Browsing by Author "Röhrig, Rainer"
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- ItemAssessing the prognoses on Health care in the information society 2013--thirteen years after.(2014-06-23) Knaup, Petra; Ammenwerth, Elske; Dujat, Carl; Grant, Andrew; Hasman, Arie; Hein, Andreas; Hochlehnert, Achim; Kulikowski, Casimir; Mantas, John; Maojo, Victor; Marschollek, Michael; Moura, Lincoln; Plischke, Maik; Röhrig, Rainer; Stausberg, Jürgen; Takabayashi, Katsuhiko; Uckert, Frank; Winter, Alfred; Wolf, Klaus-Hendrik; Haux, ReinholdHealth care and information technology in health care is advancing at tremendous speed We analysed whether the prognoses by Haux et al first presented in 2000 and published in 2002 have been fulfilled in 2013 and which might be the reasons for match or mismatch Twenty international experts in biomedical and health informatics met in May 2013 in a workshop to discuss match or mismatch of each of the 71 prognoses After this meeting a web based survey among workshop participants took place Thirty three prognoses were assessed matching they reflect e g that there is good progress in storing patient data electronically in health care institutions Twenty three prognoses were assessed mismatching they reflect e g that telemedicine and home monitoring as well as electronic exchange of patient data between institutions is not established as widespread as expected Fifteen prognoses were assessed neither matching nor mismatching ICT tools have considerably influenced health care in the last decade but in many cases not as far as it was expected by Haux et al in 2002 In most cases this is not a matter of the availability of technical solutions but of organizational and ethical issues We need innovative and modern information system architectures which support multiple use of data for patient care as well as for research and reporting and which are able to integrate data from home monitoring into a patient centered health record Since innovative technology is available the efficient and wide spread use in health care has to be enabled by systematic information management
- ItemIntegration of a handheld based anaesthesia rounding system into an anaesthesia information management system.(2006-05-23) Fuchs, Carsten; Quinzio, Lorenzo; Benson, Matthias; Michel, Achim; Röhrig, Rainer; Quinzio, Birgit; Hempelmann, GunterBACKGROUND At the University Hospital Giessen an anesthesia information management system AIMS is used for online record keeping of perioperative patient care but preoperative anaesthesia assessments were still being recorded on paper and subsequently entered into the AIMS Personal digital assistants PDAs seem to be useful instruments to establish a seamless digital anesthesiological documentation OBJECTIVES We decided to implement a solution for direct integration of data gathered during the preoperative assessment into the existing data management infrastructure Parallel to the development of the system we surveyed the future users to match their wishes and needs as far as possible SYSTEM DESCRIPTION A C program embedding the preoperative AIMS data fields was developed Data alignment with the Hospital information system HIS is controlled by a Java desktop software The anaesthesiologist completes the available fields at the patient s bedside following the same algorithm and integrity check as the PC version STATUS REPORT Overall 68 of the surveyed physicians supported the implementation of the system The PDA solution has been available since May 2002 Data replication into the handheld and integration of mobile collected data into the AIMS generally work without problems The HIS interconnection software converts the PDA file into the AIMS format for further processing DISCUSSION The preoperative anaesthetic assessment is a standardised task well suitable for conversion to an electronic data storage medium Changing from redundant data entry in the OR to direct electronic recording at the patient s bedside seems simply logical Handheld computers are inexpensive flexible gadgets to realize this
- ItemAn Online Differential Cost Estimator Tool to Support Cost Planning of Demographic and Health Surveys Using Mobile Electronic Device or Paper and Pen Methods: A Function of Sample Size.(0000-00-00) Zeleke, Atinkut; Naziyok, Tolga; Wilken, Marc; Röhrig, RainerThe use of mobile devices for a house to house interview administered survey data collection is becoming a practice along with the paper based data collection tools Though the electronic data capture mechanism is supposed to improve the efficiency of the data collection mechanism and the quality of the data there is limited evidence on the cost effectiveness of the technologies This project aims to develop an online pre implementation survey cost estimator to support the planning and decision of implementing agency Scalable costs with sample size were estimated using parametric cost estimating technique In this article we used Introduction State of the art Concept Implementation Lessons Learned ISCIL format to present the overall development process of this online cost estimator
- ItemOnline guideline assist in intensive care medicine--is the login-authentication a sufficient trigger for reminders?(2006-11-19) Röhrig, Rainer; Meister, Markus; Michel-Backofen, Achim; Sedlmayr, Martin; Uphus, Dirk; Katzer, Christian; Rose, ThomasINTRODUCTION Rising cost pressure due to the implementation of the DRG System and quality assurance lead to an increased use of therapy standards and standard operating procedures SOPs in intensive care medicine The intention of the German Scientific Society supported project OLGA Online Guideline Assist is to develop a prototype of a knowledge based system supporting physicians of an intensive care unit in recognizing the indication for and selecting a specific guideline or SOP While the response of the prototype on user entries can be displayed as a signal on the used workstation itself the location and time for a reminder of scheduled or missed procedures or reactions to imported information is a difficult issue One possible approach to this task is the display of non acknowledged reminders or recommendations while logging on to a system The objective of this study is to analyse user behaviour of the physicians working on the surgical intensive care unit to decide whether the login authentication is a sufficient trigger for clinical reminding METHODS The surgical intensive care unit examined in this study comprises 14 beds Medical care is provided by physicians working in shifts 24 hours a day 7 days a week with two anaesthetists at a time and an additional senior consultant during daytime The entire documentation examinations medication orders care is performed using the patient data management system ICUData The authentication process of the physicians was logged and analysed RESULTS Throughout the observation period from December 13th 2005 to January 11th 2006 3563 physician logins were counted in total The mean span between logins was in 11 3 minutes SD 14 4 the median 7 minutes The 75 centile was 14 minutes the 95 centile 38 min Intervals greater than 60 minutes occurred in 75 and greater than 90 minutes in 25 of the days DISCUSSION It seems reasonable that reminders sent during authentication are able to enforce workflow compliance It is possible to send notifications caused by external events to the physician depending on the importance of the event Serious events with high urgency should be reliably passed using wireless pager or handheld technology It seems that after the implementation of the prototype guideline assist further investigation is needed to monitor changes in authentication behaviour and reactions to the guideline advisory This is also required to investigate the influence of unit s size medical specialty and actual ward workload
- ItemProactive authenticated notifications for health practitioners: two way human computer interaction through phone.(2012-08-09) Majeed, Raphael W; Stöhr, Mark R; Röhrig, RainerNotifications and alerts play an important role in clinical daily routine Rising prevalence of clinical decision support systems and electronic health records also result in increasing demands on notification systems Failure adequately to communicate a critical value is a potential cause of adverse events Critical laboratory values and changing vital data depend on timely notifications of medical staff Vital monitors and medical devices rely on acoustic signals for alerting which are prone to alert fatigue and require medical staff to be present within audible range Personal computers are unsuitable to display time critical notification messages since the targeted medical staff are not always operating or watching the computer On the other hand mobile phones and smart devices enjoy increasing popularity Previous notification systems sending text messages to mobile phones depend on asynchronous confirmations By utilizing an automated telephony server we provide a method to deliver notifications quickly and independently of the recipients whereabouts while allowing immediate feedback and confirmations Evaluation results suggest the feasibility of the proposed notification system for real time notifications