EMR based telegeriatric system

Pallawala, P. M. D. S.; Lun, K. C.

doi:10.1016/s1386-5056(01)00144-7

Cited by 15 publications

(14 citation statements)

References 13 publications

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“…A telegeriatric system, used to manage geriatric patients at a remote site, led to rapid decision making in the presence of acute or subacute emergencies, reducing unnecessary admissions and improving nursing skills in geriatric care. 77 This study showed that telemedicine can speed up patients’ management and also contribute to nurse professional development. The potential of modern telecommunication technology to improve the quality of life for elders with physical and mental impairments was proven during the telerehabilitation project TeleReha, which was conducted at the Berlin Geriatric Center on 13 mobility-impaired patients (mean age 72 years).…”

Section: Telemedicine Applications In Different Medical Specialtiesmentioning

confidence: 88%

Narrative review of telemedicine consultation in medical practice

Cerbo¹,

Morales‐Medina²,

Palmieri³

et al. 2015

PPA

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BackgroundThe use of telemedicine has grown across several medical fields, due to the increasing number of “e-patients”.ObjectiveThis narrative review gives an overview of the growing use of telemedicine in different medical specialties, showing how its use can improve medical care.MethodsA PubMed/Medline, Embase, Web of Science, and Scopus search was performed using the following keywords: telemedicine, teleconsultation, telehealth, e-health, and e-medicine. Selected papers from 1996 to 2014 were chosen on the basis of their content (quality and novelty).ResultsTelemedicine has already been applied to different areas of medical practice, and it is as effective as face-to-face medical care, at least for the diagnosis and treatment of some pathological conditions.ConclusionTelemedicine is time- and cost-effective for both patients and health care professionals, encouraging its use on a larger scale. Telemedicine provides specialist medical care to patients who have poor access to hospitals, and ensures continuity of care and optimal use of available health resources. The use of telemedicine opens new perspectives for patients seeking a medical second opinion for their pathology, since they can have remote access to medical resources that would otherwise require enormous costs and time.

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Section: Telemedicine Applications In Different Medical Specialtiesmentioning

confidence: 88%

Narrative review of telemedicine consultation in medical practice

Cerbo¹,

Morales‐Medina²,

Palmieri³

et al. 2015

PPA

View full text Add to dashboard Cite

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“…The use of telemedicine in geriatrics has so far been rather limited. 15,16 The high levels of dependency in this group make it difficult for patients to visit medical practitioners in remote settings, so the importance of distance assessment is high. There are two classes of telemedicine techniques: synchronous or real-time interactions, and asynchronous or store-and-forward interactions.…”

Section: Discussionmentioning

confidence: 99%

The validity of video clips in the diagnosis of gait disorder

et al. 2007

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We investigated the accuracy and validity of clinical gait assessment, performed by experienced geriatricians viewing video clips of 10 s duration. Nineteen patients with normal or characteristic abnormal gait patterns were studied. The treating physician's diagnosis served as the gold standard. Another live assessment was then performed by a geriatrician blinded to the medical record to establish inter-rater reliability of live assessments. Subsequently, each gait video clip was examined by two independent geriatricians without any background clinical documentation. Diagnostic accuracy was tested at two levels -- whether the gait was abnormal, and the specific gait diagnosis. The agreement of the video clip examination with the gold standard to identify abnormal gait from normal gait ranged from substantial to excellent among assessors (kappa = 0.68-0.85), although low agreement with the gold standard was achieved in the detection of specific gait diagnosis (average agreement between both viewing geriatricians 50%). The technique appears to be a valid screening procedure for detecting gait abnormalities (average sensitivity 100%, specificity 70%).

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“…Similarly, HCPs perceived helpfulness in assisting care delivery to improve care efficiency increased their acceptability of smart technology, for example, using health information exchange systems efficiently improved doctor-patient communication [188]. Using smart technologies to improve HCPs' daily routines, enhance medication safety, and deal with the events of emergencies could be a better solution to ensure the quality of care in nursing homes and the older adults' quality of life [120,142].…”

Section: Perceived Efficaciousnessmentioning

confidence: 99%

Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review

et al. 2022

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Background and objectives Smart technology in nursing home settings has the potential to elevate an operation that manages more significant number of older residents. However, the concepts, definitions, and types of smart technology, integrated medical services, and stakeholders’ acceptability of smart nursing homes are less clear. This scoping review aims to define a smart nursing home and examine the qualitative evidence on technological feasibility, integration of medical services, and acceptability of the stakeholders. Methods Comprehensive searches were conducted on stakeholders’ websites (Phase 1) and 11 electronic databases (Phase 2), for existing concepts of smart nursing home, on what and how technologies and medical services were implemented in nursing home settings, and acceptability assessment by the stakeholders. The publication year was inclusive from January 1999 to September 2021. The language was limited to English and Chinese. Included articles must report nursing home settings related to older adults ≥ 60 years old with or without medical demands but not bed-bound. Technology Readiness Levels were used to measure the readiness of new technologies and system designs. The analysis was guided by the Framework Method and the smart technology adoption behaviours of elder consumers theoretical model. The results were reported according to the PRISMA-ScR. Results A total of 177 literature (13 website documents and 164 journal articles) were selected. Smart nursing homes are technology-assisted nursing homes that allow the life enjoyment of their residents. They used IoT, computing technologies, cloud computing, big data and AI, information management systems, and digital health to integrate medical services in monitoring abnormal events, assisting daily living, conducting teleconsultation, managing health information, and improving the interaction between providers and residents. Fifty-five percent of the new technologies were ready for use in nursing homes (levels 6–7), and the remaining were proven the technical feasibility (levels 1–5). Healthcare professionals with higher education, better tech-savviness, fewer years at work, and older adults with more severe illnesses were more acceptable to smart technologies. Conclusions Smart nursing homes with integrated medical services have great potential to improve the quality of care and ensure older residents’ quality of life.

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EMR based telegeriatric system

Cited by 15 publications

References 13 publications

Narrative review of telemedicine consultation in medical practice

Narrative review of telemedicine consultation in medical practice

The validity of video clips in the diagnosis of gait disorder

Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review

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