RESUMO
Serious games have been used to increase the accuracy and usege of clinical guidelines during routine clinical practice. This document presents the development of a serious game called SIM-GIC, a video game designed to simulate virtual patients and evaluate the decision making of players based on computer-interpretable clinical guidelines. The system is currently being developed with a content focus on antenatal care guidelines, where a number of obstetric guidelines were coded in XML files.
Assuntos
Jogos de Vídeo , Computadores , Tomada de Decisões , Feminino , Jogos Recreativos , Humanos , GravidezRESUMO
OBJECTIVE: To explore the demographic factors and the level of knowledge related to information and communication technologies of potential users of a palliative care information system. METHODS: The Task, User, Representation, Functionality (TURF) framework was applied to characterize potential users (patients and caregivers) of an information system for palliative care in a private clinic in Medellin, Colombia, through a survey. RESULTS: We analyzed 35 patients and 39 caregivers. The majority were women, that lived in urban area and belonged to middle-income socioeconomic stratum. Caregivers, in contrast to patients, are common users of information and communication technologies. CONCLUSION: An information system should focus on the needs of caregivers, and it would be targeted to subjects facing challenges related to technology adoption; information and communication technologies are interesting and important tools for the improvement of health team.
Assuntos
Cuidadores , Comunicação , Conhecimentos, Atitudes e Prática em Saúde , Cuidados Paliativos , Colômbia , Feminino , Humanos , Masculino , Inquéritos e QuestionáriosRESUMO
Development and electronic distribution of Clinical Practice Guidelines production is costly and challenging. This poster presents a rapid method to represent existing guidelines in auditable, computer executable multimedia format. We used a technology that enables a small number of clinicians to, in a short period of time, develop a substantial amount of computer executable guidelines without programming.
Assuntos
Multimídia , Guias de Prática Clínica como Assunto , Colômbia , Humanos , TecnologiaRESUMO
One of the ways to develop health simulations is through the use of computers. This paper presents the use of Intelligent Computer-aided Instruction (ICAI) for the development of an interactive simulator for learning Cardio Pulmonary Resucitation (CPR) which incorporates online tutorials, training and evaluation.
Assuntos
Reanimação Cardiopulmonar/educação , Informação de Saúde ao Consumidor/organização & administração , Avaliação Educacional/métodos , Modelos Biológicos , Treinamento por Simulação/métodos , Interface Usuário-Computador , Simulação por Computador , Sistemas Inteligentes , Humanos , Internet , Sistemas On-LineRESUMO
BACKGROUND: Currently, in developing countries, there is considerable interest in using mobile phones as job-aids for community health workers (CHWs) to improve the care they provide. However, acceptance of new technologies can be inhibited if the workload imposed is perceived as excessive compared to existing methods. OBJECTIVE: To compare perceived workload of CHWs using clinical care guidelines presented on mobile phones versus using conventional paper-based guidelines. METHODS: Validated clinical practice guidelines were developed as Interactive Structured Rich-Medical guidelines (ISRMGs) on Windows Mobile 6.5 mobile phones. A prospective randomized controlled study was performed in Colombia in which 50 CHWs used the ISRMGs, and paper-based materials with the same information, in a cross-over design to diagnose and treat 15 matched pairs of medical cases presented on Human Patient simulators. The NASA Task Load Index, a validated measure of perceived workload, was administered and results compared by means of a mixed model analysis. RESULTS: When using the ISRMGs on mobile phones the health workers reported statistically significant decreases in mental demand, frustration, and overall workload as compared to using paper-based job-aids. CONCLUSIONS: Use of ISRMGs on mobile phones by community health workers in developing countries has the potential to decrease their perceived workload, fatigue, and enhance their ability to provide better care for more patients.
Assuntos
Telefone Celular , Agentes Comunitários de Saúde , Carga de Trabalho , Colômbia , Estudos Cross-Over , Feminino , Humanos , Masculino , Manequins , Guias de Prática Clínica como Assunto , Adulto JovemRESUMO
OBJECTIVE: To study and analyze the possible benefits on performance of community health workers using point-of-care clinical guidelines implemented as interactive rich media job aids on small-format mobile platforms. DESIGN: A crossover study with one intervention (rich media job aids) and one control (traditional job aids), two periods, with 50 community health workers, each subject solving a total 15 standardized cases per period per period (30 cases in total per subject). MEASUREMENTS: Error rate per case and task, protocol compliance. RESULTS: A total of 1394 cases were evaluated. Intervention reduces errors by an average of 33.15% (p = 0.001) and increases protocol compliance 30.18% (p < 0.001). Limitations Medical cases were presented on human patient simulators in a laboratory setting, not on real patients. CONCLUSION: These results indicate encouraging prospects for mHealth technologies in general, and the use of rich media clinical guidelines on cell phones in particular, for the improvement of community health worker performance in developing countries.