http://hdl.handle.net/10468/901 2017-10-29T22:55:09Z 2017-10-29T22:55:09Z O'Connor, Yvonne Rowan, Wendy Lynch, Laura Heavin, Ciara http://hdl.handle.net/10468/4850 2017-10-09T18:00:47Z 2017-09-19T00:00:00Z

Privacy by Design: Informed consent and Internet of Things for smart health O'Connor, Yvonne; Rowan, Wendy; Lynch, Laura; Heavin, Ciara Check: I accept the terms and conditions and privacy policy statements associated with this technological artefact! The informed consent process is becoming more of a challenge with the emergence of Internet of Things (IoT) as data may be collected without the digital health citizen being aware. It is argued in this paper that the first phase for universal usability of IoT within the smart health domain is to ensure that digital health citizens (i.e. user of technology) are fully aware of what they are consenting to when they register an account with such technological artefacts. This point is further reinforced by the proposed ‘Privacy by Design’ requirements associated with the forthcoming General Data Protection Regulation (GDPR). This paper proposes some practical approaches which should be considered when designing and developing IoT for data collection and data sharing within the health domain.

2017-09-19T00:00:00Z Subbe, Christian P. Kellett, John Barach, Paul Chaloner, Catriona Cleaver, Hayley Cooksley, Tim Korsten, Erik Croke, Eilish Davis, Elinor De Bie, Ashley J.R. Durham, Lesley Hancock, Chris Hartin, Jilian Savijn, Tracy Welch, John Crisis Checklist Collaborative http://hdl.handle.net/10468/4098 2017-06-23T09:04:33Z 2017-05-08T00:00:00Z

Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative Subbe, Christian P.; Kellett, John; Barach, Paul; Chaloner, Catriona; Cleaver, Hayley; Cooksley, Tim; Korsten, Erik; Croke, Eilish; Davis, Elinor; De Bie, Ashley J.R.; Durham, Lesley; Hancock, Chris; Hartin, Jilian; Savijn, Tracy; Welch, John; Crisis Checklist Collaborative Background: ‘Failure to rescue’ of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative method was to develop consensus recomendations on the utility and effectiveness of checklists as training and operational tools to assist in improving the skills of general ward staff on the effective rescue of patients with abnormal physiology. Methods: A scoping study of the literature was followed by a multi-institutional and multi-disciplinary international learning collaborative. We sought to achieve a consensus on procedures and clinical simulation technology to determine the requirements, develop and test a safe using a checklist template that is rapidly accessible to assist in emergency management of common events for general ward use. Results: Safety considerations about deteriorating patients were agreed upon and summarized. A consensus was achieved among an international group of experts on currently available checklist formats performing poorly in simulation testing as first responders in general ward clinical crises. The Crisis Checklist Collaborative ratified a consensus template for a general ward checklist that provides a list of issues for first responders to address (i.e. ‘Check In’), a list of prompts regarding common omissions (i.e. ‘Stop & Think’), and, a list of items required for the safe “handover” of patients that remain on the general ward (i.e. ‘Check Out’). Simulation usability assessment of the template demonstrated feasibility for clinical management of deteriorating patients. Conclusions: Emergency checklists custom-designed for general ward patients have the potential to guide the treatment speed and reliability of responses for emergency management of patients with abnormal physiology while minimizing the risk of adverse events. Interventional trials are needed.

2017-05-08T00:00:00Z Grace, Audrey Gleasure, Robert http://hdl.handle.net/10468/4065 2017-06-08T18:00:58Z 2017-04-13T00:00:00Z

Supporting the critical role of family carers in wellness management Grace, Audrey; Gleasure, Robert Aging populations, the increased prevalence of chronic disease, and spiraling healthcare costs have led to calls for policy and technology that focuses on wellness management, preventative interventions, and decentralized healthcare. This has prompted several initiatives aimed at empowering individuals to proactively manage their wellness, including employee wellness programmes, step-tracking mobile apps, etc. However, a critical actor in this proposed new healthcare model is the family carer. These individuals are charged with managing outpatients’ wellness, tracking deteriorations, providing support, and even administering routine care in order to minimize and/or delay the need for further clinical intervention. Yet for most people, ‘wellness’ is a poorly understood and ambiguously measured concept. Hence, family carers are often asked to rely upon personal discretion to perform their duties. This paper uses a qualitative case study based on a series of semi-structured interviews to explore how family carers manage this responsibility, the support available to them (technologically and socially), and the challenges they face. It is informed by a research model which combines activity theory and attribute substitution theory in order to make sense of how the diverse actors involved in wellness management (e.g. the family carers, the patients, other family members, clinical/non-clinical healthcare workers) communicate and coordinate. Findings suggest family carers’ role in managing outpatient wellness is hindered by their inability to gather/share key wellness-related information with others involved. The study concludes by calling for better technological infrastructure linking carers with clinical professionals and more standardized information channels between various stakeholders in the caring activity.

2017-04-13T00:00:00Z Al Khalil, Firas Gabillon, Alban Capolsini, Patrick http://hdl.handle.net/10468/3838 2017-03-28T11:01:45Z 2017-03-01T00:00:00Z

A comprehensive view on quantity based aggregation for cadastral databases Al Khalil, Firas; Gabillon, Alban; Capolsini, Patrick Quantity Based Aggregation (QBA) control is a subject that is closely related to inference control in databases. The goal is to enforce k out of n disclosure control. In this paper we work on QBA problems in the context of cadastral databases: how to prevent a user from knowing 1) the owners of all parcels in a region, and 2) all parcels belonging to the same owner. This work combines and extends our previous work on the subject [1, 2, 3]. We overview the legislative context surrounding cadastral databases. We give important definitions related to the QBA concept. We present a complete model for QBA control in cadastral databases. We show how to implement the security policy efficiently, and we present our prototype of secure cadastral databases with some performance evaluations.

2017-03-01T00:00:00Z