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BMC Medical Informatics and Decision Making

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https://www.readbyqxmd.com/read/28302112/automation-bias-in-electronic-prescribing
#1
David Lyell, Farah Magrabi, Magdalena Z Raban, L G Pont, Melissa T Baysari, Richard O Day, Enrico Coiera
BACKGROUND: Clinical decision support (CDS) in e-prescribing can improve safety by alerting potential errors, but introduces new sources of risk. Automation bias (AB) occurs when users over-rely on CDS, reducing vigilance in information seeking and processing. Evidence of AB has been found in other clinical tasks, but has not yet been tested with e-prescribing. This study tests for the presence of AB in e-prescribing and the impact of task complexity and interruptions on AB. METHODS: One hundred and twenty students in the final two years of a medical degree prescribed medicines for nine clinical scenarios using a simulated e-prescribing system...
March 16, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28292288/mobile-technology-for-community-health-in-ghana-what-happens-when-technical-functionality-threatens-the-effectiveness-of-digital-health-programs
#2
Amnesty E LeFevre, Diwakar Mohan, David Hutchful, Larissa Jennings, Garrett Mehl, Alain Labrique, Karen Romano, Anitha Moorthy
BACKGROUND: Despite the growing use of technology in the health sector, little evidence is available on the technological performance of mobile health programs nor on the willingness of target users to utilize these technologies as intended (behavioral performance). In this case study of the Mobile Technology for Health (MOTECH) program in Ghana, we assess the platform's effectiveness in delivering messages, along with user response across sites in five districts from 2011 to 2014. METHODS: MOTECH is comprised of "Client Data Application" (CDA) which allows providers to digitize and track service delivery information for women and infants and "Mobile Midwife" (MM) which sends automated educational voice messages to the mobile phones of pregnant and postpartum women...
March 14, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28288599/clinical-use-of-computational-modeling-for-surgical-planning-of-arteriovenous-fistula-for-hemodialysis
#3
Michela Bozzetto, Stefano Rota, Valentina Vigo, Francesco Casucci, Carlo Lomonte, Walter Morale, Massimo Senatore, Luigi Tazza, Massimo Lodi, Giuseppe Remuzzi, Andrea Remuzzi
BACKGROUND: Autogenous arteriovenous fistula (AVF) is the best vascular access (VA) for hemodialysis, but its creation is still a critical procedure. Physical examination, vascular mapping and doppler ultrasound (DUS) evaluation are recommended for AVF planning, but they can not provide direct indication on AVF outcome. We recently developed and validated in a clinical trial a patient-specific computational model to predict pre-operatively the blood flow volume (BFV) in AVF for different surgical configuration on the basis of demographic, clinical and DUS data...
March 14, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28241760/early-recognition-of-multiple-sclerosis-using-natural-language-processing-of-the-electronic-health-record
#4
Herbert S Chase, Lindsey R Mitrani, Gabriel G Lu, Dominick J Fulgieri
BACKGROUND: Diagnostic accuracy might be improved by algorithms that searched patients' clinical notes in the electronic health record (EHR) for signs and symptoms of diseases such as multiple sclerosis (MS). The focus this study was to determine if patients with MS could be identified from their clinical notes prior to the initial recognition by their healthcare providers. METHODS: An MS-enriched cohort of patients with well-established MS (n = 165) and controls (n = 545), was generated from the adult outpatient clinic...
February 28, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28241759/smokers-and-drinkers-choice-of-smartphone-applications-and-expectations-of-engagement-a-think-aloud-and-interview-study
#5
Olga Perski, Ann Blandford, Harveen Kaur Ubhi, Robert West, Susan Michie
BACKGROUND: Public health organisations such as the National Health Service in the United Kingdom and the National Institutes of Health in the United States provide access to online libraries of publicly endorsed smartphone applications (apps); however, there is little evidence that users rely on this guidance. Rather, one of the most common methods of finding new apps is to search an online store. As hundreds of smoking cessation and alcohol-related apps are currently available on the market, smokers and drinkers must actively choose which app to download prior to engaging with it...
February 28, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28241763/identifying-incident-colorectal-and-lung-cancer-cases-in-health-service-utilisation-databases-in-australia-a-validation-study
#6
David Goldsbury, Marianne Weber, Sarsha Yap, Emily Banks, Dianne L O'Connell, Karen Canfell
BACKGROUND: Data from centralised, population-based statutory cancer registries are generally considered the 'gold standard' for confirming incident cases of cancer. When these are not available, or more current information is needed, hospital or other routinely collected population-level data may be feasible alternative sources. We aimed to determine the validity of various methods using routinely collected administrative health data for ascertaining incident cases of colorectal or lung cancer in participants from the 45 and Up Study in New South Wales (NSW), Australia...
February 27, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28231790/what-information-is-used-in-treatment-decision-aids-a-systematic-review-of-the-types-of-evidence-populating-health-decision-aids
#7
Amanda M Clifford, Jean Ryan, Cathal Walsh, Arlene McCurtin
BACKGROUND: Patient decision aids (DAs) are support tools designed to provide patients with relevant information to help them make informed decisions about their healthcare. While DAs can be effective in improving patient knowledge and decision quality, it is unknown what types of information and evidence are used to populate such decision tools. METHODS: Systematic methods were used to identify and appraise the relevant literature and patient DAs published between 2006 and 2015...
February 23, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28228132/information-needs-for-making-clinical-recommendations-about-potential-drug-drug-interactions-a-synthesis-of-literature-review-and-interviews
#8
Katrina M Romagnoli, Scott D Nelson, Lisa Hines, Philip Empey, Richard D Boyce, Harry Hochheiser
BACKGROUND: Drug information compendia and drug-drug interaction information databases are critical resources for clinicians and pharmacists working to avoid adverse events due to exposure to potential drug-drug interactions (PDDIs). Our goal is to develop information models, annotated data, and search tools that will facilitate the interpretation of PDDI information. To better understand the information needs and work practices of specialists who search and synthesize PDDI evidence for drug information resources, we conducted an inquiry that combined a thematic analysis of published literature with unstructured interviews...
February 22, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28219437/the-effect-of-a-test-ordering-software-intervention-on-the-prescription-of-unnecessary-laboratory-tests-a-randomized-controlled-trial
#9
Carlos Manuel Silva Martins, Andreia Sofia da Costa Teixeira, Luís Filipe Ribeiro de Azevedo, Luísa Maria Barbosa Sá, Paulo Alexandre Azevedo Pereira Santos, Maria Luciana Gomes Domingues do Couto, Altamiro Manuel Rodrigues da Costa Pereira, Alberto Augusto Oliveira Pinto Hespanhol, Cristina Maria Nogueira da Costa Santos
BACKGROUND: The way software for electronic health records and laboratory tests ordering systems are designed may influence physicians' prescription. A randomised controlled trial was performed to measure the impact of a diagnostic and laboratory tests ordering system software modification. METHODS: Participants were family physicians working and prescribing diagnostic and laboratory tests. The intervention group had a modified software with a basic shortcut menu changes, where some tests were withdrawn or added, and with the implementation of an evidence-based decision support based on United States Preventive Services Task Force (USPSTF) recommendations...
February 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28219430/digital-health-system-for-personalised-copd-long-term-management
#10
Carmelo Velardo, Syed Ahmar Shah, Oliver Gibson, Gari Clifford, Carl Heneghan, Heather Rutter, Andrew Farmer, Lionel Tarassenko
BACKGROUND: Recent telehealth studies have demonstrated minor impact on patients affected by long-term conditions. The use of technology does not guarantee the compliance required for sustained collection of high-quality symptom and physiological data. Remote monitoring alone is not sufficient for successful disease management. A patient-centred design approach is needed in order to allow the personalisation of interventions and encourage the completion of daily self-management tasks...
February 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28219372/impact-of-a-clinical-program-using-weekly-short-message-service-sms-on-antiretroviral-therapy-adherence-support-in-south-africa-a-retrospective-cohort-study
#11
Nathan Georgette, Mark J Siedner, Carter R Petty, Brian C Zanoni, Stephen Carpenter, Jessica E Haberer
BACKGROUND: In randomized controlled trials, short message service (SMS) programs have improved adherence to HIV antiretroviral therapy (ART). In response, the World Health Organization recommended use of SMS programs to support ART. However, there is limited data on real-world implementations of SMS programs. METHODS: We conducted a retrospective cohort study of an SMS program to improve ART adherence in a government-run HIV clinic in rural South Africa. We analyzed data from all adult patients who 1) enrolled at the clinic before the observation period (July 2013 through June 2014), 2) had ≥1 ART prescriptions in the observation period, and 3) had data on phone number availability (N = 2255)...
February 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28187729/use-of-electronic-medical-records-and-quality-of-patient-data-different-reaction-patterns-of-doctors-and-nurses-to-the-hospital-organization
#12
Mattijs S Lambooij, Hanneke W Drewes, Ferry Koster
BACKGROUND: As the implementation of Electronic Medical Records (EMRs) in hospitals may be challenged by different responses of different user groups, this paper examines the differences between doctors and nurses in their response to the implementation and use of EMRs in their hospital and how this affects the perceived quality of the data in EMRs. METHODS: Questionnaire data of 402 doctors and 512 nurses who had experience with the implementation and the use of EMRs in hospitals was analysed with Multi group Structural equation modelling (SEM)...
February 10, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28158986/social-media-in-public-health-an-analysis-of-national-health-authorities-and-leading-causes-of-death-in-spanish-speaking-latin-american-and-caribbean-countries
#13
David Novillo-Ortiz, Tony Hernández-Pérez
BACKGROUND: Information and communications technologies, like social media, have the potential to reduce some barriers in disease prevention and control in the Americas. National health authorities can use these technologies to provide access to reliable and quality health information. A study was conducted to analyze availability of information about the leading causes of death on social media channels of national health authorities in 18 Spanish-speaking Latin American and Caribbean countries...
February 3, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28143613/how-can-information-systems-provide-support-to-nurses-hand-hygiene-performance-using-gamification-and-indoor-location-to-improve-hand-hygiene-awareness-and-reduce-hospital-infections
#14
Rita Marques, João Gregório, Fernando Pinheiro, Pedro Póvoa, Miguel Mira da Silva, Luís Velez Lapão
BACKGROUND: Hospital-acquired infections are still amongst the major problems health systems are facing. Their occurrence can lead to higher morbidity and mortality rates, increased length of hospital stay, and higher costs for both hospital and patients. Performing hand hygiene is a simple and inexpensive prevention measure, but healthcare workers' compliance with it is often far from ideal. To raise awareness regarding hand hygiene compliance, individual behaviour change and performance optimization, we aimed to develop a gamification solution that collects data and provides real-time feedback accurately in a fun and engaging way...
January 31, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28114944/the-use-of-multi-criteria-decision-making-models-in-evaluating-anesthesia-method-options-in-circumcision-surgery
#15
Gulsah Hancerliogullari, Kadir Oymen Hancerliogullari, Emrah Koksalmis
BACKGROUND: Determining the most suitable anesthesia method for circumcision surgery plays a fundamental role in pediatric surgery. This study is aimed to present pediatric surgeons' perspective on the relative importance of the criteria for selecting anesthesia method for circumcision surgery by utilizing the multi-criteria decision making methods. METHODS: Fuzzy set theory offers a useful tool for transforming linguistic terms into numerical assessments. Since the evaluation of anesthesia methods requires linguistic terms, we utilize the fuzzy Analytic Hierarchy Process (AHP) and fuzzy Technique for Order Preference by Similarity to Ideal Solution (TOPSIS)...
January 23, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28103862/involving-members-of-vulnerable-populations-in-the-development-of-patient-decision-aids-a-mixed-methods-sequential-explanatory-study
#16
Michèle Dugas, Marie-Ève Trottier, Selma Chipenda Dansokho, Gratianne Vaisson, Thierry Provencher, Heather Colquhoun, Maman Joyce Dogba, Sophie Dupéré, Angela Fagerlin, Anik M C Giguere, Lynne Haslett, Aubri S Hoffman, Noah M Ivers, France Légaré, Jean Légaré, Carrie A Levin, Matthew Menear, Jean-Sébastien Renaud, Dawn Stacey, Robert J Volk, Holly O Witteman
BACKGROUND: Patient decision aids aim to present evidence relevant to a health decision in understandable ways to support patients through the process of making evidence-informed, values-congruent health decisions. It is recommended that, when developing these tools, teams involve people who may ultimately use them. However, there is little empirical evidence about how best to undertake this involvement, particularly for specific populations of users such as vulnerable populations. METHODS: To describe and compare the development practices of research teams that did and did not specifically involve members of vulnerable populations in the development of patient decision aids, we conducted a secondary analysis of data from a systematic review about the development processes of patient decision aids...
January 19, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28103848/the-crisp-colorectal-cancer-risk-prediction-tool-an-exploratory-study-using-simulated-consultations-in-australian-primary-care
#17
Jennifer G Walker, Adrian Bickerstaffe, Nadira Hewabandu, Sanjay Maddumarachchi, James G Dowty, Mark Jenkins, Marie Pirotta, Fiona M Walter, Jon D Emery
BACKGROUND: In Australia, screening for colorectal cancer (CRC) with colonoscopy is meant to be reserved for people at increased risk, however, currently there is a mismatch between individuals' risk of CRC and the type of CRC screening they receive. This paper describes the development and optimisation of a Colorectal cancer RISk Prediction tool ('CRISP') for use in primary care. The aim of the CRISP tool is to increase risk-appropriate CRC screening. METHODS: CRISP development was informed by previous experience with developing risk tools for use in primary care and a systematic review of the evidence...
January 19, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28095849/simulated-case-management-of-home-telemonitoring-to-assess-the-impact-of-different-alert-algorithms-on-work-load-and-clinical-decisions
#18
Illapha Cuba Gyllensten, Amanda Crundall-Goode, Ronald M Aarts, Kevin M Goode
BACKGROUND: Home telemonitoring (HTM) of chronic heart failure (HF) promises to improve care by timely indications when a patient's condition is worsening. Simple rules of sudden weight change have been demonstrated to generate many alerts with poor sensitivity. Trend alert algorithms and bio-impedance (a more sensitive marker of fluid change), should produce fewer false alerts and reduce workload. However, comparisons between such approaches on the decisions made and the time spent reviewing alerts has not been studied...
January 17, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28095843/the-tidal-waves-of-connected-health-devices-with-healthcare-applications-consequences-on-privacy-and-care-management-in-european-healthcare-systems
#19
Francois-André Allaert, Noël-Jean Mazen, Louis Legrand, Catherine Quantin
BACKGROUND: The market for Connected Health Devices (CHD) with healthcare applications is growing fast and should be worth several billion euros in turnover in the coming years. Their development will completely transform the organisation of our healthcare system, profoundly change the way patients are managed and revolutionizes disease prevention. MAIN BODY: The CHD with healthcare applications is a tidal wave that has societal impact calling into question the privacy of patients' personal and healthcare information and its protection in secure systems...
January 17, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28086771/naturalistic-study-of-guideline-implementation-tool-use-via-evaluation-of-website-access-and-physician-survey
#20
Melissa J Armstrong, Gary S Gronseth, Richard Dubinsky, Sonja Potrebic, Rebecca Penfold Murray, Thomas S D Getchius, Carol Rheaume, Anna R Gagliardi
BACKGROUND: Clinical guidelines support decision-making at the point-of-care but the onus is often on individual users such as physicians to implement them. Research shows that the inclusion of implementation tools in or with guidelines (GItools) is associated with guideline use. However, there is little research on which GItools best support implementation by individual physicians. The purpose of this study was to investigate naturalistic access and use of GItools produced by the American Academy of Neurology (AAN) to inform future tool development...
January 13, 2017: BMC Medical Informatics and Decision Making
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