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HIM Journal

Marguerite Sendall, Laura McCosker, Kristie Crossley, Ann Bonner
OBJECTIVE: Older people with chronic diseases often have complex and interacting needs and require treatment and care from a wide range of professionals and services concurrently. This structured review will identify the components of the chronic care model (CCM) required to support healthcare that transitions seamlessly between hospital and ambulatory settings for people over 65 years of age who have two or more chronic diseases. METHOD: A structured review was conducted by searching six electronic databases combining the terms 'hospital', 'ambulatory', 'elderly', 'chronic disease' and 'integration/seamless'...
December 5, 2016: HIM Journal
Esther N Munyisia, David Reid, Ping Yu
BACKGROUND: Despite increasing research on activity-based funding (ABF), there is no empirical evidence on the accuracy of outpatient service data for payment. OBJECTIVE: This study aimed to identify data entry errors affecting ABF in two drug and alcohol outpatient clinic services in Australia. METHODS: An audit was carried out on healthcare workers' (doctors, nurses, psychologists, social workers, counsellors, and aboriginal health education officers) data entry errors in an outpatient electronic documentation system...
December 1, 2016: HIM Journal
Bronwyn Hemsley, Andrew Georgiou, Rob Carter, Sophie Hill, Isabel Higgins, Paulette van Vliet, Susan Balandin
BACKGROUND: People with communication disability often struggle to convey their health information to multiple service providers and are at increased risk of adverse health outcomes related to the poor exchange of health information. OBJECTIVE: The purpose of this article was to (a) review the literature informing future research on the Australian personally controlled electronic health record, 'My Health Record' (MyHR), specifically to include people with communication disability and their family members or service providers, and (b) to propose a range of suitable methodologies that might be applied in research to inform training, policy and practice in relation to supporting people with communication disability and their representatives to engage in using MyHR...
December 2016: HIM Journal
Wen Wang, Xiping Zhao, Jinglei Sun, Guangquan Zhou
BACKGROUND: Once electronic health records (EHRs) have been fully implemented and integrated into the daily work of a healthcare organisation/hospital, there is considerable pressure on management to demonstrate the benefits that these systems can deliver to the organisation. One practical way to maximise the value and highlight the benefits of EHRs is to encourage physicians to increase and extend their use of EHR functions. OBJECTIVE: This study used a social influence theory context to examine the impact of mechanisms of social influence on the intentions of physicians to extend their use of EHRs...
December 2016: HIM Journal
Aiat Shamsa, Agnes Jy Jang, Therese M McGee
BACKGROUND: Instrumental vaginal deliveries (IVDs) account for approximately 11% of births in Australia. Complications resulting from IVD can occasionally be the subject of litigation. The Royal College of Obstetricians and Gynaecologists suggests a standardised pro forma in their guidelines as an aid to accurate and complete IVD documentation. Many units, including ours, use less structured reporting, which is probably also less adequate. AIM: To assess whether the introduction of a dedicated IVD form improves the quality of IVD documentation...
December 2016: HIM Journal
Sofie Wass, Vivian Vimarlund
BACKGROUND: In spite of an increased interest in open innovation and strategies that call for an increased collaboration between different healthcare actors, there is a lack of open innovation research in public contexts. OBJECTIVE: This article presents the results of a review regarding the healthcare sector's engagement in open innovation as well as constraining factors and positive outcomes of open innovation in healthcare. METHOD: The literature search focused on papers published in English between 2003 and 2014...
December 2016: HIM Journal
Stella Rowlands, Steven Coverdale, Joanne Callen
BACKGROUND: Clinical documentation is essential for communication between health professionals and the provision of quality care to patients. OBJECTIVE: To examine medical students' perspectives of their education in documentation of clinical care in hospital patients' medical records. METHOD: A qualitative design using semi-structured interviews with fourth-year medical students was undertaken at a hospital-based clinical school in an Australian university...
December 2016: HIM Journal
Stephen Barnett, Joan Henderson, Adam Hodgkins, Christopher Harrison, Abhijeet Ghosh, Bridget Dijkmans-Hadley, Helena Britt, Andrew Bonney
BACKGROUND: Electronic medical data (EMD) from electronic health records of general practice computer systems have enormous research potential, yet many variables are unreliable. OBJECTIVE: The aim of this study was to compare selected data variables from general practice EMD with a reliable, representative national dataset (Bettering the Evaluation and Care of Health (BEACH)) in order to validate their use for primary care research. METHOD: EMD variables were compared with encounter data from the nationally representative BEACH program using χ (2) tests and robust 95% confidence intervals to test their validity (measure what they reportedly measure)...
October 12, 2016: HIM Journal
Ming-Ling Sher, Paul C Talley, Tain-Junn Cheng, Kuang-Ming Kuo
PURPOSE: The adoption of electronic medical records (EMR) is expected to better improve overall healthcare quality and to offset the financial pressure of excessive administrative burden. However, safeguarding EMR against potentially hostile security breaches from both inside and outside healthcare facilities has created increased patients' privacy concerns from all sides. The aim of our study was to examine the influencing factors of privacy protection for EMR by healthcare professionals...
October 4, 2016: HIM Journal
Mohammad Fararouei, Maryam Marzban, Gholamhossein Shahraki
BACKGROUND AND OBJECTIVE: The incidence of cancer is rising in Iran, and hence it is important to assess the accuracy of the Iranian cancer registry dataset. In this study, the completeness of the cancer registry in the Kohgiluyeh and Boyer-Ahmad (K&B) province is evaluated. METHOD: The data of registered cases of cancer of people who were living in the K&B province at the time of diagnosis were obtained from the provincial cancer registry offices in K&B, Fars and all other neighbouring provinces...
October 4, 2016: HIM Journal
Tilley Pain, Gail Kingston, Janet Askern, Rebecca Smith, Sandra Phillips, Leanne Bell
BACKGROUND: Inpatient care is dependent upon the effective transfer of clinical information across multiple professions. However, documented patient clinical information generated by different professions is not always successfully transferred between them. One obstacle to successful information transfer may be the reader's perception of the information, which is framed in a particular professional context, rather than the information per se. OBJECTIVE: The aim of this research was to investigate how different health professionals perceive allied health documentation and to investigate how clinicians of all experience levels across medicine, nursing and allied health perceive and use allied health notes to inform their decision-making and treatment of patients...
August 29, 2016: HIM Journal
Lisa Hanna, Stephen D Gill, Laura Newstead, Melanie Hawkins, Richard H Osborne
BACKGROUND: Personally controlled electronic health records (PCEHRs) are being implemented throughout Australia; yet few studies have investigated patients' experiences of using a PCEHR. AIM: To explore patients' experiences and perspectives of using a locally developed PCEHR implemented in an Australian health service. METHOD: Twelve patients completed individual semi-structured telephone interviews, which underwent inductive analysis. RESULTS: Participants described two main interdependent advantages of PCEHRs: improved quality of healthcare through better information sharing and enhanced patient capacity for self-management...
August 2, 2016: HIM Journal
Leila Gholamhosseini, Haleh Ayatollahi
BACKGROUND: To date, several models have been developed to evaluate e-health readiness in healthcare organisations; however, no specific tool has been designed to assess or measure e-health readiness. OBJECTIVE: The aim of this research was to design an e-health readiness assessment tool and to apply this tool to two Iranian hospitals to assess their readiness for the implementation of e-health. METHOD: The study, which was undertaken in 2012, consisted of three phases: (i) review of existing models of e-health; (ii) design of an e-health readiness assessment tool; and (iii) trial of the assessment tool in two Iranian hospitals...
August 2, 2016: HIM Journal
Natasha Donnolley, Kerryn Butler-Henderson, Michael Chapman, Elizabeth Sullivan
BACKGROUND: A lack of standard terminology or means to identify and define models of maternity care in Australia has prevented accurate evaluations of outcomes for mothers and babies in different models of maternity care. OBJECTIVE: As part of the Commonwealth-funded National Maternity Data Development Project, a classification system was developed utilising a data set specification that defines characteristics of models of maternity care. METHOD: The Maternity Care Classification System or MaCCS was developed using a participatory action research design that built upon the published and grey literature...
August 2016: HIM Journal
Sean M Randall, Anna M Ferrante, James H Boyd, Adrian P Brown, James B Semmens
BACKGROUND: The statistical linkage key (SLK-581) is a common tool for record linkage in Australia, due to its ability to provide some privacy protection. However, newer privacy-preserving approaches may provide greater privacy protection, while allowing high-quality linkage. OBJECTIVE: To evaluate the standard SLK-581, encrypted SLK-581 and a newer privacy-preserving approach using Bloom filters, in terms of both privacy and linkage quality. METHOD: Linkage quality was compared by conducting linkages on Australian health datasets using these three techniques and examining results...
August 2016: HIM Journal
Virpi Jylhä, David W Bates, Kaija Saranto
OBJECTIVE: This study described information management incidents and adverse event reporting choices of health professionals. METHODS: Hospital adverse events reported in an anonymous electronic reporting system were analysed using directed content analysis and descriptive and inferential statistics. The data consisted of near miss and adverse event incident reports (n = 3075) that occurred between January 2008 and the end of December 2009. RESULTS: A total of 824 incidents were identified...
August 2016: HIM Journal
Olusesan Ayodeji Makinde, Mohammed Ibrahim Mami, Benson Macaulay Oweghoro, Kolawole Azeez Oyediran, Stephanie Mullen
AIM: To describe the process adopted to review the academic curriculum for training health information management professionals in Nigeria. CONTEXT: Health information management professionals are responsible for managing patients' health service records and hospital information systems across health facilities in Nigeria. An assessment found many are inadequately skilled in information and communications technology (ICT) skills believed to be needed for them to play leadership roles in hospital information systems and function effectively...
August 2016: HIM Journal
Qinghua Yang, Michael Beatty
BACKGROUND: Despite the large corpus of literature on the credibility of health information, results of studies that examined the effect sizes for relationships between credibility and expertise/trustworthiness are inconsistent and have drawn attention to the ambiguity and uncertainty that surrounds the relationship between these constructs in the literature. OBJECTIVE: This study aimed to provide an estimate of the magnitude of the relationship between manipulated expertise and trustworthiness in predicting health information credibility and to search for potential moderators of the relationship...
August 2016: HIM Journal
Lieu Thi Thuy Trinh, Helen Achat, Hassan Assareh
OBJECTIVE: To examine the quality of the two routinely collected sets of data, the Incident Information Management System (IIMS) and the health information exchange (HIE) in hospitals in New South Wales, Australia. METHOD: IIMS records indicating a fall and its location were examined. HIE data were examined using International Classification of Diseases (ICD)-10-AM codes W00-W19 and an indicator, 'onset of the condition' for falls in hospital. If onset of the condition was not recorded, ICD-10-AM code for place of occurrence (Y92...
June 15, 2016: HIM Journal
Joanne Callen
Electronic health records and the Internet will continue to transform how information is accessed and shared. Users of health data such as health professionals, governments, policymakers, researchers and patients themselves need to be able to access the right information at the right time and be confident in the quality of that information, whether personal, aggregated or knowledge based. It is essential to evaluate information systems and applications that claim to improve information quality and access in order to provide evidence that they support healthcare delivery and improve patient outcomes...
April 12, 2016: HIM Journal
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