Stroke Teleconsultation - Paul McCullagh
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The document discusses a study on using teleconsultation for stroke patients via videoconferencing. Ratings from patients on comfort, ease of use and preference for home teleconsultations were positive. However, clinicians' ratings of acceptability and usefulness were mixed, as lower bandwidth led to lost connections or poor quality affecting examinations. While teleconsultation was feasible with good internet access, unreliable transmission rates were a limitation. Current 3G coverage outside major areas also limits the approach.
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This document provides information on teleconsultation including its definition, types, examples, and implementation in various medical fields. It discusses two main types of teleconsultation - real-time (synchronous) and delayed (asynchronous). Real-time uses live video conferencing while delayed uses stored digital files sent electronically. Examples provided are telepsychiatry and teleradiology. The document also summarizes teleconsultation networks implemented in radiation medicine, Malaysia, and specific networks for telecardiology, teledermatology, and teleradiology. Finally, it outlines strategies for future upgrades to infrastructure, connectivity speed, software, and devices.
Pvcs For Telemedicine
Peoplelink Corporate solutions Pvt ltd is an Indian based It Telecom product development company has launched a Video conferencing solution which uses Software based codec’s and can be accessible from any Laptop/desktop from any where at any time, hence this is a software based video conferencing solution this saves 75% cost on the investment for video conference infrastructure also it saves the recurring cost to the band width.
Teleconsultation
The document discusses teleconsultation, which involves using electronic communications to provide medical expertise to areas without readily available expertise. There are two types: synchronous uses live video conferencing, while asynchronous stores and forwards medical information digitally. Examples provided include telepsychiatry using live video between patient and psychiatrist, and tele radiology where an x-ray is scanned, sent digitally to a radiologist, and diagnosis returned without patient travel. The document also summarizes Malaysia's national teleconsultation network in neurosurgery, radiology, cardiology and dermatology using these techniques.
Telemedicine
Telemedicine is defined as using telecommunications to provide healthcare remotely by sharing medical information and expertise over distances. It involves transferring various medical data like images, sounds, and patient records via internet, intranet, computers, and telephone lines. Some key applications of telemedicine include teleconsultation, telemonitoring of patients, telediagnosis, and tele-education of medical practitioners. While telemedicine provides benefits like improved access to care and cost savings, its adoption faces challenges due to issues around technology infrastructure, licensing, and patient acceptance of remote healthcare.
Broadband adoption in Thailand : A Quantitative Study in Mea Fah Luang Unive...
Broadband adoption in Thailand : A Quantitative Study in Mea Fah Luang University.
การยอมรับบรอดแบนด์ในประเทศไทยของนักศึกษามหาวิทยาลัยแม่ฟ้าหลวง
การนำเสนอ.
วิทยานิพนธ์นี้เป็นส่วนหนึ่งของการศึกษาตามหลักสูตรวิทยาศาสตร์มหาบัณฑิต สาขาวิชาการบริหารเทคโนโลยีวิทยาลัยนวัตกรรม มหาวิทยาลัยธรรมศาสตร์ พ.ศ.2555
โดย นพดล เทียมนรา
F07013840
This document discusses the use of tele-ophthalmology and telemedicine in rural areas to improve access to eye care. It describes how tele-ophthalmology works by connecting doctors at urban hospitals to patients in rural vision centers using videoconferencing and image sharing technology. The benefits discussed include increased access to specialty care for rural populations in a more cost-effective manner by reducing travel costs and time. Challenges like infrastructure and connectivity issues are also mentioned. Overall, the document argues that tele-ophthalmology can help deliver quality eye care services to rural communities.
C-14 BM 506 UNIT IV.pptx
Tele-medicine allows physicians to provide clinical care to patients over a distance using telecommunications technology. It has applications in various medical specialties like radiology, cardiology, and dermatology. Tele-medicine improves access to specialized healthcare for rural and remote populations by enabling remote consultations, diagnoses, and treatments. It reduces costs for patients and the healthcare system by lowering travel expenses and physician fees. While tele-medicine has benefits, it also raises issues regarding licensing, liability, and malpractice that require consideration.
Information technology in medical field
Information technology is increasingly being used in healthcare at all levels of the community. Recent times have seen many nursing education programs offered online. There are two main types of online education - store and forward which transfers information between locations, and face-to-face programs using video conferencing. Technologies like email, digital photography, teleradiology, telepathology, and videoconferencing allow for fast, reliable, and economical communication of health information worldwide. These technologies make sharing images and data easier and reduce costs while increasing access to specialty care for rural populations. However, there are also challenges to greater telehealth adoption like physician licensing across borders and lack of infrastructure in some rural areas.
Introduction to Telepsychology Part 2
This document outlines key aspects of providing telepsychology services discussed in Part 2 of an introduction to telepsychology presentation. It defines important telepsychology terms and highlights that psychologists must understand definitions, technology like bandwidth, and the platform they are using. They must also follow standards of care for assessment, treatment and managing emergencies when providing remote services. The document emphasizes that telepsychology requires ongoing evaluation of a patient's suitability and that services must meet the same standards as in-person care.
Telemedicine1
Telemedicine, Telemedicine in Nursing, Telesurgery, telenursing, Medical Informatics, Role of Nurse in Telemedicine,
Enabling Technology to Improve Quality and Efficiency
In many areas of our lives we are living in a digital age ‐ we shop online, bank online and use social networking tools. The possibilities for digital healthcare are exciting, innovative but for some reason slow to implement. The session will provide current and future examples of the use of technology as an enabler to deliver quality services more efficiently and discuss what is stopping us embracing the opportunities available.
Wireless technology
The document presents the results of a survey about understanding and use of wireless technology. It finds that half of participants have an excellent understanding of wireless technology gained mostly through school and the internet. Television and phones are the most frequently used wireless devices. While most feel wireless technology benefits business, some are concerned about privacy and reduced face-to-face communication. Issues like unstable wifi and inaccurate location services were also cited. The document concludes that exposure to wireless technology positively correlates with understanding, and that further improvements could address user inconveniences.
Telehealth communications
Telehealth Communications. A presentation for Jacksonville University School of Nursing, by Jennifer Burk and Christy Cline
Healthcare: The Importance of the "Last Mile"
This document discusses telehealth resources and perspectives from various organizations. It provides an overview of gpTRAC which offers telehealth toolkits, training, and consulting. It also discusses the patient and provider perspectives on telehealth from Altru Health and Allina Health. This includes how telehealth is used for various specialties, connecting with providers, and the technology involved. Broadband access and availability is also addressed as an important factor for telehealth, especially in rural areas which often have physician shortages.
Telenephrology
Heavily based on a presentation I gave for the CMS 2020 National Quality Forum. Emphasis is on dialysis (particularly home dialysis). Discusses regulatory framework, medical devices used to render the services and outcomes of studies performed to day
Sprint 4G for Healthcare
This document discusses how 4G networks from Sprint can help improve healthcare by enabling faster transmission of medical data and video. Key capabilities include virtual consultations between doctors across locations, broadcasting live surgeries, remote monitoring of patients, and faster transmission of clinical trial data and medical images. The document claims 4G networks can increase speeds up to 10 times faster than 3G and help healthcare organizations improve staff productivity and enhance patient care through more efficient delivery of information.
Rehana Zakia (063411056)
This document provides an overview of the design and implementation of a wireless IP telephony system for telemedicine services in Bangladesh. It discusses:
1. The history and components of telemedicine and how IP telephony works.
2. The proposed design of a prototype wireless IP telephony system for telemedicine, which would enable integrated voice and data transmission for flexible medical services.
3. Some of the technical problems and economic aspects of implementing such a wireless IP telemedicine system, as well as the benefits to patients, practitioners, and telemedicine services.
telemedicine and telenursing.pptx
Telemedicine uses telecommunication technologies to provide healthcare services from a distance. It helps increase access to services, especially for remote populations. The objectives of telemedicine include providing high quality care, saving time for providers and patients, and reducing costs. Common telemedicine technologies include integrated services digital networks, T1 lines, and plain old telemedicine. Telemedicine is used in areas like teleconsultations, telediagnosis, teletreatment, teleeducation, and telemonitoring. It faces challenges with reimbursement, licensing, privacy, infrastructure, and end user issues. Telenursing similarly uses technologies like the internet, computers, phones, and monitoring equipment to assess, plan, intervene, and evaluate nursing care from a distance.
Ubuntu for users full version nov11
Ubuntu is a proposed telemedicine program to connect nuclear physicians trained in South Africa back to their home countries in Africa. It would allow them to share patient data, receive remote expert opinions, and participate in continuing medical education activities through cloud computing. The key aspects of the program are:
1) Nuclear physicians could securely upload patient imaging data and clinical information to a central server for remote interpretation and consultation.
2) Experts at universities in South Africa would be able to view the data and provide reports or advice through secure, anonymized channels.
3) The system would be managed by an external contractor to ensure privacy, data security, and quality control of the telemedicine services.
4) The goal is to help
ION Bangladesh Keynote - Potential of Indigenously Developed Telemedicine usi...
ION Bangladesh Keynote - Potential of Indigenously Developed Telemedicine usi...Deploy360 Programme (Internet Society)
Dr. Khondkar Siddique-e-Rabbani (Department of Biomedical Physics & Technology, University of Dhaka) presents the ION Bangladesh Keynote on telemedicine. Similar to Stroke Teleconsultation - Paul McCullagh (20)
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Software As Device - Frank Maxwell
1. The document analyzes how software would be classified under the EU Medical Device Directive and the US Medical Device Data Systems regulation by applying them to a private hospital's software catalog.
2. There are significant differences in how software would be classified under each regulation. The EU regulation considers more software to be medical devices than the US regulation.
3. If bespoke healthcare IT is developed, the hospital could be considered a medical device manufacturer under the EU regulation but not necessarily under the US regulation.
4. Further research is needed on how complementary standards and guidelines could apply, how software evaluation and vendor selection may differ between public and private institutions, and how regulations apply to software in general practitioner offices.
Real Life In Real Time - Shimmer Research
Shimmer is a wireless sensor platform that allows users to record and transmit physiological and kinematic sensor data from small, lightweight, low power sensors. It enables interaction with the environment and can integrate with other technologies. Shimmer sensors are used in research areas like biomechanics, aging in place, remote patient monitoring, and rehabilitation. Shimmer works with partners in healthcare, sports, marine, networking and other industries.
Recommendations For Unique Health Identifiers - Tracy O'Carroll
1. The document recommends introducing unique identifiers for healthcare practitioners (HPI) and organizations (HOI) in Ireland to improve quality, safety, and information sharing in healthcare.
2. It proposes establishing a central registry containing HPIs and HOIs based on an international standard (ISO/TS 27527) and assigning a government agency to govern and maintain it.
3. The HPI and HOI should be phased in, with professional regulatory authorities regularly uploading practitioner data to the central registry.
Recognising Human Factors In Evaluating User Interfaces In Healthcare - Bridg...
The document presents a study that evaluated the usability of electronic patient record (EPR) systems in two hospital wards using Nielsen's usability heuristics and NASA TLX workload measures. Users completed questionnaires over 5 days. Results showed usability varied over time and workload increased towards the end of shifts. The study concludes that usability evaluation methods in healthcare need to account for context of use, workload, and task issues to provide more informative results. Human factors should be incorporated into healthcare system evaluations.
Raising The Level Of ICT Knowledge and Skills In The HSC - Paul Comac
The document discusses raising ICT knowledge and skills in the health sector. It outlines the background and aims of the HSC ICT training strategy, which recognizes the importance of ICT skills for professionals. The strategy's objectives include establishing informatics as a core element of professional education, supporting ICT skills development in primary care, identifying accredited qualifications, establishing mechanisms to develop the ICT agenda, and providing training support for key ICT infrastructure projects. While competing priorities have made ICT a lower priority, the strategy acknowledges the importance of ICT training for professional development. Improving staff ICT knowledge and skills is crucial to implementing the strategy and realizing the potential of ICT.
Progress With Professionalism - Jean Roberts
The document summarizes a workshop on progress with professionalism in health informatics. It discusses the workshop format which included perspectives from health informatics, IT, other health professions, and academics. The vision is for health informatics to be recognized as a valued profession globally by defining standards, maintaining a register of professionals, and assuring processes. The overarching challenge is for all those spending substantial time in health informatics to be registered and meet standards of conduct and competence on an ongoing basis. Specific issues to consider include scope, senior buy-in, priorities, risk perception, pace of change, and self-worth in the field.
Professional Development Of Health Informatics In Northern Ireland - Paul Mc ...
1. The document discusses the professional development of health informatics in Northern Ireland through a postgraduate computing course. It aims to provide both the core computing concepts and knowledge of specialized health informatics systems needed in the healthcare industry.
2. Students found the course demanding both academically and in its professional assessment requirements. The workload was exacerbated by the fast changing landscape of health informatics. However, a major benefit was the establishment of a health informatics community among students and graduates.
3. There are recommendations to extend such educational provisions to non-specialists through short courses that provide continuing professional development and academic credits. This could help improve the quality of healthcare delivery through better use of information and patient experience.
Patient Journey Record(pajr) - Jing Su
1) The PaJR system uses telephone surveys and machine learning to predict avoidable hospitalizations for at-risk patients.
2) Most hospital admissions involve older patients with multiple chronic conditions, and are difficult to predict using traditional methods.
3) The PaJR approach uses non-clinical callers to regularly survey patients, asks questions predictive of deterioration, and intervenes early through alerts to prevent expensive hospitalizations.
4) PaJR has developed a machine learning model using decision trees that can predict unplanned health events and self-rated health from the survey responses with high accuracy.
Nursing Clinical Informatics - Suzanne Brown
This document provides an overview of systems used by nursing staff at a large Dublin hospital. It discusses the hospital background and facilities. It then summarizes the key systems used, including the electronic patient record system called PatientCentre, nurse specialist referral systems, patient document viewing, nursing discharge summaries, and rostering and staff management systems. The document concludes by noting that many new initiatives are underway and looks forward to a busy 2012.
NI Electronic Care Record - Des O'Loan
The document discusses the development and findings of a pilot Electronic Care Record (ECR) project in Northern Ireland. The key points are:
1) The pilot integrated clinical information from 16 existing health systems and allowed clinicians to access patient data via a single login.
2) Evaluation found the ECR improved clinical outcomes and decision making. 97% of users were satisfied with ease of use and found it useful.
3) The pilot demonstrated that a regional ECR is achievable and could help improve patient safety, quality of care and reduce costs across Northern Ireland.
NHS Scotland Ehealth Strategy - Alan Hyslop
This document summarizes Scotland's approach to eHealth and strategy for a national electronic health record system. Some key points:
- Scotland has a federated health system with 14 regional health boards and over 1000 GP practices.
- The strategy focuses on incremental improvements, partnerships, and ensuring the right information is available to clinicians.
- Key early successes included a unique patient ID, online test results, and a national emergency care summary covering 99.9% of the population.
- Future areas of focus include electronic records for palliative care patients and a "key information summary" to facilitate coordinated care across providers.
Multidisciplinary Team Experience In The Incorporation Of Pacs And Realtime E...
The multidisciplinary team (MDT) at St. James's Hospital experienced significant increases in workload due to the implementation of PACS, electronic patient records, and an increase in patient referrals. To accommodate the workload, the MDT increased meeting time from 1 to 1.5 hours and was able to discuss 24 patients per hour compared to 14 previously. They coped through strategies like grouping similar cases, prioritizing, and incorporating electronic record keeping into their meetings. However, this reduced time spent reviewing images and clinical summaries for each patient.
Medical Clinic - Daragh O Brien
This document summarizes the findings of a data protection and quality review at a medical clinic. It identifies some positive aspects but also notes 12 areas of concern and 6 critical risks to compliance. Recommendations include formalizing governance structures and policies, role-based access controls, training programs, and transitioning project management practices to ongoing governance. Implementing these changes would help ensure all staff properly handle private patient data in accordance with regulations.
Making Sense Of Ubiquitous Health Information A Cross Generational Study - Ka...
This study examined how individuals across generations perceive emerging health technologies that collect and share personal health information. Younger adults saw value in sharing to motivate each other and craft their online identities. Middle-aged adults were open to sharing within existing social circles. Older adults preferred sharing only with family and for research purposes rather than broadcasting. Designers need to consider these generational differences in privacy concerns, social relationships, and how technology metaphors are understood differently by age.
Lessons Learnt From The Evaluation Of Reminding Aids - Chris Nugent
1) The document evaluates the use of video reminders on mobile phones to support independence for people with mild dementia.
2) Testing involved 40 participants over 403 days and found that most reminders were acknowledged on the first attempt, with low numbers of missed reminders.
3) Feedback was generally positive, though some found the phone too heavy or embarrassing in public. Success depended on personalization and carer support.
Lessons From Abroad - James Brennan
This document provides information about James Brennan, including his qualifications and areas of research experience over 20 years in e-Health projects across various sectors. It also includes data on the types and numbers of publications Brennan has contributed to. Tables show adoption rates of electronic health records and e-prescribing in different countries. Key factors for successful national e-Health programs in leading countries are identified. While Ireland lags in these areas, recent policy developments are moving the country in a positive direction.
Integrating Mobile Phones In Wearable Robots - Muthukumaran Thangaramanujam
The document discusses integrating mobile phones into wearable rehabilitation robots to enable physiological monitoring of patients. It proposes that a mobile phone could be linked to a wearable robot to allow clinicians to remotely monitor a patient's heart rate, movement, and other vital signs during home rehabilitation exercises. This would help ensure patient safety and allow clinicians to track recovery progress from a distance. The document reviews the evolution of rehabilitation robotics and various robotic devices used in physical therapy before discussing the need for integrated physiological monitoring.
Innovative Technologies In Community Care - Allan Turner
The document discusses innovative technologies in community care in Australia. It notes that the Australian population is aging, with more people over 65. This is increasing demand for community care services to support independent living for the elderly. New models are needed to meet this growing need given constraints on funding and caregiver support. The organization Silver Chain provides various community care programs using a software system called ComCare to schedule services, record care delivery, and support clinical management of clients.
Innovation And Development - Mel Mc Intyre
This document discusses open source software, open standards, open commons, and open data fueling collaboration and innovation in health data. It notes that many countries are taking positions on standards for open source software. Open data seems to have more community energy currently. Popular development tools and frameworks mentioned include Ruby, Python, Drupal, Linux, Apache, PHP, and Javascript tools. Some example applications and support libraries using these open source technologies are also listed.
Improving Quality And Reducing Cost In Healthcare The Role Of Information And...
The document discusses using information technology to improve healthcare quality and reduce costs. It argues that applying information and technology can reduce costs, improve access, and improve quality. It then provides examples of healthcare budget cuts in several countries due to fiscal pressures. The document also discusses using data and evidence-based practices, clinical decision support, and engaging patients to help drive cost reductions and improve outcomes.
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Alt. GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using ...
Alt. GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using ...
Communications Mining Series - Zero to Hero - Session 1
Communications Mining Series - Zero to Hero - Session 1
Large Language Model (LLM) and it’s Geospatial Applications
Large Language Model (LLM) and it’s Geospatial Applications
Climate Impact of Software Testing at Nordic Testing Days
Climate Impact of Software Testing at Nordic Testing Days
みなさんこんにちはこれ何文字まで入るの？40文字以下不可とか本当に意味わからないけどこれ限界文字数書いてないからマジでやばい文字数いけるんじゃないの？えこ...
みなさんこんにちはこれ何文字まで入るの？40文字以下不可とか本当に意味わからないけどこれ限界文字数書いてないからマジでやばい文字数いけるんじゃないの？えこ...
Stroke Teleconsultation - Paul McCullagh
- 1. STROKE TELECONSULTATION Paul McCullagh 1 , Michael Power 2 , Belinda Wroath 2 , Pat Lundy 1 , Mark Beattie 1 , Shumei Zhang 1 1 School of Computing & Mathematics, University of Ulster, UK 2 Ulster Hospital, South Eastern Trust, Northern Ireland, UK
- 6. Stroke initiatives A&E Consultant Consultant HCP
- 9. Coverage
- 11. Broadband Speeds BBC survey, August 2011 South Eastern Trust, Northern Ireland
- 12. Technical Trials
- 13. Upload and download data transmission rate changed during a videoconference. This data transmission rate determines the video and audio quality; lost connection some times during a videoconference Variation in Speeds
- 14. Image quality reduces when the person is moving (compared to static), although the data transmission rates are similar Image Quality
- 16. Patient Interaction Interaction: History, symptoms, medication, BP, face close up, walking Next appointment The study received a favorable ethical opinion from ORECNI (09/NIR03/84) Any interaction with the patient preserves his/her anonymity and data is stored securely without any patient identifiers All information regarding the consultation process is stored in a secure patient administration system in the hospital Technical information regarding the consultation is held by the university researchers
- 17. 1 = poor, 2 = ok, 3 = good, 4 = very good, 5 = excellent; Initial Results ID Date Area 3G bandwidth (kbit/s) WiFi Quality From patients From clinicians Patient’s home Hospital Video Audio Comf. Ease Pref. Acce. Usef. Limitations Up. Down. Up. Down. 1 08/06/10 Urban 605 1448 4 5 Yes Yes Yes Yes 3 Slight delay between image/sound. 2 27/07/10 Rural No signal 3 20/10/10 Urban No signal 4 24/11/10 Urban 1448 1256 4 4 Yes Yes Yes Yes 5 Unpredictable coonection 5 09/02/11 Urban 14258 26416 Yes Yes Yes Yes Yes 4 6 14/02/11 Urban 331 1848 4 4 Yes Yes Yes Yes 4 7 31/03/11 Urban No signal 8 Urban 9 16/06/11 Urban 864 3000 4 5 Yes Yes Y/N Yes 4 10 Rural No signal 11 16/06/11 Urban 1474 1112 5 5 Yes Yes Yes Yes 4 Examination possible 12 Urban 13 13/06/11 Urban 1100 4000 4 5 Yes Yes Y/N Yes 4 Lag, jerky 14 Urban 15 21/07/11 Urban 1321 1920 230 390 5 5 Yes Yes Yes Yes 16 26/07/11 Urban 662 1176 1444 1488 4 4 Yes Yes Y/N Yes 5 Signal strength 17 27/07/11 Urban 1471 1032 1172 2168 5 5 Yes Yes Yes Yes 4 Examination possible 18 03/08/11 Urban WiFi 1071 1608 Yes 5 4 Yes Yes Yes Yes 5 Used WiFi. Echo 8152 910 19 20 21 22 23 24
- 19. Assessment Role Assessment Patient Was the equipment intrusive/acceptable? Were you able to understand hospital consultant? How easy was equipment for communicating/responding to hospital consultant? What was the overall comfort with/acceptability of the procedure? Was there satisfaction with arrangements for the teleconsultation? Preference for teleconsultation as opposed to travelling for a hospital appointment? Primary Care Team What was the acceptability/intrusiveness of equipment? How was communication with hospital consultant? Was there a benefit of consultant availability Were there specific limitations of the teleconsultation process? Any problems arranging the teleconsultation with patient and consultant? Consultant How was the communication with patient? How was the communication with technology team? Did the consultation permit review of patient progress? Were there specific limitations of the teleconsultation process? What were the problems with arrangements? Technical Team Was there a wired Internet/wireless Internet/ in addition to the 3G connection How Easy was it to establish the connection? Were there service interruptions? What was the perceived transmission quality (lag/screen freeze etc.) What were the data transmission bit rates upstream /downstream
Editor's Notes
- http://www.broadbandspeedchecker.co.uk OnlineEye Pro