Sunday, February 26, 2017

Data Presentation






Barbara Dixon Module 5
Systematic Design of Meaningful Presentations of Medical Test Data for Patients (2013-2016). Zikmund-Fisher, B. J., Fagerlin, A., Jagsi, R., Langa, K., Tarini, B. A., Solomon, J. (2017). Center for Bioethics and Social Sciences in Medicine.

1.     Why was this article, blog, post, or multimedia chosen?
This article was used because it highlights the importance of how data is presented.  I have learned so much about data, and yet the importance of data presentation is a new concept to me.  It seems so obvious and yet creating meaningful data is a difficult task to achieve. The author notes the difficulty of knowing how to present data to the population of people that have poor literacy skills or poor understanding if numbers.  How do we present lab results to them? The data will quite literally be meaningless to them and they will not be able to use the data to make personal healthcare decisions that will improve their health. 
2.     What makes it interesting, appropriate, or reputable?
This information is very interesting to me because reveals an important area of informatics I had never considered. Research in this area could possibly help to bridge a gap in healthcare disparities.  For example, if information is delivered to the right person in the right way, that person can use the new information to improve their health.  On the contrary, if we continue to deliver health information to the public without any regard to how individuals would best understand that data, a lot of time will be wasted delivering meaningless data and people will not have the additional knowledge of how to improve their health.  
3.     Is it an opinion? Case study? Research study? Product review?
This paper is a proposal for research.
4.     What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?
The need is for more research on how to best present data to people with different needs and abilities for understanding that data. 
5.     What was the solution for which technology had an answer?
Technology can improve the way data is presented to people, therefore giving the data improved meaning.
6.     What implications might this have in healthcare delivery?
Improving how data is presented and improving its meaning will allow people to use the information more effectively, allowing them to improve their own health by making changes and better decisions.  This could bridge gaps in healthcare disparities that are caused by poor comprehension of the healthcare data.    
7.     What did you learn from it that might have application for your practice?
Reflecting on how I educate patients and talk to them about their healthcare data, I can see how I need to pay attention to my patient’s level of understanding of the data I give them.  Knowing the impact data presentation has on a patient’s healthcare outcome, I need to better evaluate their ability to understand, and utilize different methods of presenting data when I can see that it is necessary. 

References
Zikmund-Fisher, B. J., Fagerlin, A., Jagsi, R., Langa, K., Tarini, B. A., Solomon, J. (2017). Systematic design of meaningful presentations of medical test data for patients (2013-2016). Retrieved February 26, 2017 from: http://cbssm.med.umich.edu/what-we-do/research-projects/systematic-design-meaningful-presentations-medical-test-data-patients

Sunday, February 19, 2017

Data Mining



Barbara Dixon
NUR 701
Mining adverse drug reactions from online healthcare forums using hidden Markov model. Sampathkumar, H., Chen, X., & Luo, B. BMC Medical Informatics And Decision Making, 1491. doi:10.1186/1472-6947-14-91

Why was this article, blog, post, or multimedia chosen?
Not all Adverse Drug Reactions (ADR) are known before a medication is made available to the public.  Even after the medication is made available and an ADR has occurred it can take a long time for the information to become known.  Maybe not in time to stop another ADR from occurring to a different person. Data mining is needed to enhance our ability to become aware of the ADR sooner (Sampathkumar, Chen, & Lou, 2014).

What makes it interesting, appropriate, or reputable?
Is it an opinion? Case study? Research study? Product review?
Research

What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia? There is a need for an improved ability to data mine for adverse drug effects. When a drug is made available, not all adverse drug effects have been discovered yet.  It is voluntary to report of adverse drug reactions, and if it gets reported, it is not always early enough to avoid more harm from occurring (Sampathkumar, Chen, & Lou, 2014). 


What was the solution for which technology had an answer? Not all adverse drug reactions are known before a new medication is release to be available in the market.  Data mining is making adverse drug reactions known faster than it has been (Sampathkumar, Chen, & Lou, 2014).

What implications might this have in healthcare delivery? Improved safety with better knowledge of drug safety.

What did you learn from it that might have application for your practice? Datamining has a valuable role in research and improving all aspect of healthcare. 

Sampathkumar, H., Chen, X., & Luo, B. (2014). Mining adverse drug reactions from online healthcare forums using hidden Markov model. BMC Medical Informatics And Decision Making, 1491. doi:10.1186/1472-6947-14-91

Thursday, February 2, 2017

ipads and healthcare


Barbara Dixon
Module 3
Better Healthcare Right at Your Doctor’s Fingertips – Apple and Citrix

1.      Why was this article, blog, post, or multimedia chosen? What makes it interesting, appropriate, or reputable?

This article by Fleck (2010), Vice President of Community and Solutions Development at Citrix System is great. He discusses the use of technologies that leave the big bulky medication carts on wheels (mCOWs) in the stone ages.  By utilizing iPads with virtualization solutions such as Citrix, nurses and doctors can round on patients and document their assessments, medication administrations, and notes in real time (Fleck, 2010).
2.      Is it an opinion? Case study? Research study? Product review?
I would consider this a product review of Apple iPads and Citrix

3.      What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?
The problem is the difficulty nurses and doctors have accessing patient’s electronic health record (EHR), which results in a slowing down of treatment.

4.      What was the solution for which technology had an answer?
The solution of convenient and secure access to patients EHR.

5.      What implications might this have in healthcare delivery?
The need to run around the unit and look for a computer to use is eliminated. Doctor’s will be able to view their patient’s information from anywhere with wifi,(and soon with 3G) and can put in patient’s orders based on the most accurate information.   The hospital I worked at used Citrix, which was frequently used by doctors who would check on their hospital patient charts from their office.  By making access for healthcare professionals easier, while still securing the patient’s information is exactly what is needed on the busy hospital units. I believe that iPads with Citrix can improve patient safety, decrease costs, an improve patient and employee satisfaction (Fleck, 2010)!

6.      What did you learn from it that might have application for your practice?
I learned that iPads are creating a way to care for patients better and treat them faster. When the rehab that I work at upgrades to implement an eMAR, having medication carts on wheels (mCOWs), might not be the best solution. If it is in the budget, iPADS for the nurses in addition to the med carts that are already on the units as well as for the physicians might prove to be a better solution (Fleck, 2010).

Fleck, C. (2010). Better healthcare right at your doctor’s fingertips - Apple and Citrix. Retrieved February 2, 2017 from: http://www.healthnewsdigest.com/news/Guest_Columnist_710/Better_Healthcare_Right_at_Your_Doctor_s_Fingertips.shtml

02/16/017
An article by Ventola (2014) reinforces the importance of technology and mobile devices in healthcare.  This author reviewed several studies that demonstrated that physicians spend a lot of time on their mobile devices searching for clinical information to support their decisions.   Some of the reasons are due to the many benefits such as increased convenience, increased productivity and efficiency, improved accuracy, and improved clinical decision making. The trend of increasing use of mobile devices is expected to continue along with the development of improved apps to support clinical decision making (Ventola, 2014).

References
Ventola, C. L. (2014). Mobile Devices and Apps for Health Care Professionals: Uses and Benefits. Pharmacy and Therapeutics, 39(5), 356–364. Retrieved February 16, 2017 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/