Weitere Artikel dieser Ausgabe durch Wischen aufrufen
This article explores the need for research into patient safety in large-scale Telehealth systems faced with the perspective of its development extended to healthcare systems. Telehealth systems give rise to significant advantages in improving the quality of healthcare services as well as bringing about the possibility of new types of risk. A theoretical framework is proposed for patient safety for its approach as an emerging property in complex socio-technical systems (CSTS) and their modelling in layers. As regards this framework, the differential characteristic Telehealth elements of the system have been identified, with a greater emphasis on the level of Telehealth system and its typical subsystems. The bases of the analysis are based on references in the literature and the experience accumulated by the researchers in the area. In particular, a case describing an example of Telehealth to control patients undergoing treatment with oral anticoagulants is used. As a result, a series of areas of research into and topics regarding Telehealth patient safety are proposed to cover the detectable gaps. Both the theoretical and practical implications of the study are discussed and future perspectives are reflected on.
Kun LG. Telehealth and the global health network in the 21st century. From homecare to public health informatics. Comput Methods Programs Biomed. 2001;64:155–67. CrossRef
Monteagudo JL, Reig J, Lamas R. IST at the service of the people in a changing society. In: IST at the service of a changing Europe by 2020: Learning from world views. ISBN 973-27-1252-X Publishing House of the Romanian Academy; 2005.
Koop CE, Mosher R, Kun L, Geiling J, Grigg J, Long-Macedonia SC, Merrell R. Satava R, Rosen JM: Future Delivery of health care – cybercare: A distributed network-based health care system. IEEE Eng Med Biol Soc Mag. 2008; 27, (Special issue on protection of the healthcare and public health critical infrastructure and key assets).
Manning B, Kun L. Information highway to the home and back: a smart systems review. In: Handbook Digital Homecare. Ludowijk Bos et al. editors. Springer, Series in Biomedical Engineering 2009. pp. 5–31.
Kun LG. Enhancing the effectiveness of the public health system against terrorist threats through the use of information technologies. IEEE-USA position statement approved by their Board of Directors. 2004 http://www.ieeeusa.org/policy/POSITIONS/publichealth.asp. Accessed 17 Aug 2013.
Kun LG. Special Issue Editorial, IEEE engineering in medicine and biology society magazine; special issue on protection of the healthcare and public health critical infrastructure and key Assets, Guest . Kun L, editor. 2008;27, No 6.
Salvador CH, Pascual M, González MA, Muñoz A, Márquez J, Sosa L, et al. Airmed - cardio: a GSM and internet services-based system for Out-of-hospital follow-Up of cardiac patients. IEEE Trans Inf Technol Biomed. 2005;9:73–85. CrossRef
Carrasco MP, Salvador CH, Sagredo PG, Márquez-Montes J, González de Mingo MA, Fragua JA, et al. Impact of patient-general practitioner short-messages-based interaction on the control of hypertension in a follow-up service for low-to-medium risk hypertensive patients: a randomized controlled trial. IEEE Trans Inf Technol Biomed. 2008;12:780–91. CrossRef
Salvador CH, Ruiz-Sanchez A, González de Mingo MA, Carmona Rodríguez M, Carrasco MP, Sagredo PG, et al. Evaluation of a telemedicine-based service for the follow-up and monitoring of patients treated with oral anticoagulant therapy. IEEE Trans Inf Technol Biomed. 2008;12:696–706. CrossRef
Blasco A, Carmona M, Fernández-Lozano I, Salvador CH, Pascual M, García-Sagredo P, et al. Evaluation of a telemedicine service for the secondary prevention of coronary artery disease. J Cardiopulm Rehabil Prev. 2012;32:25–31. CrossRef
Armentano RL, Kun L. Wireless platforms for the hemodynamic monitoring of the elderly patient. ISTAS 2013, Toronto, Canada, June 2013.
Tabuchi H. Inquiry Sees chaos in evacuations after Japan Tsunami. New York Times. 2012 Asia Pacific http://www.nytimes.com/2012/07/24/world/asia/inquiry-sees-chaos-in-evacuations-after-japantsunami.html? Accessed 23 Jul 2013.
Monteagudo JL, Moreno-Gil O. e-Health for patient empowerment in Europe. Edit Ministerio de Sanidad y Consumo, Instituto de Salud Carlos III. Madrid. 2007. Dpto. Legal M-48076.
Fox S, Duggan M. Health Online 2013 Pew Research Center’s Internet & American Life Projec Jan 15 2013. http://pewinternet.org/Reports/2013/Health-online.aspx. Accessed 15 Jul 2013.
Boulos NK, Wheeler S, Tavares and Jones R. How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX BioMedical Eng OnLine 2011, doi: 10.1186/1475-925X-10-24 http://www.biomedicalengineering-online.com/content/10/1/24. Accessed 24 Jul 2013.
Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B. Lancaster AE Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed J E Health. 2008;14:1118–26. doi: 10.1089/tmj.2008.0021. CrossRef
3 Million Lives, Recommendations from Industry on Key Requirements for Building Scalable Managed Services involving Telehealth, Telecare & Telecoaching, 2012. http://3millionlives.co.uk/wp-content/uploads/2013/03/3ML-Indsutry-Recommendations-for-Scalable-Services.pdf. Accesed 04 Sep 2013.
European Commission. Strategic Implementation Plan for the European Innovation Partnership on Active and Healthy ageing. Operational Plan 17 November 2011. Brussels.
Gabrielian S, Yuan A, Andersen RM, McGuire J, Rubenstein L, Sapir N, et al. Chronic disease management for recently homeless veterans: a clinical practice improvement program to apply home Telehealth technology to a vulnerable population. Med Care. 2013;51(3 Suppl 1):S44–51. doi: 10.1097/MLR.0b013e31827808f6. CrossRef
Smith JA. The doctor will see you ALWAYS. Spectrum IEEE. 2011;48:56–62. CrossRef
ITU. Medición de la Sociedad de la Información 2012. ITU Geneva 2012. http://www.itu.int/ict/publications/idi/index.html. Accessed 21 Aug 2013.
Kun LG.: Government affairs editorial: ”global health and policy implications of dust storms: a disease transportation system”, IEEE Eng Med Biol Soc Mag. 2008; 27, No( special issue on protection of the healthcare and public health critical infrastructure and key assets).
Kun LG. Health and environmental interoperability. Yearbook of science and technology 2011, McGraw-Hill Inc; 2011.
Kohn KT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.
Aspden P, Corrigan J, Wolcott J, et al., editors. Patient safety: achieving a new standard for care. Washington, DC: National Academies Press; 2004.
National Advisory Group on the Safety of Patients in England A promise to learn– a commitment to act: Improving the Safety of Patientsin England . Produced by Williams Lea. August 2013.
European Commission DG Health and Consumer Protection Patient Safety – Making it Happen! Luxembourg Declaration on Patient Safety. Luxembourg, 5 April 2005.
Car J, Black A, Anandan C, Cresswell K, Pagliari C, McKinstry B, et al. The Impact of eHealth on the Quality & Safety of Healthcare A Systemic Overview & Synthesis of the Literature. London: Imperial College; 2008.
Lei Jb, Guan Pa, Gao Ka, Lu Xa, Sittig D. Investigating Incidents of EHR Failures in China: Analysis of Search Engine Reports. Proc. MEDINFO 2013C.U. Lehmann et al. Editors, IMIA and IOS Press;2013, doi: 10.3233/978-1-61499-289-9-1210.
EIP-AHA. B3. A Compilation of Good Practices. Action Group on Replicating and tutoring integrated care for chronic diseases, including remote monitoring at regional level. http://www.sip-platform.eu/tl_files/redakteur-bereich/News/Endorsers News/B3 Integrated Care Group_Compilation Good Practice Examples_03.05.2013 ON_check .pdf. Accessed Sep 2013.
Taylor P. Evaluating telemedicine systems and services. J Telemed Telecare. 2005;11:167–77. CrossRef
Kun LG. Editorial: interoperability: the cure for what ails us. IEEE-Eng Med Biol Soc Mag. 2007;26:87–91. CrossRef
Kun L, Coatrieux G, Quantin C, Beuscart R, and contributions from Robert Mathews: Improving outcomes with interoperable EHRs and secure global health information infrastructure, editors L. Bos & B. Blobel, Medical and Care Compunetics 5, IOS Press Studies in Health Technology and Informatics; 2008.
Carranza N, Ramos V, Lizana FG, García J, del Pozo A, Monteagudo JL. A literature review of transmission effectiveness and electromagnetic compatibility in home telemedicine environments to evaluate safety and security transmission effectiveness and interferences in telemedicine. Telemed E-Health. 2010;16:818–6. CrossRef
WHO. Call to Action on Global eHealth Evaluation. WHO Global eHealth Evaluation Meeting, Bellagio, September 2011.
Dulac N, Leveson N. Incorporating safety risk in early system architecture trade studies AIAA. J Spacecr Rocket. 2009;46:430–7. CrossRef
The Health Foundation Research scan: High reliability organisations. Editors. The Health Foundation. London 2011.
WHO. Health risk assessment from the nuclear accident after the 2011 Great East Japan earthquake and tsunami, World Health Organization. 2013.
Schyve PM. Envisioning Patient Safety in the Year 2025: Eight perspectives. In: Henriksen K; Battles J B, Keyes MA, Grady, M L and Henriksen K, editors. Advances in Patient Safety: New Directions and Alternative Approaches. Volume 1. Assessment. AHRQ Publication No. 08- 0034–1. 2008. pp:31.
Monteagudo JL, Pascual M, Muñoz A, Sagrado P, Sánchez De Madariaga R, Hernandez CS. PITES:Telemedicine and e-Health innovation platform. Telemedicine INTECH ISBN 980-953-307-714-2.
Rouse WB, Serban N. Understanding change in complex socio-technical systems an exploration of causality, complexity and modeling. Inf Knowl Syst Manag. 2011;10:25–49. doi: 10.3233/IKS-2012-0184.
Laracy JR. A Systems-theoretic security model for large scale complex systems applied to the US air transportation system. MIT 2007: pp. 52.
Barabási A. Linked: How everything is connected to everything else. 2002. ISBN 0-452-28439-2.
Rouse W B, Boff K R and Sanderson P. Complex Socio-Technical Systems: Understanding and Influencing the Causality of Change (Tennenbaum Institute on Enterprise Systems) IOS Press 2012. ISBN-13: 978–1614990819.
Sussman J. Complex, Sociotechnical Systems (CSS): Some Fundamental Concepts. Teaching Note for ESD.00, MIT, February 2011.
Black, J. & Koopman, P., System safety as an emergent property in composite systems, DSN 2009:369–78.
Parasuraman R, Sheridan TB, Wickens CD. A model for types and levels of human interaction with automation. IEEE Trans Syst Man Cybern Part A-Syst Hum. 2000;30:286–97. CrossRef
Norgall T, Wichert R. Personalized use of ICT–from telemonitoring to ambient assisted living. Stud Health Technol Inform. 2013;187:145–51.
Monteagudo JL. Ambient Assisted Living technologies and their social implications. Toronto. ISTAS 13. June 2013.
Kun LG. The Use of Technology to Transform the Home into a Safe-Haven, L. Bos & B. Blobel, editors. Medical and Care Compunetics 4. IOS Press, Studies in Health Technology and Informatics, 2007.
Hasselbring W, Reussner R. Toward Trustworthy Software Systems. IEEE Computer Soft Trust. 2006; vol: 91–92.
Cooper JF. Current research on patient safety in the United States. National Patient Safety Foundation (NPSF). Chicago 2010.
Guillerm R, Demmou H, Sadou N. Safety evaluation and management of complex systems: a system engineering approach. Concurr Eng: Res Appl - Concurr Eng: R&A. 2012;20(2):149–59. CrossRef
Carayon P, Hundt AS, Karsh BT, Gurses AP, Alvarado CJ, Smith M, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(Supplement I):i50–8. CrossRef
Leveson N. Safety in Integrated Systems Health Engineering and Management NASA Ames Integrated System Health Engineering and Management Forum (ISHEM), Napa, November 2005.
Dalpiaz F. Designing secure and trustworthy Socio-Technical Systems with STS-ml. 2012 http://www.sts-tool.eu/doc/Presentation_luxembourg-2012-apr.pdf. Accessed 6 Sept 201362.
WHO. Noncommunicable diseases country profiles 2011. WHO global report. Editors. World Health Organization 2011.
WHO. mHealth: New horizons for health through mobile technologies: second global survey on eHealth. WHO Global Observatory for eHealth. WHO global report. Editors. World Health Organization 2011.
Reivo J. The nature of security and risk in complex socio-technical systems Master’s thesis. Digital culture Department of Art and Culture StudiesUniversity of Jyväskylä. December 2011.
- Envisioning patient safety in Telehealth: a research perspective
José Luis Monteagudo
Carlos H. Salvador
- Springer Berlin Heidelberg
Neuer Inhalt/© ITandMEDIA, Best Practices für die Mitarbeiter-Partizipation in der Produktentwicklung/© astrosystem | stock.adobe.com