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Health Informatics Journal

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https://www.readbyqxmd.com/read/29905094/development-of-a-digital-clinical-pathway-for-emergency-medicine-lessons-from-usability-testing-and-implementation-failure
#1
Marc Gutenstein, John W Pickering, Martin Than
Clinical pathways are used to support the management of patients in emergency departments. An existing document-based clinical pathway was used as the foundation on which to design and build a digital clinical pathway for acute chest pain, with the aim of improving clinical calculations, clinician decision-making, documentation, and data collection. Established principles of decision support system design were used to build an application within the existing electronic health record, before testing with a multidisciplinary team of doctors using a think-aloud protocol...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29905084/test-results-management-and-distributed-cognition-in-electronic-health-record-enabled-primary-care
#2
Michael W Smith, Ashley M Hughes, Charnetta Brown, Elise Russo And, Traber D Giardina, Praveen Mehta, Hardeep Singh
Managing abnormal test results in primary care involves coordination across various settings. This study identifies how primary care teams manage test results in a large, computerized healthcare system in order to inform health information technology requirements for test results management and other distributed healthcare services. At five US Veterans Health Administration facilities, we interviewed 37 primary care team members, including 16 primary care providers, 12 registered nurses, and 9 licensed practical nurses...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29874962/same-same-but-different-perceptions-of-patients-online-access-to-electronic-health-records-among-healthcare-professionals
#3
Sofie Wass, Vivian Vimarlund
In this study, we explore how healthcare professionals in primary care and outpatient clinics perceive the outcomes of giving patients online access to their electronic health records. The study was carried out as a case study and included a workshop, six interviews and a survey that was answered by 146 healthcare professionals. The results indicate that professionals working in primary care perceive that an increase in information-sharing with patients can increase adherence, clarify important information to the patient and allow the patient to quality-control documented information...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29865899/quantitative-and-qualitative-testing-of-darweb-an-online-self-guided-intervention-for-children-with-functional-abdominal-pain-and-their-parents
#4
Rubén Nieto, Mercè Boixadós, Eulàlia Hernández, Imma Beneitez, Anna Huguet, Patrick McGrath
The main objective of this study was to preliminary explore the effects of DARWeb on different outcomes. A Quasi-experimental, one-group, pretest-posttest design was used. Parents and children were asked to complete questionnaires and questions (separately) about quality of life, abdominal pain severity, and satisfaction. Semi-structured interviews with families were also performed. This study focuses on 17 families. Results showed that parent's ratings of children's abdominal pain severity were significantly lower after finishing the intervention and at the 3-month follow-up, and quality of life scores had increased significantly after 3 months...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29865891/guideline-adherence-in-acute-coronary-syndromes-between-telemedically-supported-paramedics-and-conventional-on-scene-physician-care-a-longitudinal-pre-post-intervention-cohort-study
#5
Sebastian Bergrath, Michael Müller, Rolf Rossaint, Stefan K Beckers, Diane Uschner, Jörg C Brokmann
Health informatics applications reduce time intervals in acute coronary syndromes, but their impact on guideline adherence is unknown. This pre-post intervention study compared guideline adherence between telemedically supported (n = 101, April 2014-July 2015) and conventional on-scene care (n = 120, January 2014-March 2014) in acute coronary syndrome. A multivariate logistic regression was performed for dependent variables: adverse events 0 versus 0, p = NA; electrocardiogram 101 versus 120, p = NA; acetylic salicylic acid 91 versus 102, p = 0...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29857789/uptake-and-usage-of-an-online-prostate-cancer-treatment-decision-aid-in-dutch-clinical-practice-a-quantitative-analysis-from-the-prostate-cancer-patient-centered-care-trial
#6
Maarten Cuypers, Romy Ed Lamers, Paul Jm Kil, Julia J van Tol-Geerdink, Cornelia F van Uden-Kraan, Lonneke V van de Poll-Franse, Marieke de Vries
Implementation of patient's decision aids in routine clinical care is generally low. This study evaluated uptake and usage of a novel Dutch web-based prostate cancer treatment decision aid within the Prostate Cancer Patient Centered Care trial. From an estimated total patient sample of 1006 patients, 351 received a decision aid (35% implementation rate; hospital ranges 16%-84%). After receipt of the decision aid, most patients accessed the decision aid, utilized most functions, although not completely, and discussed the decision aid summary in a subsequent consultation with their care provider...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29843545/using-twitter-to-recruit-participants-for-health-research-an-example-from-a-caregiving-study
#7
Marina Bastawrous Wasilewski, Jennifer N Stinson, Fiona Webster, Jill Irene Cameron
Twitter has the potential to optimize research conduct, but more research is needed around the nature of study-related tweets and strategies for optimizing reach. In the context of our caregiving study, we aimed to describe the nature and extent of study-related tweets, the extent to which they were shared by others, and their potential reach. To do so, we conducted a secondary analysis of our Twitter recruitment. We aggregated and categorized study-related tweets and analyzed the reach of the 10 most retweeted tweets...
May 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29801426/socially-driven-persuasive-health-intervention-design-competition-social-comparison-and-cooperation
#8
Rita Orji, Kiemute Oyibo, Richard K Lomotey, Fidelia A Orji
Persuasive technologies are tools for motivating behaviour change using persuasive strategies. socially-driven persuasive technologies employ three common socially-oriented persuasive strategies in many health domains: competition, social comparison, and cooperation. Research has shown the possibilities for socially-driven persuasive interventions to backfire by demotivating behaviour, but we lack knowledge about how the interventions could motivate or demotivate behaviours. To close this gap, we studied 1898 participants, specifically Socially-oriented strategies and their comparative effectiveness in socially-driven persuasive health interventions that motivate healthy behaviour change...
May 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29792088/experimental-evaluation-of-ontology-based-hiv-aids-frequently-asked-question-retrieval-system
#9
Yirsaw Ayalew, Barbara Moeng, Gontlafetse Mosweunyane
This study presents the results of experimental evaluations of an ontology-based frequently asked question retrieval system in the domain of HIV and AIDS. The main purpose of the system is to provide answers to questions on HIV/AIDS using ontology. To evaluate the effectiveness of the frequently asked question retrieval system, we conducted two experiments. The first experiment focused on the evaluation of the quality of the ontology we developed using the OQuaRE evaluation framework which is based on software quality metrics and metrics designed for ontology quality evaluation...
May 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27694616/assessing-empathy-and-managing-emotions-through-interactions-with-an-affective-avatar
#10
Esperanza Johnson, Ramón Hervás, Carlos Gutiérrez López de la Franca, Tania Mondéjar, Sergio F Ochoa, Jesús Favela
Assistive technologies can improve the quality of life of people diagnosed with different forms of social communication disorders. We report on the design and evaluation of an affective avatar aimed at engaging the user in a social interaction with the purpose of assisting in communication therapies. A human-avatar taxonomy is proposed to assist the design of affective avatars aimed at addressing social communication disorder. The avatar was evaluated with 30 subjects to assess how effectively it conveys the desired emotion and elicits empathy from the user...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27644256/emotional-states-recognition-implementing-a-low-computational-complexity-strategy
#11
Adrian Rodriguez Aguiñaga, Miguel Angel Lopez Ramirez
This article describes a methodology to recognize emotional states through an electroencephalography signals analysis, developed with the premise of reducing the computational burden that is associated with it, implementing a strategy that reduces the amount of data that must be processed by establishing a relationship between electrodes and Brodmann regions, so as to discard electrodes that do not provide relevant information to the identification process. Also some design suggestions to carry out a pattern recognition process by low computational complexity neural networks and support vector machines are presented, which obtain up to a 90...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27638452/barriers-for-recruitment-of-patients-with-chronic-obstructive-pulmonary-disease-to-a-controlled-telemedicine-trial
#12
Eva Broendum, Charlotte Suppli Ulrik, Thorbjorn Gregersen, Ejvind Frausing Hansen, Allan Green, Thomas Ringbaek
The aim of this analysis is to investigate reasons why patients with chronic obstructive pulmonary disease decline to participate in a controlled trial of telemedicine. Patients with previous chronic obstructive pulmonary disease exacerbations were invited to participate in a 6-month randomized telemedicine trial. For eligible patients, reasons for refusal were registered. Of 560 eligible patients, 279 (50%) declined to participate in the trial, 257 (92%) reported a reason: 53 (20.6%) technical concerns, 164 (63...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27566751/screening-diabetes-mellitus-2-based-on-electronic-health-records-using-temporal-features
#13
Angela Pimentel, André V Carreiro, Rogério T Ribeiro, Hugo Gamboa
The prevalence of type 2 diabetes mellitus is increasing worldwide. Current methods of treating diabetes remain inadequate, and therefore, prevention with screening methods is the most appropriate process to reduce the burden of diabetes and its complications. We propose a new prognostic approach for type 2 diabetes mellitus based on electronic health records without using the current invasive techniques that are related to the disease (e.g. glucose level or glycated hemoglobin (HbA1c)). Our methodology is based on machine learning frameworks with data enrichment using temporal features...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27542887/vital-sign-documentation-in-electronic-records-the-development-of-workarounds
#14
Jean E Stevenson, Johan Israelsson, Gunilla Nilsson, Goran Petersson, Peter A Bath
Workarounds are commonplace in healthcare settings. An increase in the use of electronic health records has led to an escalation of workarounds as healthcare professionals cope with systems which are inadequate for their needs. Closely related to this, the documentation of vital signs in electronic health records has been problematic. The accuracy and completeness of vital sign documentation has a direct impact on the recognition of deterioration in a patient's condition. We examined workflow processes to identify workarounds related to vital signs in a 372-bed hospital in Sweden...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27502408/electronic-data-capture-on-athletes-pre-participation-health-and-in-competition-injury-and-illness-at-major-sports-championships-an-extended-usability-study-in-athletics
#15
David Karlsson, Toomas Timpka, Jenny Jacobsson, Juan-Manuel Alonso, Jan Kowalski, Sverker Nilsson, Frédéric Depiesse, Pedro Branco, Pascal Edouard
This study set out to identify factors critical for the usability of electronic data collection in association with championships in individual sports. A qualitative analysis of electronic data collection system usability for collection of data on pre-participation health from athletes and in-competition injury and illness from team physicians was performed during the 2013 European Athletics Indoor Championships. A total of 15 athletes and team physicians participated. Athletes were found to experience few problems interacting with the electronic data collection system, but reported concerns about having to reflect on injury and illness before competitions and the medical terminology used...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27496861/effect-of-technology-on-aging-perception
#16
Ma Rodrigo Juárez, Víctor M González, Jesús Favela
Technology can assist older adults to maintain an active lifestyle. To better understand the effect that technology has on aging perception, we conducted two studies. In the first study, through supraliminal priming, we analyzed the effects of aging- and technology-related stimuli on age estimation. In the second study, we conducted a technological intervention with a group of elders who used four interactive devices and analyzed effects on perceived aging. Results showed that technology-related stimuli did not affect estimated age...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27496860/healthy-and-wellbeing-activities-promotion-using-a-big-data-approach
#17
Diego Gachet Páez, Manuel de Buenaga Rodríguez, Enrique Puertas Sánz, María Teresa Villalba, Rafael Muñoz Gil
The aging population and economic crisis specially in developed countries have as a consequence the reduction in funds dedicated to health care; it is then desirable to optimize the costs of public and private healthcare systems, reducing the affluence of chronic and dependent people to care centers; promoting healthy lifestyle and activities can allow people to avoid chronic diseases as for example hypertension. In this article, we describe a system for promoting an active and healthy lifestyle for people and to recommend with guidelines and valuable information about their habits...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/27440056/cancer-patients-attitudes-and-experiences-of-online-access-to-their-electronic-medical-records-a-qualitative-study
#18
Hanife Rexhepi, Rose-Mharie Åhlfeldt, Åsa Cajander, Isto Huvila
Patients' access to their online medical records serves as one of the cornerstones in the efforts to increase patient engagement and improve healthcare outcomes. The aim of this article is to provide in-depth understanding of cancer patients' attitudes and experiences of online medical records, as well as an increased understanding of the complexities of developing and launching e-Health services. The study result confirms that online access can help patients prepare for doctor visits and to understand their medical issues...
June 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29706114/service-delivery-innovation-for-hospital-emergency-management-using-rich-organizational-modelling
#19
Yogit Dhakal, Moshiur Bhuiyan, Pwc Prasad, Aneesh Krishna
The purpose of this article is to identify and assess service delivery issues within a hospital emergency department and propose an improved model to address them. Possible solutions and options to these issues are explored to determine the one that best fits the context. In this article, we have analysed the emergency department's organizational models through i* strategic dependency and rational modelling technique before proposing updated models that could potentially drive business process efficiencies...
April 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29692204/a-framework-for-secure-and-decentralized-sharing-of-medical-imaging-data-via-blockchain-consensus
#20
Vishal Patel
The electronic sharing of medical imaging data is an important element of modern healthcare systems, but current infrastructure for cross-site image transfer depends on trust in third-party intermediaries. In this work, we examine the blockchain concept, which enables parties to establish consensus without relying on a central authority. We develop a framework for cross-domain image sharing that uses a blockchain as a distributed data store to establish a ledger of radiological studies and patient-defined access permissions...
April 1, 2018: Health Informatics Journal
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