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At least 19 recordsLinked to original sources

The patient care notebook: from pilot phase to successful hospitalwide dissemination.

BACKGROUND: A patient care notebook that patients take with them to different care settings improved disharge planning and patient education during a pilot find, organize, clarify, understand, select-plan, do, check, act (FOCUS-PDCA) project on a 15-bed rehabilitation unit. The 296-bed rehabilitation hospital expanded the notebook's use to all hospital programs through a second PDCA cycle. ADAPTING THE NOTEBOOK: The three-ring binder notebook sections were modified from the pilot notebook to three sections standardized for all programs. Materials included information about hospital services and patients' rights and medical information about future appointments, specific diagnostic information, home medications and exercises, and equipment and home modifications. Staff were educated about the notebook through in-services and an educational video. RESULTS: When patients and their families who were discharged with home services were contacted, more than two-thirds reported that the notebooks were useful and easy to use. As staff became more familiar with the notebook, 75% or more reported that the notebooks were useful and easy to use and improved the discharge process. The notebooks were still used two years after their introduction. DISCUSSION: An innovative and helpful new care process, the patient care notebook can improve a rehabilitation hospital's patient education and discharge planning processes. It represents a better practice in health care provider/patient communication.

Boston↗

[Evaluation of the effective use of the "health notebook"].

Since 1983, with the institution of the "Health Service Law for the Aged", the "health notebook" has been issued to people aged 40 years and over in order to aid in management of their health. Few people actually fill their health data in notebook by themselves. In order to develop effective use of the health notebook by residents and health professionals, the uses of the health notebooks by residents aged 40 years and over, public health nurses, and physicians were investigated. Three hundred and fifty four residents aged 40 and over, 41 public health nurses, and 18 physicians were studied in 1990, in Yamagata city. A majority of residents took their health notebooks with them to health consultations, and public health nurses used the notebooks to provide advice to them. Public health nurses effectively issued the health notebooks to residents using occasions where residents gathered. Some physicians reported that health notebooks were useful for motivating the people to maintain their health, while others preferred using a health card media. When comparing the health notebooks to the maternity passbooks, health notebooks need to be more easily utilized by users for recording information, and their value should be effectively explained to them. Furthermore, in order to promote self-care behaviors, greater use of health notebooks by all health professionals in indicated.

Adult↗

The Patient Care Notebook: quality improvement on a rehabilitation unit.

BACKGROUND: Shortened lengths of stay in acute and rehabilitation hospitals, continuing financial pressures on all postacute care services, and increasing out-of-pocket health care costs for patients and families challenge rehabilitation hospitals' patient education and discharge planning processes. Spaulding Rehabilitation Hospital (Boston) introduced a patient care notebook in a 15-bed satellite unit and pilot tested its contribution to the patient education and discharge planning process. DEVELOPING THE NOTEBOOK: The three-ring binder notebook included sections on medical appointments and phone numbers, understanding illness and medical care, coping with illness, physical activities, recommendations for the home, and community resources, with both standard and patient-specific information. RESULTS: Most of the patients and caregivers who received the notebooks found them to be helpful, and most staff indicated that the notebook improved the teaching process. Telephone calls to the unit after home discharges decreased form 28 calls for 11 discharges to 6 calls for 21 discharges after the notebook began to be used regularly. DISCUSSION: Staff felt that the process of using the notebook helped focus attention on teaching during the entire course of a patient's hospitalization rather than just a day or two before discharge. The patient care notebook process is being introduced to the entire hospital and to all patients, regardless of discharge location and the patient's literacy or proficiency with English. CONCLUSION: In using the notebook, the QI team, and the entire unit staff, learned about the complexities of QI, patient education, and discharge planning. The notebook process was implemented throughout the hospital a little more than a year after the completion of the pilot project.

Aged↗

[Relationship between utilization of health notebooks and the elderly population rate among Japanese municipal governments].

OBJECTIVE: Health conditions are changing rapidly in aging societies and an essential health service by municipal governments is to promote the utilization of health notebooks in support of the health of individuals. The objective of this study was to clarify the relationship between utilization of health notebooks and rates for elderly among Japanese municipal governments. SUBJECTS AND METHODS: Questionnaires on the utilization of health notebooks were mailed to all 3,255 municipal governments in Japan. The 2,445 that filled in all items on the questionnaire were enrolled in this study. Questions concerned opportunities for utilizing health notebooks when residents received health education/guidance, health examinations, home visits, or welfare service. If they answered "Frequent use" for these opportunities, one point was given. Furthermore, if they answered that they filled in the results of residents' health examination into health notebooks, one point was given. If a municipal government got 4 points or more, this municipality was classified as "health notebooks frequently used". RESULTS: The percentage of municipalities defined as "health notebooks frequently used" was higher among municipal governments with a high rate of elderly residents than with a lower rate. The odds ratio for being classified as "health notebooks frequently used" was higher among municipal government with high rates for the elderly and public health nurses per elderly person than with low rates. CONCLUSION: With increase in the percentage of elderly residents, municipal governments need to promote their health services in support of residents' health. To improve the utilization of health notebooks, municipalities should increase the number of public health nurses.

Aged↗

[Investigation of the "medication notebook" about its utilization in patients and its evaluation by doctors in Iwai City].

We performed an investigation of medication notebook utilization among patients in Iwai City and conducted a questionnaire survey of physicians to evaluate its usefulness. The patients who used our insurance pharmacies for dispensing prescriptions were queried about six items, i.e., age, types of acute or chronic disease, possession of a medication notebook, efficient use of a medication notebook, consultation at two or more medical institutions, and efficient use of the medication notebook at the other medical institutions. The medication notebook possession rates were 73.1% and 94.6% among those aged 69 years or younger and among those aged 70 years or older, respectively. Furthermore, one patients who unified their drug information from two or more medical institutions into one medication notebook accounted for 55.4% and 73.2% of patients with chronic diseases aged 69 years or younger and those aged 70 years or older, respectively. As a result of the questionnaire survey, 92.3%, 76.9%, and 69.2% of physicians evaluated the medication notebook favorably in preventing duplicate prescriptions, avoiding drug interactions, and deferminins side effects due to prescriptions from other medical institutions, respectively. To increase the effective use of the medication notebook in patients with chronic diseases aged 69 years or younger, we need to promote an educational campaign instructing them in its clinical usefulness.

Aged↗

Validation of the care notebook for measuring physical, mental and life well-being of patients with cancer.

To measure patients' QOL in the daily practice of clinical oncology, we developed and tested the Care Notebook. This instrument has 24 questions expressed in single words or short phrases to make it more acceptable to patients. The Care Notebook, EORTC QLQ-C30 and FACIT-Sp-12 were administered to 249 outpatients with cancer. Construct validity was investigated by cluster analysis and multitrait scaling analysis. The results showed that three scales (physical well-being, mental well-being, and life well-being) could explain 55% of the variance in scores. The life well-being scale could be divided into subscales of Daily Functioning, Social Functioning, and Subjective QOL. Multitrait scaling analysis confirmed convergent and discriminant validity of these scales and subscales. Internal consistency and test-retest reliability were favorable. Differences in Care Notebook scores were also consistent with differences in performance status rating (known-groups validity), and Care Notebook scores correlated with EORTC QLQ-C30 and FACT-Sp-12 scores (concurrent validity). The Care Notebook allows clinical oncologists to easily collect valid and reliable QOL information of physical, mental, and life well-being repeatedly and with minimal burden on patients.

Adult↗

A virtual laboratory notebook for simulation models.

In this paper we describe how we have adopted the laboratory notebook as a metaphor for interacting with computer simulation models. This 'virtual' notebook stores the simulation output and meta-data (which is used to record the scientist's interactions with the simulation). The meta-data stored consists of annotations (equivalent to marginal notes in a laboratory notebook), a history tree and a log of user interactions. The history tree structure records when in 'simulation' time, and from what starting point in the tree changes are made to the parameters by the user. Typically these changes define a new run of the simulation model (which is represented as a new branch of the history tree). The tree shows the structure of the changes made to the simulation and the log is required to keep the order in which the changes occurred. Together they form a record which you would normally find in a laboratory notebook. The history tree is plotted in simulation parameter space. This shows the scientist's interactions with the simulation visually and allows direct manipulation of the parameter information presented, which in turn is used to control directly the state of the simulation. The interactions with the system are graphical and usually involve directly selecting or dragging data markers and other graphical control devices around in parameter space. If the graphical manipulators do not provide precise enough control then textual manipulation is still available which allows numerical values to be entered by hand. The Virtual Laboratory Notebook, by providing interesting interactions with the visual view of the history tree, provides a mechanism for giving the user complex and novel ways of interacting with biological computer simulation models.

Computational Biology↗

A suite of Mathematica notebooks for the analysis of protein main chain 15N NMR relaxation data.

A suite of Mathematica notebooks has been designed to ease the analysis of protein main chain 15N NMR relaxation data collected at a single magnetic field strength. Individual notebooks were developed to perform the following tasks: nonlinear fitting of 15N-T1 and -T2 relaxation decays to a two parameter exponential decay, calculation of the principal components of the inertia tensor from protein structural coordinates, nonlinear optimization of the principal components and orientation of the axially symmetric rotational diffusion tensor, model-free analysis of 15N-T1, -T2, and {1H}-15N NOE data, and reduced spectral density analysis of the relaxation data. The principle features of the notebooks include use of a minimal number of input files, integrated notebook data management, ease of use, cross-platform compatibility, automatic visualization of results and generation of high-quality graphics, and output of analyses in text format.

Anisotropy↗

Memory remediation after severe closed head injury: notebook training versus supportive therapy.

This study evaluated the effectiveness of a 9-week memory notebook treatment for closed-head-injured (CHI) participants with documented memory deficits. Eight participants who had sustained a severe CHI more than 2 years earlier were allocated to receive either notebook training or supportive therapy. Memory outcome indicators, which differed in sensitivity to detect everyday memory failures (EMFs), were administered before treatment, immediately after treatment, and at a 6-month follow-up. At posttreatment, the notebook training group reported significantly fewer observed EMFs on a daily checklist measure than the supportive therapy group. Although in the same direction, this finding no longer reached significance at follow-up. No significant treatment effects were found for the laboratory-based memory measures at posttreatment or follow-up. Although the present results are to be considered preliminary because of the small sample size, they suggest that notebook training has the potential to help individuals compensate for everyday memory problems and that the methods used to measure training efficacy are important.

Activities of Daily Living↗

An analysis of Simpson's notebook data on the wet nurse.

OBJECTIVE: to understand the meaning of the qualitative data included in the Notebook of wet nurses kept by James Young Simpson. DESIGN: quantitative and qualitative analysis of data in an historical document. SETTING: a list of wet nurses kept by a 'Professor of Midwifery' in mid-19th century Edinburgh. PARTICIPANTS: the Notebook lists the names and other details of 749 women. FINDINGS: the Notebook indicates how the wet nurse was recruited, the implications for her baby, how she negotiated her role and the decision-making around her recruitment. KEY CONCLUSIONS: the ambiguity of this medical pioneer's decision-making is demonstrated. Simpson's scientific credentials may have featured much rhetoric. While in the forefront of many obstetric and medical developments, Simpson was regressive in his support for wet nursing. The social input into the selection of the wet nurse has not been identified previously. IMPLICATIONS FOR PRACTICE: the woman's ability to negotiate her terms of employment emerges. The social determinants of baby feeding decisions, identified in this document, have assumed greater significance since the time that this Notebook was written.

Breast Feeding↗

Effect of keyswitch design of desktop and notebook keyboards related to key stiffness and typing force.

This study aimed to compare and analyse rubber-dome desktop, spring-column desktop and notebook keyboards in terms of key stiffness and fingertip typing force. The spring-column keyboard resulted in the highest mean peak contact force (0.86N), followed by the rubber dome desktop (0.68N) and the notebook (0.59N). All these differences were statistically significant. Likewise, the spring-column keyboard registered the highest fingertip typing force and the notebook keyboard the lowest. A comparison of forces showed the notebook (rubber dome) keyboard had the highest fingertip-to-peak contact force ratio (overstrike force), and the spring-column generated the least excess force (as a ratio of peak contact force). The results of this study could aid in optimizing computer key design that could possibly reduce subject discomfort and fatigue.

Adult↗

Practicing Data Science in Interactive Notebooks.

The Jupyter Notebook is a platform for interactive computing that displays code and results in the same browser, making it valuable for teaching, prototyping, data analysis, and collaboration. Its explicit and transparent structure greatly reproducibility while its backend server supports flexible deployment. In the past few years, Jupyter notebooks and similar tools have become increasingly popular. In this chapter, we will review key aspects of data analysis in a cloud environment and demonstrate common tasks for analyzing metabolomics data using template notebooks. This is an accompaniment to the basic bioinformatics tools and essential data science toolkit introduced in the first edition.

Software↗

Operationalizing a bedside pen entry notebook clinical database system in consultation-liaison psychiatry.

No current system of computerized data entry of clinical information in consultation-liaison (C-L) psychiatry has been well received or has demonstrated that it saves the consultant's time. The inability to achieve accurate, complete, systematic collection of discrete variables and data entry in the harried C-L setting is a major impediment to the advancement of the subspecialty and health services research. The hand-held Notebook computer with Windows PEN ENTRY MICROCARES capabilities has permitted one-time direct entry of data at the time of collection at the patient's bedside. Variable choice and selection enhances the completeness and accuracy of data collection. For example, ICD-9, Axis III diagnoses may be selected from a "look-up" which at the same time automatically assigns the appropriate code and diagnostic-related groups, (DRG) number. A patient narrative can be typed at the nurse's station, a chart note printed for the medical record, and the MICRO-CARES literature database perused with the printing of selected citations, abstracts, and in some cases experts' commentaries for the consultee. The consultant's documentation time is halved using the NOTEBOOK WINDOWS PEN ENTRY MICRO-CARES software, with the advantage of more accurate and complete data description than with the traditional handwritten consultation records. Consultees preferred typewritten in contrast to handwritten notes. The cost of the hardware (about $2000) is less than that of an optical scanner, and it permits report generation and archival searches at the nurses' station without returning to the C-L office for scanning. Radio frequency or ethernet download from the Notebook permits direct data transfer to th C-L office archive computer.

Attitude of Health Personnel↗

Ergonomic guidelines for using notebook personal computers. Technical Committee on Human-Computer Interaction, International Ergonomics Association.

In the 1980's, the visual display terminal (VDT) was introduced in workplaces of many countries. Soon thereafter, an upsurge in reported cases of related health problems, such as musculoskeletal disorders and eyestrain, was seen. Recently, the flat panel display or notebook personal computer (PC) became the most remarkable feature in modern workplaces with VDTs and even in homes. A proactive approach must be taken to avert foreseeable ergonomic and occupational health problems from the use of this new technology. Because of its distinct physical and optical characteristics, the ergonomic requirements for notebook PCs in terms of machine layout, workstation design, lighting conditions, among others, should be different from the CRT-based computers. The Japan Ergonomics Society (JES) technical committee came up with a set of guidelines for notebook PC use following exploratory discussions that dwelt on its ergonomic aspects. To keep in stride with this development, the Technical Committee on Human-Computer Interaction under the auspices of the International Ergonomics Association worked towards the international issuance of the guidelines. This paper unveils the result of this collaborative effort.

Equipment Design↗

History of the health notebook in France: a stake for mothers, doctors and state.

The health notebook is a booklet distributed in France to mothers for making notes about the growth and health events of their children. The physicians who first adopted this initiative thought that mothers would be the best link between themselves and the health of babies. The oldest example discussed here came from a Montpellier medical doctor (1869). Many other initiatives followed until the Second World War. At the beginning of the 20th century, public health authorities became interested in this booklet as an instrument of control of the population's health. The idea of making this health notebook compulsory was implemented in 1945. Since 1970, it has included three health certificates signed by a physician. Therefore, families, doctors and State have all come to have a stake in the health notebook.

Child↗

The Computerized Laboratory Notebook concept for genetic toxicology experimentation and testing.

We describe a microcomputer system utilizing the Computerized Laboratory Notebook (CLN) concept developed in our laboratory for the purpose of automating the Battery of Leukocyte Tests (BLT). The BLT was designed to evaluate blood specimens for toxic, immunotoxic, and genotoxic effects after in vivo exposure to putative mutagens. A system was developed with the advantages of low cost, limited spatial requirements, ease of use for personnel inexperienced with computers, and applicability to specific testing yet flexibility for experimentation. This system eliminates cumbersome record keeping and repetitive analysis inherent in genetic toxicology bioassays. Statistical analysis of the vast quantity of data produced by the BLT would not be feasible without a central database. Our central database is maintained by an integrated package which we have adapted to develop the CLN. The clonal assay of lymphocyte mutagenesis (CALM) section of the CLN is demonstrated. PC-Slaves expand the microcomputer to multiple workstations so that our computerized notebook can be used next to a hood while other work is done in an office and instrument room simultaneously. Communication with peripheral instruments is an indispensable part of many laboratory operations, and we present a representative program, written to acquire and analyze CALM data, for communicating with both a liquid scintillation counter and an ELISA plate reader. In conclusion we discuss how our computer system could easily be adapted to the needs of other laboratories.

Cell Line↗

Wireless teleradiology and fax using cellular phones and notebook PCs for instant access to consultants.

The feasibility of wireless portable teleradiology and facsimile (fax) transmission using a pocket cellular phone and a notebook computer to obtain immediate access to consultants at any location was studied. Modems specially designed for data and fax communication via cellular systems were employed to provide a data communication interface between the cellular phone and the notebook computer. Computed tomography (CT) scans, X-rays, and electrocardiograms (ECGs) were transmitted to a wireless unit to measure performance characteristics. Data transmission rates ranged from 520 to 1100 bytes per second. Typical image transmission times ranged from 1 to 10 minutes; however, using joint photographic experts group or fractal image compression methods would shorten typical transmission times to less than one minute. This study showed that wireless teleradiology and fax over cellular communication systems are feasible with current technology. Routine immediate cellular faxing of ECGs to cardiologists may expedite thrombolytic therapy decisions in questionable cases. Routine immediate teleradiology of CT scans may reduce operation room preparation times in severe head trauma.

Humans↗

An investigation of the effects of touchpad location within a notebook computer.

This study evaluated effects of the location of a notebook computer's integrated touchpad, complimenting previous work in the area of desktop mouse location effects. Most often integrated touchpads are located in the computer's wrist rest, and centered on the keyboard. This study characterized effects of this bottom center location and four alternatives (top center, top right, right side, and bottom right) upon upper extremity posture, discomfort, preference, and performance. Touchpad location was found to significantly impact each of those measures. The top center location was particularly poor, in that it elicited more ulnar deviation, more shoulder flexion, more discomfort, and perceptions of performance impedance. In general, the bottom center, bottom right, and right side locations fared better, though subjects' wrists were more extended in the bottom locations. Suggestions for notebook computer design are provided.

Adult↗