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International Journal of Medical Informatics

Zahra Niazkhani, Habibollah Pirnejad, Parviz Rashidi Khazaee
BACKGROUND: Health Information Technology (HIT) has a potential to promote transplant care. However, a systematic appraisal on how HIT application has so far affected transplant care is greatly missing from the literature. We systematically reviewed trials that evaluated HIT impact on process and patient outcomes as well as costs in organ transplant care. METHODS: A systematic search was conducted in OVID versions of MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane, and IEEE databases from January 1990 to December 2015...
April 2017: International Journal of Medical Informatics
Dedan Opondo, Stefan Visscher, Saied Eslami, Stephanie Medlock, Robert Verheij, Joke C Korevaar, Ameen Abu Hanna
PURPOSE: To assess the extent to which clinical rules (CRs) can be implemented for automatic evaluation of quality of care in general practice. METHODS: We assessed 81 clinical rules (CRs) adapted from a subset of Assessing Care of Vulnerable Elders (ACOVE) clinical rules, against Dutch College of General Practitioners (NHG) data model. Each CR was analyzed using the Logical Elements Rule METHOD: (LERM). LERM is a stepwise method of assessing and formalizing clinical rules for decision support...
April 2017: International Journal of Medical Informatics
Hannah J Wong, Rachel Bierbrier, Philip Ma, Sherman Quan, Sannie Lai, Robert C Wu
OBJECTIVE: To evaluate in patients who deteriorate and require transfer to the intensive care unit (ICU), how many have a critical text message communicating deterioration and what is the quality of this message? Is message quality, message response or the timeliness of rapid response team (RRT) activation related to death? METHODS: We conducted a retrospective chart review of all ICU transfers from General Internal Medicine (GIM) wards from January 2012 until August 2014...
April 2017: International Journal of Medical Informatics
Sander Faber, Marina van Geenhuizen, Mark de Reuver
BACKGROUND: Despite strong policy interest in eHealth, actual adoption in many European hospitals is low. PURPOSE: This study develops and tests in a preliminary way an organisational eHealth adoption model rooted in several adoption frameworks to improve understanding of this phenomenon. METHODS: The model is explored through a survey among hospitals in the Netherlands using a Structural Equation Modelling (SEM) approach. Specific attention is paid to measurement of organisational readiness and to adoption as a process including different stages...
April 2017: International Journal of Medical Informatics
Peter L T Hoonakker, Pascale Carayon, Randi S Cartmill
INTRODUCTION: Secure messaging is a relatively new addition to health information technology (IT). Several studies have examined the impact of secure messaging on (clinical) outcomes but very few studies have examined the impact on workflow in primary care clinics. In this study we examined the impact of secure messaging on workflow of clinicians, staff and patients. METHODS: We used a multiple case study design with multiple data collections methods (observation, interviews and survey)...
April 2017: International Journal of Medical Informatics
Hanna Kauppinen, Riitta Ahonen, Johanna Timonen
OBJECTIVES: The purpose was to explore pharmacists' opinions regarding the impacts of electronic prescriptions (ePrescriptions) on medication safety in Finnish community pharmacies. Further objectives were to explore how often and what kinds of ambiguities or errors pharmacists have perceived in ePrescriptions. METHOD: A survey of randomly selected dispensers (n=1004) and pharmacists (n=228) was conducted in 2014. RESULTS: Altogether 778 questionnaires were returned, yielding response rates of 64% (n=635) for dispensers and 65% (n=143) for pharmacists...
April 2017: International Journal of Medical Informatics
David Novillo-Ortiz, Tony Hernández-Pérez, Francesc Saigí-Rubió
INTRODUCTION: Access to reliable and quality health information and appropriate medical advice can contribute to a dramatic reduction in the mortality figures of countries. The governments of the Americas are faced with the opportunity to continue working on this challenge, and their institutional presence on their websites should play a key role in this task. In a setting where the access to information is essential to both health professionals and citizens, it is relevant to analyze the role of national health authorities...
April 2017: International Journal of Medical Informatics
Christian Siegel, Thomas Ernst Dorner
INTRODUCTION AND OBJECTIVES: The current and upcoming demographic change in industrial countries is a challenge for our society, economically as well as socially. The aim of this article is to explore the influences of information and communication technologies applied to contribute to these trends and describe its impact to the quality of life and subjective health of elderly. METHODS: In a structured literature review on (a) scientific publications and (b) outcome reports of ambient assisted living projects, we investigated these associations...
April 2017: International Journal of Medical Informatics
Matthew M Engelhard, Stephen D Patek, Kristina Sheridan, John C Lach, Myla D Goldman
OBJECTIVES: Evaluate web-based patient-reported outcome (wbPRO) collection in MS subjects in terms of feasibility, reliability, adherence, and subject-perceived benefits; and quantify the impact of MS-related symptoms on perceived well-being. METHODS: Thirty-one subjects with MS completed wbPROs targeting MS-related symptoms over six months using a customized web portal. Demographics and clinical outcomes were collected in person at baseline and six months. RESULTS: Approximately 87% of subjects completed wbPROs without assistance, and wbPROs strongly correlated with standard PROs (r>0...
April 2017: International Journal of Medical Informatics
Joshua D Cameron, Arkalgud Ramaprasad, Thant Syn
PURPOSE: Mobile health or mHealth research has been growing exponentially in recent years. However, the research on mHealth has been ad-hoc and selective without a clear definition of the mHealth domain. Without a roadmap for research we may not realize the full potential of mHealth. In this paper, we present an ontological framework to define the mHealth domain and illuminate a roadmap. METHODS: We present an ontology of mHealth. The ontology is developed by systematically deconstructing the domain into its primary dimensions and elements...
April 2017: International Journal of Medical Informatics
Keith P Waters, Alexandra Zuber, Tungamirirai Simbini, Zwashe Bangani, Ramesh S Krishnamurthy
INTRODUCTION: There have been numerous global calls to action to utilize human resources information systems (HRIS) to improve the availability and quality of data for strengthening the regulation and deployment of health workers. However, with no normative guidance in existence, the development of HRIS has been inconsistent and lacking in standardization, hindering the availability and use of data for health workforce planning and decision making (Riley et al., 2012). CDC and WHO partnered with the Ministry of Health in several countries to conduct HRIS functional requirements analyses and establish a Minimum Data Set (MDS) of elements essential for a global standard HRIS...
April 2017: International Journal of Medical Informatics
David Z Adams, Richard Gruss, Alan S Abrahams
OBJECTIVES: Product issues can cost companies millions in lawsuits and have devastating effects on a firm's sales, image and goodwill, especially in the era of social media. The ability for a system to detect the presence of safety and efficacy (S&E) concerns early on could not only protect consumers from injuries due to safety hazards, but could also mitigate financial damage to the manufacturer. Prior studies in the field of automated defect discovery have found industry-specific techniques appropriate to the automotive, consumer electronics, home appliance, and toy industries, but have not investigated pain relief medicines and medical devices...
April 2017: International Journal of Medical Informatics
Filipe R Lucini, Flavio S Fogliatto, Giovani J C da Silveira, Jeruza L Neyeloff, Michel J Anzanello, Ricardo de S Kuchenbecker, Beatriz D Schaan
OBJECTIVE: Emergency department (ED) overcrowding is a serious issue for hospitals. Early information on short-term inward bed demand from patients receiving care at the ED may reduce the overcrowding problem, and optimize the use of hospital resources. In this study, we use text mining methods to process data from early ED patient records using the SOAP framework, and predict future hospitalizations and discharges. DESIGN: We try different approaches for pre-processing of text records and to predict hospitalization...
April 2017: International Journal of Medical Informatics
Amos Cahan, Sorel Cahan, James J Cimino
BACKGROUND: The effects of an intervention on patients from populations other than that included in a trial may vary as a result of differences in population features, treatment administration, or general setting. Determining the generalizability of a trial to a target population is important in clinical decision making at both the individual practitioner and policy-making levels. However, awareness to the challenges associated with the assessment of generalizability of trials is low and tools to facilitate such assessment are lacking...
March 2017: International Journal of Medical Informatics
Rebecca Schnall, Hwayoung Cho, Allison Webel
OBJECTIVES: The burden of HIV/AIDS is borne disproportionally by a growing number of racial and ethnic minorities and socioeconomically disadvantaged individuals. Developing mHealth interventions for the everyday self-management needs of persons living with HIV (PLWH) can be challenging given the current constraints of the U.S. healthcare system, especially for those from underserved communities. In order to develop effective, evidence-based mHealth self-management interventions, we need a better understanding of the factors associated with mHealth research...
March 2017: International Journal of Medical Informatics
Annet Sollie, Rolf H Sijmons, Charles Helsper, Mattijs E Numans
OBJECTIVES: To assess quality and reusability of coded cancer diagnoses in routine primary care data. To identify factors that influence data quality and areas for improvement. METHODS: A dynamic cohort study in a Dutch network database containing 250,000 anonymized electronic medical records (EMRs) from 52 general practices was performed. Coded data from 2000 to 2011 for the three most common cancer types (breast, colon and prostate cancer) was compared to the Netherlands Cancer Registry...
March 2017: International Journal of Medical Informatics
Haijing Hao, Kunpeng Zhang, Weiguang Wang, Gordon Gao
BACKGROUND: Worldwide, patients have posted millions of online reviews for their doctors. The rich textual information in the online reviews holds the potential to generate insights into how patients' experience with their doctors differ across nations and how should we use them to improve our health service. OBJECTIVE: We apply customized text mining techniques to compare online doctor reviews from China and the United States, in order to measure the systematic differences in patient reviews between the two countries, and assess the potential insights that can be derived from this large volume of online text data...
March 2017: International Journal of Medical Informatics
Andrew Georgiou, Euan J McCaughey, Amina Tariq, Scott R Walter, Julie Li, Joanne Callen, Richard Paoloni, William B Runciman, Johanna I Westbrook
OBJECTIVE: To examine the impact of an electronic Results Acknowledgement (eRA) system on emergency physicians' test result management work processes and the time taken to acknowledge microbiology and radiology test results for patients discharged from an Emergency Department (ED). METHODS: The impact of the eRA system was assessed in an Australian ED using: a) semi-structured interviews with senior emergency physicians; and b) a time and motion direct observational study of senior emergency physicians completing test acknowledgment pre and post the implementation of the eRA system...
March 2017: International Journal of Medical Informatics
P W Handayani, A N Hidayanto, A A Pinem, I C Hapsari, P I Sandhyaduhita, I Budi
PURPOSE: The purpose of this study is to develop a model of Hospital Information System (HIS) user acceptance focusing on human, technological, and organizational characteristics for supporting government eHealth programs. This model was then tested to see which hospital type in Indonesia would benefit from the model to resolve problems related to HIS user acceptance. METHOD: This study used qualitative and quantitative approaches with case studies at four privately owned hospitals and three government-owned hospitals, which are general hospitals in Indonesia...
March 2017: International Journal of Medical Informatics
Richard A Bloomfield, Felipe Polo-Wood, Joshua C Mandel, Kenneth D Mandl
OBJECTIVE: Recognizing a need for our EHR to be highly interoperable, our team at Duke Health enabled our Epic-based electronic health record to be compatible with the Boston Children's project called Substitutable Medical Apps and Reusable Technologies (SMART), which employed Health Level Seven International's (HL7) Fast Healthcare Interoperability Resources (FHIR), commonly known as SMART on FHIR. METHODS: We created a custom SMART on FHIR-compatible server infrastructure written in Node...
March 2017: International Journal of Medical Informatics
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