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BMC Medical Informatics and Decision Making

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https://www.readbyqxmd.com/read/29100512/experimental-application-of-business-process-management-technology-to-manage-clinical-pathways-a-pediatric-kidney-transplantation-follow-up-case
#1
Martina Andellini, Sandra Fernandez Riesgo, Federica Morolli, Matteo Ritrovato, Piero Cosoli, Silverio Petruzzellis, Nicola Rosso
BACKGROUND: To test the application of Business Process Management technology to manage clinical pathways, using a pediatric kidney transplantation as case study, and to identify the benefits obtained from using this technology. METHODS: Using a Business Process Management platform, we implemented a specific application to manage the clinical pathway of pediatric patients, and monitored the activities of the coordinator in charge of the case management during a 6-month period (from June 2015 to November 2015) using two methodologies: the traditional procedure and the one under study...
November 3, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29084534/evaluation-of-data-quality-of-interrai-assessments-in-home-and-community-care
#2
Sophie E Hogeveen, Jonathan Chen, John P Hirdes
BACKGROUND: The aim of this project is to describe the quality of assessment data regularly collected in home and community, with techniques adapted from an evaluation of the quality of long-term care data in Canada. METHODS: Data collected using the Resident Assessment Instrument - Home Care (RAI-HC) in Ontario and British Columbia (BC) as well as the interRAI Community Health Assessment (CHA) in Ontario were analyzed using descriptive statistics, Pearson's r correlation, and Cronbach's alpha in order to assess trends in population characteristics, convergent validity, and scale reliability...
October 30, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29073892/multiple-criteria-decision-analysis-in-the-context-of-health-technology-assessment-a-simulation-exercise-on-metastatic-colorectal-cancer-with-multiple-stakeholders-in-the-english-setting
#3
Aris Angelis, Gilberto Montibeller, Daniel Hochhauser, Panos Kanavos
BACKGROUND: Multiple criteria decision analysis (MCDA) has appeared as a methodology to address limitations of economic evaluation in health technology assessment (HTA), however there are limited empirical evidence from real world applications. The aim of this study is to test in practice a recently developed MCDA methodological framework known as Advance Value Framework (AVF) through a proof-of-concept case study engaging multiple stakeholders. METHODS: A multi-attribute value theory methodological process was adopted involving problem structuring, model building, model assessment and model appraisal phases...
October 26, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29047394/esprit-ethics-committee-proposals-for-long-term-medical-data-registries-in-rapidly-evolving-research-fields-a-future-proof-best-practice-approach
#4
S Oberbichler, W O Hackl, A Hörbst
BACKGROUND: Long-term data collection is a challenging task in the domain of medical research. Many effects in medicine require long periods of time to become traceable e.g. the development of secondary malignancies based on a given radiotherapeutic treatment of the primary disease. Nevertheless, long-term studies often suffer from an initial lack of available information, thus disallowing a standardized approach for their approval by the ethics committee. This is due to several factors, such as the lack of existing case report forms or an explorative research approach in which data elements may change over time...
October 18, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29041971/finnish-physicians-stress-related-to-information-systems-keeps-increasing-a-longitudinal-three-wave-survey-study
#5
Tarja Heponiemi, Hannele Hyppönen, Tuulikki Vehko, Sari Kujala, Anna-Mari Aalto, Jukka Vänskä, Marko Elovainio
BACKGROUND: Poorly functioning, time-consuming, and inadequate information systems are among the most important work-related psychosocial factors causing stress in physicians. The present study examined the trend in the perceived stress that was related to information systems (SRIS) among Finnish physicians during a nine-year follow-up. In addition, we examined the associations of gender, age, employment sector, specialization status, leadership position, on-call burden, and time pressure with SRIS change and levels...
October 17, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29020993/assessment-of-a-business-to-consumer-b2c-model-for-telemonitoring-patients-with-chronic-heart-failure-chf
#6
Andrija S Grustam, Hubertus J M Vrijhoef, Ron Koymans, Philipp Hukal, Johan L Severens
BACKGROUND: The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society. METHODS: The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29020951/paramedic-literature-search-filters-optimised-for-clinicians-and-academics
#7
Alexander Olaussen, William Semple, Alaa Oteir, Paula Todd, Brett Williams
BACKGROUND: Search filters aid clinicians and academics to accurately locate literature. Despite this, there is no search filter or Medical Subject Headings (MeSH) term pertaining to paramedics. Therefore, the aim of this study was to create two filters to meet to different needs of paramedic clinicians and academics. METHODS: We created a gold standard from a reference set, which we measured against single terms and search filters. The words and phrases used stemmed from selective exclusion of terms from the previously published Prehospital Search Filter 2...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28969704/a-health-app-developer-s-guide-to-law-and-policy-a-multi-sector-policy-analysis
#8
Lisa Parker, Tanya Karliychuk, Donna Gillies, Barbara Mintzes, Melissa Raven, Quinn Grundy
BACKGROUND: Apps targeted at health and wellbeing sit in a rapidly growing industry associated with widespread optimism about their potential to deliver accessible and cost-effective healthcare. App developers might not be aware of all the regulatory requirements and best practice principles are emergent. Health apps are regulated in order to minimise their potential for harm due to, for example, loss of personal health privacy, financial costs, and health harms from delayed or unnecessary diagnosis, monitoring and treatment...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28969629/decision-support-systems-for-incurable-non-small-cell-lung-cancer-a-systematic-review
#9
D Révész, E G Engelhardt, J J Tamminga, F M N H Schramel, B D Onwuteaka-Philipsen, E M W van de Garde, E W Steyerberg, E P Jansma, H C W De Vet, V M H Coupé
BACKGROUND: Individually tailored cancer treatment is essential to ensure optimal treatment and resource use. Treatments for incurable metastatic non-small cell lung cancer (NSCLC) are evolving rapidly, and decision support systems (DSS) for this patient population have been developed to balance benefits and harms for decision-making. The aim of this systematic review was to inventory DSS for stage IIIB/IV NSCLC patients. METHODS: A systematic literature search was performed in Pubmed, Embase and the Cochrane Library...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28969627/information-needs-for-the-rapid-response-team-electronic-clinical-tool
#10
Amelia Barwise, Sean Caples, Jeffrey Jensen, Brian Pickering, Vitaly Herasevich
BACKGROUND: Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. METHODS: A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28969622/a-study-protocol-of-the-effectiveness-of-pegasus-a-multi-centred-study-comparing-an-intervention-to-promote-shared-decision-making-about-breast-reconstruction-with-treatment-as-usual
#11
Diana Harcourt, Nicole Paraskeva, Paul White, Jane Powell, Alex Clarke
BACKGROUND: Increasingly, women elect breast reconstruction after mastectomy. However, their expectations of surgery are often not met, and dissatisfaction with outcome and ongoing psychosocial concerns and distress are common. We developed a patient-centered intervention, PEGASUS:(Patients' Expectations and Goals: Assisting Shared Understanding of Surgery) which supports shared decision making by helping women clarify their own, individual goals about reconstruction so that they can discuss these with their surgeon...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28962565/a-novel-data-driven-workflow-combining-literature-and-electronic-health-records-to-estimate-comorbidities-burden-for-a-specific-disease-a-case-study-on-autoimmune-comorbidities-in-patients-with-celiac-disease
#12
Jean-Baptiste Escudié, Bastien Rance, Georgia Malamut, Sherine Khater, Anita Burgun, Christophe Cellier, Anne-Sophie Jannot
BACKGROUND: Data collected in EHRs have been widely used to identifying specific conditions; however there is still a need for methods to define comorbidities and sources to identify comorbidities burden. We propose an approach to assess comorbidities burden for a specific disease using the literature and EHR data sources in the case of autoimmune diseases in celiac disease (CD). METHODS: We generated a restricted set of comorbidities using the literature (via the MeSH® co-occurrence file)...
September 29, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28946908/factors-influencing-the-development-of-primary-care-data-collection-projects-from-electronic-health-records-a-systematic-review-of-the-literature
#13
Marie-Line Gentil, Marc Cuggia, Laure Fiquet, Camille Hagenbourger, Thomas Le Berre, Agnès Banâtre, Eric Renault, Guillaume Bouzille, Anthony Chapron
BACKGROUND: Primary care data gathered from Electronic Health Records are of the utmost interest considering the essential role of general practitioners (GPs) as coordinators of patient care. These data represent the synthesis of the patient history and also give a comprehensive picture of the population health status. Nevertheless, discrepancies between countries exist concerning routine data collection projects. Therefore, we wanted to identify elements that influence the development and durability of such projects...
September 25, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28938900/the-role-and-benefits-of-accessing-primary-care-patient-records-during-unscheduled-care-a-systematic-review
#14
Tom Bowden, Enrico Coiera
BACKGROUND: The purpose of this study was to assess the impact of accessing primary care records on unscheduled care. Unscheduled care is typically delivered in hospital Emergency Departments. Studies published to December 2014 reporting on primary care record access during unscheduled care were retrieved. RESULTS: Twenty-two articles met inclusion criteria from a pool of 192. Many shared electronic health records (SEHRs) were large in scale, servicing many millions of patients...
September 22, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28934951/communicating-projected-survival-with-treatments-for-chronic-kidney-disease-patient-comprehension-and-perspectives-on-visual-aids
#15
Frances Dowen, Karishma Sidhu, Elizabeth Broadbent, Helen Pilmore
BACKGROUND: Mortality in end stage renal disease (ESRD) is higher than many malignancies. There is no data about the optimal way to present information about projected survival to patients with ESRD. In other areas, graphs have been shown to be more easily understood than narrative. We examined patient comprehension and perspectives on graphs in communicating projected survival in chronic kidney disease (CKD). METHODS: One hundred seventy-seven patients with CKD were shown 4 different graphs presenting post transplantation survival data...
September 21, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28931385/internet-use-ehealth-literacy-and-attitudes-toward-computer-internet-among-people-with-schizophrenia-spectrum-disorders-a-cross-sectional-study-in-two-distant-european-regions
#16
Christina Athanasopoulou, Maritta Välimäki, Katerina Koutra, Eliisa Löttyniemi, Antonios Bertsias, Maria Basta, Alexandros N Vgontzas, Christos Lionis
BACKGROUND: Individuals with schizophrenia spectrum disorders use the Internet for general and health-related purposes. Their ability to find, understand, and apply the health information they acquire online in order to make appropriate health decisions - known as eHealth literacy - has never been investigated. The European agenda strives to limit health inequalities and enhance mental health literacy. Nevertheless, each European member state varies in levels of Internet use and online health information-seeking...
September 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28915872/risk-factors-of-chronic-periodontitis-on-healing-response-a-multilevel-modelling-analysis
#17
J Song, H Zhao, C Pan, C Li, J Liu, Y Pan
BACKGROUND: Chronic periodontitis is a multifactorial polygenetic disease with an increasing number of associated factors that have been identified over recent decades. Longitudinal epidemiologic studies have demonstrated that the risk factors were related to the progression of the disease. A traditional multivariate regression model was used to find risk factors associated with chronic periodontitis. However, the approach requirement of standard statistical procedures demands individual independence...
September 15, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28903729/dynamic-etl-a-hybrid-approach-for-health-data-extraction-transformation-and-loading
#18
Toan C Ong, Michael G Kahn, Bethany M Kwan, Traci Yamashita, Elias Brandt, Patrick Hosokawa, Chris Uhrich, Lisa M Schilling
BACKGROUND: Electronic health records (EHRs) contain detailed clinical data stored in proprietary formats with non-standard codes and structures. Participating in multi-site clinical research networks requires EHR data to be restructured and transformed into a common format and standard terminologies, and optimally linked to other data sources. The expertise and scalable solutions needed to transform data to conform to network requirements are beyond the scope of many health care organizations and there is a need for practical tools that lower the barriers of data contribution to clinical research networks...
September 13, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28899375/erratum-to-development-and-testing-of-a-mobile-application-to-support-diabetes-self-management-for-people-with-newly-diagnosed-type-2-diabetes-a-design-thinking-case-study
#19
Mira Petersen, Nana F Hempler
No abstract text is available yet for this article.
September 12, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28870196/explicit-a-feasibility-study-of-remote-expert-elicitation-in-health-technology-assessment
#20
Bogdan Grigore, Jaime Peters, Christopher Hyde, Ken Stein
BACKGROUND: Expert opinion is often sought to complement available information needed to inform model-based economic evaluations in health technology assessments. In this context, we define expert elicitation as the process of encoding expert opinion on a quantity of interest, together with associated uncertainty, as a probability distribution. When availability for face-to-face expert elicitation with a facilitator is limited, elicitation can be conducted remotely, overcoming challenges of finding an appropriate time to meet the expert and allowing access to experts situated too far away for practical face-to-face sessions...
September 4, 2017: BMC Medical Informatics and Decision Making
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