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Health Informatics Journal

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https://www.readbyqxmd.com/read/28737062/community-level-electronic-prescribing-and-adverse-drug-event-hospitalizations-among-older-adults
#1
Grishma P Bhavsar, Janice C Probst, Kevin J Bennett, James W Hardin, Zaina Qureshi
This study sought to determine how the proportion of physicians using electronic prescribing in nine US states was associated with the hospitalization rate for adverse drug events among older adult patients. A discharge-level analysis of the relationship between county electronic prescribing and adverse drug event hospitalization rates was conducted. Data from the 2011 State Inpatient Databases, the Office of the National Coordinator Health IT Dashboard, and the Area Health Resource File were obtained for nine US states...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28728458/a-low-fidelity-serious-game-for-medical-based-cultural-competence-education
#2
Zain Khan, Bill Kapralos
Research has shown that the quality of care is compromised when healthcare providers respond inappropriately to patient language and cultural factors. However, research indicates that medical education is not keeping pace with the changing composition of the patient population in culturally diverse societies such as Canada and the United States, and many healthcare providers do not possess the attitudes or skills required to be effective within a culturally diverse healthcare setting. Here, we present Fydlyty, a web-based, low-fidelity serious game for medical-based cultural competence education...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28728457/educated-but-anxious-how-emotional-states-and-education-levels-combine-to-influence-online-health-information-seeking
#3
Jessica Gall Myrick, Jessica Fitts Willoughby
This study combined conceptual frameworks from health information seeking, appraisal theory of emotions, and social determinants of health literatures to examine how emotional states and education predict online health information seeking. Nationally representative data from the Health Information National Trends Survey (HINTS 4, Cycle 3) were used to test the roles of education, anxiety, anger, sadness, hope, happiness, and an education by anxiety interaction in predicting online health information seeking...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28720012/maturity-of-hospital-information-systems-most-important-influencing-factors
#4
João Vidal Carvalho, Álvaro Rocha, António Abreu
Maturity models facilitate organizational management, including information systems management, with hospital organizations no exception. This article puts forth a study carried out with a group of experts in the field of hospital information systems management with a view to identifying the main influencing factors to be included in an encompassing maturity model for hospital information systems management. This study is based on the results of a literature review, which identified maturity models in the health field and relevant influencing factors...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28701078/effects-of-context-aware-patient-guidance-on-blood-pressure-self-measurement-adherence-levels
#5
Camilla Lindahl, Stefan Wagner, Niels Uldbjerg, Jacob Mørup Schlütter, Olav Bertelsen, Puk Sandager
Hypertensive disease and preeclampsia are serious medical disorders affecting pregnancy. Screening in early pregnancy may identify women at risk of developing hypertensive disease and enable prophylactic treatment. Accurate blood pressure measurement is an important part of this screening. The aim of this study was to investigate whether patients, with the aid of a context-aware sensor-based blood pressure self-measurement system, were able to correctly self-measure their blood pressure adhering to internationally established recommendations...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28653552/the-agency-of-patients-and-carers-in-medical-care-and-self-care-technologies-for-interacting-with-doctors
#6
Francisco Nunes, Tariq Andersen, Geraldine Fitzpatrick
People living with Parkinson's disease engage in self-care for most of the time but, two or three times a year, they meet with doctors to re-evaluate the condition and adjust treatment. Patients and (informal) carers participate actively in these encounters, but their engagement might change as new patient-centred technologies are integrated into healthcare infrastructures. Drawing on a qualitative study that used observations and interviews to investigate consultations, and digital ethnography to understand interactions in an online community, we describe how patients and carers living with Parkinson's participate in the diagnosis and treatment decisions, engage in discussions to learn about certain topics, and address inappropriate medication...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28612646/impact-assessment-on-patients-satisfaction-and-healthcare-professionals-commitment-of-software-supporting-directly-observed-treatment-short-course-a-protocol-proposal
#7
Rui Pedro Charters Lopes Rijo, Nathalia Yukie Crepaldi, Fernanda Bergamini, Lídia Maria Lourençon Rodrigues, Inácia Bezerra de Lima, Gleici da Silva Castro Perdoná, Domingos Alves
Doctors, nurses, and other healthcare professionals use software that affects the patients. Directly Observed Treatment, Short-course is the name given to the tuberculosis control strategy recommended by the World Health Organization. The main goal of this work is to propose a protocol for evaluating the impact of healthcare software supporting Directly Observed Treatment, Short-course on patients, healthcare professionals, and services. The proposed protocol consists of a set of instruments and steps. The instruments are reliable and validated existing questionnaires to be applied before and after using the software tool...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28612642/-two-clicks-and-i-m-in-patients-as-co-actors-in-managing-health-data-through-a-personal-health-record-infrastructure
#8
Alberto Zanutto
One of the most significant changes in the healthcare field in the past 10 years has been the large-scale digitalization of patients' healthcare data, and an increasing emphasis on the importance of patients' roles in cooperating with healthcare professionals through digital infrastructures. A project carried out in the North of Italy with the aim of creating a personal health record has been evaluated over the course of 5 years by means of mixed method fieldwork. Two years after the infrastructure was put into regular service, the way in which patients are represented in the system and patient practices have been studied using surveys and qualitative interviews...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28592181/grappling-with-the-future-the-messiness-of-pilot-implementation-in-information-systems-design
#9
Morten Hertzum, Maria Ie Manikas, Arnvør Á Torkilsheyggi
Pilot implementation is a method for avoiding unintended consequences of healthcare information systems. This study investigates how learning from pilot implementations is situated, messy, and therefore difficult. We analyze two pilot implementations by means of observation and interviews. In the first pilot implementation, the involved porters saw their improved overview of pending patient transports as an opportunity for more self-organization, but this opportunity hinged on the unclear prospects of extending the system with functionality for the porters to reply to transport requests...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28592167/friction-forces-and-patient-centredness-understanding-how-established-logics-endure-during-infrastructure-transformation
#10
Polyxeni Vassilakopoulou, Miria Grisot, Margunn Aanestad
In this article, we examine three cases of e-health solutions for patients in Norway. For the analysis of the three cases, we focused on friction forces that come into play when different established arrangements need to change to accommodate novelty. We argue that the design of new technologies was shaped by friction related to institutionalised practices, regulatory regimes and entrenched patient roles. These friction forces connect the past with the present, come into action when aiming for novelty and result to the perpetuation of constituents of the past during change processes...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28504048/the-penn-state-heart-assistant-a-pilot-study-of-a-web-based-intervention-to-improve-self-care-of-heart-failure-patients
#11
Tom Lloyd, Harleah Buck, Andrew Foy, Sara Black, Antony Pinter, Rosanne Pogash, Bobby Eismann, Eric Balaban, John Chan, Allen Kunselman, Joshua Smyth, John Boehmer
The Penn State Heart Assistant, a web-based, tablet computer-accessed, secure application was developed to conduct a proof of concept test, targeting patient self-care activities of heart failure patients including daily medication adherence, weight monitoring, and aerobic activity. Patients (n = 12) used the tablet computer-accessed program for 30 days-recording their information and viewing a short educational video. Linear random coefficient models assessed the relationship between weight and time and exercise and time...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28486860/data-quality-shortcomings-with-the-us-hiv-aids-surveillance-system
#12
Benjamin K Ngugi, Brenna Harrington, Eloni N Porcher, Richard G Wamai
This study investigates some of the data quality challenges facing the HIV surveillance system in the United States. Using the content analysis method, Center for Disease Control annual HIV surveillance reports (1982-2014) are systematically reviewed and evaluated against relevant data quality metrics from previous literature. Center for Disease Control HIV surveillance system has made several key achievements in the last decade. However, there are several outstanding challenges that need to be addressed. The data are unrepresentative, incomplete, inaccurate, and lacks the required granularity limiting its usage...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28480788/cybersecurity-and-privacy-issues-for-socially-integrated-mobile-healthcare-applications-operating-in-a-multi-cloud-environment
#13
Jalal Al-Muhtadi, Basit Shahzad, Kashif Saleem, Wasif Jameel, Mehmet A Orgun
Social media has enabled information-sharing across massively large networks of people without spending much financial resources and time that are otherwise required in the print and electronic media. Mobile-based social media applications have overwhelmingly changed the information-sharing perspective. However, with the advent of such applications at an unprecedented scale, the privacy of the information is compromised to a larger extent if breach mitigation is not adequate. Since healthcare applications are also being developed for mobile devices so that they also benefit from the power of social media, cybersecurity privacy concerns for such sensitive applications have become critical...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28464728/pervasive-mobile-healthcare-systems-for-chronic-disease-monitoring
#14
Geshwaree Huzooree, Kavi Kumar Khedo, Noorjehan Joonas
Pervasive mobile healthcare system has the potential to improve healthcare and the quality of life of chronic disease patients through continuous monitoring. Recently, many articles related to pervasive mobile healthcare system focusing on health monitoring using wireless technologies have been published. The main aim of this review is to evaluate the state-of-the-art pervasive mobile healthcare systems to identify major technical requirements and design challenges associated with the realization of a pervasive mobile healthcare system...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28464726/e-learning-for-the-elderly-on-drug-utilization-a-pilot-study
#15
Victoria Throfast, Lina Hellström, Bo Hovstadius, Göran Petersson, Lisa Ericson
This study explores the attitudes of elderly people to the use of electronic educational technology (e-learning) on drug utilization, with particular emphasis on the layout, usability, content, and level of knowledge in the tool. e-Learning modules were evaluated by a group of elderly people (aged ⩾65 years, n = 16) via a questionnaire comprising closed and open-ended questions. Both qualitative and quantitative analyses of the responses showed mostly positive reviews. The results indicate that the e-learning modules are a suitable tool for distributing information and education and that they can be managed by elderly individuals who are familiar with computers, allowing them to learn more about medication use...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28464725/the-development-and-application-of-a-protocol-for-the-writing-assessing-and-validating-of-a-corpus-of-relationship-focused-text-messages-for-new-and-expecting-fathers
#16
Chris D May, Richard Fletcher
In developed countries, antenatal education aims to reduce difficulties that mothers and fathers experience during transition to parenthood. However, fathers are often distracted from preparing themselves by the attention given to preparing and supporting mothers. Developments in digital communication present alternative means of supporting fathers at this time. Studies, across a range of health concerns, have reported successful outcomes from text-based interventions. Text messaging, focusing on the issues that cause paternal distress at this time, could provide timely, targeted, and effective support to fathers in their transition to parenthood...
May 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/26951569/formalizing-clinical-practice-guideline-for-clinical-decision-support-systems
#17
Wessam Gad El-Rab, Osmar R Zaïane, Mohammad El-Hajj
Clinical practice guidelines are valuable sources of clinical knowledge for healthcare professionals. However, the passive dissemination of clinical practice guidelines like publishing in medical journals is ineffective in changing clinical practice behaviour. In this work, we proposed a framework to help adopting an active clinical practice guideline dissemination approach by automatically extracting clinical knowledge from clinical practice guidelines into a clinical decision support system-friendly format...
June 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/26951568/an-analysis-of-electronic-health-record-related-patient-safety-incidents
#18
Sari Palojoki, Matti Mäkelä, Lasse Lehtonen, Kaija Saranto
The aim of this study was to analyse electronic health record-related patient safety incidents in the patient safety incident reporting database in fully digital hospitals in Finland. We compare Finnish data to similar international data and discuss their content with regard to the literature. We analysed the types of electronic health record-related patient safety incidents that occurred at 23 hospitals during a 2-year period. A procedure of taxonomy mapping served to allow comparisons. This study represents a rare examination of patient safety risks in a fully digital environment...
June 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/26940137/a-cross-sectional-content-analysis-of-android-applications-for-asthma
#19
Mowafa Househ, Nassif Hossain, Amr Jamal, Nasriah Zakaria, Ashraf Elmetwally, Majid Alsalamah, Mohamed Khalifa
Providing patients opportunities for self-management and education about their disease, asthma applications designed for use on an Android operating system can have positive health outcomes across the range of demographics who use mHealth applications. This study provides a content analysis of freely available Google Android Platform Mobile Applications for Asthma. A list of applications was collected on 26 October 2014, using the search feature of the Google Play Android platform and using the words and phrases "Asthma," "Lung Function" and "Peak Flow...
June 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/26928193/a-discrete-event-simulation-tool-to-support-and-predict-hospital-and-clinic-staffing
#20
Christopher M DeRienzo, Ryan J Shaw, Phillip Meanor, Emily Lada, Jeffrey Ferranti, David Tanaka
We demonstrate how to develop a simulation tool to help healthcare managers and administrators predict and plan for staffing needs in a hospital neonatal intensive care unit using administrative data. We developed a discrete event simulation model of nursing staff needed in a neonatal intensive care unit and then validated the model against historical data. The process flow was translated into a discrete event simulation model. Results demonstrated that the model can be used to give a respectable estimate of annual admissions, transfers, and deaths based upon two different staffing levels...
June 2017: Health Informatics Journal
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