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Computers, Informatics, Nursing: CIN

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https://www.readbyqxmd.com/read/28582315/application-of-clinical-intelligence-to-streamline-care-in-aortic-emergencies
#1
Susan K Moats, B Jeffery Richard
This article discusses the lessons learned by an interdisciplinary team in a large metropolitan specialty hospital during the implementation of the Code Aorta protocol for aortic emergencies and the subsequent application of technological enhancements to improve data transfer. Aortic dissections require rapid diagnosis and surgical treatment; thus, in order to optimize patient outcomes, clinicians must be accessible, data must be readily available, and proper prompts and notifications must be made to alert and ready teams...
June 3, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28570286/design-and-implementation-of-the-intensive-care-unit-quality-management-registry-monitoring-quality-and-cost-of-an-adult-intensive-care-unit-in-a-greek-state-hospital
#2
Dimitrios Kosmidis, Sotiria Koutsouki, Klairi Lampiri, Eva Ottilia Nagy, Vasilios Papaioannou, Ioannis Pneumatikos, George Anastassopoulos
Intensive care electronic registries have been instrumental in quality measurement, improvement, and assurance of intensive care. In this article, the development and pilot implementation of the Intensive Care Unit Quality Management Registry are described, with a particular focus on monitoring the quality and operational cost in an adult ICU at a northern Greek state hospital. A relational database was developed for a hospital ICU so that qualitative and financial data are recorded for further analysis needed for planning quality care improvement and enhanced efficiency...
May 31, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28570285/symptomcare-home-developing-an-integrated-symptom-monitoring-and-management-system-for-outpatients-receiving-chemotherapy
#3
Susan L Beck, Linda H Eaton, Christina Echeverria, Kathi H Mooney
SymptomCare@Home, an integrated symptom monitoring and management system, was designed as part of randomized clinical trials to help patients with cancer who receive chemotherapy in ambulatory clinics and often experience significant symptoms at home. An iterative design process was informed by chronic disease management theory and features of assessment and clinical decision support systems used in other diseases. Key stakeholders participated in the design process: nurse scientists, clinical experts, bioinformatics experts, and computer programmers...
May 31, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28557810/using-quick-response-codes-in-the-classroom-quality-outcomes
#4
Joyce Zurmehly, Kellie Adams
With smart device technology emerging, educators are challenged with redesigning teaching strategies using technology to allow students to participate dynamically and provide immediate answers. To facilitate integration of technology and to actively engage students, quick response codes were included in a medical surgical lecture. Quick response codes are two-dimensional square patterns that enable the coding or storage of more than 7000 characters that can be accessed via a quick response code scanning application...
May 27, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28548973/beneficial-effects-of-two-types-of-personal-health-record-services-connected-with-electronic-medical-records-within-the-hospital-setting
#5
Jisan Lee, James G Boram Kim, Meiling Jin, Kiwhan Ahn, Byungjun Kim, Sukwha Kim, Jeongeun Kim
Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system-called the Consumer-centered Open Personal Health Record platform-is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups...
May 26, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28541965/increasing-health-portal-utilization-in-cardiac-ambulatory-patients-a-pilot-project
#6
Carmen L Shaw, Gayle L Casterline, Dennis Taylor, Maureen Fogle, Bradi Granger
Increasing health portal participation actively engages patients in their care and improves outcomes. The primary aim for this project was to increase patient health portal utilization. Nurses used a tablet-based demo to teach patients how to navigate the health portal. Assigning health videos to the portal was a tactic used to increase utilization. Each patient participant was surveyed about health portal utilization at initial nurse navigator appointment, day of procedure, and 30 days after discharge. Seventy-three percent (n = 14) of the 19 selected patients received the intervention; 36% (n = 4) of patients reported using a health portal feature; meaningful use metric preintervention increased from 12% to 16% after the intervention; 16% and 18% of patients viewed assigned videos in their health portal prior to procedure and after hospital discharge...
May 25, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28481754/user-centered-design-experience-and-usability-of-an-electronic-consent-user-interface-to-facilitate-informed-decision-making-in-a-hiv-clinic
#7
S Raquel Ramos
Health information exchange is the electronic accessibility and transferability of patient medical records across various healthcare settings and providers. In some states, patients have to formally give consent to allow their medical records to be electronically shared. The purpose of this study was to apply a novel user-centered, multistep, multiframework approach to design and test an electronic consent user interface, so patients with HIV can make more informed decisions about electronically sharing their health information...
May 5, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28471763/nurses-perception-of-challenges-in-the-use-of-an-electronic-nursing-documentation-system
#8
Khadijeh Heidarizadeh, Maryam Rassouli, Houman Manoochehri, Mansoureh Zagheri Tafreshi, Reza Kashef Ghorbanpour
This qualitative study was based on the Technology Acceptance Model and conducted through directed content analysis to explore perceptions of nurses in Iran of the challenges of using an electronic documentation system. Participants were selected through purposive sampling via interview from a teaching hospital in western Iran. Data were analyzed using MAXQDA 10. Data consistency was ensured through validation methods and by the researcher's prolonged engagement in the subject. Twelve codes, four subcategories, and two main categories ("perceived usefulness" and "perceived difficulty") emerged from the analysis of the data based on the Technology Acceptance Model...
May 3, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28471762/development-of-a-smartphone-application-to-monitor-pediatric-patient-reported-outcomes
#9
Jingting Wang, Nengliang Aaron Yao, Yanyan Liu, Zhaohui Geng, Yuanyuan Wang, Nanping Shen, Xiaoyan Zhang, Min Shen, Changrong Yuan
Patient-reported outcomes are increasingly emphasized in clinical trials and population health studies. Our research team developed a smartphone app to track patient-reported outcomes of children with chronic diseases. The purpose of this study is to develop a patient-reported outcome reporting app and evaluate its usability. A multidisciplinary research team including health services researchers, pediatric nurses, and software engineers worked collaboratively in developing the patient-reported outcome app and administration portal...
May 3, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28445172/telehealth-intensive-care-unit-nurse-surveillance-of-sepsis
#10
Teresa A Rincon, E LaVerne Manos, Janet D Pierce
The purpose of this article is to describe the usability and human factors engineering standards used in development of a sepsis alert known as the sepsis prompt. Sensory processing, cognitive processing, signal detection, criterion response, and user satisfaction were evaluated with controlled user testing and critical incident response techniques. Nurses reported that the sepsis prompt was visible and distinct, making it easily detectable. The prompt provided a clear response mechanism and adequately balanced the number of false alerts with the likelihood of misses...
April 25, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28445171/identification-of-depressive-signs-in-patients-and-their-family-members-during-ipad-based-audiovisual-sessions
#11
Carol E Smith, Marilyn Werkowitch, Donna Macan Yadrich, Noreen Thompson, Eve-Lynn Nelson
Home parenteral nutrition requires a daily life-sustaining intravenous infusion over 12 hours. The daily intravenous infusion home care procedures are stringent, time-consuming tasks for patients and family caregivers who often experience depression. The purposes of this study were (1) to assess home parenteral nutrition patients and caregivers for depression and (2) to assess whether depressive signs can be seen during audiovisual discussion sessions using an Apple iPad Mini. In a clinical trial (N = 126), a subsample of 21 participants (16...
April 25, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28445170/using-an-ipad-for-basic-communication-between-spanish-speaking-families-and-nurses-in-pediatric-acute-care-a-feasibility-pilot-study
#12
Kylie H Jackson, Sandra J Mixer
The growing number of Spanish speakers in the United States poses communication challenges for healthcare providers. Language barriers in pediatric acute care have been associated with an increased risk for adverse events, longer hospital stays, and decreased quality of care. In addition, clinicians' usage of interpreter services is inconsistent. In fact, nurses often lack interpreter support during daily bedside care. Nursing staff at a pediatric children's hospital in the southeastern United States identified bedside communication with Spanish-speaking patients and families as a clinical challenge...
April 25, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28353465/assessing-impressions-of-community-health-worker-use-of-tablet-based-medication-documentation-software
#13
Victoria L Tiase, Patricia Peretz, Anne Marie Biernacki, Patricia S Meisner, Crystal Cartwright, Carmen Cruz, Gilad J Kuperman
Community health workers, an important and emerging role in the evolution of the care delivery system, are uniquely positioned to play a vital role in information gathering and exchange. NewYork-Presbyterian Hospital carried out a feasibility study to assess community health worker use and impressions of a medication documentation application that runs on a tablet. The nine community health workers successfully collected data on 16 patients in the home setting. On average, 10 medications were collected per patient, and the average time to collect the medication data was 1 hour...
March 29, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28591066/understanding-nurses-strategies-to-handle-un-wanted-nurse-calls-a-resilience-perspective
#14
(no author information available yet)
No abstract text is available yet for this article.
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28591065/the-evolution-of-the-tiger-initiative
#15
Toria Shaw, Joyce Sensmeier, Christel Anderson
No abstract text is available yet for this article.
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28591064/clinical-documentation-improvement-and-nursing-informatics
#16
Nancy C Brazelton, Michelle C Knuckles, Ann M Lyons
No abstract text is available yet for this article.
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28195836/understanding-nurses-strategies-to-handle-un-wanted-nurse-calls-a-resilience-perspective
#17
Joakim Klemets, Tor Erik Evjemo
Nurse calls in a hospital can constitute either positive or negative (wanted or unwanted) interruptions depending on various factors. This study aims to understand nurses' strategies in facilitating the reception of wanted nurse calls and the restriction of unwanted nurse calls. Applying a resilience engineering perspective, nurses' performance variability is investigated as a basis to design appropriate computer support to enhance efficiency and patient safety. A qualitative case study was conducted for a period of 4 years with focus on nurses' use of a wireless nurse call system at a Norwegian university hospital...
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28060182/evaluating-nurses-satisfaction-with-two-nursing-information-systems
#18
Reza Khajouei, Reza Abbasi
Evaluating user satisfaction is one of the methods to ensure the usability of information systems. Considering the importance of nursing information systems in patient health, the objective of this study is to evaluate nurses' satisfaction with two widely used nursing information systems (Peyvand Dadeh and Tirazhe) in Iran. This descriptive-analytical study was done on 230 nurses in all teaching hospitals of Kerman University of Medical Sciences in 2015. Data were collected using an augmented version of a questionnaire developed by IBM...
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28005564/usability-evaluation-and-implementation-of-a-health-information-technology-dashboard-of-evidence-based-quality-indicators
#19
Mark Christopher Schall, Laura Cullen, Priyadarshini Pennathur, Howard Chen, Keith Burrell, Grace Matthews
Health information technology dashboards that integrate evidence-based quality indicators can efficiently and accurately display patient risk information to promote early intervention and improve overall quality of patient care. We describe the process of developing, evaluating, and implementing a dashboard designed to promote quality care through display of evidence-based quality indicators within an electronic health record. Clinician feedback was sought throughout the process. Usability evaluations were provided by three nurse pairs and one physician from medical-surgical areas...
June 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28005563/evaluation-of-a-novel-communication-application-from-nurses-perspectives
#20
Rebecca S Koszalinski, Ruth M Tappen, Tracey Melhuish, Valarie Grumme
The purpose of this article is to report usability of a computer application, Speak for Myself, from nurses' perspectives. This was a one-group exploratory survey. Nurses included patients in the study who were older than 18 years, could write and speak English, were unable to verbalize needs for any reason, and had a specified sedation-agitation scale (-1 to +1). Patients were excluded if they were younger than 18, could not write and/or speak English, or had a Richmond Agitation-Sedation Scale score exceeding -1 to +1...
June 2017: Computers, Informatics, Nursing: CIN
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