| 1. |
- Asmussen, L., et al.
(författare)
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The Experience of Healthcare Workers Following the Implementation of an IT-System in a Home for the Aged
- 2017
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Ingår i: Irish Journal of Medical Science. - : Springer. - 0021-1265 .- 1863-4362. ; 186:Suppl.4, s. S161-S161
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Tidskriftsartikel (refereegranskat)abstract
- We report on how health personnel at a home for the aged wereaffected by the introduction of an IT-system to help when nursedocumentation of patient activity and condition. The design of ITsystems for documentation by care-givers in healthcare is topicalbecause of the challenges posed by the need for high levels of safety,confidentiality and ethical responsibility. Health care staff work underextreme time-pressure including emergency situations. It is criticallyimportant to have IT-systems that are easy to use: to find informationand make records.This qualitative study utilises observation and interviews to gaindeep understanding. Observation data guide the interviews. Interviewswith nurses (10) and an IT analyst (1) are reported.Lack of time is a contributing factor as to why health personnel donot have a positive attitude to the use of IT documentation systems.Nurses feel that the lack of time does not afford them the opportunityto learn properly about the IT-system, and many of the staff haveworked with paper for over 20 years. It is also seen as a problem thatthere are many steps (clicks) before one can make a note or findinformation. One of the advantages reported with using IT-systems isthat all information is at one site. Everything is safety copied andconfidentiality is easier to secure.Using IT documentation systems facilitates the use of careplansthat are individualized for patient needs, instead treating all patientswith a particular disease, e.g. dementia, in the same way
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| 2. |
- Cheng, Chelsea, et al.
(författare)
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Transition to telehealth : Engaging medical students in telemedicine healthcare delivery
- 2022
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Ingår i: Irish Journal of Medical Science. - : Springer. - 0021-1265 .- 1863-4362. ; 191, s. 2405-2422
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Tidskriftsartikel (refereegranskat)abstract
- In recent years, telemedicine has been increasingly incorporated into medical practice, a process which has now been accelerated by the COVID-19 pandemic. As telemedicine continues to progress, it is necessary for medical institutions to incorporate telemedicine into their curricula, and to provide students with the necessary skills and experience to effectively carry out telemedicine consultations. The purposes of this study are to review the involvement of medical students with telemedicine and to determine both the benefits and the challenges experienced. A literature review on the MEDLINE; CINAHL Plus; APA PsychInfo; Library, Information Science and Technology Abstracts; and Health Business Elite databases was performed on September 7, 2020, yielding 561 results. 33 manuscripts were analysed, with the main benefits and challenges experienced by medical students summarized. In addition to increasing their understanding of the importance of telemedicine and the acquisition of telemedicine-specific skills, students may use telemedicine to act as a valuable workforce during the COVID-19 pandemic. Challenges that students face, such as discomfort with carrying out telemedicine consults and building rapport with patients, may be addressed through the incorporation of telemedicine teaching into the medical curricula through experiential learning. However, other more systemic challenges, such as technical difficulties and cost, need to be examined for the full benefits of telemedicine to be realized. Telemedicine is here to stay and has proven its worth during the COVID-19 pandemic, with medical students embracing its potential in assisting in medical clinics, simulation of clinical placements, and online classrooms.
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| 3. |
- Impey, S., et al.
(författare)
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Monitoring the Movement of Infection in Hospital : Is There Potential for RFID?
- 2015
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Ingår i: Irish Journal of Medical Science. - Dublin : Springer. - 0021-1265 .- 1863-4362. ; 184, s. S349-S349
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Tidskriftsartikel (refereegranskat)abstract
- Limiting the spread and effect of infections in hospital populations is a priority of healthcare providers. Approximately 1 in 20 in-patients develop a hospital acquired infection (HAI) in Ireland, and the rising prevalence of antibiotic-resistance strains forces a shift in focus from a curative to preventative approach to management.Addressing issues of infection control in hospital, this paper reviews the potential for radio frequency identification (RFID) to positively impact infection control. A retrospective analysis of patients’ movements through an interventional radiology department (IR) in a busy teaching hospital was conducted to examine infection and cross-infection potential in the course of routine working.A literature review was conducted and observations were recorded over a 4-week period. The number of infected patients was noted, along with time spent in establishing if an infection was present.Thirty-four of the 135 patients who visited IR were infected; MRSA infection was most common. The overall theme to emerge was that while information was available it was fragmented and not easily accessed which makes tracking the movement of infections throughout a hospital difficult.Potentially RFID can assist in limiting cross-contamination opportunities. Because RFID technology has the ability to establish an auditable list of contacts between staff and patients, a patient’s journey throughout an organisation can be retrospectively analysed. This information provided can then be used to identify other patients at risk and better inform the use of antibiotics. This ubiquitous approach also reduces time spent tracking infectious incidences.
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| 4. |
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| 5. |
- Ljung, R, et al.
(författare)
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Decrease in tramadol use started in 2011 in Sweden
- 2021
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Ingår i: Irish journal of medical science. - : Springer Science and Business Media LLC. - 1863-4362 .- 0021-1265. ; 190:4, s. 1643-1644
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 6. |
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| 7. |
- Pius, A., et al.
(författare)
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A Study of an Infant Tagging System in a Maternity Hospital in Practice
- 2015
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Ingår i: Irish Journal of Medical Science. - London : Springer. - 0021-1265 .- 1863-4362. ; 184
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Tidskriftsartikel (refereegranskat)abstract
- Protecting newborn babies from abduction is a major concern for maternity care providers. Three-hundred abductions were reported between 1983 and 2014 in USA [1]. Electronic infant tagging systems support infant security through monitoring, and surveillance. Despite the high cost of implementation and maintenance, this highly sensi- tive protection system generates false alarms, adding an unnecessary burden on healthcare professionals. Few studies so far examined in detail the problems associated with the false alarms generated by the infant protective system. In this study, we report an analysis of dif- ferent types of alarms generated, and issues associated with an infant tagging system in a major Maternity Hospital setting in the Republic of Ireland. With Hospital permission, false infant tags alarms were observed and recorded over 10 consecutive days. Midwives were asked their recommendation for improvement, and an economic analysis of the impact of false alarms was undertaken. A descriptive statistical analysis is used to examine different alarms. 13.4 h of infant tag alarms were generated in 279 occasions over the 10 days. Frequent false alarms contribute to alarm fatigue and mistrust of the infant tagging system. A well-managed infant tagging system could save €10,944 annually on one ward. This study prompted service improvement initiatives that included training, and technological modification, which reduced the false alarm rate.
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