Abstract：
:Health information technology capabilities in some healthcare sectors, such as nursing homes, are not well understood because measures for information technology uptake have not been fully developed, tested, validated, or measured consistently. The paper provides a report of the development and testing of a new instrument measuring nursing home information technology maturity and stage of maturity. Methods incorporated a four round Delphi panel composed of 31 nursing home experts from across the nation who reported the highest levels of information technology sophistication in a separate national survey. Experts recommended 183 content items for 27 different content areas specifying the measure of information technology maturity. Additionally, experts ranked each of the 183 content items using an IT maturity instrument containing seven stages (stages 0-6) of information technology maturity. The majority of content items (40% (n = 74)) were associated with information technology maturity stage 4, corresponding to facilities with external connectivity capability. Over 11% of the content items were at the highest maturity stage (Stage 5 and 6). Content areas with content items at the highest stage of maturity are reflected in nursing homes that have technology available for residents or their representatives and used extensively in resident care. An instrument to assess nursing home IT maturity and stage of maturity has important implications for understanding health service delivery systems, regulatory efforts, patient safety and quality of care.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Alexander GL,Deroche C,Powell K,Mosa ASM,Popejoy L,Koopman Rdoi
10.1007/s10916-020-1528-6subject
Has Abstractpub_date
2020-02-05 00:00:00pages
60issue
3eissn
0148-5598issn
1573-689Xpii
10.1007/s10916-020-1528-6journal_volume
44pub_type
杂志文章abstract：:Glaucoma is a type of eye condition which may result in partial or consummate vision loss. Higher intraocular pressure is the leading cause for this condition. Screening for glaucoma and early detection can avert vision loss. Computer aided diagnosis (CAD) is an automated process with the potential to identify glaucom...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1427-x
更新日期：2019-07-30 00:00:00
abstract：:Parkinsons disease is a complex neurodegenerative disorder for which patients present many symptoms, tremor being the main one. In advanced stages of the disease, Deep Brain Stimulation is a generalized therapy which can significantly improve the motor symptoms. However despite its beneficial effects on treating the s...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0328-x
更新日期：2015-11-01 00:00:00
abstract：:New, emerging technologies, transform every day our life and have direct consequence on our health and well-being. More and more wearable medical devices (MD) with wireless communication technologies embedded are being developed by innovative academic community and companies. Optical wireless communication (OWC) consi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1434-y
更新日期：2019-08-20 00:00:00
abstract：:Hand hygiene compliance is the most significant, modifiable cause of hospital-acquired infections, yet national averages for compliance rates remain unsatisfactory. Noncompliance can contribute to patient mortality, extended hospital stays, higher re-admission rates, and lower reimbursement for hospitals under the Pat...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0253-z
更新日期：2015-06-01 00:00:00
abstract：:In the fast moving world, users cross over large amount of data for their daily life. Due to the misinterpretation of the context, user cannot retrieve the proper context or failure to retrieve the information. The main aim of this paper is to design and implement a personalized search engine which works based on the ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1350-1
更新日期：2019-06-23 00:00:00
abstract：:Cardiac Doppler signals recorded from mitral valve of 60 patients were transferred to a personal computer by using a 16-bit sound card. The power spectral density (PSD) was applied to the recorded signal from each patient. In order to do a good interpretation and rapid diagnosis, PSD values classified using multilayer...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/b:joms.0000041169.28544.fd
更新日期：2004-10-01 00:00:00
abstract：:Business Intelligence (BI) has caused extensive concerns and widespread use in gathering, processing and analyzing data and providing enterprise users the methodology to make decisions. Different from traditional BI architecture, this paper proposes a new BI architecture, Top-Down Scalable BI architecture with definin...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-013-9928-5
更新日期：2013-04-01 00:00:00
abstract：:Nowadays, with comprehensive employment of the internet, healthcare delivery services is provided remotely by telecare medicine information systems (TMISs). A secure mechanism for authentication and key agreement is one of the most important security requirements for TMISs. Recently, Tan proposed a user anonymity pres...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0136-8
更新日期：2014-12-01 00:00:00
abstract：:The increasingly large databases available to researchers necessitate high-quality metadata that is not always available. We describe a method for generating this metadata independently. Cluster analysis and expectation-maximization were used to separate days into holidays/weekends and regular workdays using anesthesi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0232-4
更新日期：2015-05-01 00:00:00
abstract：:A natural disaster is a consequence of a natural hazard, such as a tsunami, earthquake or volcanic eruption, affecting humans. In order to support emergency medical communication services in natural disaster areas where the telecommunications facility has been seriously damaged, an ad hoc communication network backbon...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9444-9
更新日期：2012-02-01 00:00:00
abstract：:This paper describes AI/LEARN, an educational videodisk system designed to teach clinical observational skills and reasoning in medicine. The AI/LEARN system uses a learning conditions approach to teaching. To teach visual concepts, we use the principle of exemplar/nonexemplar pairs and immediate feedback. To teach If...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993009
更新日期：1987-12-01 00:00:00
abstract：:Operating systems and programming languages differ widely in their suitability for particular applications. The diversity of medical computing needs demands a diversity of solutions. Compounding this diversity if the decentralization caused by evolution of local computing systems for local needs. Relevant current tren...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993292
更新日期：1983-06-01 00:00:00
abstract：:Telecare Medical Information System (TMIS) makes an efficient and convenient connection between patient(s)/user(s) at home and doctor(s) at a clinical center. To ensure secure connection between the two entities (patient(s)/user(s), doctor(s)), user authentication is enormously important for the medical server. In thi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0217-3
更新日期：2015-03-01 00:00:00
abstract：:To evaluate risk and vulnerability in the chemotherapy process using a proactive risk analysis method. Healthcare failure mode and effect analysis (HFMEA) was adopted to identify potential chemotherapy process failures. A multidisciplinary team is formed to identify, evaluate, and prioritize potential failure modes ba...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9616-7
更新日期：2012-06-01 00:00:00
abstract：:The aim of the study is to assess the feasibility of Drugs Rational Usage Guideline System (DRUGS)-supported clinical pathway (CP) for breast carcinoma, cataract, inguinal hernia and 2-diabetes mellitus whether the application of such a system could improve work efficiency, medical safety, and decrease hospital cost. ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0400-6
更新日期：2016-03-01 00:00:00
abstract：:Patient safety has been regarded as the most important quality policy of hospital management. The medicine dispensing definitely plays an influential role in the Joint Commission International Accreditation Standards. The problem we are going to discuss in this paper is that the function of detecting mistakes does not...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9799-6
更新日期：2012-12-01 00:00:00
abstract：:Executives of small hospitals and home health services have heard that this is the Age of Computers, Telecommunications, Robotics, and Gene Engineering, and they wonder if their organizations might benefit from the high technology and advanced management tools employed by big corporations and "leading edge" hospitals....
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00992955
更新日期：1986-02-01 00:00:00
abstract：:A new simulation system of diagnostic and therapeutic processes is developed. The aim is to train medical students for the practical use of their knowledge, utilizing patient data in a total hospital information system. The knowledge in the system is presented by the specialists for every case. In medical school there...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF01000275
更新日期：1992-10-01 00:00:00
abstract：:The purpose of this study is to evaluate detector performance using histogram and entropy analysis according to the sensitivity change of the automatic exposure control (AEC). The experiment was performed as follows: The sensitivity of the detector was analyzed through a normalized histogram with sensitivities of S200...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01652-0
更新日期：2020-09-04 00:00:00
abstract：:To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface....
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9346-x
更新日期：2011-02-01 00:00:00
abstract：:In the present study, a thermoelectric system controlled by a microcontroller is developed to induce renal hypothermia. Temperature value was managed by 8-byte microcontroller, PIC16F877, and was programmed using microcontroller MPASM package. In order to ensure hypothermia in the kidney 1-4 modules and sensors percei...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-005-6101-9
更新日期：2005-10-01 00:00:00
abstract：:The current research aimed to analyze psychophysiological, body composition, biomechanical and autonomic modifications in an ultraendurance mountain race. We analyzed 11 finisher voluntary athletes that participated in a 51.2 km ultraendurance mountain race. We measured before and after the mountain ultraendurance eve...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0889-y
更新日期：2018-01-05 00:00:00
abstract：:Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature publ...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-009-9336-z
更新日期：2011-02-01 00:00:00
abstract：:Genome sequencing projects generate vast amounts of data of a wide variety of types and complexities, and at a growing pace. Traditionally, the annotation of such sequences was difficult to share with other researchers. Despite the fact that this has improved with the development and application of biological ontologi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9890-7
更新日期：2012-11-01 00:00:00
abstract：:This paper describes the development of statistical classifiers to help diagnose meningococcal meningitis, i.e. the most sever, infectious and deadliest type of this disease. The goal is to find a mechanism able to determine whether a patient has this type of meningitis from a set of symptoms that can be directly obse...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0785-5
更新日期：2017-08-11 00:00:00
abstract：:The Genetic Diseases Program of the Illinois Department of Public Health has completed the requirements for automation of its newborn screening follow-up services. The integration of two databases containing laboratory and follow-up elements allows the system to: (1) process on-line information about both normal and a...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00997184
更新日期：1988-04-01 00:00:00
abstract：:Three-dimensional (3D) reconstructed images have been increasingly applied for medical education. Although many studies have described the benefits of such applications, the best time to introduce 3D technology into surgical training has not been determined. Therefore, we conducted a randomized study to determine a su...
journal_title：Journal of medical systems
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10916-019-1157-0
更新日期：2019-02-09 00:00:00
abstract：:Anesthesiologists are dependent on specialized drugs and equipment being immediately available for patient care. Deficiencies in supplies impact on operating room efficiency and patient safety. In our institution, we do not have anesthesia assistants/aides and depend on general aides to stock anesthesia related equipm...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1026-2
更新日期：2018-08-01 00:00:00
abstract：:In our attempt to develop an "Essential Data Set" for a computer based information system to support Maternal & Child Health Care services an analysis of Swedish maternal care services was undertaken. The present study analyses the information system in the domain of maternal and child health care at the primary healt...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996602
更新日期：1994-10-01 00:00:00
abstract：:In recent years, human activity recognition from body sensor data or wearable sensor data has become a considerable research attention from academia and health industry. This research can be useful for various e-health applications such as monitoring elderly and physical impaired people at Smart home to improve their ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0948-z
更新日期：2018-04-16 00:00:00
