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Journal of Innovation in Health Informatics

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https://www.readbyqxmd.com/read/28430088/informatics-for-health-2017-advancing-both-science-and-practice
#1
Philip J Scott, Ronald Cornet, Colin McCowan, Niels Peek, Paolo Fraccaro, Nophar Geifman, Wouter T Gude, William Hulme, Glen P Martin, Richard Williams
INTRODUCTION: The Informatics for Health congress, 24-26 April 2017, in Manchester, UK, brought together the Medical Informatics Europe (MIE) conference and the Farr Institute International Conference. This special issue of the Journal of Innovation in Health Informatics contains 113 presentation abstracts and 149 poster abstracts from the congress. DISCUSSION: The twin programmes of "Big Data" and "Digital Health" are not always joined up by coherent policy and investment priorities...
April 21, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346128/ethnicity-recording-in-primary-care-computerised-medical-record-systems-an-ontological-approach
#2
Zayd Tippu, Ana Correa, Harshana Liyanage, David Burleigh, Andrew McGovern, Jeremy Van Vlymen, Simon Jones, Simon De Lusignan
BACKGROUND: Ethnicity recording within primary care computerised medical record (CMR) systems is suboptimal, exacerbated by tangled taxonomies within current coding systems.Objective To develop a method for extending ethnicity identification using routinely collected data. METHODS: We used an ontological method to maximise the reliability and prevalence of ethnicity information in the Royal College of General Practitioner's Research and Surveillance database. Clinical codes were either directly mapped to ethnicity group or utilised as proxy markers (such as language spoken) from which ethnicity could be inferred...
March 14, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346133/creating-a-climate-that-catalyses-healthcare-innovation-in-the-united-kingdom-learning-lessons-from-international-innovators
#3
Kathrin Cresswell, Sarah Cunningham-Burley, Aziz Sheikh
BACKGROUND: The United Kingdom (UK) lags behind other high-income countries in relation to technological innovation in healthcare. In order to inform UK strategy on how to catalyse innovation, we sought to understand what national strategies can help to promote a climate for innovation in healthcare settings by extracting lessons for the UK from international innovators. METHODS: We undertook a series of qualitative semi-structured interviews with senior international innovators from a range of health related policy, care/service delivery, commercial and academic backgrounds...
January 25, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346130/defining-health-information-exchange-scoping-review-of-published-definitions
#4
Ather Akhlaq, Aziz Sheikh, Claudia Pagliari
OBJECTIVE: The term Health Information Exchange (HIE) is often used in health informatics, yet uncertainties remain about its precise meaning. This study aimed to capture and analyse existing definitions in order to map variations in its use and the concepts associated with it. METHODS: Systematic literature search to identify published definitions of HIE and equivalent terms such as Clinical Information Exchange. Medline, Web of Science, Library Information Science and Technology Abstracts, EMBASE and CINAHL Plus were searched to identify relevant research, and Google to identify grey literature...
January 25, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346129/health-information-exchange-as-a-complex-and-adaptive-construct-scoping-review
#5
Ather Akhlaq, Aziz Sheikh, Claudia Pagliari
OBJECTIVE: To understand how the concept of Health Information Exchange (HIE) has evolved over time. METHODS:  Supplementary analysis of data from a systematic scoping review of definitions of HIE from 1900 to 2014, involving temporal analysis of underpinning themes. RESULTS: The search identified 268 unique definitions of HIE dating from 1957 onwards; 103 in scientific databases and 165 in Google. These contained consistent themes, representing the core concept of exchanging health information electronically, as well as fluid themes, reflecting the evolving policy, business, organisational and technological context of HIE (including the emergence of HIE as an organisational 'entity')...
January 25, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346134/five-key-recommendations-for-the-implementation-of-hospital-electronic-prescribing-and-medicines-administration-systems-in-scotland
#6
Kathrin Cresswell, Ann Slee, Aziz Sheikh
NHS Scotland is about to embark on the implementation of Hospital Electronic Prescribing and Medicines Administration (HEPMA) systems. There are a number of risks associated with such ventures, thus drawing on existing experiences from other settings is crucial in informing deployment.Drawing on our previous and ongoing work in English settings as well as the international literature, we reflect on key lessons that NHS Scotland may wish to consider in going forward. These deliberations include recommendations surrounding key aspects of deployment strategy surrounding: 1) the way central coordination should be conceptualised, 2) how flexibility in can be ensured, 3) paying attention to optimising systems from the outset, 4) how expertise should be developed and centrally shared, and 5) ways in which learning from experience can be maximised...
January 24, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346132/electronic-health-record-s-effects-on-the-outpatient-office-visit-and-clinical-education
#7
Marie B Sandoval, Mary Val Palumbo, Vicki Hart
BACKGROUND: During an office visit, the provider has the important cognitive task of attending to the patient while actively using the electronic health record (EHR).  Prior literature suggests that EHR may have a positive effect on simple tasks, but a negative effect on tasks that require complex cognitive processes.  No study has examined the provider's perception of EHR on multiple distinct aspects of the office visit. METHODS: We surveyed providers/preceptors regarding their perception of EHR on multiple aspects of the office visit...
January 24, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346131/lack-of-diversity-in-personal-health-record-evaluations-with-older-adult-participants-a-systematic-review-of-literature
#8
Laura Kneale, George Demiris
BACKGROUND: Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users. OBJECTIVE: We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study participants to identify their self-reported needs. METHOD: We searched Medline, CINAHL, PsycINFO, and Embase for PHR evaluation studies that involved older adult participants...
January 15, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28346127/in-this-issue-everything-you-wanted-to-know-about-electronic-health-exchange-diversity-and-ethnicity
#9
Simon De Lusignan
No abstract text is available yet for this article.
January 10, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059698/uk-national-data-guardian-for-health-and-care-s-review-of-data-security-trust-better-security-and-opt-outs
#10
Tom Chan, Concetta Tania Di Iorio, Simon De Lusignan, Daniel Lo Russo, Craig Kuziemsky, Siaw-Teng Liaw
Sharing health and social care data is essential to the delivery of high quality health care as well as disease surveillance, public health, and for conducting research. However, these societal benefits may be constrained by privacy and data protection principles. Hence, societies are striving to find a balance between the two competing public interests. Whilst the spread of IT advancements in recent decades has increased the demand for an increased privacy and data protection in many ways health is a special case...
December 20, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059688/in-this-issue-don-t-make-assumptions-about-integrated-systems-data-quality-utilisation-of-technology-or-access-to-routine-data
#11
Simon De Lusignan
No abstract text is available yet for this article.
December 16, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059696/can-i-help-you-information-sharing-in-online-discussion-forums-by-people-living-with-a-long-term-condition
#12
Carol S Bond, Osman Hassan Ahmed
BACKGROUND: Peer-to-peer health care is increasing, especially amongst people living with a long-term condition. How information is shared is, however, sometimes of concern to health care professionals. OBJECTIVE: This study explored what information is being shared on health-related discussion boards and identified the approaches people used to signpost their peers to information. METHODS: This study was conducted using a qualitative content analysis methodology to explore information shared on discussion boards for people living with diabetes...
November 10, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059695/a-systematic-scoping-review-of-the-domains-and-innovations-in-secondary-uses-of-digitised-health-related-data
#13
Ann R R Robertson, Ulugbek Nurmatov, Harpreet S Sood, Kathrin Cresswell, Pam Smith, Aziz Sheikh
BACKGROUND: Substantial investments are being made in health -information -technology (HIT) based on assumptions that these systems will save costs through increased quality, safety and efficiency of care provision. Whilst -short-term -benefits have often proven difficult to demonstrate, there is increasing interest in achieving benefits in the medium and long term through secondary uses of -HIT-derived data. AIMS: We aimed to describe the range of secondary uses of HIT-derived data in the international literature and identify innovative developments of particular relevance to UK policymakers and managers...
November 10, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059693/tightrope-walking-towards-maximising-secondary-uses-of-digitised-health-data-a-qualitative-study
#14
Ann R R Robertson, Pam Smith, Harpreet S Sood, Kathrin Cresswell, Ulugbek Nurmatov Nurmatov, Aziz Sheikh
BACKGROUND: Timely progress with attaining benefits from Health Information Technology (HIT) investments requires UK policymakers and others to negotiate challenges in developing structures and processes to catalyse the trustworthy secondary uses of HIT-derived data. AIMS: We aimed to uncover expert insights into perceived barriers and facilitators for maximising safe and secure secondary uses of HIT-derived data in the UK. METHODS: We purposively selected individuals from a range of disciplines in the UK and abroad to participate in a thematically analysed, semi-structured interview study...
October 12, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059692/implementation-of-data-management-and-effect-on-chronic-disease-coding-in-a-primary-care-organisation-a-parallel-cohort-observational-study
#15
Michelle Greiver, Kimberly Wintemute, Babak Aliarzadeh, Ken Martin, Shahriar Khan, Dave Jackson, Jannet Leggett, Anita Lambert-Lanning, Maggie Siu
BACKGROUND: Consistent and standardized coding for chronic conditions is associated with better care; however, coding may currently be limited in electronic medical records (EMRs) used in Canadian primary care.Objectives To implement data management activities in a community-based primary care organisation and to evaluate the effects on coding for chronic conditions. METHODS: Fifty-nine family physicians in Toronto, Ontario, belonging to a single primary care organisation, participated in the study...
October 12, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059694/visualization-approaches-to-support-healthy-aging-a-systematic-review
#16
Uba Backonja, Nai-Ching Chi, Yong Choi, Amanda K Hall, Thai Le, Youjeong Kang, George Demiris
BACKGROUND: Health technologies have the potential to support the growing number of older adults who are aging in place. Many tools include visualizations (data visualizations, visualizations of physical representations). However, the role of visualizations in supporting aging in place remains largely unexplored. OBJECTIVE: To synthesize and identify gaps in the literature evaluating visualizations (data visualizations and visualizations of physical representations), for informatics tools to support healthy aging...
October 10, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059697/digital-literacy-knowledge-and-needs-of-pharmacy-staff-a-systematic-review
#17
Katie MacLure, Derek Stewart
OBJECTIVE: To explore the digital literacy knowledge and needs of pharmacy staff including pharmacists, graduate (pre-registration) pharmacists, pharmacy technicians, dispensing assistants and medicine counter assistants. METHODS: A systematic review was conducted following a pre-published protocol. Two reviewers systematically performed the reproducible search, followed by independent screening of titles/abstracts then full papers, before critical appraisal and data extraction...
October 7, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059691/establishing-data-intensive-healthcare-the-case-of-hospital-electronic-prescribing-and-medicines-administration-systems-in-scotland
#18
Kathrin Cresswell, Pam Smith, Charles Swainson, Angela Timoney, Aziz Sheikh
BACKGROUND: Creating learning health systems, characterised by the use and repeated reuse of demographic, process and clinical data to improve the safety, quality and efficiency of care, is a key aim in realising the potential benefits and efficiency savings associated with the implementation of health information technology. OBJECTIVES: We sought to investigate stakeholder perspectives on and experiences of the implementation of hospital electronic prescribing and medicines administration (HEPMA) systems in Scotland and use these to inform political decisions on approaches to promoting the use and reuse of digitised prescribing and medication administration data in order to improve care processes and outcomes...
October 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059689/an-integrated-health-neighbourhood-framework-to-optimise-the-use-of-ehr-data
#19
Siaw-Teng Liaw, Simon De Lusignan
 General practice should become the hub of integrated health neighbourhoods (IHNs), which involves sharing of information to ensure that medical homes are also part of learning organisations that use electronic health record (EHR) data for care, decision making, teaching and learning, quality improvement and research. The IHN is defined as the primary and ambulatory care services in a locality that relates largely to a single hospital-based secondary care service provider and is the logical denominator and unit of comparison for the optimal use of EHR data and health information exchange (HIE) to facilitate integration and coordination of care...
October 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28059690/accuracy-of-screening-tools-for-pap-smears-in-general-practice
#20
Catherine Harding, Alexa Seal, Louis Pilotto, Ken Mackey, Geraldine Duncan, Ronald Huynh, Robert McWilliam, Stephanie Blake
BACKGROUND: Data extraction tools (DETs) are increasingly being used for research and audit of general practice, despite their limitations.Objective This study explores the accuracy of Pap smear rates obtained with a DET compared to that of the Pap smear rate obtained with a manual file audit. METHOD: A widely available DET was used to establish the rate of Pap smears in a large multi-general practice (multi-GP) in regional New South Wales followed by a manual audit of patient files...
September 13, 2016: Journal of Innovation in Health Informatics
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