Posts tagged ‘CDSS’

NeuroMind 2 for iPad available in App Store!

And that is three! “NeuroMind for iPad” version 2.0 is now available in the App Store, completing the triad after the recent iPhone and Android upgrades. This free upgrade also includes the previously mentioned interactive decision support, and many more scores.

You can upgrade your existing installation, or download the latest version from the App Store.

Enjoy the app! Screenshots are available here.

Pieter Kubben
IT editor
Surgical Neurology International

NeuroMind 2 for iPhone available in App Store!

NeuroMind 2 for iPhone is now available in the App Store as a free upgrade! It contains a brand new category with interactive decision support like explained in this video, and almost 100 scores that are relevant for neurosurgery!

You can upgrade the installed version on your device or download the latest version from the App Store.

More images are available here.

Pieter Kubben
IT editor
Surgical Neurology International

NeuroMind 2 for Android available now!

NeuroMind 2.0 for Android is now available for download from Google Play (formerly known as the Android Market)! It is a free update with many improvements!

NeuroMind 2.0 on Android

A major improvement for version 2.0 is the addition of interactive clinical decision support, starting with 23 items. The system can easily be expanded to facilitate guideline implementation in a fast and individualized manner. Furthermore, NeuroMind 2.0 now contains almost 100 scores that are relevant for your neurosurgical practice.

More information is available here, and the underlying philosophy is explained in this video. You can click the Play-logo below to download:

See the gallery on DigitalNeurosurgeon.com for more screenshots! Enjoy the app!!

Pieter Kubben
IT editor
Surgical Neurology International

 

Decision support for depressed cranial fractures

And here is number 5 out of 5 of the surgical guidelines of the Brain Trauma Foundation: depressed cranial fractures. In my earlier posts you read about on epidural hematomaacute subdural hematomatraumatic parenchymal lesions, and posterior fossa mass lesions. Before implementing the final part I needed to fix a technical problem. I ended up creating a workaround that does the job, so here we go…

Step 1: the original text-version of the guideline’s recommendations

Step 2: create a flowchart

(click for full size version)

Note that the double line around the first decision moment is my way to indicate that both factors should be present (a logical AND-operator).

Step 3: convert into an app!

As you can see, the text is a little too long for the iPhone’s display. Of course, on iPad there is no problem because of the larger screen. I have not tested this one on Android yet. At least this is something I have to work on, probably I should decrease the font size on iPhone a little bit.

So, here is how the full Brain Trauma Foundation section on the surgical guidelines look in the iPhone menu of NeuroMind 2:

Now they’re just in the order in which they appear in the guidelines. Probably I will change this into alphabetical order later on… The latest developments on NeuroMind 2 are available here.

Pieter Kubben
IT editor
Surgical Neurology International 

Decision support for posterior fossa mass lesions

Chapter 4 out of 5: posterior fossa mass lesions! After implementing the Brain Trauma Foundation surgical guidelines on epidural hematomaacute subdural hematoma, and traumatic parenchymal lesions, now it is time for posterior fossa mass lesions. As usual, I take my “three-step-approach”:

Step 1: the original text-version of the guideline’s recommendations

Step 2: create a flowchart

(click to enlarge)

Step 3: convert into an app!

More screenshots are available from DigitalNeurosurgeon.com

Pieter Kubben
Information Technology editor
Surgical Neurology International

Decision support for traumatic parenchymal lesions

Part 3 of the BTF Surgical Guidelines: traumatic parenchymal lesions. By now you will be familiar with the three steps I also used for the decision support systems on epidural hematoma and acute subdural hematoma:

Step 1: the original text-version of the guideline’s recommendations

Step 2: create a flowchart

(click to enlarge)

Step 3: convert into an app!

Here is one picture, more images are available at DigitalNeurosurgeon.com

(click to enlarge)

Pieter Kubben
Information Technology editor
Surgical Neurology International

Decision support for acute subdural hematoma

After my previous post on epidural hematoma, I now converted the BTF surgical guideline on acute subdural hematoma into a decision supporting system. Following the same steps as described previously, here we go:

Step 1: the original text-version of the guideline’s recommendations

Step 2: create a flowchart

(click to enlarge)

Step 3: convert into an app!

Here is one picture, more images are available at DigitalNeurosurgeon.com

Although emulator screenshots are running at iOS4, the app has been tested successfully at iOS5 as well!

Pieter Kubben
Information Technology editor
Surgical Neurology International

Decision support for epidural hematoma

(this is a guest post from DigitalNeurosurgeon.com, slightly modified for Surgical Neurology International)

The Brain Trauma Foundation has created and published guidelines on the treatment of brain trauma a few years ago. The Guidelines for the Surgical Management of Traumatic Brain Injury are available as PDF and in a searchable online format. What lacks, is the availability on a mobile platform, preferably as an interactive decision support system (like their Head Injury Prognosis calculator). Seems an excellent topic for NeuroMind 2 (appears in Q1-2012).

Approach

The guidelines are text-based, no flowcharts have been provided. This makes direct implementation of the guidelines in an app difficult, as I think I need to make clear what algorithm is used in the app. In the end, if you intend to use it to make decisions, you need to be able to check the algorithm in case you want to. So here is the 1-2-3 of converting a text-based guideline into an application:

  1. Read the text of the guidelines (or in this case: the Recommendations)
  2. Create a flowchart from the text
  3. Build the app based on the flowchart

I will explain more about the symbols that are used in the flowchart in a separate topic. Until then, this Open Course Ware tutorial gives you a nice introduction.

Epidural hematoma

Now here is the flowchart I created:

And here is a screenshot of the app:

For some more details and screenshots, click here.

Pieter Kubben
Information Technology editor
Surgical Neurology International

From medical knowledge to practical healthcare

Pieter Kubben, Information Technology editor for Surgical Neurology International, recently spoke on TEDxMaastricht on knowledge management in medicine, in particular on clinical decision supporting systems. His presentation is now available online on the official TEDxTalks YouTube channel.