Medical Action Research Articles

A script-enabled interactive checklist document for efficient management of electronic devices in a busy multimodality radiotherapy clinic.

Develop an efficient, interactive, and instructive checklist document for the management of implanted electronic medical devices in a multimodality radiotherapy clinic. The built-in scripting and interactivity of a popular commercial word processor was used to develop an interactive document that changes the information presented to the user based on drop-down selections. The interactivity and scripting were compatible with the radiation oncology information system (ROIS) which allows the document to be accessible by all team members and serve as a permanent record in a patient's electronic chart. The final interactive document, which was clinically deployed after beta testing with a group consisting of nurses and medical physicists, presents information and action plans to the user based on multiple departmental medical device decision trees that are specific to the combination of device, treatment modality, rhythm-pacing dependence for cardiac devices, and distance from the device to the treatment volume. A script-enabled interactive document was developed for a busy multimodality clinic, condensing multiple comprehensive departmental guidelines spanning multiple device types and treatment modalities into a single interactive checklist accessible within the ROIS. Given the wide accessibility of the commercial word processor, this approach could be adopted by other clinics to streamline their own respective workflows.

ALGORITHM OF SECONDARY PREVENTION OF KIDNEY DISEASES AND URINARY TRACT IN OUTPATIENT CLINICS

Aim effectiveness evaluation of the medical staff actions algorithm an outpatient polyclinic institution during the secondary prevention of kidney and urinary tract diseases.
 Material and methods. This article presents an assessment of the effectiveness of the algorithm developed on the basis of a previously conducted medical and social study, which consists in conducting secondary prevention of exacerbations of the urinary system by prescribing drinking mineral water, diet, physical activity and a protective regimen under the remote control of medical workers with the determination of indicators of the quality of life of patients (on the Wisconsin Questionnaire). The developed algorithm represents the sequence of actions of medical personnel during remote monitoring of patients with pyelonephritis, urolithiasis, urethritis and cystitis. To assess the effectiveness of the proposed algorithm, a survey was conducted among outpatient clinic doctors with more than 10 years of experience using a specially developed questionnaire (score from 1 to 10). To assess the consistency of doctors' opinions, the concordance coefficient was calculated; a high degree of agreement between doctors' opinions in assessing the main indicators was considered at the value of the Kendal W coefficient 0.7. To assess the significance of the obtained concordance coefficient, the 2 criterion was calculated at a significance level of 0.05.
 Results. An analysis of the answers of doctors showed that this algorithm can be used as an alternative to sanatorium treatment for the prevention of exacerbations of diseases of the urinary system.
 Conclusions. The study of the possibility of using medical and organizational measures for the secondary prevention of exacerbations of diseases of the kidneys and urinary tract, presented in the algorithm, makes it possible to achieve an improvement in general well-being in patients under dispensary observation. Algorithm received a positive assessment from doctors of outpatient clinics.

Quality of life of patients with rheumatic diseases

ObjectiveHealth-related quality of life (HRQoL) is an important indicator of population health and can measure the impact of medical actions. The main objective of this study was to determine the HRQoL of patients with rheumatic diseases (RD) and compare it with that of the general population. MethodsObservational, cross-sectional, single-center study, with consecutive inclusion of outpatients over 18 years of age seen at a Rheumatology hospital-based outpatient clinic in Madrid. Sociodemographic, clinical variables and HRQoL were recorded. HRQoL was measured with the 5-dimension, 5-level EuroQoL (EQ-5D-5L), which includes the EQ-Index (0–1 scale) and a visual analog scale (VAS, 0–100 scale). A descriptive analysis and a comparison with the HRQoL of the Spanish general population were performed. Results1144 patients were included, 820 (71.68%) women, with a mean age of 56.1 years (range 18–95), of whom 241 (25.44%) were new patients. In patients with RD, the HRQoL measured with the EQ-Index and with the VAS, was 0.186 and 12 points lower, respectively, than in the general population. The decrease in HRQoL affected the 5 health dimensions, especially “pain/discomfort”, followed by “daily activities” and “mobility”. This reduction in HRQoL was observed in both men and women, and in all age ranges, although it was greater between 18 and 65 years of age. The reduction in HRQoL affected all RD subtypes, especially the “peripheral and axial mechanical pathology” and the “soft tissue pathology” group. ConclusionsPatients with rheumatic diseases report worse HRQoL when compared to the general population in all dimensions of HRQoL.

The weekend factor: the effect on healthcare quality. A medico-legal, retrospective study.

In the healthcare system, in the last 30 years, the prognostically negative value of the so-called Weekend Effect (WE) has been internationally recognized. The WE is regarded as the increased risk a patient might incur when hospitalized during non-working days, of enduring severe complications in comparison to the same hospitalization that occur on working days. The aim of this study was to retrospectively verify whether, once a mistake was made during weekends or on holidays, in comparison to a mistake occurred on workdays, it subsequently implied a higher risk of complications, death included, in a statistical and medico-legal way. Three different evaluators independently examined a total of 378 medico-legal cases over a more than 20-year period. Eventual medical actions and omissions were labelled as 'mistake' when the AJ claimed that at least one occurred; 'alleged mistake' included the cases where the EW's report disagreed with the AJ's one; finally, 'no mistake' when both the AJ and the EW agreed in their evaluations. During weekends there is a higher risk that a mistake occurs (OR=3.3, 95% CI=1.6;7.4; p-value<0.001) compared to weekdays. When death occurs, delayed diagnosis is the main cause (p=0.02), whereas a damaging action is more frequently claimed in general. We verified as actual the impact of the WE on patients' outcome from a medico-legal point of view. The implications for an improvement of the several settings of the Italian NHS are various, and many are the consequences in the healthcare management.

AUTHORITY OF NURSES TO INSTALL INFUSATIONS DURING THE PANDEMIC OUTSIDE OF HEALTH CARE FACILITIES

During the COVID-19 pandemic emergency, one of the medical measures that nurses can use in certain limited conditions is installing infusion outside of healthcare institutions. The author's study methodology, which employs three approaches—legislation (statement approach), comparative approach (comparative approach), and conceptual approach (conceptual approach)—uses a normative legal research type to address these issues. Furthermore, primary, secondary, and tertiary legal documents are the sources of the legal materials used. The study's findings clarify the role and authority of nurses for infusions outside of healthcare facilities during the pandemic. Specifically, a nurse who is ill or in a state of restricted mobility during the COVID-19 emergency period is authorised to administer first aid in the form of medical action, such as infusions, in accordance with the law and her expertise in assessing the patient's condition. Although the nurse is personally accountable for the infusion because it is an autonomous duty, meaning that the nurse in question will take full responsibility if a mistake is made.

Preventive Legal Protection in Increasing Effectiveness Medical Actions of Nurses at Wakatobi Regency General Hospital Southeast Sulawesi Province, Indonesia

Objective: This study aims to determine and examine the implementation of preventive legal protection in increasing the effectiveness of nurses' medical actions at the Regional General Hospital of Wakatobi Regency, Southeast Sulawesi Province, Indonesia. Method: This research uses normative juridical and empirical juridical approach methods. Data collection techniques are carried out by interviews and collecting other data relevant to the research then analyzed using qualitative methods using principles, theories laws, and regulations related to the research topic, then described descriptively analytically in the discussion. Respondents and research resource persons were determined by purposive sampling. The respondents amounted to 4 nurses and the resource persons amounted to 4 hospital leaders. Result: The results showed that in the Regional General Hospital of Wakatobi Regency, Southeast Sulawesi Province, Indonesia, Preventive Legal Protection in Increasing the Effectiveness of Nurses' Medical Actions related to the implementation of the delegation of doctors' authority to nurses to perform medical actions has not been maximized. This is because nurses who perform certain medical actions have not received delegation of authority, both delegative and mandated in writing from doctors following the provisions of Article 290 of Law Number 17 of 2023 concerning Health and Article 32 of Law Number 38 of 2014 concerning Nursing. Furthermore, preventive legal protection related to standard operational procedures has been running well. Where every medical action carried out by nurses already has standard operational procedures, the implementation of medical actions is following standard operational procedures, standard operational procedures for medical actions carried out by nurses have been socialized and have been monitored regularly following the provisions of Law of the Republic of Indonesia Number 17 of 2023 concerning Health, Conclusion: Based on the results of the study, it can be concluded that Preventive Legal Protection in Increasing the Effectiveness of Medical Actions of Nurses at the Regional General Hospital of Wakatobi Regency, Southeast Sulawesi Province, Indonesia is still inadequate.

Capacity Building for Maternal Emergency Services Using Low Tech High Fidelity (LTHF) Simulator Method and Interprofessional Collaboration for Health Workers on Bawean Island

Background - Maternal emergencies encompass a wide range of conditions that can endanger the lives of pregnant women or newborns, so the speed and availability of quality care is crucial in saving the lives of mothers and babies, especially in remote areas such as Bawean Island. Objective - Capacity building for maternal emergency services is a strategic step aimed at improving the ability and efficiency of the health care system to handle emergency situations related to pregnancy and childbirth. Design / methodology / approach - The method used in capacity building is training on the ability to conduct interprofessional collaboration among health workers with lecture, discussion and simulation methods with the use of LTHF simulators so that it is expected that during capacity building activities, participants can experience conditions that resemble real life. This capacity building activity consists of: Providing refreshing material related to maternal emergencies and simulating interprofessional collaboration using the LTHF simulator. Findings - Training participants stated that the above training method was very interesting and provided new experiences to prepare themselves in handling maternal neonatal emergencies that can occur at any time. The increased capacity to manage maternal neonatal emergencies can improve the effectiveness of medical actions and case management in emergency situations involving maternal health during pregnancy, childbirth, or the postpartum period after the training. Maternal neonatal emergencies that are often found are heavy bleeding, eclampsia, infection, asphyxia or other complications that can endanger the lives of pregnant women and their babies. Conclusion - Increasing the capacity of maternal emergency services through the Low Tech High Fidelity (LTHF) Simulator method and Interprofessional Collaboration is a significant step to improve the quality of services and safety of pregnant women and newborns on the island of Bawean.

Gaps in medical school in the approach to ethics, bioethics, and palliative care: a challenge for professional training

Medical education requires discipline, effort, and dedication for professional improvement, which complies with the requirement for vast, dynamic knowledge, including (bio)technologies in diagnostics and therapeutics. However, this process does not ensure the appropriate human training of health professionals to deal with an abrupt demographic transition of older people with several comorbidities as well as with an increase in life expectancy and in the risk of serious health-related suffering. There is a gap in bioethics education offered to undergraduate medical students, especially in bioethical principles (not only those related to biomedical and deontological ethics), which must be bridged before good communication, attitudes, behaviors, and, particularly, better decision-making can be demanded from medical actions. The advent of chronic and incurable diseases in recent decades has contributed to strengthening the hospice movement toward patient-centered care, highlighting an unmet demand for palliative care in the face of progressive, advanced, and critical conditions. Thus, personalism, a contemporary bioethical trend, in line with the principles of palliative care, calls for human training in bioethics by demonstrating the challenges of disease-focused care amidst the conflicts generated by biotechnoscience to provide comprehensive integrated patient-centered care.

Juridical Analysis Of Medical Malpractice Actions Carried Out By Ophthalmologist

ABSTRACT / ABSTRAK Purpose of the Study: This research aimed to analyze legal considerations in malpractice cases carried out by ophthalmologists and analyze the differences between medical risk and medical malpractice Methodology: This research is normative legal research using the statute approach and case approach of medical malpractice cases. The research object discussed is the Supreme Court Judgment Number 277/PDT/2020/PT SBY and Supreme Court Judgment Number 338 K/Pdt/2020. The analysis technique implemented descriptive qualitative analysis. Results: The results of the research discovered that the judge's consideration in issuing nt in malpractice case by an ophthalmologist was inconsistent and defied the applicable laws and regulations, in which Articles 359 and 360 of the Criminal Code the judge should have imprisoned to the perpetrator. Apart from that, the judgment 277/PDT /2020/PT SBY is included in the medical malpractice action which is shown by the damages given to the patient and an apology from the doctor. Applications of this study: Research suggests the conformity of judgment with laws and punishment that should be given to doctors who committed medical malpractice from the proof and applicable laws and regulations. Novelty/Originality of this study: The study analyzed the judgments of medical malpractice cases through 6 court processes. Keywords: Medical Malpractice, Liability, Criminal Law Abstrak / Abstrak Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis pertimbangan hukum dalam kasus penyalahgunaan yang dilakukan oleh dokter mata dan untuk menganalisa perbedaan antara risiko medis dan penyimpangan medis Metodologi: Penelitian ini adalah penelitian hukum normatif menggunakan pendekatan hukum dan pendekatan kasus kasus kasus penyalahgunaan medis. Objek penelitian yang dibahas adalah Keputusan Mahkamah Agung Nomor 277/PDT/2020/PT SBY dan Keputusan Pengadilan Tinggi Nomor 338 K/Pdt/2020. Teknik analisis yang digunakan adalah analisis deskriptif kualitatif. Hasil penelitian menemukan bahwa pertimbangan hakim dalam mengeluarkan nt dalam kasus penyalahgunaan oleh seorang dokter mata tidak konsisten dan menantang hukum dan peraturan yang berlaku, di mana Pasal 359 dan 360 dari Kode Kriminal hakim harus menahan pelaku. Selain itu, putusan 277/PDT/2020/PT SBY termasuk dalam tindakan penyalahgunaan medis yang ditunjukkan dengan kerusakan yang dialami pasien dan maaf dari dokter. Aplikasi dari penelitian ini: Penelitian menunjukkan kesesuaian penilaian dengan hukum dan hukuman yang harus diberikan kepada dokter yang melakukan penyalahgunaan medis dari bukti dan hukum dan peraturan yang berlaku Novelty/Originality of this study: Studi ini menganalisis penilaian kasus penyalahgunaan medis melalui 6 proses pengadilan. Kata Kunci: Penyalahgunaan Medis, Tanggung Jawab, Hukum pidana

THE CORRLATION BETWEEN THE ROLE OF NURSES AS EDUCATORS AND MEDICATION ADHERENCE IN DIABETES MELLITUS PATIENTS AT RAWALUMBU BEKASI HOSPITAL IN 2023

Diabetes Mellitus (DM) known in Indonesia as "Diabetes" is a disease whose prevalence is now increasing. The role of the educator itself is to help patients to improve their health by providing health education and medical actions received so that clients or families can know knowledge that is important to patients or families. This study aims to analyze the relationship between the role of nurses as educators with adherence to Treatment P there is Pasien DM at Rawalumbu Bekasi Hospital in 2023. The research method used is quantitative analytical observational with Cross Sectional Study approach and total sampling technique, which is to select samples based on the frequency distribution of patient respondent characteristics. The samples used in this study were 60 diabetes mellitus patients who were treated in the inpatient room at Rawalumbu Bekasi Hospital. The results of the study identified the role of nurses as good educators with medication adherence in non-adherent diabetes mellitus patients totaling 25 respondents (41.7%). There are Chi-Square test results with a significant level of 95% or a value of α 5% (0.05) obtained p value (0.000) &lt; a value of α (0.05) so that it can be concluded from the results Ho rejected means that there is a relationship between the role of nurses as educators with treatment compliance in diabetes mellitus patients at Rawalumbu Bekasi Hospital in 2023.

Quality of life of patients with rheumatic diseases

ObjectiveHealth-related quality of life (HRQoL) is an important indicator of population health and can measure the impact of medical actions. The main objective of this study was to determine the HRQoL of patients with rheumatic diseases (RD) and compare it with that of the general population. MethodsObservational, cross-sectional, single-center study, with consecutive inclusion of outpatients over 18 years of age seen at a Rheumatology hospital-based outpatient clinic in Madrid. Sociodemographic, clinical variables and HRQoL were recorded. HRQoL was measured with the 5-dimension, 5-level EuroQoL (EQ-5D-5L), which includes the EQ-Index (0–1 scale) and a visual analog scale (VAS, 0–100 scale). A descriptive analysis and a comparison with the HRQoL of the Spanish general population were performed. Results1144 patients were included, 820 (71.68%) women, with a mean age of 56.1 years (range 18–95), of whom 241 (25.44%) were new patients. In patients with RD, the HRQoL measured with the EQ-Index and with the VAS, was 0.186 and 12 points lower, respectively, than in the general population. The decrease in HRQoL affected the 5 health dimensions, especially “pain/discomfort”, followed by “daily activities” and “mobility”. This reduction in HRQoL was observed in both men and women, and in all age ranges, although it was greater between 18 and 65 years of age. The reduction in HRQoL affected all RD subtypes, especially the “peripheral and axial mechanical pathology” and the “soft tissue pathology” group. ConclusionsPatients with rheumatic diseases report worse HRQoL when compared to the general population in all dimensions of HRQoL.

The Implementation of Medical Informed Consent In Sleman Regency

Background: Yogyakarta has a high number of morbidity rate which equal high possibility of using medical services. In therapeutic transaction arise obligation between patient, health personnel and health institution. Those obligation become legal responsibilities that lies in informed consent. Those responsibilities are reflected in the implementation of the hospital's obligations to fulfil patient rights carried out by doctors, nurses, midwives, and other health workers based on their authority and competence in accordance with professional ethics, as well as standard operating procedures that apply in the hospital by Minister of Health Regulation number 290 of 2008.&#x0D; &#x0D; Purpose: This research to understand the legal analysis of informed consent in health services as well as to to evaluate and enhance the implementation of medical informed consent in Sleman Regency, especially in the Ananda Maternity Clinic.&#x0D; &#x0D; Methods: The type of this research is a normative-empirical legal research method which in this case combines elements of normative law.&#x0D; &#x0D; Results and conclusion: This normative-empirical research shows that the informed consent has to be imply.&#x0D; &#x0D; Implications of research: It is expressly regulated that the granting of approval for medical action does not eliminate legal liability in the event that it is proven that there is negligence in carrying out medical actions that resulting harm for the patient.&#x0D; &#x0D; Originality/value: the work produced by the person concerned. Self-made, distinctive and personal and the work created is self-produced without quoting, copying, or plagiarism of other people's work.

Causality-Enhanced Multiple Instance Learning with Graph Convolutional Networks for Parkinsonian Freezing-of-Gait Assessment.

Freezing of gait (FoG) is a common disabling symptom of Parkinson's disease (PD). It is clinically characterized by sudden and transient walking interruptions for specific human body parts, and it presents the localization in time and space. Due to the difficulty in extracting global fine-grained features from lengthy videos, developing an automated five-point FoG scoring system is quite challenging. Therefore, we propose a novel video-based automated five-classification FoG assessment method with a causality-enhanced multiple-instance-learning graph convolutional network (GCN). This method involves developing a temporal segmentation GCN to segment each video into three motion stages for stage-level feature modeling, followed by a multiple-instance-learning framework to divide each stage into short clips for instance-level feature extraction. Subsequently, an uncertainty-driven multiple-instance-learning GCN is developed to capture spatial and temporal fine-grained features through GCN scheme and uncertainty learning, respectively, for acquiring global representations. Finally, a causality-enhanced graph generation strategy is proposed to exploit causal inference for mining and enhancing human structures causally related to clinical assessment, thereby extracting spatial causal features. Extensive experimental results demonstrate the excellent performance of the proposed method on five-classification FoG assessment with an accuracy of 62.72% and an acceptable accuracy of 91.32%, which is confirmed by independent testing. Additionally, it enables temporal and spatial localization of FoG events to a certain extent, facilitating reasonable clinical interpretations. In conclusion, our method provides a valuable tool for automated FoG assessment in PD, and the proposed causality-related component exhibits promising potential for extension to other general and medical fine-grained action recognition tasks.

Pediatric procedural sedation: a new protocol implemented

Pediatric procedural sedation is a difficult exercise aiming to find the balance between optimal quality of a medical imaging or act, and maximal reduction of risks for the patient. Harmlessness of chloral hydrate has been recently questioned, thus promoting the use of the dexmedetomidine for these kinds of procedures. In this context we decided to develop a new protocol at the CHUV. We tested different combinations of molecules until we found the best association and dosage. We present here the analysis of our patient cohort, attesting the efficiency, reliability, and safety of combined dexmedetomidine and midazolam given intranasal for pediatric MRI.

Design and development of a web-based patient management information system

This study aims to develop web-based hospital management software. Several previous studies discovered some lack, such as manual queue calling, limited patient registration, difficult access to medical records, and the absence of reminders. In this study, we developed queue, reservation, medical record, reminder, and medical action modules. We expected that facilities could improve the operational efficiency of hospital services. The research stage starts with problem formulation, literature study, design determination, system development with five main modules, system testing, and the creation of research articles. Some limitations were identified, including responsive design and the expense of API system.

Techniques for the Analysis of Covid-19 Virus: State-of-the-Art and Future Prospects

SARS-CoV-2 was first reported in 2019 in China, which then inadvertently spread rapidly across the globe and by 2020 WHO has confirmed Covid-19 as a pandemic. Infections have been transmitted through airborne mechanisms leading to an exponential spread which called out for a strategic medical action plan to curtail the spread. Though WHO has established definite guidelines for containing the spread, such as isolation, social distancing, mandatory masks, sanitization, quarantines, international travel bans, and lockdowns. Early diagnosis and a large number of screenings were given a crucial role in the medical action plan, as they helped in delivering the medical aid and protecting the uninfected population. Various diagnostic methods have sprung up to detect Covid-19 with varying modes of sample collection, time of sampling, duration of test results, and accuracy. These diagnostics tests have been majorly based on a molecular and serological assays which are readily available, mass-produced, easy to handle, offer high accuracy, and shorter duration for results. This review article consolidates the functionality and efficacy of different diagnostic methods describing details of their functioning mechanisms, limitations, and accuracy of the test results. The role of artificial intelligence and deep learning algorithms have also been mentioned for future integrations to make the diagnostic tools efficient, reproducible, and robust. Auxiliary methods like Point care devices, biosensors, and lateral flow devices have also been used for quick diagnosis, which is however only qualitative in nature. Each technique is unique and has its limitations, but in testing times like a pandemic every technological development can be a game-changer when put to the right use.

Modeling a Smart Teleradiology: Decision Support System based on Ontology

Increasingly, hospitals are producing information related to additional examinations for reasons of in-depth investigations or diagnoses. Medical imaging plays an essential role in medical action, mainly for diagnosis, therapeutic planning, intraoperative navigation, postoperative monitoring, and biomedical research. From the perspective of Universal Health Coverage, teleradiology is one of the solutions to the lack of radiologist practitioners in certain territories. Given the situation of the health system in developing countries and in particular in DR Congo, we therefore aim to contribute by providing a solution under a project related to teleradiology. The system designed to make a link between clinical information, data extracted from images, and the radiological ontology for decision-making based on semi-supervised machine learning. This article presents the theoretical foundations of the study and highlights the implementation of our radiology ontology called Smart Ontology of Radiology (SORad).

Expert System for Diagnosing Inflammatory Bowel Disease Using Certainty Factor and Forward Chaining Methods

Identification of inflammatory bowel disease quickly and accurately is motivated by the large number of patients who come with pain in the abdomen and receive minimal treatment because they are considered to be just ordinary abdominal pain. This study aims to identify inflammatory bowel disease which is still considered by some people as a common stomach ache quickly, and precisely and to recommend therapy that can be done as an initial treatment before getting medical action by medical personnel. The method used in this expert system research is a combination of forward chaining and certainty factors. The forward chaining method traces the disease forward starting from a set of facts adjusted to a hypothesis that leads to conclusions, while the certainty factor method is used to confirm a hypothesis by measuring the amount of trust in concluding the process of detecting inflammatory bowel disease. The results of this study are a conclusion from the process of identifying inflammatory bowel disease which begins with selecting the symptoms experienced by the patient so that the diagnosis results appear using forward chaining and certainty factor in the form of a percentage along with therapy that can be given to the patient to reduce pain in the abdomen. A comparison of the diagnosis results using the system and diagnosis by experts, in this case, specialist doctors, shows an accuracy rate of 82,18%, which means that the expert system diagnosis results can be accounted for and follow the expert diagnosis.

Doctors' Legal Protection of Midwives And Nurses Professionals In Medical Actions In Hospitals

Doctors' Legal Protection of Midwives And Nurses Professionals In Medical Actions In Hospitals

Pain@home: An integrated, holistic, multimodal, digital approach to the prevention of chronic pain.

Chronic pain is one of the most debilitating medical conditions and one of the greatest medical challenges globally. In Western countries, almost 25% of adults are suffering from recurrent and prolonged pain symptoms. Chronic pain has a huge negative impact on the quality of life of patients, such as sleep disturbances, limitation in daily activities, and prolonged sick leaves. &#x0D; The best treatment for chronic pain is preventing it from occurring in the first place through an aggressive and multimodal approach to acute pain conditions. Such an approach has been previously described as pre-emptive analgesia. Despite multiple previous research projects, the ideal approach to the prevention of chronic pain has still not been identified. We hereby propose an integrated, multidisciplinary approach to the prevention of long-lasting pain syndromes. &#x0D; This innovative approach was previously tested and refined in patient populations at high risk of developing chronic pain, such as adolescents undergoing pectus operations, and young adults undergoing scoliosis correction procedures. Its rationale is based on the early activation of a digital follow-up before the nociceptive insult has even occurred. At the moment a potential future pain-inducing medical act has been identified (eg surgical procedure, initiation of chemotherapy or radiotherapy, traumatic injury) inclusion in digital long-term monitoring is initiated. The first step in the follow-up consists of the identification of patient-specific risk factors through the application of a validated nociceptive risk identification survey. After an individual risk profile has been completed a daily follow-up is initiated through the application of diaries. &#x0D; After that, a personalized anti-nociceptive approach is conceptualized. One of the major risk factors for the chronification of pain is the presence of fear or catastrophizing behavior. If these are identified during the pre-operative screening process, an integrated and multidisciplinary approach will be tailored to tackle these problems at the individual level. In addition, the interval between the initiation of the follow-up and the start of the medical treatment is used to start a pre-emptive treatment (in most cases gabapentin). Furthermore, educational material is provided to the participating patients in order to educate them on crucial matters such as the pathophysiology of pain, the importance of physical activities, and training in coping strategies.&#x0D; &#x0D; At the moment of hospitalization, patients receive a personalized pain treatment regimen based on the pre-op home-based assessment. Experience has learned us that this improves the health-related quality of life of patients while reducing length of stay significantly. &#x0D; After discharge from the hospital, remote monitoring is reinitiated. Patients are kept under digital supervision during the entire postoperative period, with multidisciplinary support and a strong focus on the functional reintegration of the concerned patients. When functional outcomes are obtained and the use of analgesics is stopped then the remote follow-up is discontinued.&#x0D; The described care pathway is an innovative approach to the prevention of chronic pain. All healthcare providers are gathered around the patient, who is treated as much as possible in a trusted home environment. The application of digital technologies creates a unique opportunity for this long-term interdisciplinary approach.