Sessions

Digital health innovations are designed to help save time, boost accuracy and efficiency, and combine technologies in ways that will revolutionize the new digital healthcare era. By optimizing the right tools and open system platforms increases the innovation for healthcare - which has created tangible benefits for the entire healthcare-chain from the profession to patient with real-time access to patient information and improving care processes. Finland is the frontrunner in implementing open data in ecosystem platforms, learn how the CIO Toni Suihko from Kanta-Häme Hospital District (KHSHP) has increased the speed of healthcare innovations.

Separate registration required: https://www.mie2023.org/tutorials, Transitioning from data to a clinical decision support system able tobenefit patients involves a plethora of perspectives within the following domains:clinical, legal, technical, managerial, and system development. This requires multiplepartners such as healthcare providers, universities, authorities and technologyproviders to join forces. In this tutorial the partners Region Halland, SahlgrenskaUniversity Hospital, Swedish Authority for Privacy Protection, Halmstad University,AI Sweden, HallandiaV, and the Netherlands eScience Center will give theirperspectives and deep-dive into several of the challenges and possibilities of the realizationof Clinical Decisions Support Systems (CDSS), for the specific use-caseof heart failure readmission prediction.

Age-related macular degeneration (AMD) is a major cause of blindness in the West. This study utilizes spectral domain optical coherence tomography (SD-OCT) for retinal imaging and deep learning for analysis. A convolutional neural network (CNN) was trained on 1300 expert-annotated SD-OCT scans to identify AMD biomarkers. Transfer learning improved the CNN's performance using weights from a separate classifier. The model accurately detects and segments AMD biomarkers in OCT scans, potentially assisting in patient prioritization and reducing ophthalmologists' workloads.

Nursing practice is transforming at pace to lead improvements in patient outcomes in hospital, primary and community practice. New opportunities are emerging in advanced nursing practice which is a new level of practice defined by knowledge and skills acquisition. There are 4 leadership domains of advanced clinical practice: clinical, professional, health system and health policy leadership. A key component of health systems leadership is driving system change through digital transformation and clinical informatics. The approach to developing advanced clinical practice in east London will be described. Embedded in our approach is the systematic use of our multidisciplinary ‘WeConnect’ digital transformation programme. To implement change and training, a thorough clinical and technical understanding are both needed. This is where the role of the nursing and medical informaticists alongside innovative and engaging advanced clinical practitioners is essential. Key skills for advanced clinical practitioners are the development of autonomous clinical practice based on a foundation of digital skills. These include: use of SNOMED-CT for problem and procedure listing and decision support, analytics and risk based assessments derived from the real world data recorded in the electronic health record. Supporting the journey towards higher levels of digital and SNOMED-CT maturity is a key organisational objective.

The aim of this work is to develop and evaluate a multi-stage procedure model for the identification of use problems and optimization of usability using biosignal data. The concept is divided into 5 steps: 1. static analysis of data to identify use problems; 2. conducting interviews within the context of use and requirements analysis to investigate problems in more detail; 3. developing new interface concepts to implement the requirements and a prototype of an interface including dynamic visualization of data; 4. formative evaluation using an unmoderated remote usability test; 5. usability test with realistic scenarios and influencing factors in the simulation room. The concept was evaluated in the ventilation setting as an example. The procedure allowed the identification of use problems in the ventilation of patients as well as the development of suitable concepts and their evaluation to counteract use problems. To relieve users, ongoing analyses of biosignals with respect to the use problem are to be carried out. To overcome technical barriers, further development is needed in this area.

The shortage of skilled nursing personnel is – among other reasons – due to the low attractiveness of the profession, comprising high workloads and atypical working hours. Studies show that speech-based documentation systems increase documentation efficiency and satisfaction of physicians. This paper describes the development process of a speech-based application to support nurses, according to the user-centered design approach. User requirements were collected based on interviews (n=6) as well as observations (n=6) in three institutions and were evaluated by means of qualitative content analysis. A prototype of the derived system architecture was implemented. Based on a usability test (n=3), further potentials for improvement were determined. The resulting application enables nurses to dictate personal notes, share them with colleagues and transmit notes to the existing documentation system. We conclude that the user-centered approach ensures the extensive consideration of the nursing staff’s requirements and shall be continued for further development.