007428 )
Int J Med Inform - Bedside information technology to support patient-centered care. ( 0,593008369590812 )
J. Med. Internet Res. - How patients with schizophrenia use the internet: qualitative study. ( 0,592761098782309 )
BMC Med Inform Decis Mak - An evaluation of the content and quality of tinnitus information on websites preferred by General Practitioners. ( 0,590771575851943 )
J. Med. Internet Res. - Theme issue on e-mental health: a growing field in internet research. ( 0,587970094435648 )
BMC Med Inform Decis Mak - Presenting evidence-based health information for people with multiple sclerosis: the IN-DEEP project protocol. ( 0,587593385877111 )
Telemed J E Health - Use of telemedicine to improve glycemic management in a skilled nursing facility: a pilot study. ( 0,579827336882824 )
J Am Med Inform Assoc - Open source electronic health records and chronic disease management. ( 0,57878006223252 )
AMIA Annu Symp Proc - Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype. ( 0,578594713891381 )
Int J Med Inform - Accessing personal medical records online: a means to what ends? ( 0,577964924728684 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,574464758697753 )
BMC Med Inform Decis Mak - How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study. ( 0,572967328318926 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,571585633699424 )
Telemed J E Health - Effects of home telemonitoring to support improved care for chronic obstructive pulmonary diseases. ( 0,571377017165503 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,568450497401928 )
J Biomed Inform - glUCModel: a monitoring and modeling system for chronic diseases applied to diabetes. ( 0,568137867397173 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,567731423413801 )
Int J Med Inform - E-prescribing errors in community pharmacies: exploring consequences and contributing factors. ( 0,566743025085509 )
Health Info Libr J - Health information outreach: a survey of U.S. academic libraries, highlighting a midwestern university's experience. ( 0,56554952098899 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,565160757223081 )
Int J Med Inform - Characterizing information transfer by using a Joint Cognitive Systems model to improve continuity of care in the aged. ( 0,563914764878753 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,563310935453012 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,56205546562388 )
Health Informatics J - Adoption of online health management tools among healthy older adults: An exploratory study. ( 0,560984757188705 )
J. Med. Internet Res. - Modeling the cost-effectiveness of health care systems for alcohol use disorders: how implementation of eHealth interventions improves cost-effectiveness. ( 0,559639465954485 )
J. Med. Internet Res. - Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. ( 0,55940690112389 )
Int J Med Inform - Telecardiology through ubiquitous internet services. ( 0,559328426001462 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,557723028733093 )
BMC Med Inform Decis Mak - A web-based intervention to support self-management of patients with type 2 diabetes mellitus: effect on self-efficacy, self-care and diabetes distress. ( 0,557328998569091 )
Telemed J E Health - Prevalence and severity of diabetic retinopathy in Northwest Cameroon as identified by teleophthalmology. ( 0,555620469531709 )
J. Med. Internet Res. - Measuring actual eHealth literacy among patients with rheumatic diseases: a qualitative analysis of problems encountered using Health 1.0 and Health 2.0 applications. ( 0,554981743101978 )
J. Med. Internet Res. - Managing the personal side of health: how patient expertise differs from the expertise of clinicians. ( 0,554351171079441 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,553681286488028 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,552739753237659 )
Appl Clin Inform - Novel computerized health risk appraisal may improve longitudinal health and wellness in primary care: a pilot study. ( 0,550656116905998 )
AMIA Annu Symp Proc - Computerization of Mental Health Integration complexity scores at Intermountain Healthcare. ( 0,550488375319468 )
J. Med. Internet Res. - Motivations for contributing to health-related articles on Wikipedia: an interview study. ( 0,550207480508423 )
Healthc (Amst) - A mobile health infrastructure to support underserved patients with chronic disease. ( 0,549358807409911 )
Telemed J E Health - ATA practice guidelines for video-based online mental health services. ( 0,548981315867114 )
J Med Syst - Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives. ( 0,54823764370466 )
J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records. ( 0,544881520002606 )
Int J Health Geogr - On the Internet of Things, smart cities and the WHO Healthy Cities. ( 0,544617843707375 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,54358305953952 )
AMIA Annu Symp Proc - SRCAST-Diagnosis: understanding how different members of a patient-care team interact with clinical decision support system. ( 0,542438409093908 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,542214452005682 )
J. Med. Internet Res. - eMental health experiences and expectations: a survey of youths' Web-based resource preferences in Canada. ( 0,540250943005561 )
BMC Med Inform Decis Mak - Internet use, needs and expectations of web-based information and communication in childbearing women with type 1 diabetes. ( 0,539586796618976 )
J Med Syst - Free Web-based personal health records: an analysis of functionality. ( 0,539437782218909 )
Health Info Libr J - Information needs and information-seeking behaviour analysis of primary care physicians and nurses: a literature review. ( 0,536930745017451 )
Comput. Biol. Med. - Development of an advanced database for clinical trials integrated with an electronic patient record system. ( 0,535775499621913 )
J. Med. Internet Res. - Parents seeking health-related information on the Internet: cross-sectional study. ( 0,534061886944476 )
J. Med. Internet Res. - Information-seeking at a caregiving website: a qualitative analysis. ( 0,533254452662185 )
Appl Clin Inform - Personal health records for patients with chronic disease: a major opportunity. ( 0,532544949024454 )
Int J Med Inform - Knowledge, use and attitude toward eHealth among patients with chronic lung diseases. ( 0,531905412791559 )
AMIA Annu Symp Proc - Metadata extraction routines for improving infobutton performance. ( 0,530247174674751 )
AMIA Annu Symp Proc - Using TURF to understand the functions of interruptions. ( 0,529324313945389 )
Inform Health Soc Care - A community education initiative to improve using online health information: participation and impact. ( 0,528922708562279 )
J. Med. Internet Res. - Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. ( 0,528362132353858 )
Telemed J E Health - Asynchronous virtual visits for the follow-up of chronic conditions. ( 0,527921473093117 )
BMC Med Inform Decis Mak - HERALD (health economics using routine anonymised linked data). ( 0,52745834507524 )
Telemed J E Health - Is the digital divide an obstacle to e-health? An analysis of the situation in Europe and in Italy. ( 0,527398385633207 )
BMC Med Inform Decis Mak - Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study. ( 0,527093871766112 )
J. Med. Internet Res. - eHealth literacy: extending the digital divide to the realm of health information. ( 0,526561227322309 )
Telemed J E Health - Smartphone interventions for long-term health management of chronic diseases: an integrative review. ( 0,526246649311475 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,524650051054485 )
Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,524615567568915 )
J. Med. Internet Res. - Online communication between doctors and patients in Europe: status and perspectives. ( 0,523584343009431 )
Appl Clin Inform - Insight into the sharing of medical images: physician, other health care providers, and staff experience in a variety of medical settings. ( 0,52336105254173 )
J. Med. Internet Res. - Improving diabetes management with a patient portal: a qualitative study of diabetes self-management portal. ( 0,52194273153591 )
Telemed J E Health - Cyberterrorism: is the U.S. healthcare system safe? ( 0,521541145840741 )
J. Med. Internet Res. - Presenting evidence to patients online: what do web users think of consumer summaries of cochrane musculoskeletal reviews? ( 0,521487200292215 )
J. Med. Internet Res. - Paging Dr. Google: does technology fill the gap created by the prenatal care visit structure? Qualitative focus group study with pregnant women. ( 0,519340975142204 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,518423977932566 )
J Med Syst - An assessment of patient behavior over time-periods: a case study of managing type 2 diabetes through blood glucose readings and insulin doses. ( 0,516416902606141 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,514855269710663 )
Telemed J E Health - Factors affecting electronic health information needs in primary care patients. ( 0,512756249955462 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,512241894149564 )
Telemed J E Health - Feasibility and impact of telemonitor-based depression care management for geriatric homecare patients. ( 0,512102985476209 )
Health Informatics J - eWasted time: Redundant work during hospital admission and discharge. ( 0,512014478766647 )
Int J Med Inform - Designing for collaborative interpretation in telemonitoring: re-introducing patients as diagnostic agents. ( 0,511944008992603 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,511905606566306 )
BMC Med Inform Decis Mak - Addressing tensions when popular media and evidence-based care collide. ( 0,511759353054237 )