A Context-Aware Medical Instant Message Middleware

doi:10.1007/s12204-015-1597-8

Abstract

Abstract: Communication or the lack of it has been complained to be a major contributor to medical errors in healthcare. To enhance communication in hospital, diverse communication mechanisms are proposed. However, human directed communication in a complex clinical setting in which many people play diverse roles and need to collaborate in many parallel tasks is always in chaos and inefficient. Context-aware communication which can help target who should be communicated and what information should be provided for different scenarios has the potential to improve the communication in hospital. This paper proposes a flexible, automated and asynchronous context-aware medical instant message (IM) middleware which support dispatch, forward and routing different message to the right person in the right time based on the context information. A prototype of this IM communication middleware was implemented in real clinical setting for evaluation. The preliminary results demonstrate its novel features and clinical feasibility.

Key words: context-aware| instant message| communication| medical cares

摘要： Communication or the lack of it has been complained to be a major contributor to medical errors in healthcare. To enhance communication in hospital, diverse communication mechanisms are proposed. However, human directed communication in a complex clinical setting in which many people play diverse roles and need to collaborate in many parallel tasks is always in chaos and inefficient. Context-aware communication which can help target who should be communicated and what information should be provided for different scenarios has the potential to improve the communication in hospital. This paper proposes a flexible, automated and asynchronous context-aware medical instant message (IM) middleware which support dispatch, forward and routing different message to the right person in the right time based on the context information. A prototype of this IM communication middleware was implemented in real clinical setting for evaluation. The preliminary results demonstrate its novel features and clinical feasibility.

关键词: context-aware| instant message| communication| medical cares

CLC Number:

R 318

CHENG Hai-xia (成海霞), MIN Ling-tong (闵令通), Lü Xu-dong (吕旭东), DUAN Hui-long (段会龙). A Context-Aware Medical Instant Message Middleware[J]. Journal of shanghai Jiaotong University (Science), 2015, 20(1): 113-117.

References 14

[1]	Kohn L T, Corrigan J M, Donaldson M S, et al.To err is human: Building a safer health system [M].Constitution Avenue, Washington DC, USA: National Academies Press, 2000.
[2]	Wilson R M, Runciman W B, Gibberd R W, et al.The quality in Australian health care study [J]. Medical Journal of Australia, 1995, 163(9): 458-471.
[3]	Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: A systematic review [J]. Annals of Surgery, 2010, 252(2): 225-239.
[4]	Moss J, Xiao Y. Improving operating room coordination:Communication pattern assessment [J]. Journal of Nursing Administration, 2004, 34(2): 93-100.
[5]	Parl F F, O’Leary M F, Kaiser A B, et al. Implementation of a closed-loop reporting system for critical values and clinical communication in compliance with goals of the Joint Commission [J]. Clinical Chemistry,2010, 56(3): 417-423.
[6]	Iversen T B, Melby L, Toussaint P. Instant messaging at the hospital: Supporting articulation work?[J]. International Journal of Medical Informatics, 2013,82(9): 753-761.
[7]	Westbrook J I, Braithwaite J, Georgiou A, et al. Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory [J]. Journal of the American Medical Informatics Association,2007, 14(6): 746-755.
[8]	Cheng P H, Lai F, Lai J S. A service-oriented healthcare message alerting architecture in an asia medical center: A case study [J]. International Journal of Environmental Research and Public Health, 2009, 6(6):1870-1881.
[9]	Coiera E, Tombs V. Communication behaviours in a hospital setting: An observational study [J]. British Medical Journal, 1998, 316(7132): 673-676.
[10]	Glascoe F P. Improving clinical communication: A view from psychology [J]. Ambulatory Child Health,2001, 7(1): 53-60.
[11]	Valenstein P N, Wagar E A, Stankovic A K, et al. Notification of critical results: A college of American pathologists Q-probes study of 121 institutions [J].Archives of Pathology & Laboratory Medicine, 2008,132(12): 1862-1867.
[12]	Hasvold P E, Scholl J. Flexibility in interaction:Sociotechnical design of an operating room scheduler[J]. International Journal of Medical Informatics, 2011,80(9): 631-645.
[13]	Ratib O, Rosset A. Can PACS benefit from general consumer communication tools? [J]. International Congress Series, 2005, 1281: 948-953.
[14]	Wang H J, Shi Y, Zhao D, et al. Automatic reminder system of medical orders based on Bluetooth [C]//The 7th International Conference on Wireless Communications,Networking and Mobile Computing. Piscataway,USA: IEEE, 2011: 1-4.

[1]	YUAN Kai, WANG Feifei, ZHANG Shenxi, SUN Chongbo, SONG Yi, HOU Ruosong, CHENG Haozhong. Distributed Optimization of Distribution Network Considering Regulation of 5G Base Station Communication Load and Backup Energy Storage [J]. Journal of Shanghai Jiao Tong University, 2026, 60(4): 628-641.
[2]	YANG Gewen, JIANG Guotao, YANG Jiayi, LI Min, LIN Qianqiang. Research on Integrated Management Strategies for Reconnaissance-Jamming-Communication Systems [J]. Air & Space Defense, 2026, 9(1): 28-35.
[3]	ZHANG Yan, SUN Qin. Design of Optical Fiber Communication System for Subsea Production System Based on Ring Topology [J]. Ocean Engineering Equipment and Technology, 2025, 12(3): 67-72.
[4]	TANG Cheng, LIANG Yilin, LI Wenjie, CHEN Guoling. Research on Security of Wideband Communication Satellite Situational Awareness Network [J]. Air & Space Defense, 2025, 8(2): 136-141.
[5]	HE Ruiwen, XIE Haijun, LU Jialiang, YANG Changxin, MOHAMMAD Shahidehpour. Modeling Methods for Power Secondary System Simulation in New Power Systems [J]. Journal of Shanghai Jiao Tong University, 2025, 59(11): 1581-1591.
[6]	DU Yunhai (杜云海), LI Enyu^∗ (李恩玉), MA Long (马隆). Performance-Controlled Relay Selection for Non-Orthogonal Multiple Access System Under Imperfect Successive Interference Cancellation [J]. J Shanghai Jiaotong Univ Sci, 2024, 29(6): 1181-1190.
[7]	GU Cunfeng, YANG Yang, YANG Bowen, QIANG Jiajiu, JIA Yuhang. Research on New Aerospace Defense Technologies Inspired by the Threat of Starlink System [J]. Air & Space Defense, 2024, 7(2): 8-15.
[8]	YOU Lijue, JIAO Shengpin, LI Xiaoyong. Optimization of Data Storage Performance in Medical PACS Imaging System [J]. Journal of Shanghai Jiao Tong University, 2024, 58(10): 1629-1636.
[9]	CHEN Yunlong, DENG Dudu, LIU Zhijian, RUAN Hailong, LIANG Tao, LIU Guangzhi, GUO Longchuan. Current Status and Key of Undersea Junction Technology at Home and Abroad [J]. Ocean Engineering Equipment and Technology, 2024, 11(1): 90-98.
[10]	JIANG Bingbing, CHEN Juan, HONG Longfei, DENG Chiyu, LONG Xiaopin, CAO Juhang, HU Yunhai. Commissioning of Subsea Production System based on a Gas Field in the South China Sea [J]. Ocean Engineering Equipment and Technology, 2023, 10(4): 11-15.
[11]	CAO Lianying,LIU Chenguang. What Is the Smallest Unit That Can Communicate with Outside? [J]. Journal of Shanghai Jiao Tong University, 2021, 55(Sup.1): 39-40.
[12]	QIU Yinqi, FU Wenlong, PAN Cong, LU Honglin, GUI Yishu. A Design Method of File Exchange-Based Point-to-Point Ordered Reliable Data Link Service [J]. Journal of Shanghai Jiao Tong University, 2021, 55(S2): 82-85.
[13]	LI Tongde, YAN Huaicheng, ZHOU Ge, FAN Sha, HONG Gu. Distributed Fusion Estimation of Asynchronous Multi-Rate Multi-Sensor Network System in Navigation Guidance [J]. Air & Space Defense, 2021, 4(3): 92-98.
[14]	ZHANG Shuai, DING Liping, WANG Zhide, TANG Xiaofeng, FAN Wenjing. Research on Reliability of Power on Reset of CSD Serial Board in Launch Control Equipment [J]. Air & Space Defense, 2020, 3(2): 29-36.
[15]	XIAO Anhong,ZENG Hui,QIN Youyong,JIN Jin,ZHOU Junyi,GUO Wen,CHEN Junjie. Cross-Clock Domain Verification Practice of NASPIC Communication Module Based on FPGA [J]. Journal of Shanghai Jiaotong University, 2019, 53(Sup.1): 84-87.