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E-Health Systems Quality and Reliability: Models and Standards

Book Description

E-Health Systems Quality and Reliability: Models and Standards addresses the reason, principles and functionality of health and health care systems and presents a novel framework for revealing, understanding and implementing appropriate management interventions leading to qualitative improvement. It also provides evidence on the quality and reliability of telemedicine and reviews standards and guidelines for practicing medicine at a distance.

Table of Contents

  1. Copyright
  2. Editorial Advisory Board
  3. List of Reviewers
  4. Foreword
  5. Preface
  6. Acknowledgment
  7. 1. General Principles and Logic of Quality Management in Health and Healthcare
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Key Definitions
    4. HEALTH CARE IS A PRIVILEGE
      1. 1. Role and Effect of 'Reciprocal Altruism' and 'Game Theory' on Health Care Systems
      2. 2. Efficient Collaboration and Provision of Healthcare Services is Critically Dependent on Unselfish 'Psychological Altruists'
    5. HEALTH CARE IS A SCIENCE AND SKILL BASED ON COLLABORATION
    6. HEALTHCARE QUALITY IS A FUNCTION OF COMMUNICATION
      1. Needs Assessment: Fundamental Questions about Quality
      2. Semantics of Quality
      3. Systems Thinking
    7. A HEALTHCARE ORGANIZATION EXHIBITS ALL ATTRIBUTES OF A LIVING ORGANISM
      1. Concept of Winning
      2. Semiotics
    8. CONCLUSION
    9. REFERENCES
  8. 2. e3Health: Three Main Features of Modern Healthcare
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. e3Health CONCEPT
      2. e3Health: Information and Communication Technologies View
      3. e3Health: The Economics View
      4. e3Health: The environmental view
      5. Examples of e3health Applications
      6. Structured Electronic Health Record in Dentistry
      7. Formalized Electronic Clinical Guidelines
    4. CONCLUSION
    5. ACKNOWLEDGMENT
    6. REFERENCES
  9. 3. The European Perspective of E-Health and a Framework for its Economic Evaluation
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. THE EUROPEAN STRATEGY IN E-HEALTH
      1. European E-Health Research Projects
      2. Research Projects
        1. Bepro
          1. Enabling Best Practices for Oncology (IST-2000-25252 BP)
        2. Diaffoot
          1. Remote Monitoring of Diabetic Foot (IST-2001-TR 33281)
        3. E-Scope
          1. Digital Microscopy for Diagnostics and Data Integration in the Hospital (IST-2001-33294 BP)
        4. Ihelp
          1. Electronic Remote Operating Room (IST-2001-33269 BP)
        5. Prideh
          1. Privacy in Data Management for E-Health (IST-2001-TR 32647)
        6. Reshen
          1. Security in Regional Networks of Health (IST-2000-25354 BP)
        7. Screen-Trial
          1. Regional Secure Healthcare Networks (IST-2001-TR 33439)
        8. Spirit Priming
          1. The Virtuous Spiral for Healthcare: Implementing an Open Source Approach to Accelerate the Uptake of Best Practice and Improvement, Regional Healthcare Network Solutions (IST-2000-26162 BP)
        9. Stemnet
          1. Information Technology for the Transplantation of Stem Cells (IST-2000-26117 BP)
        10. Woman
          1. European Network of Services for the Health of Women (IST-2001-TR 32672)
      3. The Economic Evaluation of E-Health
    5. CONCLUSION
    6. REFERENCES
  10. 4. E-Health: A New Framework for the Patient-Physician Relationship
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Quality of Health Websites
      2. Solutions and Recommendations
    4. FUTURE RESEARCH DIRECTIONS
    5. CONCLUSION
    6. REFERENCES
  11. 5. E-Health: A Bridge to People-Centered Health Care
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. E-Health and People-Centered Care
        1. Citizen-Patient Empowerment
        2. Health Professionals-Health Authorities Support
    4. FUTURE RESEARCH DIRECTIONS
    5. CONCLUSION
    6. REFERENCES
    7. ADDITIONAL READING
  12. 6. ISO 15189:2007: Implementation in a Laboratory Information System
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. THE IMPLEMENTATION OF ISO 15189:2007 IN LABORATORY INFORMATION SYSTEMS
      1. Issues, Controversies, Problems
      2. Solutions and Recommendations
    5. FUTURE RESEARCH DIRECTIONS
    6. CONCLUSION
    7. REFERENCES
  13. 7. Safe Implementation of Research into Healthcare Practice through a Care Process Pathways Based Adaptation of Electronic Patient Records
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Care Process Pathways (CPP)
      2. Electronic Health Record implementation of Care Process Pathways
      3. Combating Adverse Events
      4. Care Process Change Cycle
      5. Implementing AND Managing Change
      6. Measuring Change
      7. Identifying Risk Potential
      8. Educational Aspects
      9. Technical Solution Description and Customisation Technology
      10. Advance that Care Process Pathways Would Bring Beyond the State of the Art
    4. CONCLUSION
    5. REFERENCES
  14. 8. Quality Assurance in Evidence-Based Medicine
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Evidence-Based Medicine (EBM)
      2. Quality Assurance of Medical Evidence
    4. SYSTEMS FOR QUALITY ASSURANCE OF EVIDENCE
      1. U.S. Preventive Services Task Force (USPSTF) System
      2. Oxford Centre for Evidence-Based Medicine (OCEBM) System
      3. American College of Chest Physicians (ACCP) System
      4. Scottish Intercollegiate Guidelines Network (SIGN) System
      5. Australian National Health and Medical Research Council (ANHMRC) System
      6. U.S. Task Force on Community Preventive Services (USTFCPS)
      7. Grade Working Group System
    5. CRITICISM OF METHODOLOGIES
    6. CONCLUSION
    7. REFERENCES
  15. 9. Quality and Reliability Aspects in Evidence Based E-Medicine
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. THE CUSTOMER
    5. COSTS
    6. QUALITY
      1. Quality Indicators
      2. Patient Safety
    7. EVIDENCE
    8. EVIDENCE BASED MEDICINE
    9. CONCLUSION
    10. ACKNOWLEDGMENT
    11. REFERENCES
  16. 10. Safety and Security in Professional and Non-Professional E-Health and Their Impact on the Quality of Health Care
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Safety and Security in Health Care
    4. CASE STUDIES
      1. Case Study 1: Medical Records
        1. Why?
      2. Case Study 2: Drug Name Confusion: Salagen and Selegiline (FDA show 48#9)
      3. Case Study 3: Mix-Ups between Insulin U-100 and U-500 (FDA show 79#1)
      4. Case Study 4: FDA/ISMP Campaign to Eliminate Dangerous Abbreviations (FDA show 53#8)
      5. Case Study 5: Recalls and Safety Alerts (FDA show 26#2)
      6. Case Study 6: FDA Clears Computer-Connected Glucose Meters (FDA show 7#2)
    5. SOLUTIONS AND RECOMMENDATIONS
    6. FUTURE RESEARCH DIRECTIONS
    7. CONCLUSION
    8. REFERENCES
  17. 11. Measuring Safety of Care
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. MEASURING METHODS USED TO SURVEY SAFETY OF CARE
      1. The Trigger Tool Method
      2. Measuring Patient Safety Culture
      3. Measuring Mortality Rates
      4. Sets of Patient Safety Indicators
    5. FUTURE RESEARCH DIRECTIONS
    6. CONCLUSION
    7. REFERENCES
  18. 12. An Information Technology Architecture for Drug Effectiveness Reporting and Post-Marketing Surveillance
    1. ABSTRACT
    2. INTRODUCTION
      1. Post-Marketing Surveillance
    3. PREVIOUS WORK
    4. DRUG EFFECTIVENESS REPORTING AND MONITORING SYSTEM
      1. Overview
      2. Key Processes
      3. System Architecture
      4. Critical Success Factors
      5. Factors Influencing Pharmacy Participation
    5. LIMITATIONS
    6. CONCLUSION
    7. REFERENCES
  19. 13. Exploring Linkages between Quality, E-Health and Healthcare Education
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. QUALITY AND E-HEALTH
      1. E-Health in Healthcare Settings
      2. Educational Linkages
    5. DIFFUSION, INTEGRATION AND BARRIERS
      1. Integration
      2. Barriers
    6. CONCLUSION
    7. REFERENCES
  20. 14. Gastrointestinal Motility Online Educational Endeavor
    1. ABSTRACT
    2. INTRODUCTION
      1. Evidence-Based Medicine
      2. Information Retrieval and Decision-Making
      3. Medical Information Repositories
    3. VISION AND GOALS FOR GASTROINTESTINAL MOTILITY ONLINE
      1. Site Purpose
      2. Site Audience
      3. Site Content
      4. Search Capabilities
    4. CONCEPTS AND INNOVATIONS
      1. Automation
    5. LESSONS LEARNED
    6. CURRENT USAGE AND FUTURE DIRECTIONS
    7. CONCLUSION
    8. ACKNOWLEDGMENT
    9. REFERENCES
  21. 15. An Evaluation of E-Learning in Healthcare
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. From Traditional to Collaborative Learning
      2. E-Learning and Quality Standards
      3. E-Learning and Virtual Learning Communities (VLCs) in the Healthcare Domain
    4. EVALUATION OF E-LEARNING
      1. Existing Models for Content Quality, the IMS Learning Design and the DIN Didactical Object Model
      2. Objectives and Scope of IMS Learning Design
      3. Objectives and Scope of DIN Didactical Object Model
      4. Interoperability Standards and Quality
      5. The Quality Standard for E-Learning ISO/IEC 19796-1
      6. Pedagogical Evaluation of Learning Content
      7. Pedagogical Evaluation of the Learning Process
      8. Quality Assessment in Self Supportive Healthcare Communities
      9. Quality Improvement Using the Supportive Structures
    5. FUTURE RESEARCH DIRECTIONS
    6. CONCLUSION
    7. REFERENCES
  22. 16. E-Health Communities for Learning Healthy Habits: How to Consider Quality and Usability
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. LEARNING THROUGH E-HEALTH COMMUNITIES
      1. Learning Healthy Habits
    5. FRAMEWORK FOR EVALUATING E-HEALTH COMMUNITIES
      1. Evaluating Community Dialogues from a Learning Perspective
        1. Different Types of Conversation Topics
        2. Different Types of Responses
      2. Evaluating Community Knowledge
    6. E-HEALTH COMMUNITY FOR LEARNING PURPOSES: A SUMMARIZED PICTURE
    7. FUTURE RESEARCH DIRECTIONS
    8. CONCLUSION
    9. REFERENCES
    10. ADDITIONAL READING
  23. 17. Standards in Telemedicine
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Redefinitions for 2009
    4. ROBOTICS & COMPUTER ASSISTED MEDICINE
      1. i.e. CAS / AEP8/ Intelligent devices
    5. PRAGUE 2009 DECLARATION
      1. Motivation
      2. Recommended Policies: The Decalogue
    6. STANDARDS IN TELEMEDICINE
    7. SEMANTICS
      1. Semantic Interoperability
      2. Pervasive and Mobile Computing
      3. Published Standards, Guidelines and Benchmarking
      4. CE LABEL: A Legal Requirement for Medical Devices in Europe
      5. RFID & EMI (Electromagnetic Interference)
    8. REFERENCES
    9. ENDNOTES
  24. 18. Standards and Guidelines Development in the American Telemedicine Association
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. CORE STANDARDS
    5. THE DEVELOPMENT PROCESS
    6. ISSUES, CONTROVERSIES, PROBLEMS
    7. SOLUTIONS AND RECOMMENDATIONS
    8. FUTURE DIRECTIONS
    9. CONCLUSION
    10. REFERENCES
  25. 19. Telepaediatrics in Queensland: Evidence for Quality, Reliability and Sustainability
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Health Care in Rural Queensland
      2. What is Telemedicine?
      3. Telepaediatrics
      4. Single Point of Contact
      5. Technology Used
      6. Quality and Reliability
      7. Tele-ENT Program
      8. Telepaediatric Burns Consultations
      9. Paediatric Telecardiology
      10. Impact of Telemedicine
      11. Unique Features
    4. CONCLUSION
    5. REFERENCES
  26. 20. Evaluation Considerations for E-Health Systems
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
      1. Quality Assurance
      2. Reliability Assurance
      3. Evaluation Research
      4. Fundamental Ideas for E-Health Quality Assurance
      5. Information System
      6. Telemedicine
      7. Continuous Quality Improvement
      8. Quality Assessment
    4. RELIABILITY ASSESSMENT
    5. FUTURE RESEARCH DIRECTIONS
    6. CONCLUSION
    7. REFERENCES
  27. 21. Quality Issues in Personalized E-Health, Mobile Health and E-Health Grids
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. PERSONALIZED E-HEALTH
      1. Mobile Health
    5. GRID COMPUTING
      1. Quality Dimensions in Healthcare
    6. FUTURE RESEARCH DIRECTIONS
    7. CONCLUSION
    8. REFERENCES
  28. 22. E-Health as the Realm of Healthcare Quality: A Mental Image of the Future
    1. ABSTRACT
    2. INTRODUCTION
    3. BACKGROUND
    4. THE QUALITY PERSPECTIVE OF E-HEALTH
      1. Issues, Controversies, Problems
    5. SOLUTIONS AND RECOMMENDATIONS
    6. FUTURE RESEARCH DIRECTIONS
    7. CONCLUSION
    8. REFERENCES
    9. ADDITIONAL READING
  29. Compilation of References
  30. About the Contributors