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Related Concept Videos

Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Related Experiment Video

Updated: Oct 19, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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A mobile app for delirium screening.

Brett Armstrong1, Daniel Habtemariam2, Erica Husser3

  • 1University of New England College of Osteopathic Medicine, Biddeford, Maine, USA.

JAMIA Open
|September 22, 2021
PubMed
Summary
This summary is machine-generated.

This study presents a mobile app for efficient delirium screening using adaptive testing. The app, developed with XHTML and JavaScript, showed high user satisfaction and potential for clinical integration.

Keywords:
2-step delirium protocolAPIJavaScriptREDCapXHTMLappdelirium diagnosis

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Area of Science:

  • Gerontology
  • Medical Informatics
  • Digital Health

Background:

  • Delirium is a common, serious condition in hospitalized older adults.
  • Early and accurate diagnosis of delirium is crucial for patient outcomes.
  • Existing screening methods can be time-consuming and resource-intensive.

Purpose of the Study:

  • To describe the algorithm and technical implementation of a mobile application for delirium diagnosis.
  • To evaluate the feasibility, effectiveness, and administration time of a 2-step delirium screening protocol using a mobile app.
  • To assess user experience and app usability among healthcare professionals.

Main Methods:

  • Developed a mobile app using XHTML and JavaScript for iOS devices.
  • Linked the app to REDCap (Research Electronic Data Capture) via an API for data management.
  • Assessed 535 hospitalized patients using the app by physicians, nurses, and CNAs.
  • Collected qualitative data on user experience and app usability from 50 physicians, 189 nurses, and 83 CNAs.

Main Results:

  • The app was successfully implemented, facilitating instant data retrieval and updates.
  • Clinicians performed 881 delirium assessments with no data transmission errors.
  • User feedback was overwhelmingly positive (82%), with suggestions for improvement (18%).
  • Delirium screening administration time was comparable between nurses and physicians.

Conclusions:

  • The developed mobile app effectively operationalizes an adaptive 2-step delirium screening protocol.
  • The app's cross-platform code (XHTML, JavaScript) allows for easy adaptation to other operating systems and platforms.
  • The app has the potential to be implemented in clinical settings for widespread delirium screening in hospitalized older adults.