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Chronic wounds, including pressure ulcers, compromise the health of 6.5 million Americans and pose an annual estimated burden of $25 billion to the U.S. health care system. When treating chronic wounds, clinicians must use meticulous documentation to determine wound severity and to monitor healing progress over time. Yet, current wound documentatio...
Citations
... Recent advances in wound photography, such as digital wound applications, have improved the accuracy of wound care documentation, leading to improved wound management and patient outcomes [1][2][3][4]. Digital wound applications downloaded to a smartphone are capable of performing real-time wound analyses and tracking through image capture. ...
This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient perspective. A quasi-experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard (n=166,243 wounds) and intervention (n=124,184 wounds) group, at baseline and post-intervention. Clinicians completed a survey (n=10) and focus group (n=13) and patients were interviewed (n=4). Wound documentation were analysed descriptively, bivariate statistics determined between-group differences, and interviews were thematically analysed. Compared with the standard group, wound documentation in the intervention group improved significantly (<2 items documented 24% vs 70%, P < .001). During the intervention, 101/132 wounds improved (mean wound size reduction=53.99%). Positive evaluations included instantaneous objective wound assessment, shared wound plans increased patient adherence and enhanced efficiency in providing virtual care. Application use facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.
... Nas instituições hospitalares, diariamente, são tratados inúmeros casos de feridas, consequentemente produz-se uma grande quantidade de dados desorganizados sobre essas lesões. Porém, ainda é escassa a disponibilidade de recursos de gestão eficazes para solucionar esta problemática de forma sistemática (Soares et al., 2015;Aldaz et al., 2015). ...
... Portanto, um sistema de diagnóstico auxiliado por computador (CAD) é de grande utilidade para processar e analisar imagens, pois segmenta e classifica diferentes tecidos. Os sistemas CAD apresentam uma avaliação com maior acurácia para vários tipos de lesões, com isso podem fornecer uma solução econômica e quantitativa para observação precisa do estado de cicatrização da lesão(Wang et al., 2017, Aldaz et al., 2015.Inclusive o National Pressure Ulcer Advisory Panel (NPUAP, 2016) incentiva fortemente o uso desse recurso para a documentação das lesões conjugado à identificação do paciente, marcações de data e hora e dimensões da ferida. É uma questão de tempo até as plataformas de imagem tornarem-se parte integrante do gerenciamento da assistência às lesões de pele.A integração dessas plataformas aos registros eletrônicos do paciente aperfeiçoará a rotina de cuidados e gestão dos dados, por meio de um recurso tecnológico, que ajudará a avaliar a gravidade da ferida e a estimar o potencial de cicatrização, como foi descrito porAldaz et al. (2015) em sua pesquisa sobre o desenvolvimento do aplicativo Snapcap.Como apresentado no Quadro 3, observou-se a predominância das lesões crônicas nas publicações avaliadas, as quais envolvem as próprias úlceras crônicas, úlceras venosas, úlceras falciformes e lesões por pressão. ...
... Os sistemas CAD apresentam uma avaliação com maior acurácia para vários tipos de lesões, com isso podem fornecer uma solução econômica e quantitativa para observação precisa do estado de cicatrização da lesão(Wang et al., 2017, Aldaz et al., 2015.Inclusive o National Pressure Ulcer Advisory Panel (NPUAP, 2016) incentiva fortemente o uso desse recurso para a documentação das lesões conjugado à identificação do paciente, marcações de data e hora e dimensões da ferida. É uma questão de tempo até as plataformas de imagem tornarem-se parte integrante do gerenciamento da assistência às lesões de pele.A integração dessas plataformas aos registros eletrônicos do paciente aperfeiçoará a rotina de cuidados e gestão dos dados, por meio de um recurso tecnológico, que ajudará a avaliar a gravidade da ferida e a estimar o potencial de cicatrização, como foi descrito porAldaz et al. (2015) em sua pesquisa sobre o desenvolvimento do aplicativo Snapcap.Como apresentado no Quadro 3, observou-se a predominância das lesões crônicas nas publicações avaliadas, as quais envolvem as próprias úlceras crônicas, úlceras venosas, úlceras falciformes e lesões por pressão. Definidas como feridas com profundidade variável de pele e danos teciduais em espessura total e com tendência lenta de cicatrização, são um desafio crescente para a saúde pública(Gillespie, 2010). ...
A assistência aos pacientes com lesões de pele tem sido um dos maiores entraves para o sistema de saúde mundial. Realizou-se de uma revisão integrativa que objetivou caracterizar as ferramentas tecnológicas utilizadas para gerenciamento dos registros advindos da assistência aos pacientes portadores de lesões de pele no ambiente hospitalar no período de 2013 a 2023. As bases de dados utilizadas foram: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF), Medical Literature and Retrivial System onLine (MEDLINE/PubMed®), SCOPUS (Elsevier), Institute of Electrical and Electronics Engineers (IEEE) e Web of Science. Identificaram-se 14 publicações, sendo a maioria publicada no ano de 2017 (03), em jornais/revistas eletrônicas (10) e voltadas especificamente às lesões por pressão (07). Grande parte das pesquisas caracterizou-se como descritivos exploratórios e estudos de coorte. Conclui-se que as tecnologias de informação e comunicação vem se tornando ferramentas essenciais na gestão de dados pois impactam positivamente no gerenciamento do cuidado, na acessibilidade dos profissionais aos registros de saúde do paciente e na resolução de problemas assistenciais.
... The Snap Cap System for chronic wound photography is a remarkable development in this area. By leveraging the sensor capabilities of Google Glass, Snap Cap [12] enables hands-free digital image capture and the tagging and transfer of images to a patient's EMR. In a pilot study with wound care nurses at Stanford Hospital (n=16), examining feature preferences for hands-free digital image capture and documentation and comparing Snap Cap to state the art in digital wound care photography, the Epic Haiku application was made. ...
Three in every four children has confronted child abuse of one kind or another, and the past few decades have shown a tremendous rise in the tally of such incidents. The most common type of child abuse includes physical, mental, emotional, and psychological abuse. There has been a rapid breakthrough in artificial intelligence technology in recent years, and it has also spread its branches in the field of Forensic Odontology. Forensic Odontologists have significantly used AI technology to decipher bite marks and mandibular morphology and estimate age. Pediatric Forensic Odontology presents significant challenges and opportunities for applying AI. In this article, we discuss the application of AI, particularly concerning recognizing signs of child abuse in head and neck structures. Sixteen papers were selected, keeping their practical relevance in the steps of diagnosis of child abuse in mind. Dental forensic experts should consider an advanced diagnosis of child abuse as it could considerably allow the identification of child abuse cases and early intervention.
... These studies demonstrated how AR benefits information collection by enabling simultaneous, hands-free access to pertinent references without compromising the quality of the task performed. Our interviews also address the possibility of AR directly assisting in image and data collection, with some previous studies implementing AR tools to obtain photographs [48] and measurements, such as skin lesions [49] and child size [50]. However, the implementation and efficacy of such tools in a real-time, remote interaction require more studies. ...
Background
Augmented reality (AR) and virtual reality (VR) have increasingly appeared in the medical literature in the past decade, with AR recently being studied for its potential role in remote health care delivery and communication. Recent literature describes AR’s implementation in real-time telemedicine contexts across multiple specialties and settings, with remote emergency services in particular using AR to enhance disaster support and simulation education. Despite the introduction of AR in the medical literature and its potential to shape the future of remote medical services, studies have yet to investigate the perspectives of telemedicine providers regarding this novel technology.
Objective
This study aimed to understand the applications and challenges of AR in telemedicine anticipated by emergency medicine providers with a range of experiences in using telemedicine and AR or VR technology.
Methods
Across 10 academic medical institutions, 21 emergency medicine providers with variable exposures to telemedicine and AR or VR technology were recruited for semistructured interviews via snowball sampling. The interview questions focused on various potential uses of AR, anticipated obstacles that prevent its implementation in the telemedicine area, and how providers and patients might respond to its introduction. We included video demonstrations of a prototype using AR during the interviews to elicit more informed and complete insights regarding AR’s potential in remote health care. Interviews were transcribed and analyzed via thematic coding.
Results
Our study identified 2 major areas of use for AR in telemedicine. First, AR is perceived to facilitate information gathering by enhancing observational tasks such as visual examination and granting simultaneous access to data and remote experts. Second, AR is anticipated to supplement distance learning of both minor and major procedures and nonprocedural skills such as cue recognition and empathy for patients and trainees. AR may also supplement long-distance education programs and thereby support less specialized medical facilities. However, the addition of AR may exacerbate the preexisting financial, structural, and literacy barriers to telemedicine. Providers seek value demonstrated by extensive research on the clinical outcome, satisfaction, and financial benefits of AR. They also seek institutional support and early training before adopting novel tools such as AR. Although an overall mixed reception is anticipated, consumer adoption and awareness are key components in AR’s adoption.
Conclusions
AR has the potential to enhance the ability to gather observational and medical information, which would serve a diverse set of applications in remote health care delivery and education. However, AR faces obstacles similar to those faced by the current telemedicine technology, such as lack of access, infrastructure, and familiarity. This paper discusses the potential areas of investigation that would inform future studies and approaches to implementing AR in telemedicine.
... 5 Over the past decade, smart glass technology has been used and tested out in a variety of healthcare settings and clinical scenarios. 4 For example, researchers have explored using smart glasses to broadcast surgeries to remote consultants, 6 record encounters with patients, [7][8][9] monitor patient status in critical care, 10 and support patient management and triage during mass casualty incidents. [11][12][13] Despite these prior studies, limited research attempted to investigate the use and application of smart glasses in time-and safety-critical medical settings, such as emergency medical services (EMS) or prehospital care. ...
Objective
This study aims to investigate key considerations and critical factors that influence the implementation and adoption of smart glasses in fast-paced medical settings such as emergency medical services (EMS).
Materials and Methods
We employed a sociotechnical theoretical framework and conducted a set of participatory design workshops with 15 EMS providers to elicit their opinions and concerns about using smart glasses in real practice.
Results
Smart glasses were recognized as a useful tool to improve EMS workflow given their hands-free nature and capability of processing and capturing various patient data. Out of the 8 dimensions of the sociotechnical model, we found that hardware and software, human-computer interface, workflow, and external rules and regulations were cited as the major factors that could influence the adoption of this novel technology. EMS participants highlighted several key requirements for the successful implementation of smart glasses in the EMS context, such as durable devices, easy-to-use and minimal interface design, seamless integration with existing systems and workflow, and secure data management.
Discussion
Applications of the sociotechnical model allowed us to identify a range of factors, including not only technical aspects, but also social, organizational, and human factors, that impact the implementation and uptake of smart glasses in EMS. Our work informs design implications for smart glass applications to fulfill EMS providers’ needs.
Conclusion
The successful implementation of smart glasses in EMS and other dynamic healthcare settings needs careful consideration of sociotechnical issues and close collaboration between different stakeholders.
... In particular, smart glasses can present both imagery and textual information within the wearer's field of view (FOV) through a prism and enable videoconferencing for consults or second opinions via a front-facing camera. Since the introduction of smart glasses to the market, researchers have explored their applicability and usefulness in various medical settings and clinical scenarios [9], such as broadcasting surgeries to facilitate resident teaching [14], recording encounters with patients in wound care [15,16], assessing patients in mass casualty incidents [17], and supporting communication between prehospital and hospital providers [18,19]. ...
Background:
Over the past 2 decades, various desktop and mobile telemedicine systems have been developed to support communication and care coordination among distributed medical teams. However, in the hands-busy care environment, such technologies could become cumbersome because they require medical professionals to manually operate them. Smart glasses have been gaining momentum because of their advantages in enabling hands-free operation and see-what-I-see video-based consultation. Previous research has tested this novel technology in different health care settings.
Objective:
The aim of this study was to review how smart glasses were designed, used, and evaluated as a telemedicine tool to support distributed care coordination and communication, as well as highlight the potential benefits and limitations regarding medical professionals' use of smart glasses in practice.
Methods:
We conducted a literature search in 6 databases that cover research within both health care and computer science domains. We used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology to review articles. A total of 5865 articles were retrieved and screened by 3 researchers, with 21 (0.36%) articles included for in-depth analysis.
Results:
All of the reviewed articles (21/21, 100%) used off-the-shelf smart glass device and videoconferencing software, which had a high level of technology readiness for real-world use and deployment in care settings. The common system features used and evaluated in these studies included video and audio streaming, annotation, augmented reality, and hands-free interactions. These studies focused on evaluating the technical feasibility, effectiveness, and user experience of smart glasses. Although the smart glass technology has demonstrated numerous benefits and high levels of user acceptance, the reviewed studies noted a variety of barriers to successful adoption of this novel technology in actual care settings, including technical limitations, human factors and ergonomics, privacy and security issues, and organizational challenges.
Conclusions:
User-centered system design, improved hardware performance, and software reliability are needed to realize the potential of smart glasses. More research is needed to examine and evaluate medical professionals' needs, preferences, and perceptions, as well as elucidate how smart glasses affect the clinical workflow in complex care environments. Our findings inform the design, implementation, and evaluation of smart glasses that will improve organizational and patient outcomes.
... The summarized of included studies are in Table 1. Of the 11 studies, four (36.4%) of the lead authors were nurses (37)(38)(39)(40). The total number of participants is 2,247. ...
... The study population was heterogeneous, but all involved nurses either as participants or researchers or as intervention providers to patients. Five studies (45.5%) involved patient study participants (30,31,34-36), two studies (18.2%) of HCW (37,38), and three studies (27.3%) focus on nurses as participants (32,33,39). One study (9.1%) study with patients and HCW participants (40). ...
... Six studies (54.5%) were date publications 2018-2020 (31)(32)(33)35,39,40). Countries were conducted research, mostly in the US, three studies (27.3%) (32,37,39). Related to study design: Most [5] studies (45.5%) were nonrandomized trials (32,33,(37)(38)(39). ...
Background & Aim: Prevention of healthcare-associated infections targets health workers. Considering the crucial role of nurses, potential applications of mobile phone-based interventions are innovative, attractive, and easily accessible. This study synthesizes mobile applications with the involvement of nurses or nursing students in outcomes to prevent healthcare-associated infections and their implications.
Methods & Materials: Systematic review, database searches included: SCOPUS, EBSCO MEDLINE, PubMed, ProQuest, Institute of Electrical and Electronics Engineers, and SagePUb. Population involved nurses or nursing students with mobile-based interventions about healthcare-associated infectionsQuantitative design focused on publications between 2015-2021. Methodological quality applied the Cochrane and the National Heart, Lung, and Blood Institute tools. Analysis used narrative synthesis.
Results: 11 studies met inclusion criteria from 1,792. Study populations were heterogeneous. Mobile phone interventions included: short message service (18.2%), (9.1%), mobile and computer access (18.2%), and iOs/Android-based (27.3%). healthcare-associated infections prevention focused on: surgical site infections (54.5%), central line-associated bloodstream infections (9.1%), catheter-associated urinary tract infections (9.1%), antimicrobials (9.1%), knowledge, attitude, and practice towards healthcare-associated infections (18.2%). Most bias risks were moderate to high. Participants showed positive responses. All studies described problems in implementing healthcare-associated infections applications. Five studies reported estimated cost savings.
Conclusion: Using mobile phone applications has involved nurses as researchers, participants, and intervention providers to patients. The impact is promising in preventing healthcare-associated infections. Response of user is influenced by technology familiarity, which involves interactive features and problem anticipation. This review showed significant cost savings, so stakeholders and future research plans can consider it.
... 12 The importance of wound photography for detailed, reliable wound assessment, monitoring and management has been demonstrated in numerous publications. [13][14][15][16][17] Increasingly, health services are using photos to assess, manage and document wounds. 16,18,19 The wound photo can be checked immediately, is readily available for viewing on a computer screen, and can easily be shared among clinicians and printed if required for hard-copy records. ...
... 20 Recent advances in wound photography, such as digital wound applications, have improved the accuracy of wound care documentation, leading to improved wound management and patient outcomes. [13][14][15]17 Digital wound applications downloaded to a smartphone are capable of performing real-time wound analyses and tracking through image capture. Certain applications have algorithms and clinical decision-support tools to assist in determining the best treatment options, the type of wound products to use, the tracking of the wound healing progression and the next steps to take. ...
Wound documentation is integral to effective wound care, health data coding and facilitating continuity of care. This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician‐and‐patient user perspective. A quasi‐experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard group (n = 166, 243 wounds) and intervention group (n = 124, 184 wounds), at baseline and post‐intervention. Clinicians participated in a survey (n = 10) and focus group interviews (n = 13) and patients were interviewed (n = 4). Wound documentation data were analysed descriptively, and bivariate statistics were used to determine between‐group differences. Thematic analysis of interviews was conducted. Compared with the standard group, wound documentation in the intervention group improved significantly (more than two items documented 24% vs 70%, P < .001). During the intervention, 101 out of 132 wounds improved (mean wound size reduction = 53.99%). Positive evaluations identified improvements such as instantaneous objective wound assessment, shared wound plans, increased patient adherence and enhanced efficiency in providing virtual care. The use of the application facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.
... Beyond training and education, there are many approaches that use AR for the support of certain care tasks. Aldaz et al. [1] used HMDs to document wounds of patients and found that caregivers liked the HMD better than a smartphone application. However, they also found that caregivers preferred to take pictures on the smartphone, as it produced better image quality and enabled a preview. ...
... Regarding the literature, the main potentials of using HMDs in care are freeing the hands of users while providing information and guidance to the user (e.g., [1,44]) as well as enabling caregivers and others to use a first-person perspective of looking at a care setting [29,44]. The former is especially important for care, as caregivers need their hand to treat, move or support the patient. ...
Professional caregivers often face complex situations in which they need the support of a colleague or a specialist. This is especially necessary for caregivers during their training or with less practice in certain tasks. Due to time and space restrictions, colleagues or specialists are not always available for local support. Remote support by streaming videos to a remote helper has been discussed in healthcare domains as a so-called teleconsultation. However, little is known about how to apply teleconsultation in care. We conducted a study with caregivers and remote helpers to compare head mounted devices (HMDs) for teleconsultation in care to two alternative solutions using smartphones. We found that despite lacking familiarity, HMDs have good potential for remote support in care, and that creating video streams with smartphones is not preferable for teleconsultations. We suggest that ideal support needs to balance freedom and guidance and suggest how such support needs to be further explored.
... Die Dimension "Benutzerinteraktionsverfolgung" umfasst vordefinierte Handgesten, die meist über optische Sensoren erkannt werden (Arroyave-Tobón et al. 2015). Die Augenverfolgung misst die Blickrichtung über Pupillenbewegungen oder deren Sichtbarkeit (Aldaz et al. 2015). Auch die allgemeine Körperhaltung des Benutzers kann zur Interaktion genutzt werden, z. ...
... Auch die allgemeine Körperhaltung des Benutzers kann zur Interaktion genutzt werden, z. B. das Neigen des Kopfes (Aldaz et al. 2015). Mit Hilfe von mechanischen und taktilen Sensoren (z. ...
... Alternativ können die angeschlossenen Geräte physikalisch getrennt aber Verbundene Geräte sein, z. B. Kopfhörer und Smartphone(Aldaz et al. 2015) oder wie dies im stationären ARS vonHou et al. (2013) der Fall ist. Sind die einzelnen Komponenten in einer weiteren Stufe (semi-)permanent verbunden, wird die Architektur als Integriertes Gerät charakterisiert (bspw.Lahanas et al. 2015).Die exklusive Dimension "Nutzersystem" beschreibt, wie viele Personen gleichzeitig denselben synthetischen Inhalt wahrnehmen können. ...
The execution of workflows in many application fields is increasingly
linked to the processing of context information. This makes it possible to provide
users with the right information at the right time in order to optimally support
workflow execution. A current approach to realize context-sensitive support are augmented
reality systems. These process contextual information and deliver necessary
and helpful workflow information immersively and intuitively to support and relieve
the user. Since technical implementations in this field vary widely, this paper develops
a taxonomy that makes it possible to systematize augmented reality systems
in a uniform way. With the resulting unified vocabulary, the taxonomy provides
a practically usable basis for classifying state-of-the-art augmented reality systems,
identifying trends and research gaps in the literature, and methodically supporting
the development of new augmented reality systems. For the development of the
taxonomy, a total of 142 augmented reality systems were analyzed, with special
regard to the provided workflow support. The perceived usefulness of the taxonomy
was evaluated through a survey of experts in the domain of augmented reality systems
and workflow management. In addition, two novel augmented reality systems
that represent innovative approaches to workflow execution support are presented as
practical examples of applications of the taxonomy.
