Technology and ENT

Youngs, Robin; Fisher, Edward; Hussain, Musheer; Fishman, Jonathan

doi:10.1017/s0022215115003540

J. Laryngol. Otol.

2016

DOI: 10.1017/s0022215115003540

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Technology and ENT

Robin Youngs¹,

Edward Fisher²,

Musheer Hussain³

et al.

Abstract: The application of technological advances in medicine has always been more widespread in otolaryngology than in other surgical disciplines. In many ways, this reflects the diversity of our specialty, with otology, rhinology, and head and neck surgery requiring a range of skills, and hence differing equipment. One constant need to allow good surgery to be undertaken is illumination. Mozaffari and colleagues review how advances in light technology have shaped the development of ENT.

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Cited by 3 publications

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“…28 CDSSs allow systems-based interventions to be hardwired into care processes 29 and may serve as a technological catalyst to advance health care. Although otolaryngology-head and neck surgery is at the cutting edge of many technological advances relative to other surgical fields, 30 the specialty has yet to fully realize the promise of CDSSs. This observation provided the impetus for reviewing literature in this area and mapping out future directions.…”

mentioning

confidence: 99%

Clinical Decision Support Systems in Otolaryngology–Head and Neck Surgery: A State of the Art Review

Standiford

Farlow

Brenner

et al. 2021

Otolaryngol.--head neck surg.

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Objective To offer practical, evidence-informed knowledge on clinical decision support systems (CDSSs) and their utility in improving care and reducing costs in otolaryngology–head and neck surgery. This primer on CDSSs introduces clinicians to both the capabilities and the limitations of this technology, reviews the literature on current state, and seeks to spur further progress in this area. Data Sources PubMed/MEDLINE, Embase, and Web of Science. Review Methods Scoping review of CDSS literature applicable to otolaryngology clinical practice. Investigators identified articles that incorporated knowledge-based computerized CDSSs to aid clinicians in decision making and workflow. Data extraction included level of evidence, Osheroff classification of CDSS intervention type, otolaryngology subspecialty or domain, and impact on provider performance or patient outcomes. Conclusions Of 3191 studies retrieved, 11 articles met formal inclusion criteria. CDSS interventions included guideline or protocols support (n = 8), forms and templates (n = 5), data presentation aids (n = 2), and reactive alerts, reference information, or order sets (all n = 1); 4 studies had multiple interventions. CDSS studies demonstrated effectiveness across diverse domains, including antibiotic stewardship, cancer survivorship, guideline adherence, data capture, cost reduction, and workflow. Implementing CDSSs often involved collaboration with health information technologists. Implications for Practice While the published literature on CDSSs in otolaryngology is finite, CDSS interventions are proliferating in clinical practice, with roles in preventing medical errors, streamlining workflows, and improving adherence to best practices for head and neck disorders. Clinicians may collaborate with information technologists and health systems scientists to develop, implement, and investigate the impact of CDSSs in otolaryngology.

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mentioning

confidence: 99%

Clinical Decision Support Systems in Otolaryngology–Head and Neck Surgery: A State of the Art Review

Standiford

Farlow

Brenner

et al. 2021

Otolaryngol.--head neck surg.

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Emerging Conflict of Interests for the Rhinologic Surgeon Entrepreneur

Carney

2023

Curr Otorhinolaryngol Rep

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Purpose of Review Many rhinologists are inspired thinkers and come up with ideas that have the potential to create novel technology or devices which are worthy of introduction into the commercial arena. There are many ethical, financial, sociological and academic problems which need to be considered in this complex legal arena. Recent Findings Research fraud is now an increasing reality which makes investors and colleagues cynical of initial claims of effectiveness. Doctors are also bound by ethical obligations which do not necessarily apply to others in the medical device and therapeutic industry. Whilst individuals may dream of the “get rich quick” outcome because of their intellectual property, unfortunately, the reality could not be further from the truth. Summary In this article, we will attempt to talk through all the various pitfalls that may be encountered and suggest some ways of minimising ethical, psychological, financial and academic pitfalls which may trip up our budding rhinological entrepreneur along the way.

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Using Technology in Global Otolaryngology

Saadi

Goldenberg

2018

Otolaryngologic Clinics of North America

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Technology and ENT

Cited by 3 publications

References 8 publications

Clinical Decision Support Systems in Otolaryngology–Head and Neck Surgery: A State of the Art Review

Clinical Decision Support Systems in Otolaryngology–Head and Neck Surgery: A State of the Art Review

Emerging Conflict of Interests for the Rhinologic Surgeon Entrepreneur

Using Technology in Global Otolaryngology

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