Mobile technologies have the potential to improve patient monitoring, medical decision making and in general the efficiency and quality of health delivery. They also pose new security and privacy challenges. The objectives of this work are to (i) Explore and define security and privacy requirements on the example of a post-surgical care application, and (ii) Develop and test a pilot implementation Post-Surgical Care Studies of surgical out- comes indicate that timely treatment of the most common complications in compliance with established post-surgical regiments greatly improve success rates. The goal of our pilot application is to enable physician to optimally synthesize and apply patient directed best medical practices to prevent post-operative complications in an individualized patient/procedure specific fashion. We propose a framework for a secure protocol to enable doctors to check most common complications for their patient during in-hospital post- surgical care. We also implemented our construction and cryptographic protocols as an iPhone application on the iOS using existing cryptographic services and libraries.

This diploma thesis focuses on information awareness among mothers of children hospitalized at surgical intensive care units. Four research questions were formulated on the basis of literature review. The theoretical part of this thesis gives an overview of basic facts concerning information awareness and care of children at surgical ICUs. Furthermore, it describes the way information is passed on in praktice. A part of the theoretical section also comprises of the list enumerating the most common diagnoses with which children found themselves to be placed at surgical ICUs and it contains, as well, the description of admittance of children for a surgical intervention, pre-surgical care, post-surgical care and discharge of children from hospital to homecare. Collection of data for the practical part of the diploma thesis was conducted at two intensive care units in the University Hospital in Motol, Prague, and UH Brno in the CR. Five respondents were intentionally selected from each ICU with whom semi-structured interviews were conducted, which are summarized in sub-chapter 4.2. The results of interviews with individual respondents were further subjected to analysis and summarized in summary tables. The Diploma thesis had two objectives. The first objective was to ascertain subjective information awareness of mothers about their children´s illnesses and possible complications or consequences related to these illnesses. We wanted to find out whether mothers were subjectively satisfied with information provided about thein children´s illnesses and possible complications or consequences related to these illnesses. We also wanted to discover whether they experienced any information deficit in this area and what were their most frequent questions to the medical personnel. It was ascertained through interviews that the majority of respondents was not satisfied with information provided. The second objective was to discover subjective information awareness pertaining to the period of hospitalization at surgical ICU and child´s subsequent homecare. We wanted to know whether mothers felt that they were kept informed enough about pre-surgical and post-surgical care of their child and whether or not they were satisfied with information pertaining to child´s subsequent homecare. We were also interested in whether or not they experienced any deficit of information received and what were their most frequent questions to the medical personnel. It was discovered through an analysis that the majority of respondents was not satisfied with information pertaining to pre-surgical care and complications which might have arised during the surgical intervention. As for information centred on the date of operation and possible duration of hospitalization most respondents were satisfied with it. Furthermore, the majority of respondents were satisfied with information provided about child´s subsequent homecare. We discovered that respondents were not informed satisfactorily by medical personnel about other contacts such as for clubs for parents, stoma clubs and centres of early intervention. It was possible to ascertain from the results that each respondent saw deficits in different areas of information provision as well. In the list of such information deficit areas are information about the character of surgical intervention, the ward rules, and the fact that doctors and nurses do not have enough time. Moreover, the respondents also perceived the deficit in sharing of information among medical personnel. On the basis of final results which point to experience of unsatisfactory information awareness among mothers about pre-surgical care for the child we developed in a written form the Information for parents about pre-surgical and post-surgical care brochure. We also prepared due to the fact that mothers sensed the lack of written information about the ward the Information for parents about the ward brochure.