Browsing by Subject "Telemedicine"

Now showing 1 - 5 of 5
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    Exploring the Nexus of Telemedicine and Written Mobile Communications
    (2019-05-06) Gresbrink, Emily K
    There is plentiful research covering how we write for mobile, as well as how mobile users write, process, and synthesize information on a screen. There is also a substantial amount of research covering the outcomes telemedicine, or the use of electronic information and communication technologies to supply and support health care services when distance separates participants (Luyegu 2017). However, it is unknown what research exists at the nexus of these two fields. This systematic literature review focuses on discovering research that covers telemedicine and written mobile communications. The review looks to discover what literature, if any, exists, and how it can inform future written communication work in the healthcare and mobile shared space. The review found that no literature currently exists, and future research must occur in this field due to the rapid growth of telemedicine and mobile device usage.
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    Immersive Anatomical Scenes that Enable Multiple Users to Occupy the Same Virtual Space: A Tool for Surgical Planning and Education
    (2019-01) Deakyne, Alex
    3D modeling is becoming a well-developed field of medicine, but its applicability can be limited due to the lack of software allowing for easy utilizations of generated 3D visualizations. By leveraging recent advances in virtual reality, we can rapidly create immersive anatomical scenes as well as allow multiple users to occupy the same virtual space: i.e., over a local or distributed network. This setup is ideal for pre-surgical planning and education, allowing users to identify and study structures of interest. I demonstrate here such a pipeline on a broad spectrum of anatomical models and discuss its applicability to the medical field and its future prospects.
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    Interview with James Boulger
    (University of Minnesota, 2016) Boulger, James; Tobbell, Dominique
    James Boulger begins the interview discussing his educational background. He briefly discusses his first academic job at the new Medical College of Ohio at Toledo in the late 1960s and his decision to move to the University of Minnesota-Duluth (UM-D) Medical School in the early 1970s. Boulger describes the work done to get the school ready for the first class of students; the experiences of the charter class; and the experiences of the faculty—including the challenges they encountered—running the medical school in its first few years. He discusses the different expectations and priorities of the UM-Twin Cities Medical School and its faculty compared to the expectations and priorities of the UM-D Medical School and the state’s rural clinicians and legislators. Boulger discusses the move on the UM-D campus to unionize the faculty; the establishment of the first curriculum and the Department of Family Medicine at UM-D Medical School; various UM-D Medical School deans; the decision by the UM-D Medical School to use community physicians as clinical faculty; and the responsibility of a land-grant university to the people of Minnesota. Next, Boulger discusses Robert Carter’s departure as first dean of UM-D Medical School, the appointment of Arthur Aufderheide as interim dean, John LaBree as dean, and Boulger’s term as interim dean. Boulger describes the strategies that were used to recruit students committed to family medicine and rural practice and the strategies used to recruit Native American students to UM-D Medical School; and reflects on the changes in family medicine in rural and urban practice settings over the past forty years, particularly in terms of what procedures family medicine physicians are performing. Boulger goes on to discuss the relationship between UM-D Medical School and the Duluth area hospitals—Miller-Dwan Hospital, Saint Mary’s Hospital, and Saint Luke’s Hospital—and the establishment of the graduate medical education at these hospitals; the relationship of the medical school to the rest of the UM-D campus; and how the UM-D Medical School faculty balance their teaching, research, and service responsibilities and expectations and whether the balance of those expectations changed once the Duluth and Twin Cities campuses merged. Next Boulger discusses his second two tenures as interim dean. During his second stint, Boulger describes dealing with difficult retrenchments, while during his third stint, he describes trying to marshal support to convert UM-D to a four-year medical school. Boulger next discusses the establishment of the Center for Rural Mental Health Studies, telemental health, and telemedicine; and the Rural Medical Scholars Program.
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    Measuring the impact of technology on nurse workflow: a mixed methods approach.
    (2012-04) Cady, Rhonda Guse
    Background: Investment in health information technology (HIT) is rapidly accelerating. The absence of contextual or situational analysis of the environment in which HIT is incorporated makes it difficult to measure success or failure. The methodology introduced in this paper combines observational research with time-motion study to measure the impact of new HIT on clinician workflow. Objectives: The purpose of this research is the investigation of nurse workflow before and after the implementation of video care delivery in a telephone care delivery setting. The aims are achieved using a sequential mixed methods protocol that explores the workflow of telephone and video care delivery and uses this information to describe the consequences and measure the efficiency of the two delivery modes. Methods: The first phase is a qualitative exploration of nurse workflow in which ethnographic data is collected from nurse informants at a large, urban general pediatrics clinic. The qualitative data is analyzed within the framework of distributed cognition to identify the activity and interaction themes of telephone and video care delivery. The qualitative themes are connected to the quantitative protocol by developing a data collection instrument for the second phase of the protocol: a time-motion study comparing the time (efficiency) of telephone and video care delivery. Qualitative and quantitative results are merged to identify the consequences of adding video care delivery to nurse workflow. The mixed methods protocol is applied to two settings within the general pediatrics clinic: triage office and care coordination office. Results: The workflow of both triage and care coordination are distributed across time, space, persons and artifacts. In both settings, the primary workflow task is coordinating an episode of care and the primary interactions occur with providers, parents and the electronic medical record. The impact of video care delivery on nurse workflow differs between the two settings. In the triage office, adding video care delivery to the existing workflow is disruptive, requiring significantly more time than telephone care delivery. Despite the disruptive effect, triage nurses rate video care delivery as more useful than telephone. In the care coordination office, video care delivery is a standard component of the workflow. It is not disruptive to nurse workflow and does not require significantly more time than telephone care delivery. Applying the mixed method protocol in similar settings provides initial validation for evaluating the impact of new HIT on nurse workflow. Conclusion: Analyzing the quantitative time-motion data within an interpretive framework provides insight into the consequences of new HIT. Adding video to an existing triage workflow results in positive and negative consequences that increase the time spent on workflow tasks. Video facilitates new interaction and communication patterns with parents and children that allow triage nurses to visually supplement and verify their ‘telephone’ assessment, a positive consequence. The internal network architecture creates unpredictable video transmission errors that cause frequent waiting and video care delivery troubleshooting, a negative consequence. Including video as a standard component of the care coordination workflow has a neutral effect on the time of workflow tasks. Video care delivery supports the proactive interactions and increased nurse scope of practice of care coordination provided by an advanced practice nurse. Use of the mixed methods protocol to evaluate other HIT is a necessary step to ensure the methodologies transferability and applicability for use in meta-analysis.