ICT for Patient Safety: Towards a European Research Roadmap

Stroetmann, Veli; Spichtinger, Daniel; Stroetmann, Karl A.; Thierry, Jean Pierre

doi:10.1007/11946465_44

Cited by 7 publications

(10 citation statements)

References 15 publications

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“…Over the years, in the context of national eHealth strategies in Europe, Canada, Australia, the United States, and other parts of the world, there have been numerous efforts and research initiatives to examine the effectiveness of HT for patients with chronic diseases as a potential cost-saving approach (eg, [8,9]). The Veterans Health Administration’s extensive home telehealth service in the United States [10] and the Whole System Demonstrator (WSD) program in the United Kingdom [11] are a few examples.…”

Section: Introductionmentioning

confidence: 99%

Systematic Reviews and Meta-Analyses of Home Telemonitoring Interventions for Patients With Chronic Diseases: A Critical Assessment of Their Methodological Quality

Kitsiou¹,

Paré²,

Jaana³

2013

J Med Internet Res

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BackgroundSystematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases have increased over the past decade and become increasingly important to a wide range of clinicians, policy makers, and other health care stakeholders. While a few criticisms about their methodological rigor and synthesis approaches have recently appeared, no formal appraisal of their quality has been conducted yet.ObjectiveThe primary aim of this critical review was to evaluate the methodology, quality, and reporting characteristics of prior reviews that have investigated the effects of home telemonitoring interventions in the context of chronic diseases.MethodsOvid MEDLINE, the Database of Abstract of Reviews of Effects (DARE), and Health Technology Assessment Database (HTA) of the Cochrane Library were electronically searched to find relevant systematic reviews, published between January 1966 and December 2012. Potential reviews were screened and assessed for inclusion independently by three reviewers. Data pertaining to the methods used were extracted from each included review and examined for accuracy by two reviewers. A validated quality assessment instrument, R-AMSTAR, was used as a framework to guide the assessment process.ResultsTwenty-four reviews, nine of which were meta-analyses, were identified from more than 200 citations. The bibliographic search revealed that the number of published reviews has increased substantially over the years in this area and although most reviews focus on studying the effects of home telemonitoring on patients with congestive heart failure, researcher interest has extended to other chronic diseases as well, such as diabetes, hypertension, chronic obstructive pulmonary disease, and asthma. Nevertheless, an important number of these reviews appear to lack optimal scientific rigor due to intrinsic methodological issues. Also, the overall quality of reviews does not appear to have improved over time. While several criteria were met satisfactorily by either all or nearly all reviews, such as the establishment of an a priori design with inclusion and exclusion criteria, use of electronic searches on multiple databases, and reporting of studies characteristics, there were other important areas that needed improvement. Duplicate data extraction, manual searches of highly relevant journals, inclusion of gray and non-English literature, assessment of the methodological quality of included studies and quality of evidence were key methodological procedures that were performed infrequently. Furthermore, certain methodological limitations identified in the synthesis of study results have affected the results and conclusions of some reviews.ConclusionsDespite the availability of methodological guidelines that can be utilized to guide the proper conduct of systematic reviews and meta-analyses and eliminate potential risks of bias, this knowledge has not yet been fully integrated in the area of home telemonitoring. Further efforts should be made to improve the design, cond...

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Section: Introductionmentioning

confidence: 99%

Systematic Reviews and Meta-Analyses of Home Telemonitoring Interventions for Patients With Chronic Diseases: A Critical Assessment of Their Methodological Quality

Kitsiou¹,

Paré²,

Jaana³

2013

J Med Internet Res

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“…By utilizing this model, it is possible to collect and reuse information produced by numerous content producers. Semantic interoperability can be achieved by using a reference terminology model, a standardized clinical terminology system, and knowledge modeling, such as metadata that connects the two [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Development of Health Information Search Engine Based on Metadata and Ontology

2014

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ObjectivesThe aim of the study was to develop a metadata and ontology-based health information search engine ensuring semantic interoperability to collect and provide health information using different application programs.MethodsHealth information metadata ontology was developed using a distributed semantic Web content publishing model based on vocabularies used to index the contents generated by the information producers as well as those used to search the contents by the users. Vocabulary for health information ontology was mapped to the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT), and a list of about 1,500 terms was proposed. The metadata schema used in this study was developed by adding an element describing the target audience to the Dublin Core Metadata Element Set.ResultsA metadata schema and an ontology ensuring interoperability of health information available on the internet were developed. The metadata and ontology-based health information search engine developed in this study produced a better search result compared to existing search engines.ConclusionsHealth information search engine based on metadata and ontology will provide reliable health information to both information producer and information consumers.

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“…In general, interventional studies have shown that PHR use may significantly help patients engage preventive health care, like vaccinations [12] or mammography [13], or decrease patient-related problems, like medication discrepancies [14]. The importance of PHRs and eHealth and its impact especially on patient safety and risk management has also been underlined [15,16]. However, when it comes to medical conditions, results concerning the effect of PHR use on patient health quality measures (e.g.…”

Section: Introductionmentioning

confidence: 99%

Personal health records in the preclinical medical curriculum: modeling student responses in a simple educational environment utilizing Google Health

et al. 2012

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BackgroundVarious problems concerning the introduction of personal health records in everyday healthcare practice are reported to be associated with physicians’ unfamiliarity with systematic means of electronically collecting health information about their patients (e.g. electronic health records - EHRs). Such barriers may further prevent the role physicians have in their patient encounters and the influence they can have in accelerating and diffusing personal health records (PHRs) to the patient community. One way to address these problems is through medical education on PHRs in the context of EHR activities within the undergraduate medical curriculum and the medical informatics courses in specific. In this paper, the development of an educational PHR activity based on Google Health is reported. Moreover, student responses on PHR’s use and utility are collected and presented. The collected responses are then modelled to relate the satisfaction level of students in such a setting to the estimation about their attitude towards PHRs in the future.MethodsThe study was conducted by designing an educational scenario about PHRs, which consisted of student instruction on Google Health as a model PHR and followed the guidelines of a protocol that was constructed for this purpose. This scenario was applied to a sample of 338 first-year undergraduate medical students. A questionnaire was distributed to each one of them in order to obtain Likert-like scale data on the sample’s response with respect to the PHR that was used; the data were then further analysed descriptively and in terms of a regression analysis to model hypothesised correlations.ResultsStudents displayed, in general, satisfaction about the core PHR functions they used and they were optimistic about using them in the future, as they evaluated quite high up the level of their utility. The aspect they valued most in the PHR was its main role as a record-keeping tool, while their main concern was related to the negative effect their own opinion might have on the use of PHRs by patients. Finally, the estimate of their future attitudes towards PHR integration was found positively dependent of the level of PHR satisfaction that they gained through their experience (rho = 0.524, p <0.001).ConclusionsThe results indicate that students support PHRs as medical record keeping helpers and perceive them as beneficial to healthcare. They also underline the importance of achieving good educational experiences in improving PHR perspectives inside such educational activities. Further research is obviously needed to establish the relative long-term effect of education to other methods of exposing future physicians to PHRs.

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ICT for Patient Safety: Towards a European Research Roadmap

Cited by 7 publications

References 15 publications

Systematic Reviews and Meta-Analyses of Home Telemonitoring Interventions for Patients With Chronic Diseases: A Critical Assessment of Their Methodological Quality

Systematic Reviews and Meta-Analyses of Home Telemonitoring Interventions for Patients With Chronic Diseases: A Critical Assessment of Their Methodological Quality

Development of Health Information Search Engine Based on Metadata and Ontology

Personal health records in the preclinical medical curriculum: modeling student responses in a simple educational environment utilizing Google Health

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