Navegando por Palavras-chave "Medical informatics"
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- ItemAcesso aberto (Open Access)Analysing the use of a computerized system by hospital managers(Univ Fed Sao Paulo, Dept Enfermagen, 2018) dos Santos, Marlene Cristina [UNIFESP]; Marin, Heimar de Fatima [UNIFESP]Objective: To analyze the use of a computerized system by hospital managers, evaluating their satisfaction related to the usefulness and ease of use of system. Methods: Case study, with a non-ex perimental design, conducted in a general hospital. The instrument used was based on the technological acceptance model. The population was composed of 63 managers and, based on the inclusion criteria, 60 managers were included in the study sample. Results: The system was considered useful by 90.5% of managers, while 84.7% agreed on its ease of use. The analyzed external variables (age, ease of using the technology, provision of training and technical support, computer availability, and favorability of use), showed an influence on satisfaction with the ease of use. The age and provided training did not influence satisfaction on the usefulness of the system. Conclusion: The managers showed greater satisfaction with the usefulness of the system when compared to the ease of use, due to the characteristics of the system and the institution.
- ItemAcesso aberto (Open Access)Avaliação do website educacional em Primeiros Socorros(Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Mori, Satomi [UNIFESP]; Marin, Heimar de Fatima [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Com os avancos dos recursos da Word Wide Web, os beneficios obtidos sao incontestaveis tambem na area da educacao. Apesar de sua ampla disseminacao, podem apresentar falhas que os tornam inadequados. Uma das maneiras de se evitar os infortunios causados por websites mal estruturados seria a realizacao de avaliacoes de sua qualidade. Pesquisadores do Nucleo de Informatica em Enfermagem da Universidade Federal de Sao Paulo (UNIFESP) desenvolveram em parceria com o Departamento de Informatica em Saude da UNIFESP um website educacional em Primeiros Socorros. Considerando-se a relevancia do ensino e a necessidade de investir em ferramentas informativas de qualidade sobre o tema objetivou-se neste estudo: elaborar e validar instrumentos de avaliacao de website e avaliar o website em Primeiros Socorros. Tres instrumentos foram criados para avaliar a estrutura, o conteudo e a navegabilidade. Verificou-se que esses instrumentos foram adequados para o uso na avaliacao do website, por apresentarem niveis superiores ao Limite de Seguranca .0,70 estabelecido. Em relacao a qualidade do website, observou-se que o valor de Kappa foi de 0,047 e -0,062 na analise das respostas dos profissionais de informatica e da saude, respectivamente, indicando que nao houve concordancia nas respostas. No entanto, na analise da distribuicao das respostas dos avaliadores percebeu-se que, segundo os profissionais de informatica, a qualidade estrutural do website deveria ser revista e corrigida para torna-lo adequado. Ja em relacao a distribuicao dos escores assinalados pelos profissionais da area da saude observou-se que a qualidade de conteudo do website e boa e que deveriam ser feitas pequenas correcoes de alguns conteudos. A avaliacao da qualidade de navegabilidade do website, segundo a opiniao dos alunos e boa, conforme o escore obtido de 79,4%. Observou-se que tanto os profissionais da saude como os alunos referiram que a distribuicao dos links deveria ser melhorada, semelhante as recomendacoes dos profissionais de informatica. Concluiu-se que: os tres instrumentos elaborados foram considerados adequados para a utilizacao da avaliacao do website. A qualidade estrutural do website deve ser corrigida, para que o processo de navegacao seja adequado e embora a qualidade do conteudo seja boa, pequenas correcoes nas informacoes devem ser realizadas.
- ItemAcesso aberto (Open Access)Conjunto de Dados Mínimos de Enfermagem: construindo um modelo em sáude ocupacional(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2006-06-01) Silveira, Denise Tolfo; Marin, Heimar de Fatima [UNIFESP]; Universidade Federal do Rio Grande do Sul Escola de Enfermagem Departamento de Enfermagem Médico-Cirúrgico; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to review the concept of the Nursing Minimum Data Set, its current usage, and explore its potential use in Occupational Health. METHODS: systematic review of the literature. RESULTS: the Nursing Minimum Data Set can be applied to occupational health because it documents essential data from individuals and organizations. In addition, it allows nurses to organize Occupational Health services, collect and analyze data, and generate new useful information. CONCLUSION: the Nursing Minimum Data Set may be a useful tool in Occupational health clinical practice.
- ItemAcesso aberto (Open Access)Construção e avaliação de um sistema de apoio na correção de mapeamentos conceituais para resolução de casos clínicos(Universidade Federal de São Paulo (UNIFESP), 2016-11-30) Duarte, Jose Marcio [UNIFESP]; Mancini, Felipe [UNIFESP]; http://lattes.cnpq.br/4433119488921195; http://lattes.cnpq.br/9673214814425178; Universidade Federal de São Paulo (UNIFESP)Objective: The aim of this research was developing and evaluating a web application based on Natural Language Processing techniques (NLP) that assists professors in correcting Concept Mapping elaborated at the CmapTools® arising the resolution of the health clinical cases. Method: This is a descriptive study of technological development by understanding the process of creating a tool and subsequent evaluation process of their capacity to perform the desired. The study is quantitative consisting in two steps. The first step was a description of development experience automatic corrector based on NLP. The second step consisted the accuracy study. The application web (SAMC ? casos clínicos) accuracy was evaluated based on the comparison of the corrections Concept Mappings developed by students: manual correction performed by the professor and automatic correction performed by the web application with the same evaluation criteria. Results: Presentation of the web application called SAMC ? casos clínicos constituted by Module 1 and Module 2. The Module 1 is responsible for health clinical cases preparation and the Module 2 is responsible for quantitative correction of student's Concept Mapping based on health clinical cases. Also is shown the accuracy evaluation and precision of the developed models that assists NLP tasks at Module 2. Accomplishment a Pilot Test and SAMC ? casos clínicos accuracy evaluation. Conclusion: The SAMC ? casos clínicos proves to be appropriate in supporting and improvement the Concept Mapping teaching strategy to clinical cases resolution with oncology content. The practicality offered by the Module 1 and the automatic correction (Module 2) of Concept Mapping of students reduces stress, errors and time spent by professors.
- ItemAcesso aberto (Open Access)Decision support system for the diagnosis of schizophrenia disorders(Associação Brasileira de Divulgação Científica, 2006-01-01) Razzouk, Denise [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Shirakawa, Itiro [UNIFESP]; Wainer, Jacques [UNIFESP]; Sigulem, Daniel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Clinical decision support systems are useful tools for assisting physicians to diagnose complex illnesses. Schizophrenia is a complex, heterogeneous and incapacitating mental disorder that should be detected as early as possible to avoid a most serious outcome. These artificial intelligence systems might be useful in the early detection of schizophrenia disorder. The objective of the present study was to describe the development of such a clinical decision support system for the diagnosis of schizophrenia spectrum disorders (SADDESQ). The development of this system is described in four stages: knowledge acquisition, knowledge organization, the development of a computer-assisted model, and the evaluation of the system's performance. The knowledge was extracted from an expert through open interviews. These interviews aimed to explore the expert's diagnostic decision-making process for the diagnosis of schizophrenia. A graph methodology was employed to identify the elements involved in the reasoning process. Knowledge was first organized and modeled by means of algorithms and then transferred to a computational model created by the covering approach. The performance assessment involved the comparison of the diagnoses of 38 clinical vignettes between an expert and the SADDESQ. The results showed a relatively low rate of misclassification (18-34%) and a good performance by SADDESQ in the diagnosis of schizophrenia, with an accuracy of 66-82%. The accuracy was higher when schizophreniform disorder was considered as the presence of schizophrenia disorder. Although these results are preliminary, the SADDESQ has exhibited a satisfactory performance, which needs to be further evaluated within a clinical setting.
- ItemAcesso aberto (Open Access)INDICANUTRI LP: aplicativo de gestão de indicadores nutricionais de pacientes com lesão por pressão(Universidade Federal de São Paulo (UNIFESP), 2018-08-16) Barrios, Weruska Davi [UNIFESP]; Nicodemo, Denise [UNIFESP]; Schmidt, Christiane Steponavicius Sobral [UNIFESP]; Suzuki, Vanessa Yuri; http://lattes.cnpq.br/7996290670653478; http://lattes.cnpq.br/1109015106402921; http://lattes.cnpq.br/5221369826598914; http://lattes.cnpq.br/9786354749641793; Universidade Federal de São Paulo (UNIFESP)Introduction: The diet therapy is important to ensure the nutrients supply, duo to the therapeutic role in chronic and acute diseases. Monitor inpatient nutritional indicators and early intervention has a major impact not only in the improvement of their nutritional status, as well as in the hospitalization cost. Health professionals have already used tools such as the internet, software and applications as a vehicle. Objective: Develop an application for nutritional indicators management in hospitalized patients with pressure ulcer. Method: From September to November 2017; it was conducted a search in Google Play® application store and used Design Thinking methodology to develop the app prototype, through experts consulting such as: nutrition specialist, nursing and hospital managers. Results: It was found 248 applications in the prior art search in different categories that were not relevant to the subject of this study. A questionnaire was given to 31 experts as the first stage of Design Thinking and showed that 94% record their data manually, using 2 to 5 professionals in this activity. Conclusion: It was developed INDICANUTRI LP® - an application for nutritional indicators management for patients with pressure ulcer.
- ItemAcesso aberto (Open Access)Nursing informatics: learning from the past to build a new future(Associação Brasileira de Enfermagem, 2005-04-01) Marin, Heimar de Fatima [UNIFESP]; Marques, Eduardo; Universidade Federal de São Paulo (UNIFESP); UERJ; Clínica São VicenteHealth care and health information have been around since the time of Hippocrates or even before. Through the historical evolution, it is observed that the knowledge and information that were simple and easy to learn and retain by that time, became much more complex. This paper presents a brief reviewing on the evolution of nursing informatics and how it grew up and made itself visible during all these years of International Medical Informatics Association (IMIA) conferences.
- ItemAcesso aberto (Open Access)Oncoaudit: desenvolvimento e avaliação de aplicativo para enfermeiros auditores(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2014-04-01) Grossi, Luciane Mandia; Pisa, Ivan Torres [UNIFESP]; Marin, Heimar de Fatima [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective:To develop a web and mobile device application to search for chemotherapy drugs to support nursing audits of hospital bills and to evaluate user satisfaction and tool usability.Methods:Research of technological production for development of an application for web and mobile technology. The product was evaluated by nurse auditors using the System Usability Scale questionnaire. It was also evalutated by health informactics professionals using Nielsen's heuristics.Results: The application is available at http://telemedicina6.unifesp.br/projeto/oncoaudit. The mobile version can be is accessed at http://play.google.com/intl/pt-BR/about/index.html. Nurse evalaution indicated that the web and mobile versions addressed user needs. In the usability evaluation, 14 problems were identified in the mobile version and eight in the web system. Implementation of improvements according to the evaluation findings were made in both versions.Conclusion: The methods for development and evaluation were adequate to achieve the proposed objective.