Diagnostic Performance, Triage Safety, and Usability of a Clinical Decision Support System Within a University Hospital Emergency Department: Algorithm Performance and Usability Study.

Background: Computerized clinical decision support systems (CDSSs) are increasingly adopted in health care to optimize resources and streamline patient flow. However, they often lack scientific validation against standard medical care.

Objective: The purpose of this study was to assess the performance, safety, and usability of a CDSS in a university hospital emergency department setting in Kuopio, Finland.

A molecular-based identification resource for the arthropods of Finland.

To associate specimens identified by molecular characters to other biological knowledge, we need reference sequences annotated by Linnaean taxonomy. In this study, we (1) report the creation of a comprehensive reference library of DNA barcodes for the arthropods of an entire country (Finland), (2) publish this library, and (3) deliver a new identification tool for insects and spiders, as based on this resource. The reference library contains mtDNA COI barcodes for 11,275 (43%) of 26,437 arthropod species known from Finland, including 10,811 (45%) of 23,956 insect species.

Value Mechanisms in the Implementation of Intelligent Patient Flow Management System - A Multiple Case Study.

The purpose of this study was to investigate the value mechanisms in implementing a digital health intervention (DHI) in different contexts and countries. We utilized realist evaluation and the CIMO logic (Context, Intervention, Mechanism, Outcome) to analyze the mechanisms explaining the value capture of Klinik Pro, an Intelligent Patient Flow Management system (IPFM), which is a DHI for seeking of treatment and triage purposes. The study was conducted as a multiple case study using semi-structured interviews to research four market expansions in three countries.

Professional Self-Positioning of Indian Social Workers in Response to Domestic Violence.

This article explores the self-positioning of Indian social workers who work with female survivors of domestic violence (DV). We know from previous research about the experiences of persons who have encountered DV, but more studies on the point of view of the professionals is needed. Relying on positioning theory and discursive analysis as a framework, we analyzed interviews ( = 18) concerning the practices, emotions, and attitudes of social workers.

Intelligent Patient Flow Management System at a Primary Healthcare Center - The Effect on Service Use and Costs.

An intelligent patient flow management system (IPFM) was piloted at a large primary healthcare center in Finland in August 2017. The goals of the system are to help patients avoid unnecessary calls and visits to their health center and to enhance the use of professional resources through more streamlined patient pathways and the re-allocation of professionals from assessment tasks to actual patient care. These goals should be reflected in the decreased service costs through optimized contact forms.