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Studies in Health Technology and Informatics

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https://www.readbyqxmd.com/read/28186078/towards-data-value-level-metadata-for-clinical-studies
#1
Meredith Nahm Zozus, Joseph Bonner
While several standards for metadata describing clinical studies exist, comprehensive metadata to support traceability of data from clinical studies has not been articulated. We examine uses of metadata in clinical studies. We examine and enumerate seven sources of data value-level metadata in clinical studies inclusive of research designs across the spectrum of the National Institutes of Health definition of clinical research. The sources of metadata inform categorization in terms of metadata describing the origin of a data value, the definition of a data value, and operations to which the data value was subjected...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186077/designing-a-surveillance-system-in-canada-to-detect-adverse-interactions-between-traditional-chinese-medicine-and-western-medicine-issues-and-considerations
#2
Jingfei Zhang, Kendall Ho
The use of Chinese medicinal materials (CMM) in the context of Traditional Chinese Medicine (TCM) is increasingly prevalent in Canada and worldwide. Self-medication with CMM and concurrent usage with Western medicine are also common. While taking CMM carries recognized risk of adverse effects on their own, their interactions with Western medicine can further generate additional adverse effects but are largely underestimated and undetected due to under-reporting. This is especially true in Canada and other Western countries where CMM is regulated as natural products...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186076/multi-emr-structured-data-entry-form-user-acceptance-testing-of-a-prototype
#3
Abbas Zavar, Karim Keshavjee
Capturing standardized data from multiple EMRs at the point of care is highly desirable for a variety of uses, including quality improvement programs, multi-centered clinical trials and clinical decision support. In this paper, we describe the design, development and user acceptance testing of a prototype web-based form (the Form) that can integrate with multiple EMRs. We used the validated UTAUT questionnaire to assess the likelihood of uptake of the Form into clinical practice. The Form was found to be easy to use, elicits low anxiety, supports productivity and is perceived to have good support...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186075/design-and-development-of-a-web-based-self-monitoring-system-to-support-wellness-coaching
#4
Reza Zarei, Alex Kuo
We analyzed, designed and deployed a web-based, self-monitoring system to support wellness coaching. A wellness coach can plan for clients' exercise and diet through the system and is able to monitor the changes in body dimensions and body composition that the client reports. The system can also visualize the client's data in form of graphs for both the client and the coach. Both parties can also communicate through the messaging feature embedded in the application. A reminder system is also incorporated into the system and sends reminder messages to the clients when their reporting is due...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186074/adoption-of-electronic-health-record-system-in-community-based-physiotherapy-clinics-a-pilot-case-study
#5
Alan Yung
QUESTION: Can community-based physiotherapists adopt and use a nationally integrated electronic health record (NEHR) system? DESIGN: Observation and semi-structured interviews in two community-based physiotherapy clinics in Sydney, Australia. PARTICIPANTS: Two physiotherapy practice managers who were also practising physiotherapists. INTERVENTION: The implementation of a nationally integrated EHR system in physiotherapy...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186073/pok%C3%A3-mon-go-ubiquitous-computing-delivering-better-health-or-co-incidental-health-benefits-from-technology-use-a-participatory-observational-study
#6
Kwang Chien Yee, Ming Chao Wong, Paul Turner
Stimulating sustained behavioural change through information and technology has been an aim of much health informatics research. Traditional approaches use technology to mediate communications between health professionals and patients. More recent lifestyle technologies engage the patient directly with information and advice - but what of the phenomena that is Pokémon Go - does it point to another way of achieving health benefits through fun? This paper aims to explore some of the conceptual questions for health informatics stimulated by the phenomenal popularity of Pokémon Go...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186072/the-evolving-role-of-medical-scribe-variation-and-implications-for-organizational-effectiveness-and-safety
#7
Deborah V Woodcock, Robert Pranaat, Karess McGrath, Joan S Ash
Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186071/complex-clinical-communication-practices-how-do-information-receivers-assimilate-and-act-upon-information-for-patient-care
#8
Ming Chao Wong, Kwang Chien Yee, Paul Turner
Improving clinical communication is imperative to improving the quality and safety of patient care. Significant efforts have been made to improve clinical communication and patient safety, guided by the mantra of "the right information, to the right person, in the right place, at the right time". The design and implementation of information communication technologies (ICTs) has been considered as one of the major developments in improving patient care. Clinical communication in today's clinical practice is complex and involves multi-disciplinary teams using different types of media for information transfer...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186070/thought-spot-co-creating-mental-health-solutions-with-post-secondary-students
#9
David Wiljer, Andrew Johnson, Erica McDiarmid, Alexxa Abi-Jaoude, Genevieve Ferguson, Elisa Hollenberg, Nicole van Heerwaarden, Tim Tripp, Marcus Law
It is difficult for the nearly 20% of Canadian 15- to 24-year olds reporting symptoms to seek the help they need within the current mental health system. Web-based and mobile health interventions are promising tools for reaching this group; having the capacity to reduce access-to-service barriers and engage youth in promoting their mental well-being. A three-phased, iterative, co-creation developmental approach was used to develop Thought Spot, a platform to better enable post-secondary students to seek mental health support...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186069/the-impact-of-computerized-provider-order-entry-on-nursing-practice
#10
Rosabella Vito, Elizabeth M Borycki, Andre W Kushniruk, Tracey Schneider
Health information systems, such as Computerized Provider Order Entry (CPOE), are suggested to be used as an intervention for addressing errors that arise in the medication process. Nurses are involved in all stages of the medication process; however, little is known about the impact of using CPOE on nursing practice. A grounded theory approach was employed to answer the question of "How do nurses perceive the impact of CPOE on the medication process and collaborative practice?" Ten participants were interviewed...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186068/technology-induced-errors-and-adverse-event-reporting-in-an-organizational-learning-perspective
#11
Line Dausel Vinther, Christian Møller Jensen, Ditte Meulengracht Hjel-Mager, Nicoline Lyhne, Christian Nøhr
This paper addresses the possibilities of evaluating technology-induced errors, through the utilization of experiences of the Danish adverse event reporting system. The learning loop in the adverse event reporting system is identified and analyzed, to examine which elements can be utilized to evaluate technologies. The empirical data was collected through interviews and a workshop with members of the nursing staff at a nursing home in Aalborg, Denmark. It was found that, the establishment of sustainable feedback learning loops depends on shared visions in the organization and how creating shared visions requires involvement and participation...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186067/national-monitoring-and-evaluation-of-health-it-protocol-for-a-scoping-review
#12
Sidsel Villumsen, Christian Nøhr
BACKGROUND: Monitoring the pace of Health Information Technology (HIT) adoption across states is critical for providing data to formulate future national and regional HIT policies. However, repeated monitoring of the progress on implementation of the strategies is often scarce. The lack of systematic monitoring of progress in availability and use of HIT has led to a need for an overview of the key concepts and methodologies used in the scattered scientific literature. The scoping study aims at achieving both in-depth and broad results, identifying all relevant material, regardless of the design...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186066/end-users-voice-in-ehr-selection-development-of-a-usability-questionnaire-for-demonstrations-in-procurement-dpuq
#13
Mari Tyllinen, Johanna Kaipio, Tinja Lääveri, Marko Nieminen
This paper describes the development of a questionnaire for evaluating usability during EHR system procurement (DPUQ). Established usability questionnaires can be used to gather user feedback after using the systems. However, during procurement, experimenting with real system use is practical only with a limited number of system candidates. There is a need for less resource-demanding usability evaluation in the early stages of procurement in cases with several vendors. DPUQ has been designed for usability evaluation by end-users during special scenario-based vendor demonstrations...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186065/clinical-simulation-evaluating-the-usability-of-a-health-information-system-in-a-telenurse-call-centre
#14
Danica S Tuden, Elizabeth M Borycki, Andre W Kushniruk
Telenursing is a specialized subset of nursing practice that has emerged in response to the development of health care technology. Telenurses use health information systems (HIS) as their main source of health information in order to assist callers with their health related concerns on the telephone. In order to ensure that the telenurse-caller encounter supports a safe, appropriate and patient focused outcome, it was important to evaluate the usability of (HIS) that telenurses use. The purpose of this paper is to describe usability issues that emerged during a clinical simulation study of nurses working in a call centre...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186064/critical-success-factors-and-engagement-methodology-for-successful-project-delivery
#15
Darryl Tourond, Haley Moore, Nancy Kotani
TELUS Health will share its critical success factors and engagement methodology to successfully deliver a project on time, while meeting the client's vision.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186063/nursing-students-perceived-learning-from-a-digital-health-assignment-as-part-of-the-nursing-care-for-the-childbearing-family-course
#16
Maggie Theron, Anne Redmond, Elizabeth M Borycki
To increase the competency of undergraduate nursing students to find and evaluate online health information, a Digital Health Assignment was created for second year nursing students. Facebook was used as the assignment platform. Students chose and appraised social media postings regarding topics of interest for expecting families. Students utilized an adapted Trust in Online Health Information scale to appraise the social media postings, including the quality of information. At completion of the assignment, student evaluation surveys revealed the knowledge gained through the learning activity...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186062/baccalaureate-nursing-students-abilities-in-critically-identifying-and-evaluating-the-quality-of-online-health-information
#17
Maggie Theron, Anne Redmond, Elizabeth M Borycki
Both the Internet and social media have become important tools that patients and health professionals, including health professional students, use to obtain information and support their decision-making surrounding health care. Students in the health sciences require increased competence to select, appraise, and use online sources to adequately educate and support patients and advocate for patient needs and best practices. The purpose of this study was to ascertain if second year nursing students have the ability to critically identify and evaluate the quality of online health information through comparisons between student and expert assessments of selected online health information postings using an adapted Trust in Online Health Information scale...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186061/the-need-for-electronic-health-records-in-long-term-care
#18
Sukirtha Tharmalingam, Simon Hagens, Sarah English
Long-term care (LTC) settings serve an important proportion of seniors and vulnerable populations that require 24-hour nursing care. Deployment of interoperable electronic health records (iEHRs) to these settings lag. There is little evidence on the availability of patient information from across the continuum of care. To fill this knowledge gap this study examines the prevalence and nature of information gaps experienced in LTC during patient encounters (n=1050). Overall, more than one-third (34%) of all LTC patient encounters were missing at least one item of information that was needed for the encounter...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186060/model-driven-paediatric-cardiomyopathy-pathways-a-clinical-impact-assessment
#19
Karl A Stroetmann, Rainer Thiel
Intermediate results from an ongoing health technology assessment exercise of a simulation model of paediatric cardiomyopathy are reported. Comprehensive data on paediatric cardiomyopathy/heart failure, treatment options, incidence and prevalence, prognoses for different outcomes to be expected were collected. Based on this knowledge, a detailed clinical pathway model was developed and validated against the clinical workflow in a tertiary paediatric care hospital. It combines three disease stages and various treatment options with estimates of the probabilities of a child moving from one stage to another...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186059/information-exchange-between-providers-during-transitions-of-surgical-care-communication-documentation-and-sometimes-both
#20
Stacey Slager, Julie Beckstrom, Charlene Weir, Guilherme Del Fiol, Benjamin S Brooke
Poor communication of health information between healthcare providers is associated with over 80% of medical errors that occur during transitions of care [1]. We interviewed a diverse sample of primary care providers and surgical providers during their patient's transitions of care before and after surgery at a Veteran's Health Administration hospital and a large tertiary academic medical center to understand how providers communicate and exchange health information for medically complex older patient across different care settings...
2017: Studies in Health Technology and Informatics
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