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International Journal of Medical Informatics

Maxim Topaz, Foster Goss, Kimberly Blumenthal, Kenneth Lai, Diane L Seger, Sarah P Slight, Paige G Wickner, George A Robinson, Kin Wah Fung, Robert C McClure, Shelly Spiro, Warren W Acker, David W Bates, Li Zhou
No abstract text is available yet for this article.
October 6, 2016: International Journal of Medical Informatics
Elizabeth Park, Tiny Masupe, Joseph Joseph, Ari Ho-Foster, Afton Chavez, Swetha Jammalamadugu, Andrew Marek, Ruth Arumala, Dineo Ketshogileng, Ryan Littman-Quinn, Carrie Kovarik
BACKGROUND: Since the UN Human Rights Council's recognition on the subject in 2011, the right to access the Internet and information is now considered one of the most basic human rights of global citizens [1,2]. Despite this, an information gap between developed and resource-limited countries remains, and there is scant research on actual information needs of workers themselves. The Republic of Botswana represents a fertile ground to address existing gaps in research, policy, and practice, due to its demonstrated gap in access to information and specialists among rural health care workers (HCWs), burgeoning mHealth capacity, and a timely offer from Orange Telecommunications to access Wikipedia for free on mobile platforms for Botswana subscribers...
November 2016: International Journal of Medical Informatics
John Robert Bautista, Trisha T C Lin
BACKGROUND: Nurses' use of personal mobiles phones at work is a growing trend in healthcare organizations. Although recent studies have explored the positive and negative implications of nurses using personal mobile phones at work, none has yet analyzed the interactions of sociotechnical components (users, technology and policy) on nurses' use of personal mobile phones at work. OBJECTIVES: Identify sociotechnical interactions by analyzing each sociotechnical component (users, technology and policy) that affects nurses' use of personal mobile phones at work...
November 2016: International Journal of Medical Informatics
Edward Nicol, Lilian Dudley, Debbie Bradshaw
BACKGROUND: The prevention of mother-to-child transmission of HIV (PMTCT) is a key maternal and child-health intervention in the context of the HIV/AIDS pandemic in South Africa. Accordingly, the PMTCT programmes have been incorporated in the routine District Health Management Information System (DHMIS) which collects monthly facility-based data to support the management of public-health services. To date, there has been no comprehensive evaluation of the PMTCT information system. OBJECTIVES: This study seeks to evaluate the quality of output indicators for monitoring PMTCT interventions in two health districts with high HIV prevalence...
November 2016: International Journal of Medical Informatics
Sophie Gubbels, Kenn Schultz Nielsen, Jakob Sandegaard, Kåre Mølbak, Jens Nielsen
INTRODUCTION: The Danish National Patient Registry (DNPR) contains clinical and administrative data on all patients treated in Danish hospitals. The data model used for reporting is based on standardized coding of contacts rather than courses of admissions and ambulatory care. METHODS: To reconstruct a coherent picture of courses of admission and ambulatory care, we designed an algorithm with 28 rules that manages transfers between departments, between hospitals and inconsistencies in the data, e...
November 2016: International Journal of Medical Informatics
Bente Olesen, Jacob Anhøj, Kenneth Palle Rasmussen, Kåre Mølbak, Marianne Voldstedlund
BACKGROUND: Although the timely isolation of patients is an essential intervention to limit spread of drug-resistant bacteria, information about the colonization status is often unavailable or lost when patients are readmitted or transferred between hospitals. Therefore, carriers of drug resistant bacteria are not recognized sufficiently early, and proper and timely isolation precautions are not taken. Consequently, resistant bacteria of public health concerns including vancomycin resistant enterococci (VRE) and methicillin resistant Staphylococcus aureus (MRSA) can spread epidemically...
November 2016: International Journal of Medical Informatics
Borim Ryu, Seok Kim, Kee-Hyuck Lee, Hee Hwang, Sooyoung Yoo
OBJECTIVE: Bedside stations, also known as bedside terminals, are in place to enhance the quality and experience of a hospital's healthcare service delivery. The purpose of this study was to identify information needs and overall satisfaction with the personalized patient bedside system, called Smart Bedside Station (SBS) system, embedded in a tertiary general university hospital. METHODS: End-user responses on the satisfaction survey and system usage logs of the SBS system were collected and analyzed...
November 2016: International Journal of Medical Informatics
P W Handayani, A N Hidayanto, Dumilah Ayuningtyas, Indra Budi
The Hospital Information System (HIS) could help hospitals as a public entity to provide optimal health services. One of the main challenges of HIS implementation is an institutional change. Using institutional theory as the analytical lens, this study aims to explain the institutionalization of HIS as an instance of e-health initiatives in Indonesia. Furthermore, this paper aims for hospital management and researchers to improve the understanding of the social forces that influence hospital personnel's HIS acceptance within an organizational context...
November 2016: International Journal of Medical Informatics
Onur Asan, Jeanne Tyszka, Kathlyn E Fletcher
OBJECTIVES: To understand (1) the perceptions of patients regarding use of EHR during clinic visits, (2) the impact of the presence of EHR on patient interactions with physicians, and (3) the ways in which EHR usage might increase patient engagement. METHODS: We conducted semi-structured interviews of a convenience sample of patients of internal medicine resident doctors from three primary care clinics. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis to identify themes from the transcripts...
November 2016: International Journal of Medical Informatics
Hui-Ya Chan, Yu-Tzu Dai, I-Ching Hou
PURPOSE: Tablet computers are a convenient audio-visual aid for patient education. Teaching patients with chronic obstructive pulmonary disorder (COPD) appropriate therapeutic breathing techniques and encouraging them to practice regularly has been recognized as an effective care strategy. The purpose of this study was to evaluate the effectiveness of using a tablet computer with the Breathing Easier Support Toolkit (BEST), a supplemental software application we developed that instructs and assists COPD patients during the process of respiratory retraining...
October 2016: International Journal of Medical Informatics
Teeraporn Chonsilapawit, Suang Rungpragayphan
OBJECTIVE: Because hospital pharmacists have to deal with large amounts of health information and advanced information technology in practice, they must possess adequate skills and knowledge of informatics to operate efficiently. However, most current pharmacy curricula in Thailand barely address the principles and skills concerned with informatics, and Thai pharmacists usually acquire computer literacy and informatics skills through personal-interest training and self-study. In this study, we aimed to assess the skills and knowledge of informatics and the training needs of hospital pharmacists in Thailand, in order to improve curricular and professional development...
October 2016: International Journal of Medical Informatics
Badeia Jawhari, Louanne Keenan, David Zakus, Dave Ludwick, Abraam Isaac, Abdullah Saleh, Robert Hayward
OBJECTIVE: Rapid urbanization has led to the growth of urban slums and increased healthcare burdens for vulnerable populations. Electronic Medical Records (EMRs) have the potential to improve continuity of care for slum residents, but their implementation is complicated by technical and non-technical limitations. This study sought practical insights about facilitators and barriers to EMR implementation in urban slum environments. METHOD: Descriptive qualitative method was used to explore staff perceptions about a recent open-source EMR deployment in two primary care clinics in Kibera, Nairobi...
October 2016: International Journal of Medical Informatics
Andrea M Barbarin, Predrag Klasnja, Tiffany C Veinot
BACKGROUND: Time is a central component of the experience of illness. Yet, little is known about how chronically ill patients and their family members use temporal information (i.e., information that is dependent on some measurement of time) to reflect upon the illness experience. OBJECTIVES: The purpose of this study is to explore what temporal information chronically ill patients and their family members need, where they obtain it, and how they use it, along with related temporal reasoning processes and challenges...
October 2016: International Journal of Medical Informatics
Ana Fonseca, Ricardo Gorayeb, Maria Cristina Canavarro
OBJECTIVES: The women's professional help-seeking rate for perinatal depression is low, despite the prevalent and disabling nature of this condition. Therefore, new approaches should be implemented to increase women's access and utilization of treatment resources, namely e-mental health tools. This study aimed to characterize women's current pattern of use of online resources for mental heal issues and women's acceptance of e-mental health tools during the perinatal period, and to investigate its main determinants...
October 2016: International Journal of Medical Informatics
Shannon H Houser, David W Au, Michael J Miller, Lang Chen, Ryan C Outman, Midge N Ray, Kenneth G Saag, Robert Weech-Maldonado
OBJECTIVES: Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed for musculoskeletal pain and inflammatory conditions. A better understanding of patient information seeking behavior can help bridge the gap between patient knowledge and health care resources. This study examines the primary sources of NSAID risk information and the associations with patient socio-demographic factors. METHODS: A cross-sectional survey analysis of patients on prescription NSAIDs (n=220) seen by primary care physicians in Alabama...
October 2016: International Journal of Medical Informatics
Gillian Strudwick, Nicholas R Hardiker
BACKGROUND: In the era of evidenced based healthcare, nursing is required to demonstrate that care provided by nurses is associated with optimal patient outcomes, and a high degree of quality and safety. The use of standardized nursing terminologies and classification systems are a way that nursing documentation can be leveraged to generate evidence related to nursing practice. Several widely-reported nursing specific terminologies and classifications systems currently exist including the Clinical Care Classification System, International Classification for Nursing Practice(®), Nursing Intervention Classification, Nursing Outcome Classification, Omaha System, Perioperative Nursing Data Set and NANDA International...
October 2016: International Journal of Medical Informatics
Hui-Mei Hsu, I-Chiu Chang, Ta-Wei Lai
OBJECTIVES: Using Computer-assisted orthopedic navigation surgery system (CAOS) has many advantages but is not mandatory to use during an orthopedic surgery. Therefore, opinions obtained from clinical orthopedists with this system are valuable. This paper integrates technology acceptance model and theory of planned behavior to examine the determinants of continued CAOS use to facilitate user management. METHODS: Opinions from orthopedists who had used a CAOS for at least two years were collected through a cross-sectional survey to verify the research framework...
October 2016: International Journal of Medical Informatics
Benjamin Brown, Panos Balatsoukas, Richard Williams, Matthew Sperrin, Iain Buchan
BACKGROUND: Audit and Feedback (A&F) is a widely used quality improvement technique that measures clinicians' clinical performance and reports it back to them. Computerised A&F (e-A&F) system interfaces may consist of four key components: (1) Summaries of clinical performance; (2) Patient lists; (3) Patient-level data; (4) Recommended actions. There is a lack of evidence regarding how to best design e-A&F interfaces; establishing such evidence is key to maximising usability, and in turn improving patient safety...
October 2016: International Journal of Medical Informatics
Hassan Assareh, Helen M Achat, Veth M Guevarra, Joanne M Stubbs
AIM: During 2008-2011 Australian Coding Standards mandated a causal relationship between diabetes and inpatient care as a criterion for recording diabetes as a comorbidity in hospital administrative datasets. We aim to measure the effect of the causality mandate on recorded diabetes and associated inter-hospital variations. METHOD: For patients with diabetes, all admissions between 2004 and 2013 to all New South Wales acute public hospitals were investigated. Poisson mixed models were employed to derive adjusted rates and variations...
October 2016: International Journal of Medical Informatics
José Luis Fernández-Alemán, Laura López-González, Ofelia González-Sequeros, Chrisina Jayne, Juan José López-Jiménez, Ambrosio Toval
OBJECTIVE: This paper presents an empirical study of a formative mobile-based assessment approach that can be used to provide students with intelligent diagnostic feedback to test its educational effectiveness. METHOD: An audience response system called SIDRA was integrated with a neural network-based data analysis to generate diagnostic feedback for guided learning. A total of 200 medical students enrolled in a General and Descriptive Anatomy of the Locomotor System course were taught using two different methods...
October 2016: International Journal of Medical Informatics
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