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Role of twinnings in scaling up innovative solutions across Europe BMJ Innov. Pub Date : 2024-03-15 Cláudia Campos, Robbin Kappelhof, Joana Carrilho, Luis Midão, Diogo Henriques, Elísio Costa
Introduction Twinnings are cross-border knowledge exchange activities where two or more organisations learn from each other’s experiences and are often used as a scaling up mechanism. Objectives This paper discusses the importance of twinning activities in scaling up by promoting community building, knowledge sharing and innovation transfer among stakeholders in European countries. It explores the
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Wings of Healing: regulatory landscape, case studies and the Indian prologue of drones in healthcare BMJ Innov. Pub Date : 2024-03-05 Ankita Sharma, Anju Vijayan, Pavan Ananth, Deepshikha Chhetri, Rahul Konapur, Nachiket Gudi
The healthcare sector is among the most rapidly expanding sectors. Drones are increasingly being used to reach the unreached in healthcare. Drones exhibit profound significance by overcoming accessibility challenges and offering versatile solutions. The future of healthcare is in the air, and new government initiatives uncover the country’s rapid market growth. Investments in drone technologies are
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Conversational AI facilitates mental health assessments and is associated with improved recovery rates BMJ Innov. Pub Date : 2024-03-01 Max Rollwage, Johanna Habicht, Keno Juchems, Ben Carrington, Tobias U Hauser, Ross Harper
Mental health services across the globe are overburdened due to increased patient need for psychological therapies and a shortage of qualified mental health practitioners. This is unlikely to change in the short-to-medium term. Digital support is urgently needed to facilitate access to mental healthcare while creating efficiencies in service delivery. In this paper, we evaluate the use of a conversational
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What is the impact of healthcare innovation on measurable outcomes of healthcare organisation performance? A systematic review BMJ Innov. Pub Date : 2024-01-10 Caoimhe Madden, Róisín O'Malley, Emily O'Dowd, Paul O'Connor, Sinéad Lydon, Jared Gormly, Dara Byrne
Objective The lack of quantitative evidence of effectiveness has been cited as a notable shortcoming of initiation and diffusion of innovations in healthcare. Therefore, this review aimed to synthesise research assessing the impact of healthcare innovations on measurable outcomes of healthcare organisation performance. Design A systematic review was conducted in accordance with Preferred Reporting
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Exploratory study to assess the functional capacity, safety and ability to isolate novel COVID-19 of a novel self-administrative nasopharyngeal wash specimen collecting device BMJ Innov. Pub Date : 2024-01-10 S K Mohanasundari, Sivam Thanigainathan, R Gadapalli, Pankaj Rawat, S Vandana, K Deepak, N Gupta
Introduction Although nasopharyngeal/oropharyngeal swabs are considered the gold standard for SARS-CoV-2 diagnosis, these procedures are distressing, require trained personnel and may pose a risk of transmission. Aim This study aims to assess the functional capacity, safety, ability to isolate the novel COVID-19 and end-users’ acceptance of a novel self-collection device for obtaining nasopharyngeal
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Development and introduction of a mixed realities playkit: decreasing the incidence of general anaesthesia for paediatric MRI BMJ Innov. Pub Date : 2023-11-07 Jill Thompson, Dylan Yamada-Rice, Sean Thompson, Louise Murray, Matthew Taylor
#### WHAT ARE THE NEW FINDINGS #### HOW MIGHT IT IMPACT ON HEALTHCARE IN THE FUTURE Augmented reality (AR): technology that superimposes a computer-generated image on a user’s view of the real world, thus providing a composite view.1 Virtual reality (VR): simulated three-dimensional environment that enables users to explore and interact with a virtual surrounding in a way that approximates reality
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Time to treat the climate and nature crisis as one indivisible global health emergency BMJ Innov. Pub Date : 2023-10-25 Chris Zielinski
Over 200 health journals call on the United Nations (UN), political leaders and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency. The world is currently responding to the climate crisis and
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Feasibility and acceptability of Saheli, a WhatsApp Chatbot, on COVID-19 vaccination among pregnant and breastfeeding women in rural North India BMJ Innov. Pub Date : 2023-10-01 Alison M El Ayadi, Pushpendra Singh, Mona Duggal, Vijay Kumar, Jasmeet Kaur, Preetika Sharma, Kathryn Bradford Vosburg, Nadia G Diamond-Smith
Introduction Pregnant and breastfeeding women are priority targets for COVID-19 vaccination due to adverse maternal and fetal consequences of perinatal COVID-19 infection and the opportunity for protecting infants through maternal antibodies. Saheli (‘female friend’) is a WhatsApp-deployed chatbot providing evidence-based guidance on COVID-19 for pregnant and breastfeeding women. Objectives To understand
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‘DISSEMINATE’: a roadmap for facilitating adoption of affordable surgical innovations in low and middle-income countries BMJ Innov. Pub Date : 2023-10-01 Dhananjaya Sharma, Vikesh Agrawal, Nadia Adjoa Sam-Agudu, Pawan Agarwal, Sanjay Kumar Yadav, Jitin Bajaj
Importance Affordable surgical innovations (ASIs) provide simple, safe and equitable solutions in resource-limited settings. Effective dissemination is needed for widespread adoption and uptake of ASIs in low and middle-income countries (LMICs). However, surgical systems in these settings face challenges with adoption and uptake of ASIs, which remain unknown and/or unused even after supporting evidence
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Barriers and facilitators for the adoption of telemedicine services in low-income and middle-income countries: a rapid overview of reviews BMJ Innov. Pub Date : 2023-10-01 Vijay Shree Dhyani, Jisha B Krishnan, Edlin Glane Mathias, Mahbub M Hossain, Carrie Price, Nachiket Gudi, Sanjay Pattanshetty, Sanjay Zodpey
Objective To identify the barriers and facilitators for uptake of telemedicine services in low-income and middle-income countries (LMICs). Design The rapid review approach to identify the barriers and facilitators for the uptake/delivery of telemedicine in health system from both the provider and the patient’s perspective. A two-stage sequential screening process was adopted. Data extraction was done
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Systematic literature review of the barriers and facilitators of frugal innovation for surgical care in low-income and middle-income countries BMJ Innov. Pub Date : 2023-10-01 Cyan Brittany Brown, Lisa McDermott
Objective Globally, 5 billion people lack access to safe surgery and annually, only 6% of surgeries occur in low-income countries. Surgical frugal innovations can reduce cost and optimise the function for the context; however, there is limited evidence about what enables success. Design A systematic literature review (SLR) was performed to understand the barriers and facilitators of frugal innovation
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Adoption of technological innovation in healthcare delivery: a psychological perspective for healthcare decision-makers BMJ Innov. Pub Date : 2023-10-01 Jennifer Hoi Ki Wong, Katharina Näswall, Fleur Pawsey, J Geoffrey Chase, Sanna K Malinen
Technological advancements are vital for improving the capacity of the health system to deliver health and well-being benefits to individuals. Despite significant financial investments in technological innovations in healthcare, patients reported benefiting from only 30%–60% of new healthcare technologies. We argue that failed adoption can be attributed to the underprioritisation of the human aspect
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Feasibility of morphometric analysis of conjunctival blood vessel as an additional diagnostic indicator of health and vascular disease status BMJ Innov. Pub Date : 2023-10-01 Shobhana Sugirthamuthu, Sandhya Sundaram, Radha Annamalai, Suhas Prabhakar, Neha Arora, Arthi Mohanendran, Parikumar Periasamy
#### What are the new findings? #### How might it impact on healthcare in the future? The conjunctiva is a loose connective tissue that covers the sclera of the eye (bulbar conjunctiva) and inside of the eyelids (palpebral conjunctiva). It serves as a physical barrier, secretes mucin, which forms a part of the tear film, aids the ocular surface to maintain its healthy moisture layer and helps in the
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Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial. BMJ Innov. Pub Date : 2023-10-01 William McNamara, Thomas Longworth, Joo Y Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi F Cole
Objective Medial tibial stress syndrome (MTSS) is common and often difficult to treat. The purpose of this study was to examine the effect of a lower leg brace on MTSS symptoms compared to a placebo. Methods A pilot of a prospective double-blinded randomised placebo-controlled trial conducted in two private sports medicine practices. Included were those with symptomatic MTSS lasting 6 weeks or more
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From feasibility study to randomised control trial: the evolution of a novel neuraxial procedure device BMJ Innov. Pub Date : 2023-07-27 Ian N Gaston, Alexander Samworth, Emery McCrory, Joseph Bavaro, Mahesh Vaidyanathan
Introduction Neuraxial procedures are performed by many specialties among a wide variety of patients. Palpation is the standard practice to locate a target insertion site. Procedural difficulty may prompt the use of alternative modalities. In a 2020 feasibility study, a neuraxial imaging device called VerTouch was shown to be reliable and easy to learn. In this study, we compared VerTouch to palpation
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COP27 climate change conference: urgent action needed for Africa and the world BMJ Innov. Pub Date : 2023-07-01 Chris Zielinski
> Wealthy nations must step up support for Africa and vulnerable countries in addressing past, present and future impacts of climate change The 2022 report of the Intergovernmental Panel on Climate Change paints a dark picture of the future of life on earth, characterised by ecosystem collapse, species extinction and climate hazards such as heatwaves and floods.1 These are all linked to physical and
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Design thinking to improve rational use of oral rehydration salts: lessons from an innovative co-packaged diarrhoea treatment kit BMJ Innov. Pub Date : 2023-07-01 Rohit Ramchandani, Simon Berry, Jane Berry, Beth Anne Pratt, Albert Saka, Robert E Black
Introduction We explored whether greater consideration of product design, informed by end users’ opinions, led to improved utilisation (ie, rational use) of oral rehydration salts (ORS) in home settings. We tested whether a ‘design thinking’ approach, focusing on product acceptability, functionality and ease of use, contributed to an increased likelihood of appropriate ORS use, specifically dosing
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Effectiveness of an anti-fog polymer coating in protective eyewear: a blinded, randomised controlled cross-over trial with healthcare providers in an emergency department setting BMJ Innov. Pub Date : 2023-07-01 Yonatan G Keschner, Ali S Raja, Justin D Margolin, Hui Zheng, Kristian R Olson
Background Eye protection is a mandatory component of the personal protective equipment in healthcare settings, especially for suspected or confirmed cases of COVID-19 and during aerosolising procedures. Fogging of protective eyewear is a frequent problem experienced by providers. The hydrophilic property of a sulfonated polymer, BiaXam, may be able to decrease fogging through wicking moisture from
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Transforming healthcare logistics and evaluating current use cases of UAVs (drones) as a method of transportation in healthcare to generate recommendations for the NHS to use drone technology at scale: a narrative review BMJ Innov. Pub Date : 2023-07-01 Christopher Tejun Law, Catharina Moenig, Hammad Jeilani, Milad Jeilani, Tony Young
Drones have been pioneered and used in the military, however, only recently non-military drones have been introduced. The COVID-19 pandemic has brought into focus the potential value of drones in moving medical supplies. With the onset of social distancing policies and quarantine regulations, the efficiency of traditional logistics systems has been limited. Several companies have recently accelerated
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Emerging technologies and global health: a systematic review generating bibliometric evidence for innovation management BMJ Innov. Pub Date : 2023-07-01 Sheng Wu, Bernardo Mariano Junior
Objective To obtain quantitative evidence for innovation management on Emerging Technologies and Global Health from existing scientific research with a bibliometric approach. Design This study generates quantitative evidence for healthcare innovation policy making, offering new insights: first, innovation quality can be measured through dynamic interactions among key innovation elements; second, as
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Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients BMJ Innov. Pub Date : 2023-07-01 Kyle K VanKoevering, Julia Brennen, Rachel Fenberg, Sam Dolphin, Natalia von Windheim, Laura Matrka, Brad de Silva, Matthew E Spector, Steven B Chinn, Philip Choi, Songzhu Zhao, Keith A Casper, Glenn E Green
Objective Despite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain
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Community engagement self-monitoring (CE-SM) strategy for social innovations in health: pilot implementation in the Philippines BMJ Innov. Pub Date : 2023-07-01 Pauline Marie Padilla Tiangco, Jana Deborah Mier-Alpano, Jose Rene Bagani Cruz, Jason Alacapa, Joey Escauso, Uche Amazigo, Beatrice Halpaap, Meredith Labarda, Noel Juban
The Social Innovation in Health Initiative (SIHI) piloted a community engagement self-monitoring (CE-SM) strategy, where communities were actively engaged in monitoring the implementation and performance of their social innovations to ensure that their objectives were achieved. This strategy aims to empower communities to document processes, understand the factors involved and measure outcomes by developing
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Novel ‘half-and-half’ design of staining jars for comparative assessment of stains BMJ Innov. Pub Date : 2023-07-01 Sanpreet Singh Sachdev, Tabita Joy Chettiankandy
### Summary box #### What are the new findings #### How might it impact on healthcare in the future At present, Coplin jars are used universally for histological staining. They are grooved glass jars which allow microscopic slides to stand separated while staining procedure. They were invented by William Coplin in 1897 and remain in use to date.1 Except for a few modifications such as use of plastic
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Reverse innovation in western healthcare: a randomised crossover trial comparing the ReMotion prosthetic knee with the current standard of care BMJ Innov. Pub Date : 2023-04-01 Wieneke van Oorschot, Noël L W Keijsers, René F van Ee, Mark van Houdenhoven
Introduction Healthcare expenses are reaching unaffordable levels worldwide and reverse innovation could play a role in decreasing these expenses and improving healthcare accessibility. The ReMotion Knee, a prosthetic knee primarily developed for low-income countries, could serve as a reverse innovation for people with a lower limb amputation. This study aimed to evaluate the ReMotion Knee as a potential
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Innovative technology to eliminate the racial bias in non-invasive, point-of-care (POC) haemoglobin and pulse oximetry measurements BMJ Innov. Pub Date : 2023-04-01 Sanjay G Gokhale, Vinoop Daggubati, Georgios Alexandrakis
There is a significant unmet clinical need for a reliable point-of-care (POC) estimation of the blood haemoglobin (Hb) method. Current available methods, notably pulse oximetry, have certain limitations related to design and methodology of devices. These have low sensitivity for detecting serial change in the Hb values, especially at the lower range and are inaccurate in people with darker skin. Objective
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Artificial intelligence and opioid use: a narrative review BMJ Innov. Pub Date : 2023-04-01 Seema Gadhia, Georgia C Richards, Tracey Marriott, James Rose
Background Opioids are strong pain medications that can be essential for acute pain. However, opioids are also commonly used for chronic conditions and illicitly where there are well-recognised concerns about the balance of their benefits and harms. Technologies using artificial intelligence (AI) are being developed to examine and optimise the use of opioids. Yet, this research has not been synthesised
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SAFER framework for moving forward on the medical device right to repair BMJ Innov. Pub Date : 2023-04-01 Shuhan He, Debbie Lai, Grace Jin, Jarone Lee
Across various industries, the right to repair (RTR) movement has gained momentum as more than 20 states have proposed RTR laws to expand access to repair of consumer products. Medical device equipment shortages during the COVID-19 pandemic demonstrated that stronger repair mechanisms are necessary for the US health system to become more efficient, affordable and sustainable. We propose a 5-point SAFER
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Cleaning up plastics in healthcare waste: the transformative potential of leadership BMJ Innov. Pub Date : 2023-04-01 Fawzia N Rasheed, Gijs Walraven
This article argues that plastics ought to be included under the category of ‘hazardous’ healthcare waste and suggests that health professionals should strive for alternatives as part of their mission to improve health. The focus of this paper is on replacing, rather than recycling, plastics. The rationale for this stance stems from the unbridled escalation of plastics use, the fact that few countries
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Road to success: lessons from the Qatar Foundation Ability Friendly Program BMJ Innov. Pub Date : 2023-04-01 Maha El Akoum, Neil Moors, Diedre Thompson, Ryan Moignard, Kathleen Bates
### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? ### History and evolution of the programme Although the AF sports programme was not officially launched in Qatar until 2019, the planning process for the development and inauguration of the programme was set in motion much earlier. Three years earlier, in 2016, the World Innovation Summit for Health
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‘It all stems from relationship’: effectiveness of a crowdsourcing contest to elicit community ideas on how to build trust between healthcare providers and community about COVID-19 BMJ Innov. Pub Date : 2023-04-01 Allison Christine Mathews, Miranda Wenhold, Allison Caban-Holt, Takiyah Starks, Alan Richmond, Anissa Vines, Goldie Smith Byrd
Objective The COVID-19 pandemic requires a nimble approach to building trust between healthcare providers and community. Crowdsourcing is one community-engaged approach that may be effective at engaging marginalised communities to identify ways to build trust. This early-stage innovation report assesses the effectiveness of using a crowdsourcing contest to elicit community ideas on how to build trust
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Pressure sensing and pressure redistribution mattress for prevention and management of pressure injuries BMJ Innov. Pub Date : 2023-04-01 Hong Liang Tey, Crystal Zhen Yu Phuan, Joey Sok Theng Tan, Sufang Yang, Nwe Oo Hnin, Shu Yin Hoi
#### Summary A pressure injury or ulcer is a localised injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction.1 This is a critical issue not only for patients, increasing morbidity and mortality, but also for healthcare workers, contributing to burnout from continuous turning of patients, which greatly
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Correction: User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system BMJ Innov. Pub Date : 2023-02-22 All India Institute of Medical Sciences
Teodorescu DL, Jonnalagedda S, Rakin A, et al . User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system. BMJ Innov 2022;8:317–322. …
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Challenges and opportunities in employing digital health to address self-management needs of people with NCDs in India BMJ Innov. Pub Date : 2023-01-01 Nachiket Gudi, Uday N Yadav, Oommen John, Ruth Webster
The WHO declared COVID-19 as a Public Health Emergency of International Concern on 30 January 2020.1 On 22 March 2020, the Government of India imposed the ‘Janata Curfew’ to enforce rapid physical distancing measures and prepare the health system to reduce the spread of COVID-19. This lockdown was repeated three times until 17 May 2020, adversely affecting large sectors of people due to lack of access
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Innovations that harm: tobacco product and packaging in low-income and middle-income countries BMJ Innov. Pub Date : 2023-01-01 Jennifer L Brown, Katherine Clegg Smith, Kevin Welding, Joaquin Barnoya, Joanna E Cohen
Innovation is generally regarded as positive, however, what is good for business can prove bad for public health. Innovation is recognised by the tobacco industry as a key strategy for growth and maintaining positive consumer perceptions of brands.1 There can be product innovation related to new cigarette brands and variants, and packaging innovation which refers to changes made to the pack design
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Non-communicable diseases in a time of infection BMJ Innov. Pub Date : 2023-01-01 Helen Surana
Viruses have really grabbed our attention over the last couple of years with COVID-19. Cases, transmission rate, R-number. We’ve become used to listening to virologists and intensivists talk about their work and a lay person would be forgiven for thinking public health is a specialty that is only focused on stopping infectious diseases. Despite this focus, non-communicable diseases (NCDs) have not
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Machine-learning algorithm to non-invasively detect diabetes and pre-diabetes from electrocardiogram BMJ Innov. Pub Date : 2023-01-01 Anoop R Kulkarni, Ashwini A Patel, Kanchan V Pipal, Sujeet G Jaiswal, Manisha T Jaisinghani, Vidya Thulkar, Lumbini Gajbhiye, Preeti Gondane, Archana B Patel, Manju Mamtani, Hemant Kulkarni
Objectives Early detection is of crucial importance for prevention of type 2 diabetes and pre-diabetes. Diagnosis of these conditions relies on the oral glucose tolerance test and haemoglobin A1c estimation which are invasive and challenging for large-scale screening. We aimed to combine the non-invasive nature of ECG with the power of machine learning to detect diabetes and pre-diabetes. Methods Data
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Design and development of a clinical decision support system for community health workers to support early detection and management of non-communicable disease BMJ Innov. Pub Date : 2023-01-01 Sojib Bin Zaman, Nisal De Silva, Tian Yu Goh, Roger G Evans, Rajkumari Singh, Rajesh Singh, Akash Singh, Parul Singh, Amanda G Thrift
Background Numerous groups have developed software applications (apps) for use by community health workers (CHWs) in hard-to-reach settings. However, these have either not been based on clinical guidelines or are not freely available. Our objectives were to (1) design and develop an app for use by CHWs; and (2) conduct preliminary testing of the app to identify potential obstacles. Methods We used
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National Institutes of Health Stroke Scale scores obtained using a mobile application compared to the conventional paper form: a randomised controlled validation study BMJ Innov. Pub Date : 2023-01-01 Helge Fagerheim Bugge, Mona Marie Guterud, Jo Røislien, Karianne Larsen, Hege Ihle-Hansen, Mathias Toft, Maren Ranhoff Hov, Else Charlotte Sandset
Background Prehospital delay contributes to treatment delay in acute stroke. Numerous prehospital stroke scales exist for stroke identification, but they lack the diagnostic accuracy of the in-hospital National Institutes of Health Stroke Scale (NIHSS). We have developed a mobile application to aid paramedics assessing prehospital NIHSS. This study explores agreement between NIHSS scores obtained using
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Flash glucose monitoring: the story so far and the journey ahead BMJ Innov. Pub Date : 2023-01-01 Thomas Simon James Crabtree, Pratik Choudhary, Partha Kar, Emma G Wilmot
Just a few years ago FreeStyle Libre (FSL) was a rarely encountered device, used only by a select few people with type 1 diabetes who could afford to self-fund it. This small disc has a small cannula under the skin which allows for interstitial glucose measurements and remains in situ for 14 days. Over the last 4 years the number of people with access to this life-changing technology on the National
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Digital health innovations for non-communicable disease management during the COVID-19 pandemic: a rapid scoping review BMJ Innov. Pub Date : 2023-01-01 Shruti Murthy, Prashanthi Kamath, Myron Anthony Godinho, Nachiket Gudi, Anil Jacob, Oommen John
Objective To identify and summarise the digital health interventions (DHIs) implemented for non-communicable disease (NCD) management for COVID-19. Design Rapid scoping review. Three reviewers jointly screened titles–abstracts and full texts. One reviewer screened all excluded records. Data were mapped to WHO DHI Classification and narratively summarised. Data sources PubMed, CENTRAL, CINAHL, EMBASE
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’Padayon’: a new digital health model for diabetes and hypertension in rural Philippines BMJ Innov. Pub Date : 2023-01-01 John Paluyo, Anne Stake, Rich Bryson
### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? Non-communicable diseases (NCDs) account for 41 million global deaths every year, equating to 71% of global deaths overall. Of the 41 million deaths, 29 million occur in low-income and middle-income countries (LMICs).1 However, health system services for prevention, education, screening and treatment
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Implementation of a community-based referral project to improve access to emergency obstetric and newborn care in Rohingya population during COVID-19 pandemic in Bangladesh BMJ Innov. Pub Date : 2022-10-01 Mrittika Barua, Avijit Saha, Srizan Chowdhury, Sayantan Chowdhury, Stenly Hely Sajow, Malabika Sarker
Introduction The delay in seeking emergency obstetric care leads to significant maternal morbidity and mortality and can worsen during pandemics, especially in humanitarian conflict settings with low uptake of obstetric services. To mitigate the challenges related to the second delay caused by lack of transport in the COVID-19 pandemic, the organisation United Nations Population Fund implements a community-based
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Effectiveness of Ehteraz digital contact tracing app versus conventional contact tracing in managing the outbreak of COVID-19 in the State of Qatar BMJ Innov. Pub Date : 2022-10-01 Mohamed Ghaith Al-Kuwari, Asma Ali Al Nuaimi, Sandy Semaan, John Michael Gibb, Jazeel AbdulMajeed, Hamad Eid Al Romaihi
Introduction Contact tracing is an integral component of the overall public health strategy for controlling the outbreak of infectious diseases such as COVID-19. In addition to the conventional contact tracing, Qatar has implemented Ehteraz, a proximity-tracing mobile phone App using global positioning system and Bluetooth technologies. In this paper, we aim to evaluate the accuracy of Ehteraz as a
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Management model of the COVID-19 pandemic in socially vulnerable communities BMJ Innov. Pub Date : 2022-10-01 Gustavo H Marin, Jenny Fonseca, Graciela Etchegoyen, Lupe Marin, Itziar Kain Aramburu, Rocio Rodriguez, Pablo Vetere, Graciela Mateo, Marcelo Bourgeois, Federico Campuzano-Castro, Ignacio Babbini, Gina Marin, Tomas Canevari, Horacio Bozzano
Introduction Several public policies were proposed to reduce the negative impact of COVID-19 pandemic. This work aimed to determine how a management model is capable of strengthening the community network, providing support, healthcare and channelling public government’s aid during COVID-19 pandemic situation. Methods It is an intervention study that tested the effectiveness of a management model for
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Cultivating design thinking skills through the biodesign process in Japan BMJ Innov. Pub Date : 2022-10-01 Hiroyuki Kiriyama, Takaaki Kakihiana, Yujiro Maeda, Munemasa Sugimoto, Megumi Machida, Tomotaka Inoue, Fumiaki Ikeno, Issei Komuro, Minoru Ono
Background The biodesign process, which originated at Stanford University, has had a significant impact on medical device invention. Design thinking skills are core elements in the biodesign process, but there has been no quantitative evaluation of how design thinking is actually affected by a biodesign course. The purpose of this study was to examine the usefulness of the biodesign process by quantifying
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Future developments and new technologies in the field of faecal incontinence: scanning the horizon using late-stage clinical trial registrations BMJ Innov. Pub Date : 2022-10-01 Katie H Thomson, Kim Dangova, Donna Z Bliss, Sheila Wallace, Nicole O'Connor, Holly E Richter, Fiona Pearson
Aim The aim of this study was to examine how new technologies in late-stage clinical trials might address unmet patient, practitioner or caregiver need for faecal incontinence (FI) over the next 5 years. Methods Horizon scanning techniques were used to provide insights into the current landscape of emerging health technologies. A search was performed across clinical trial registries using the National
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Critical analysis of the effect the new Medical Device Regulation will have on the relevant stakeholder BMJ Innov. Pub Date : 2022-10-01 Tehzeem Ahmed, Junaid Zafar, Faisal Sharif, Haroon Zafar
The regulatory framework around medical devices in the European Union has always focused on upholding patient safety. However, over the years, certain scandals have come to light in which patient safety has been compromised considerably. As a consequence, the overwhelming opprobrium was the cause for a radical change. The new Medical Device Regulation (MDR) has now been introduced (but yet to be fully
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Technological innovation in vascular access surgery: a reflection on two recent developments BMJ Innov. Pub Date : 2022-10-01 Andrew Williamson
The discipline of vascular access surgery can be defined as the facilitation of dialysis through rapid and easy access to a patient’s bloodstream.1 2 This is one of the most fundamental diagnostic and therapeutic principles in the care of renal failure patients; however, instruments to achieve this in a controlled manner were only developed mid-way through the 17th century.2 By the early 20th century
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Expert panel: an innovative approach to evaluating government policy commitments in health and social care BMJ Innov. Pub Date : 2022-10-01 Alison Jane Lacey, Florence Lily Young, Stephen Peckham, Jane Dacre
#### What are the new findings? #### How might it impact on healthcare in the future? Health and Social Care services make essential contributions to society, and it is vital that NHS England and NHS Improvement (NHSE&I) and the Department of Health and Social Care (DHSC) respond dynamically to meet the needs of a changing population. Although the precise structural relationships between the government
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Disinfectant tunnels: a solution to the problem or a problem on its own? BMJ Innov. Pub Date : 2022-10-01 Siew Hui Michelle Koh, Si Ling Young, Hui Zhong Chai, Adrian Kwok Wai Chan, Aik Hong Philine Chan, Jun Chun Chia, Frederick Teo, Soh Hui Qing, Thun How Ong, Ghee Chee Phua
#### What are the new findings #### How might it impact on healthcare in the future The Coronavirus disease 2019 (COVID-19) pandemic has impacted the health and socioeconomic status of millions of people worldwide. COVID-19–related health policies1 2 introduced around the world contain methods to curb the transmission of the virus, and these include border control measures, contact tracing and lockdown
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Development of a real time ultrasound guided lumbar puncture device BMJ Innov. Pub Date : 2022-10-01 Bingwen Eugene Fan, Chuang Kiat Desmond Soh, Hee Chuan Darryl Heng, Lee Long Eddie Woo, Wern Hsien Bin
#### What are the new findings #### How might it impact on healthcare in the future ### Background The lumbar puncture (spinal tap) is a bedside procedure performed at the lumbar region and is both a therapeutic and diagnostic procedure.1 It is primarily used in neurology for the diagnosis of both acute and chronic neurological conditions,2 by obtaining cerebrospinal fluid (CSF) for testing and to
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Structured digital care pathway for systemic acne treatment using isotretinoin BMJ Innov. Pub Date : 2022-10-01 Amandip Sangha, Mohammad Rizvi
#### What are the new findings #### How might it impact on healthcare in the future Acne is a condition that affects a large portion of the population, especially younger people. The condition is well documented as being a formidable burden on the patient, psychologically and socially. Moreover, the severe forms of acne can leave permanent scars on the skin, if not properly treated. Treatments of acne
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User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system BMJ Innov. Pub Date : 2022-10-01 Debbie Lin Teodorescu, Sashidhar Jonnalagedda, Atif Rakin, Mike H M Teodorescu, Macauley Kenney, Julian Greene, Steven Bokshan, Hassan Mashbari, Asad Moten, Osaid Alser, Robert D Sinyard, Ander Dorken-Gallastegi, Arnav Mahajan, Robert J Smalley, Daniel Frey, David R King, Meena N Cherian
### What are the new findings #### How might it impact on healthcare in the future In conditions ranging from pneumothorax to acute compartment syndrome to fractures to traumatic and degenerative joint disease to appendicitis to obstructed labour to postpartum haemorrhage; safe, timely surgical intervention is the deciding factor among recovery, mortality or long-term disability. Consequently, access
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Development and testing of an intact cord resuscitation trolley BMJ Innov. Pub Date : 2022-10-01 Jaspreet Singh Raina, Deepak Chawla, Suksham Jain, Supreet Khurana
Objective To develop a mobile resuscitation platform—intact cord resuscitation (ICR) trolley and to assess the safety, feasibility and acceptability of its use during delayed cord clamping (DCC). Study design Bench-side product development and single-arm experimental study. Participants and methods We first developed a theoretical framework of the specifications required for the platform which can
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Use of no-code platforms in the development of clinician-designed mobile apps to support clinical work in the emergency department BMJ Innov. Pub Date : 2022-10-01 Zhenghong Liu, Rachael Pik Yi Lo, Jonathan Ming Hua Cheng, Paul Weng Wan, Kenneth Boon Kiat Tan
### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? Clinicians are required to have a deep grasp of medical knowledge, keep up with the latest literature and stay updated on evolving hospital guidelines. Emergency department (ED) clinicians in particular deal with a large breadth of information, referring to guidelines from multiple professional bodies
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Social innovation in health, community engagement, financing and outcomes: qualitative analysis from the social innovation in health initiative BMJ Innov. Pub Date : 2022-07-01 Patricia Moscibrodzki, Emmanuel Ahumuza, Jingjing Li, Xiaoming Sun, Yusha Tao, Lindi Van Niekerk, Uche Amazigo, Beatrice Halpaap, Phyllis Awor, Joseph D Tucker
Background Social innovation in health is a community-engaged process that links social change and health improvement, drawing on the diverse strengths of local individuals and institutions. However, there are few studies that examine community engagement, financing and outcomes. The purpose of this study is to use a qualitative descriptive analysis to assess 40 social innovations in health identified
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Building the social innovation for health ecosystem in Latin America: experiences and learning from SIHI-LAC BMJ Innov. Pub Date : 2022-07-01 Lindi van Niekerk, Maria Isabel Echavarria, Jackeline Alger, Diana Maria Castro-Arroyave, Martha Milena Bautista-Gomez, Claudia Ivette Nieto Anderson, Briana Yasmin Beltran, Luis Gabriel Cuervo
Social innovation for health has grown in relevance and momentum across Latin America.1–5 Yet, the potential of social innovation for health appears mostly untapped, with one reason for this being the limited investment to build strong ecosystems that can support social innovation initiatives.6–8 The Social Innovation in Health Initiative for Latin America and the Caribbean (SIHI-LAC) is an ecosystem
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Social innovation in health: concepts and practice BMJ Innov. Pub Date : 2022-07-01 Joseph D Tucker, Lenore Manderson, Uche Amazigo, Jackeline Alger, Elizabeth Chen, Meredith Labarda, Eneyi Kpokiri, Phyllis Dako-Gyeke, Rosanna W Peeling, Luis Gabriel Cuervo, Beatrice Halpaap
Social innovations in health are inclusive solutions that meet the needs of end users through community-engaged, person-centred processes.1 The term ‘person-centred’ refers to a holistic, contextual approach in which people are the focus.2 Social innovation and related person-centred approaches have expanded in the past 5 years. Data from randomised controlled trials,3 4 systematic reviews5 6 and other
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Youth researchers academy: a report on an innovative research training programme for young people in Zimbabwe BMJ Innov. Pub Date : 2022-07-01 Mandikudza Tembo, Constance Mackworth-Young, Katharina Kranzer, Chido Dziva-Chikwari, Constancia Vimbayi Mavodza, Ethel Dauya, Mufaro Makuni, Dakarai Chipare, Blessing Munyavi-Dehwe, Daniel Raradza, Sarah Bernays, Rudo Chingono, Nyasha Dzavakwa, Rudo Nyamwanza, Suzanna Carter Francis, Victoria Simms, Rashida Ferrand
Introduction Youth engagement has the potential to enhance the design, implementation and relevance of research. Without strategies to capacitate young people with research skills, youth engagement in research is often tokenistic and ineffective. In this paper, we detail the implementation and evaluation of an innovative research training programme for youth (aged 18–24 years) in Zimbabwe called the
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Emulating value-chains of fast-moving consumer goods to improve uptake of co-packaged ORS and zinc for childhood diarrhoea: evaluation of the ColaLife trial BMJ Innov. Pub Date : 2022-07-01 Rohit Ramchandani, Simon Berry, Jane Berry, Stephen Tembo, Robert E Black
Introduction Oral rehydration salts (ORS) and zinc comprise the globally recommended treatment for diarrhoea in children aged <5 years. However, limited access contributes to low uptake of this treatment and subsequently high rates of morbidity and mortality among this age group in low-income and middle-income countries. We adopted approaches used for private-sector value-chains of fast-moving consumer-goods