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Digital Health Ecosystems: A Strategy for Transformation of Health Systems in the Post-Pandemic Future
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 2022
Digital health has evolved as information technologies have emerged within the four documented industrial revolutions. This represents a major shift in care delivery and mobilization of data in healthcare systems, presenting an opportunity to transform traditional provider-centric systems focused on disease management, toward a more patient-centric, proactive system focused on supporting and sustaining health and wellness. Big data, advanced analytic tools and artificial intelligence (AI) technologies are the key enablers of the ‘fourth industrial evolution'—the transformation toward digital health. Although almost every other business sector has transformed its operations and delivery of services, including travel, financial services and retail, by leveraging data and analytics to improve business services, healthcare is noticeably lagging compared to other business sectors. While other sectors have embraced technology to enhance the consumer experience, healthcare has remained slow to transform established practices and care delivery models to advance person-centric care delivery and health services that are digitally enabled.
Conceptions of transgender parenthood in fertility care and family planning in Sweden: from reproductive rights to concrete practices
Published in Zeynep B. Gürtin, Charlotte Faircloth, Conceiving Contemporary Parenthood, 2020
Jenny Gunnarsson Payne, Theo Erbenius
‘Orvar’ explains this general increase as probably caused by a combination of factors, including increased visibility of transgender persons and issues in mainstream media, and increased possibilities of finding information and communities online, and most likely better treatments and the abolished sterilisation requirement. He also thinks that one possible explanation of the vast increase in the Stockholm clinic specifically might in part be a result of the high quality and good reputation of the clinic, and the fact that it attracts patients from other parts of the country. According to ‘Orvar’, unfortunately, the increase of patients has not been followed by a proportionate increase in financial resources. This, in turn, has led to what ‘Orvar’ calls a ‘lagging phase’ in transgender care: It has gone very quickly, the increase. And that healthcare has, what shall I call it, a ‘lagging phase’ before it is possible to swallow new large patient groups. And such an increase is hard to keep up with. It also depends on the fact that our examination and treatment has been pretty attractive [among patients], I think, so that people from other parts of the country also come here. […] (‘Orvar’)
Pervasive Health and Remote Care
Published in Arvind Kumar Bansal, Javed Iqbal Khan, S. Kaisar Alam, Introduction to Computational Health Informatics, 2019
Arvind Kumar Bansal, Javed Iqbal Khan, S. Kaisar Alam
The growth of medical infrastructure and staff is lagging behind the population-growth of elderly persons. As a result, more elderly patients are staying back in the comfort of home. This trend, augmented with improvement in miniaturization of wearable medical devices and wireless connectivity, has fueled the growth of pervasive health care. Pervasive health care includes wireless monitoring, remote care, home-healthcare using wearable devices that monitor the vital signs and the use of RFID tags to track the patients and elderly persons.
Investigating the effectiveness of health and safety management systems within construction organizations
Published in International Journal of Occupational Safety and Ergonomics, 2023
Patrick N. Okonkwo, Jan A. Wium
In the literature, safety performance remains the consistent indicator of the effectiveness of a H&S management intervention. Safety performance provides information on the quality of a HSMS in terms of development, implementation and safety outcomes [23]. However, the theoretical and practical perspectives of safety performance measurement are still being debated in the literature [24]. A prominent feature of the current discourse on safety performance measurement is the dichotomy between leading and lagging indicators of safety performance. The use of lagging indicators in academic research has been criticized because they do not reveal cause–effect relations that would drive system improvement and therefore give little productive value in terms of understanding safety performance [25]. In any case, obtaining data on H&S-related incidents has also proven to be challenging in the context of the construction industry in a developing country where a culture of secrecy and under-reporting of accidents has been noted to prevail [23,26]. This makes the use of lagging indicators in academic research unrealistic in most cases. However, accident statistics are the most easily understood by stakeholders.
A model to predict and optimize machine guarding operator compliance activities in a bottling process plant: a developing country experience
Published in International Journal of Occupational Safety and Ergonomics, 2020
Chukwunedum Uzor, Sunday Ayoola Oke
This article contributes to the bottling plant literature by openly representing the nature of the bottling process. The major equipment in a bottling process includes the packer, filler, steamline piping, washer inlet and outlet, mixer and de-palletizing operation. The guards involved may be permanent, and interlock. Lagging is also an important consideration. While several government reports have indicated some or all these guards, the computational support for the machine guards is not clearly understood. The proposed representation in this work starts to tackle this literature void by asserting that these various guard types in the bottling plant contribute to the overall state and value of the computational index, as reflected in their operational or failed states. By physical count of the number of damaged, operating and active guards, the proportion of those that comply with their usage is tracked. The prediction literature on safety analysis of systems is overwhelming and the current work contributes to its application for the bottling process plant.
Knowledge of enhanced recovery after surgery and influencing factors among abdominal surgical nurses: a multi-center cross-sectional study
Published in Contemporary Nurse, 2022
Bing Xue, Huidan Yu, Xianwu Luo
The timing of oral intake has been controversial due to the destruction of the gastrointestinal tract after abdominal surgery (Harnsberger et al., 2019; Wobith & Weimann, 2021). Early oral feeding can be safe and beneficial for a patient’s recovery (Huang et al., 2021). It can promote intestinal motility and help to maintain the function of the intestinal mucosa, prevent flora imbalance and ectopia, reduce the risk of postoperative complications and shorten the length of hospital stay (Hendry et al., 2010). Many nurses still believe that preoperative bowel preparation can reduce the risk of anastomotic and infection-related complications. In contrast to this opinion, most recent meta-analyses show that mechanical bowel preparation does not have any beneficial effects, as it cannot reduce the risk for anastomotic leakage after the operation (Diakosavvas et al., 2020; Glaser et al., 2018; Koskenvuo et al., 2019). Perhaps because of the complicated perioperative matters and the different focus of patients with different constitution and complications, nurses lack a profound understanding of the knowledge of accelerated rehabilitation surgery, so the correct rate of response is low. ERAS helps nurses optimise the perioperative plans for patients, thus reducing the occurrence of postoperative complications, accelerating postoperative rehabilitation and shortening the recovery time (Brustia et al., 2021). It is unclear why these views in nurses are lagging except for cultural reasons, but it can be an opportunity for further change and improvement. Optimal practices can help nurses improve the quality of perioperative care and promote patient recovery.