Retraction: Abdominal Cocoon: A Rare Complication of Peritoneal Dialysis in Chronic Kidney Disease.

[This retracts the article DOI: 10.7759/cureus.20341.].

Clinicians' Perspectives on Healthcare Cybersecurity and Cyber Threats.

INTRODUCTION: In today's world, healthcare systems face various risks, including data breaches, theft, and damage. This is where cybersecurity comes in, as it helps protect sensitive personal and financial data, such as electronic health records. This study delved into the perspectives of clinicians on cybersecurity in healthcare, exploring how it impacts patient safety and the functioning of organizations. The study also identified challenges associated with implementing cybersecurity measures and the risks of not doing so. METHOD: This is a qualitative study in which clinical informaticians from different health science backgrounds were asked to share their opinions using the Delphi technique, with 48 participants engaging in all three rounds. RESULTS: The study highlighted that 96% of participants deemed cybersecurity in healthcare critical for protecting data. Compliance with regulations (91.7%), reduced disruptions (69%), improved patient care (65%), trust (58.3%), and reputation (54%) were additional advantages. However, the study also identified top challenges to cybersecurity implementation, such as time/resource constraints (65%) and disruption to workflows/services (60.4%). Staff resistance, insider threats, and legacy system issues were also anticipated obstacles. Neglecting to implement cybersecurity measures in healthcare could lead to a higher risk of data breaches (96%), financial/legal penalties for hospitals (79%), and concerns about patient safety (65%). CONCLUSION: It is imperative to prioritize cybersecurity in the healthcare industry to mitigate these risks and ensure patient confidence, health system stability, and, ultimately, save lives. A unified approach is required to enforce policies, modify behaviors, and adopt innovative practices to combat cyberattacks effectively.

Interprofessional Education in Health Informatics (IPEHI) for Health Sciences Programs.

Background: Given the significant changes the healthcare system has undergone recently; information technology has become an indispensable tool. To properly train future healthcare providers, it is vital to introduce information technology courses in Health Sciences programs. The provision of healthcare services now requires teamwork, which has led to the need for interprofessional education in health sciences schools. Therefore, this study explores the necessity of introducing Interprofessional Education in Health Informatics (IPEHI) in health sciences programs. Additionally, the structure and content of the course were assessed. Methods: A mixed-method approach was employed in this study to explore the need for health informatics interprofessional education among individuals with a health-related science background and who possessed health informatics expertise through work experience or formal post-graduation education. Following a cross-sectional survey-based study, expert subjects from academia and the workplace were convened for Delphi meetings to create an IPEHI course founded on the CAHIIM competency framework. Results: 128 questionnaires were collected from three cities in Saudi Arabia. Of all the respondents, 80% agreed that the present health sciences education should be expanded. Additionally, 74% of them agreed that the proposed IPE-HI (Interprofessional Education in Health Informatics) would enhance their knowledge and positively impact the healthcare system. During the second phase, eight experts were invited to identify seven domains, which include health information science and technology, social, behavioral and information science and technology applied to health, information science and technology, leadership, social and behavioral aspects of health, professionalism, and interprofessional collaborative practice. The results emphasize the need for introducing an IPE-HI, as previous studies have also shown that educating health professionals in health information technology is crucial. Conclusion: IPEHI plays a crucial role in producing competent health science graduates. Consequently, experts have developed and validated a proposed IPE-HI course.

A Model for Clinical Coder Satisfaction in Saudi Arabia Based on a Holistic Approach: Clinical, Professional and Organizational Dimensions.

The quality of clinical coding influences not only hospital revenue but also the quality and efficiency of healthcare services. Assessing the coders' satisfaction is essential to optimizing the quality of clinical coding. This mixed-method study used a qualitative approach to propose the study model while testing the model through a quantitative approach. The relevant variables of the satisfaction model were assessed through a survey targeting clinical coders across the country on a timely basis. Fourteen experts participated in establishing the model with three dimensions: professional, organizational, and clinical. Each dimension has its relevant variables. One hundred eighty-four clinical coders participated in phase two. 34.5% were male, 61% held a diploma, 38% had a bachelor's and above, and 49.7% worked in hospitals having fully electronic health records. We found that organizational and clinical dimensions strongly correlate with coders' satisfaction. Noticeably, the most influencing variables were the availability of coding policies and the computer-assisted coding (CAC) system. The results show that the model explains the satisfaction of the clinical coders, and organizational and clinical-related variables are crucial. Although gender-based differences exist, training (regardless of the training mode), coding policies, and the CAC system substantially influence coders' satisfaction. A significant stream of the literature supports these findings. However, attempting a holistic approach to assess coders' satisfaction and affecting coding quality is the added value of this study. Optimizing clinical coding practice requires organization-wide initiatives and policies to regulate coding practices and standards to promote the quality and timeliness of clinical documentation. Training is indispensable not only for clinical coders, but physicians also need to understand the rationale and value of clinical coding. Better utilization of the outcomes of the coding process and adopting the CAC system are significant drivers to enhance coders' satisfaction.

The Impact of Smart Pump Technology in the Healthcare System: A Scope Review.

Smart infusion pump technology prevents errors caused by parenteral therapy. This paper aims to review the recent literature about smart pump uses, cases and adverse events, and strategies to minimize these disadvantages. Literature was explored from January 2000 to November 2021 using Google Scholar, PubMed, and ScienceDirect. There were assessments of the advantages and adverse effects of using smart pumps and strategies to overcome the adverse effects of smart pumps. The advantage of using smart pumps is that they decrease errors like incorrect rate and dose. Other benefits include a decrease in medication event rates and the ability to connect smart pumps to home health providers. However, compliance rates were negatively influenced by improper smart pumps and the overriding of soft alerts, which can cause alert fatigue and drug library update delays. Recent studies have tried to address the negative issues by improving drug library compliance and decreasing alerts to avoid alert desensitization. The investigations revealed that the smart pumps reduced errors but would only prevent some programming errors. Compliance with utilizing smart pump technology is critical in stopping medication errors. Opportunities for future improvement are broad, including integrating a smart pump infusion with the hospital system, implementing auto programming, and designing smart pump devices to be lighter, smaller, and more portable instead of the heavy, large smart pump used by most hospitals today.

Imaging in Healthcare: A Glance at the Present and a Glimpse Into the Future.

The utilization of artificial intelligence (AI) applications in medical imaging relies heavily on imaging informatics. That is a one-of-a-kind professional who works at the crossroads of clinical radiography, data science, and information technology. Imaging informaticians are becoming crucial players in expanding, assessing, and implementing AI in the medical setting. Teleradiology will continue to be a cost-effective healthcare facility that expands. Vendor neutral archive (VNA) isolates image presentation and storing systems, permitting platforms to develop quickly, and is a repository for organization-wide healthcare image data. Efforts are made to incorporate and integrate diagnostic facilities such as radiography and pathology to fulfill the needs and demands of targeted therapy. Developments in computer-aided medical object identification may alter the environment of patient services. Finally, interpreting and processing distinct complex healthcare data will create a data-rich context where evidence-based care and performance development may be driven.

Visualization Techniques in Healthcare Applications: A Narrative Review.

Nowadays, healthcare management systems are adopting various techniques that facilitate the achievement of the goals of evidence-based medical practice. This review explores different visualization techniques and their importance in healthcare contexts. We performed a thorough search on databases such as the SLD portal, PubMed, and Google Scholar to obtain relevant studies. We selected recent articles published between 2018 and 2021 on visualization techniques in healthcare. The field of healthcare generates massive volumes of data that require visualization techniques to make them easily comprehensible and to guide their efficient presentation. Visualization in healthcare involves the effective presentation of information through graphics, images, and videos. Big data systems handle a massive amount of information and require visualization techniques to present it in a comprehensible manner. The significance of visualization techniques in healthcare is not confined to healthcare practitioners and healthcare management but encompasses all the stakeholders; patients can benefit from the visualization of his/her data for a better understanding of their condition. In short, visualization techniques have demonstrated their benefits in the healthcare sector and can be extended to the payer and the patient. They have also had a positive impact on the quality of the healthcare provided as well as patient safety.

Telemedicine Patient Satisfaction and Cost: A Comparative Study in the COVID-19 Era.

INTRODUCTION: Telemedicine has the potential to enhance access to healthcare services across distances and this was of great value during the COVID-19 pandemic. However, concerns about user satisfaction in comparison to face-to-face (FTF) interaction remain inadequately addressed. OBJECTIVE: This study aimed to assess the impact of telemedicine technology from the patient perspective by comparing patient satisfaction and cost savings of follow-up visits through telemedicine with those of FTF clinical visits. METHODS: A cross-sectional study was conducted with two groups i.e., a telemedicine group and a control group that received FTF care at a tertiary hospital. RESULTS: This study demonstrated that the telemedicine group had patient satisfaction levels similar to those of the FTF clinical visit group, having a lower cost of care. Factors associated with patient satisfaction with telemedicine clinical care are identified and discussed. Both groups showed similar results in overall satisfaction with substantial cost savings for telemedicine patients.  Conclusion: Positive impacts of telemedicine technology from the patient perspective were seen and decision-makers must expand telemedicine efforts and continuously monitor patient perceptions toward telemedicine.

Asthma Patients' Use of Cell Phone Features and Their Willingness to Use Them for Self-Management.

Introduction Mobile health has the potential to improve self-care for people with chronic conditions. There are few previously published studies that have examined asthma patients' use of cell phone features and their willingness to use them for self-care in Saudi Arabia. Moreover, there is no validated instrument in Arabic to test the use of cell phone functions. Aim The aim of this study was to investigate the general use of cell phone features by asthma patients and their willingness to use them and to determine the frequency of use of cell phone features by asthma patients. It also aimed to translate and validate an Arabic version of the questionnaire to test the use of cell phone functions by asthma patients. Methods This study was conducted in Saudi Arabia in 2021 using an online questionnaire. The test was translated (changes were made as needed) and validated using Cronbach's alpha coefficient. After validation of the instrument, the questionnaire included 34 questions divided into three sections: demographic information, current use of cell phone features, and desire to use cell phone features. Adults with asthma aged 18 years and older who owned a smartphone participated in the study. Data were analyzed using descriptive statistics. Results Two hundred and seventy asthma patients completed the questionnaire. The Cronbach's alpha value of the questionnaire was 0.86, indicating its reliability and consistency. Only 39 (14.4%) of the participants use cell phones for asthma care, and 13 (4.8%) have apps for asthma care on their cell phones. However, 74.1% of participants have a desire to use a cell phone for asthma care. The majority of participating asthma patients (67.8%) occasionally used the mobile internet browser to search for asthma information. Surprisingly, most of the participating asthma patients did not show a greater desire to use methods other than the internet browser to obtain asthma information. They did, however, have a strong desire to use the news to obtain information about asthma. Conclusion Because the study shows that asthma patients prefer internet searches followed by the news to obtain information, stakeholders need to pay more attention to the quality, quantity, completeness, and accuracy of health information in these media.

Digital Leadership: Attributes of Modern Healthcare Leaders.

Background Living in the current digital era requires widespread adoption of information technology in the modern healthcare industry. Objective The current research aimed to study key attributes and behaviors related to successful leaders' need to achieve the vision and ensure successful health IT adoption. Methods A Delphi technique with three rounds was employed and guided by structured questions. Part of the study was conducted online due to COVID-19 guidelines on distancing norms and lockdown in some areas. The answers of the participants were evaluated on a five-point Likert scale. Results The findings showed that similar leadership qualities are required in the healthcare sector as well as other sectors. For digital innovations in the rapidly changing healthcare space, leaders need to play a more proactive role, be visionary and dynamic, and should lead by example to take the organization to the next level. Conclusions Leaders need to come out of their comfort zone, understand the fast-evolving scenario where outstanding leadership qualities are essential to prove their mettle, outshine others, and create a strong foundation for the adoption of modern, efficient, customized digital technology in the fast-growing healthcare sector.

Abdominal Cocoon: A Rare Complication of Peritoneal Dialysis in Chronic Kidney Disease.

The abdominal cocoon is a rare clinical entity characterized by a thick fibrocollagenous membrane encasing the intestinal loops. Despite its rarity, the abdominal cocoon is one of the most serious complications of peritoneal dialysis. We report the case of a 45-year-old man, with end-stage renal disease on peritoneal dialysis resulting from systemic lupus erythematosus, who presented to the emergency department with progressive abdominal pain for the last two weeks. The pain was associated with nausea, vomiting, abdominal distension, and decreased bowel motion. Upon examination, the vital signs were within the normal limits. Abdominal examination revealed a distended abdomen with generalized tenderness. There was evidence of ascites as indicated by the positive shifting dullness test. The bowel sounds were of increased frequency and intensity. The laboratory findings were non-contributory. The patient underwent an abdominal computed tomography scan that demonstrated a cluster of small intestinal loops in the middle of the abdomen with a surrounding thick and calcified membrane. This made the diagnosis of the abdominal cocoon. The patient underwent an operation to resect the fibrocollagenous membrane. The patient reported improvement after the operation. No recurrence was noted after three months of follow-up. Abdominal cocoon is a very rare complication of peritoneal dialysis. The diagnosis of abdominal cocoon should be kept in mind when the physician encounters a patient with peritoneal dialysis who presented with non-specific and unexplained gastrointestinal symptoms.