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Creating the Moorfields’ virtual eye casualty: video consultations to provide emergency teleophthalmology care during and beyond the COVID-19 pandemic

[ad_1] Discussion In recent years, virtual consultations have gained popularity, both within the NHS and commercially. A study by GPs in 2019 found that video consultations appeared suitable for simple presentations.3 Patients were more confident using virtual methods if the consultation was a follow-up and if they had received a diagnosis previously.4 Virtual clinics in ophthalmology are not new; in

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Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study

[ad_1] Discussion This study confirms that MAEs are a frequent occurrence in hospitals, with a baseline clinical MAE rate of 30.2%. This rate is at the higher end of the range of those previously reported, with a systematic review of 52 direct observational studies finding a median error rate of 19.6% (IQR 8.6%–28.3%) of medication administrations with at least one

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Why digitally-enabled health system transformation needs different forms of innovation

[ad_1] Health systems face major challenges, including an ageing multimorbid population and the need to deliver a greater array of interventions with finite resources.1 If health systems are to continue to be able to cater for the populations they serve, they will need organisational, service and social innovation as well as product innovation. Policymakers, particularly in high-income countries, recognising the

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Ten years at the service of consumer safety in Europe: over 600 analytical methods for cosmetics testing, 20 studies, 50 laboratories and more expected to join

Ten years at the service of consumer safety in Europe: over 600 analytical methods for cosmetics testing, 20 studies, 50 laboratories and more expected to join

[ad_1] The experts of the European Committee for Cosmetics and Consumer Health (CD-P-COS) and the members of the Network of Official Cosmetics Control Laboratories (OCCLs) held a virtual meeting on 22 and 23 June to define steps for advancing consumer protection in Europe and for reinforcing cross-border co-operation and independent cosmetics testing. The meeting also marked the 10th anniversary of the

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Developing the infrastructure to support the optimisation of antibiotic prescribing using the learning healthcare system to improve healthcare services in the provision of primary care in England

[ad_1] Discussion This work focused on developing the infrastructure to support optimisation of antibiotic prescribing in primary care in England using a learning health system. To date, this project has successfully developed and implemented a trustworthy system within the HSCN capable of extracting and processing patient-level deidentified data and fed back actionable results to individual practices. In contrast to traditional

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Limited evidence of benefits of patient operated intelligent primary care triage tools: findings of a literature review

[ad_1] Results The search strategy yielded 17 included articles; these varied widely in terms of quality, type, size of study population, methods and conflicts of interest (online supplementary table S2). It was difficult to distinguish clearly between online triage and other features like e-consultation since systems like ‘eConsult’ also contain a built-in triage function where initial decisions are taken by

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Extending an open-source tool to measure data quality: case report on Observational Health Data Science and Informatics (OHDSI)

[ad_1] Observational Health Data Sciences and Informatics (OHDSI) OHDSI (pronounced ‘Odyssey’) is a multistakeholder, interdisciplinary collaborative to bring out the value of health data through large-scale analytics.11 The OHDSI collaborative consists of researchers and data scientists across academic, industry and government organisations who seek to standardise observational health data for analysis and develop tools to support large-scale analytics across a

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Predicting no-shows in paediatric orthopaedic clinics

[ad_1] Discussion This large EHR database identified a relatively high overall rate of NS for the paediatric orthopaedic population, with 8.5 out of 100 patients missing their appointments. Days between scheduling and attending the visit, type of insurance payor, and the type of clinic all seem to have some predictive value in identifying potential families at risk for NS. These

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Literature review: technological interventions and their impact on quality of life for people living with dementia

[ad_1] Determining the quality of life for a person living with dementia Determining quality of life is a difficult task due to the subjectivity and individuality involved. This challenge is exacerbated as a person’s opinion of their own quality of life adapts along with cognitive diseases such as dementia,12 with changing priorities through the progression of the disease.13 For example,

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Cerebral palsy information system with an approach to information architecture: a systematic review

[ad_1] Introduction Cerebral palsy (CP) refers to a complex and multidimensional group of non-progressive but stable disorders in movement and posture experienced as a result of a neural lesion in the course of brain development (during the fetal period, birth, infancy and childhood).1 These disorders can affect all aspects of children’s development throughout their life.2 CP is often accompanied by

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Design and implementation of the stacked, synchronised and iconographic timeline-structured electronic patient record in a UK NHS Global Digital Exemplar hospital

[ad_1] Discussion We have developed UHSL from the original Maryland concept, with a very small, self-assembling team, with limited resources and with no prior commission or specifications. This has been a challenging, fascinating and rewarding exercise. The key lesson of our work on UHSL to date is that user need takes centre-field in the agile and iterative development process. By

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Patient and carer survey of remote vital sign telemonitoring for self-management of long-term conditions

[ad_1] Results The RVT service was designed to support care for patients with long-term conditions. TF3 was used to monitor diabetes, respiratory conditions, hypertension or CHF, U-Tell for INR/warfarin management. A total of 242 questionnaires were issued to patients (and carers) with the TF3 system; 81 (33.5%) patient and 48 carer questionnaires were returned. In addition, 32 questionnaires were issued

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Telehealth dashboard: leverage reporting functionality to increase awareness of high-acuity emergency department patients across an enterprise practice

[ad_1] Methods The display is driven by a single query, identifying active ED visits by selecting encounters with an ED arrival date/time and a null ED departure date/time within the electronic health record (EHR) application database. The query is re-submitted approximately every 5 min using a batch scheduling process as the principal data refresh mechanism. Query output volumes for the enterprise

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Evaluating the quality of voice assistants’ responses to consumer health questions about vaccines: an exploratory comparison of Alexa, Google Assistant and Siri

[ad_1] Abstract Objective To assess the quality and accuracy of the voice assistants (VAs), Amazon Alexa, Siri and Google Assistant, in answering consumer health questions about vaccine safety and use. Methods Responses of each VA to 54 questions related to vaccination were scored using a rubric designed to assess the accuracy of each answer provided through audio output and the

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Why is it so difficult to govern mobile apps in healthcare?

[ad_1] Mobile apps have become a convenient way to provide health information and communication services directly in the hands of clinicians and consumers. Apps can be used to support consumers in a variety of health tasks to manage chronic diseases, support lifestyle changes and in self-diagnosis. For clinicians, they can improve access to patient information and clinical decision support tools

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LAGOS: learning health systems and how they can integrate with patient care

[ad_1] Evaluation and discussion: the PamBayesian project LHS in the context of generating the Realistic Synthetic Electronic Health Record Accessing EHR for secondary use purposes such as data research, modelling and artificial intelligence training presents with challenges, notably: Attaining ethics approval for access to collections of EHR. Difficulty when consent is required from each individual patient. Over-reliance on anonymisation that

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Improved efficiency and patient safety through bespoke electronic thalassaemia care module

[ad_1] Abstract Objectives To investigate the impact of electronic medical record (EMR) on improvement of healthcare parameters in a thalassaemia centre located at the Fujairah Hospital, Fujairah, UAE. Materials and methods A hospital-wide EMR system (Wareed) was implemented across the hospitals in the Ministry of Health and Prevention, UAE, including two major thalassaemia centres. We aim to investigate the impact

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Growth of health literacy research activity in three Middle Eastern countries

[ad_1] Results Through 2005–2014, the USA was the leading country in the health literacy field in the world with 21 128 documents. Canada and the UK ranked second and third with 3592 and 3185 scientific outputs, respectively. The results of this study indicated that Middle Eastern countries published 839 scientific papers in the field of health literacy through 2005–2014. In terms

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Phishing in healthcare organisations: threats, mitigation and approaches

[ad_1] Discussion With improvements in cross-industry organisational cyber security hardware, software and policies, there is increasing use of targeted email communication (phishing) by potentially malicious persons. Healthcare organisations are increasingly moving to electronic patient record (EPR) systems and other digital systems,5 but healthcare professionals may have limited awareness of such threats, since most healthcare staff IT training focuses on ‘functional’

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mHealth and big-data integration: promises for healthcare system in India

[ad_1] Abstract Background The use of mobile devices in health (mobile health/mHealth) coupled with related technologies promises to transform global health delivery by creating new delivery models that can be integrated with existing health services. These delivery models could facilitate healthcare delivery into rural areas where there is limited access to high-quality access care. Mobile technologies, Internet of Things and

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Reliability of administrative data to identify sexually transmitted infections for population health: a systematic review

[ad_1] Methods To examine the existing literature on the validity of using administrative data to identify STI cases, we conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We performed a comprehensive search of the literature using the MEDLINE and Scopus databases for peer-reviewed articles published before February 2018. We limited the scope

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Technologies that transform: digital solutions for optimising medicines use in the NHS

[ad_1] Evidence suggests that technologies that handle information on medications may improve patient safety, increase service efficiency and contribute to the provision of high-quality patient care in the National Health Service (NHS), depending on their design and configuration for use by health providers. However, these systems also have the potential to contribute to transformation of the way in which services

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Characteristics of patients with body mass index recorded within the Kent Integrated Dataset (KID)

[ad_1] Abstract Background Obesity is a significant health issue and key public health priority. This study explored body mass index (BMI) recording in general practice within the Kent Integrated Dataset. Methods Using a sample aged 18–100 years, resident within Kent, who were alive and currently registered to a Kent general practice as of 6 August 2018 within the Kent Integrated

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e-Therapies in England for stress, anxiety or depression: how are apps developed? A survey of NHS e-therapy developers

[ad_1] Introduction While apps can have the potential to give great benefits, they also have the potential to cause physical, mental, reputational or financial harm to patients, healthcare professionals and their organisations if they are not evaluated for clinical safety. For example, an app may miscalculate a drug dose or give incorrect medical advice to a consumer or patient. National

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EDQM reports issues of non-compliance with tooth whitening products

EDQM reports issues of non-compliance with tooth whitening products

[ad_1] The quality of tooth whiteners and whitening strips was assessed in a Market Surveillance Study carried out in 12 European countries and completed in 2018 by the network of Official Cosmetics Control Laboratories (OCCLs), coordinated by the EDQM. The findings, based on the testing of 261 samples of tooth whitening products, indicated that a large number of products were

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