Telemed J E Health - Can information technology improve the performance of remote monitoring systems?

Tópicos

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Resumo

Despite some clinical, economic, and other qualitative advantages associated with remote cardiac device monitoring systems, one of the main challenges concerns the management of the out-of-hospital data. Manual updating of hospital databases with the data stored in the manufacturers' servers increases time requirements and may introduce mistakes in the entries. The use of communication standards such as Health Level 7 for data interchange could provide a safe and easy way to access patient and device information. The present study of 38 patients was carried out with the Carelink? remote monitoring technology. A formal process for remote cardiac device monitoring was established, including some features in the Arrhythmias Information System: mobile phone and e-mail were included for communication between patients and hospital, with a new gateway for automatic message sending. Device reports generated through the manufacturer's application were attached to the patient's record. Once the information concerning the transmission session was reviewed, the physician made a medical report, which was sent via post and e-mail to the patient. A new interface was created for Health Level 7 communication with the manufacturers' applications, so that the Arrhythmias Information System could automatically interchange information concerning the device and/or the patient when this kind of communication system is available. The volume of data generated by system warning alerts and transmission sessions makes it very difficult to meet the hospital database updating requirements. Standard-based communication between hospital and manufacturers' applications is fundamental to automatic and reliable update of data.

Resumo Limpo

despit clinic econom qualit advantag associ remot cardiac devic monitor system one main challeng concern manag outofhospit data manual updat hospit databas data store manufactur server increas time requir may introduc mistak entri use communic standard health level data interchang provid safe easi way access patient devic inform present studi patient carri carelink remot monitor technolog formal process remot cardiac devic monitor establish includ featur arrhythmia inform system mobil phone email includ communic patient hospit new gateway automat messag send devic report generat manufactur applic attach patient record inform concern transmiss session review physician made medic report sent via post email patient new interfac creat health level communic manufactur applic arrhythmia inform system automat interchang inform concern devic andor patient kind communic system avail volum data generat system warn alert transmiss session make difficult meet hospit databas updat requir standardbas communic hospit manufactur applic fundament automat reliabl updat data

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