A socio-technical analytical framework on the EHR-organizational innovation interplay: Insights from a public hospital in Greece

The healthcare sector globally is confronted with increasing internal and external pressures that urge for a radical reform of health systems' status quo. The role of technological innovations such as Electronic Health Records (EHR) is recognized as instrumental in this transition process as it is expected to accelerate organizational innovations. This is why the widespread uptake of EHR systems is a top priority in the global healthcare agenda. The successful co-deployment though of EHR systems and organizational innovations within the context of secondary healthcare institutions is a complex and multifaceted issue. Existing research in the field has made little progress thus emphasizing the need for further research contribution that will incorporate a holistic perspective. This paper presents insights about the EHR-organizational innovation interplay from a public hospital in Greece into a socio-technical analytical framework providing a multilevel set of action points for the eHealth roadmap with worldwide relevance.

Secondary use of Austrian health claims data to explore adverse drug events

Simone SAUTER, Christoph RINNER, Lisa NEUHOFER, Doron EDLINGER, Wilfried GROSSMANN, Michael WOLZT, Gottfried ENDEL and Walter GALL a Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria b Research Group Scientific Computing, University of Vienna, Austria c Department of Clinical Pharmacology, Medical University of Vienna, Austria d Main Association of Austrian Social Security Organizations, Vienna, Austria

Development of an advanced clinical decision support system on medication safety

At present, the increased efficiency of drug therapy and prevention of adverse drug events (ADE) is one of the most important challenges that must face any National Health System. The purpose of the study is the development of an intelligent tool that integrates medical record, clinical laboratory data and pharmacology treatment, and generates recommendations for a safety and effective prescription.

BIMCV: Synergy between Peta Bytes of data in population medical imaging, computer aided diagnosis and AVR

Heart rate measurement as a tool to quantify sedentary behavior.

Sedentary work is very common today. The aim of this pilot study was to attempt to differentiate between typical work situations and to investigate the possibility to break sedentary behavior, based on physiological measurement among office workers. Ten test persons used one heart rate based activity monitor (Linkura), one pulse oximeter device (Wrist) and one movement based activity wristband (Fitbit Flex), in different working situations. The results showed that both heart rate devices, Linkura and Wrist, were able to detect differences in heart rate between the different working situations (resting, sitting, standing, slow walk and medium fast walk). The movement based device, Fitbit Flex, was only able to separate differences in steps between slow walk and medium fast walk. It can be concluded that heart rate measurement is a promising tool for quantifying and separating different working situations, such as sitting, standing and walking.

Users perspectives on interactive distance technology enabling home-based motor training for stroke patients.

The aim of this work has been to develop a technical support enabling home-based motor training after stroke. The basis for the work plan has been to develop an interactive technical solution supporting three different groups of stroke patients: (1) patients with stroke discharged from hospital with support from neuro team; (2) patients with stroke whose support from neuro team will be phased out and (3) patients living with impaired motor functions long-term. The technology has been developed in close collaboration with end-users using a method earlier evaluated and described [12]. This paper describes the main functions of the developed technology. Further, results from early user-tests with end-users, performed to identify needs for improvements to be carried out during further technical development. The developed technology will be tested further in a pilot study of the safety and, usefulness of the technology when applied as a support for motor training in three different phases of the post-stroke rehabilitation process.

Development of an eating aid - from the user needs to a product.

In this paper, the development process of an eating aid is described. The assistive devices must be worth using. To achieve this, the starting point has been the users need. The development started from the needs of an individual person, the inventor of the aid. The development has been about increasing the positive experience of the aid and decrease negative experience through an iterative development process. The development includes several evaluations, described in the paper, and as a conclusion, it is important to include the users throughout the development process.

A study of different fabrics to increase radar cross section of humans.

This purpose of the study was to increase the visibility on radar for unprotected pedestrians with the aid of conducting fabric. The experiment comprised measurements of four types of fabric to determine the radio frequency properties, such as radar cross section (RCS) for the vehicle radar frequency 77 GHz and transmission (shielding) in the frequency range 3-18 GHz. Two different thicknesses of polypyrrole (PPy) nonvowen fabric were tested and one thickness for 30 % and 40 % stainless steel fabrics respectively. A jacket with the thinner nonvowen material and one with 40 % steel were tested and compared to an unmodified jacket in the RCS measurement. The measurement showed an increase in RCS of 4 dB for the jacket with the 40 % steel lining compared to the unmodified jacket. The transmission measurement was aimed at determining the fabric with the highest transmission of an incoming radio wave. The 30 % steel fabric and the two thicknesses of the nonvowen fabrics were tested. One practical application is for example the use of radar reflective material in search and rescue (SAR) clothes. The study showed that the 30 % steel fabric was the best candidate for further RCS measurements

Impedance matching wireless power transmission system for biomedical devices.

For medical application, the efficiency and transmission distance of the wireless power transfer (WPT) are always the main concern. Research has been showing that the impedance matching is one of the critical factors for dealing with the problem. However, there is not much work performed taking both the source and load sides into consideration. Both sides matching is crucial in achieving an optimum overall performance, and the present work proposes a circuit model analysis for design and implementation. The proposed technique was validated against experiment and software simulation. Result was showing an improvement in transmission distance up to 6 times, and efficiency at this transmission distance had been improved up to 7 times as compared to the impedance mismatch system. The system had demonstrated a near-constant transfer efficiency for an operating range of 2cm-12cm.

Advanced decision support system for older adults.

Decision support systems are rapidly becoming part of today's healthcare delivery. The paradigm has shifted from traditional and manual recording to computer-based electronic records and, further, to handheld devices as versatile and innovative healthcare monitoring systems. The current study focuses on interpreting multiple physical signs and early warning for hospitalized older adults so that severe consequences can be minimized. Data from a total of 30 patients have been collated in New Zealand Hospitals under local and national ethics approvals. The system records blood pressure, heart rate (pulse), oxygen saturation (SpO2), ear temperature and blood glucose levels from hospitalized patients and transfers this information to a web-based software application for remote monitoring and further interpretation. Ultimately, this system is aimed to achieve a high level of agreement with clinicians' interpretation when assessing specific physical signs such as bradycardia, tachycardia, hypertension, hypotension, hypoxemia, fever and hypothermia and to generate early warnings.