Digital Health Interventions by Anjali Raj

REMOTE PATIENT MONITORING

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2024-01-05 10:34:17 UTC

Remote client monitoring technology allows caring Vulnarable group of patients

by monitoring information such AS BP,Blood sugar or HR without disturbing their daily routines by providing some kind of wearable

Mobile Health Applications: These apps can monitor mood and symptoms, provide cognitive behavioral therapy (CBT) exercises, and offer educational resources about managing mental health conditions.

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Quality and safety implications: 1.Data Privacy and Security, 2. Clinical Validity and Effectiveness, 3.User Engagement and Retention, 4.Risk Assessment and Management, 5. Accessibility and Inclusivity 6.Regulatory Oversight. 7.Ethical Considerations

Critical result analysis of EMR in the emergency department

2024-01-05 10:34:22 UTC

Digital Healthcare – Quality and safety implications

Intervention

Critical result analysis of EMR in the emergency department

Critical lab result – will alarm in the department until somebody takes action to address.

Implications

· Dependent on information given into the system, is the data entered correct and timely.

· Needs to be a back system if the EMR is down.

· Would need to audit regularly to ensure that all relevant ones were picked up.

· Use of employee number to turn off alarm – alarm fatigue?

· data security

· Important that person receiving alert understands what to do next

· Financial cost of technology and regular system update

· Handover to next shift

· System downtime – back to paper based and phone calls

· Data integrity

· It depends on someone actually taking not of the alarm and acting on it - human factors

· System glitches

Teleconsultation,

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Implication on Quality and safety positive points:

1. Easy access

2. Time saving

3. Helps immobile patients and those who can’t reach the hospitals.

4. Cover larger number of patients.

5. Have an access to different consultants and specialists worldwide

Implication on Quality and safety, Risks:

1. Lack of physical examination

2. Lack of personal interaction

3. It can lead sometimes to misdiagnosis.

4. Not user friendly for some people

5. Efforts and training for healthcare professionals

6. Ethical implications (confidentiality, patient identification)

7. Limitation in medication prescription

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Transmitting sensitive health data over networks poses a risk of unauthorized access or data breaches O n the other hand

Real time data allows continuous monitoring

Digital prescriptions

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Digital Prescription Services

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There are prescription systems well set up to identify when a patient is prescribed a medication they are allergic to and prevent that drug being prescribed. However the following needs to be in place to achieve this:

The data is captured at the beginning of patient journey
The data is updated if a patient experiences a new reaction
Users heed warnings as they arise
Users need to be trained on how to use the system and what to do when a warning pops up
Will need an audit / verification process - human
Policies to be in place
Governance of system and not over ride the system