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Health information system

Aled Jones, Ben Hannigan, Michael Coffey, Alan Simpson
CONTEXT: In response to political and social factors over the last sixty years mental health systems internationally have endeavoured to transfer the delivery of care from hospitals into community settings. As a result, there has been increased emphasis on the need for better quality care planning and care coordination between hospital services, community services and patients and their informal carers. The aim of this systematic review of international research is to explore which interventions have proved more or less effective in promoting personalized, recovery oriented care planning and coordination for community mental health service users...
2018: PloS One
John Kandulu, Peter Thorburn, Jody Biggs, Kirsten Verburg
Use of chemical agricultural inputs such as nitrogen fertilisers (N) in agricultural production can cause diffuse source pollution thereby degrading the health of coastal and marine ecosystems in coastal river catchments. Previous reviewed economic assessments of N management in agricultural production seldom consider broader environmental impacts and uncertain climatic and economic conditions. This paper presents an economic risk framework for assessing economic and environmental trade-offs of N management strategies taking into account variable climatic and economic conditions...
June 19, 2018: Journal of Environmental Management
Maayan Nagar, Drew Westen, Ora Nakash
BACKGROUND: Prominent psychiatric diagnostic systems such as the DSM-IV and ICD-10 have shown low reliability in clinical practice. An alternative approach to classification of psychiatric disorders is prototype matching. In the current study, we examined reliability of assessing mood, anxiety and personality disorders using a multi-method multi informant approach. More specifically, we examined diagnosis made by treating clinician and independent expert clinical interviewer, using three different diagnostic systems (DSM symptom count, DSM-IV prototype diagnosis and empirically derived prototype diagnosis)...
June 9, 2018: Comprehensive Psychiatry
Catherine A Hennessey, Vrunda K Patel, Eshetu A Tefera, Veronica Gomez-Lobo, Catherine A Hennessey, Vrunda K Patel, Eshetu A Tefera, Veronica Gomez-Lobo
STUDY OBJECTIVE: Our goal was to describe the period prevalence of VTE and characterize adolescent female patients diagnosed with VTE by describing their age, race, and number of comorbidities. Adolescent females with estrogen exposure were of particular interest since estrogen-containing contraception increases the risk of VTE. DESIGN, SETTING, PARTICIPANTS: We queried the Pediatric Health Information System database for International Classification of Diseases, Ninth/Tenth Revision, Clinical Modification codes to identify females aged twelve to eighteen years old diagnosed with a VTE or PE from April 2006 - March 2016 in the United States...
June 19, 2018: Journal of Pediatric and Adolescent Gynecology
Noelle E Carlozzi, Phillip A Ianni, David S Tulsky, Tracey A Brickell, Rael T Lange, Louis M French, David Cella, Michael A Kallen, Jennifer A Miner, Anna L Kratz
OBJECTIVE: To examine the reliability and validity of Patient Reported Outcomes Measurement Information System (PROMIS) measures of sleep disturbance and fatigue in TBI caregivers and to determine the severity of fatigue and sleep disturbance in these caregivers. DESIGN: Cross-sectional survey data collected through an online data capture platform. SETTING: Four rehabilitation hospitals and Walter Reed National Military Medical Center. PARTICIPANTS: Caregivers (N=560) of civilians (n=344) and service member/veterans (n=216) with TBI...
June 19, 2018: Archives of Physical Medicine and Rehabilitation
Tim Gomersall
This article explores the potential of complex adaptive systems theory to inform behaviour change research. A complex adaptive system describes a collection of heterogeneous agents interacting within a particular context, adapting to each other's actions. In practical terms, this implies that behaviour change is 1) socially and culturally situated; 2) highly sensitive to small baseline differences in individuals, groups, and intervention components; and 3) determined by multiple components interacting "chaotically"...
June 22, 2018: Health Psychology Review
Eneliis Kattel, Balpreet Kaur, Marina Trapido, Niina Dulova
Amoxicillin (AMX), a widely used beta-lactam antibiotic, belongs to the World Health Organization's list of essential medicines. This subsequently causes its long-term presence in the environment and therefore, affects different environmental compartments. In this research, the degradation and mineralisation of AMX by UVC-activated persulfate-based treatment in various aqueous media was assessed. The degradation of the target compound was in accordance with the pseudo-first-order reaction kinetics in all the UVC-induced systems...
June 22, 2018: Environmental Technology
Susan Persky, Megan R Goldring, Rachel W Cohen
AIM: An exploratory survey assessed the influence of current and potential future genomic applications for weight management on individuals' desires to address weight management within primary care. Materials & methods: A convenience sample of 714 US adults aged 18-70 completed an online survey that presented three scenarios: no genomic information; current genomic capabilities; and potential future applications of genomics for weight management. RESULTS: Participants had increased interest in weight management assistance through primary care when considering genomic applications in weight management, p (1,1...
June 22, 2018: Personalized Medicine
Suzanne G Pitama, Suetonia C Palmer, Tania Huria, Cameron Lacey, Tim Wilkinson
CONTEXT: The effectiveness of cultural competency education in improving health practitioner proficiency and addressing health inequities for minoritised patient groups is uncertain. Identification of institutional factors that shape or constrain development of indigenous health curricula may provide insights into the impact of these factors on the broader cultural competency curricula. METHODS: We undertook a systematic review using actor-network theory to inform our interpretive synthesis of studies that reported indigenous health curricula evaluated within medical, nursing and allied health education...
June 22, 2018: Medical Education
Karen Head, Kornkiat Snidvongs, Simon Glew, Glenis Scadding, Anne Gm Schilder, Carl Philpott, Claire Hopkins
BACKGROUND: Allergic rhinitis is a common condition affecting both adults and children. Patients experience symptoms of nasal obstruction, rhinorrhoea, sneezing and nasal itching, which may affect their quality of life.Nasal irrigation with saline (salty water), also known as nasal douching, washing or lavage, is a procedure that rinses the nasal cavity with isotonic or hypertonic saline solutions. It can be performed with low positive pressure from a spray, pump or squirt bottle, with a nebuliser or with gravity-based pressure in which the person instils saline into one nostril and allows it to drain out of the other...
June 22, 2018: Cochrane Database of Systematic Reviews
Benjamin D Diplock, Kaitlin M C McGarragle, Willem A Mueller, Sana Haddad, Rachel Ehrlich, Dong-Hyun A Yoon, Xingshan Cao, Yaseen Al-Allaq, Paul Karanicolas, Margaret I Fitch, Jeff Myers, Alex J Mitchell, Janet W M Ellis
PURPOSE: We aimed to assess the impact of implementing Edmonton Symptom Assessment System (ESAS) screening on health-related quality of life (HRQoL) and patient satisfaction with care (PSC) in ambulatory oncology patients. ESAS is now a standard of care in Ontario cancer centers, with the goal of improving symptom management in cancer patients, yet few studies examine impact of ESAS on patient outcomes. METHODS: We compared ambulatory oncology patients who were not screened prior to ESAS site implementation (2011-2012), to a similar group who were screened using ESAS after site implementation (2012-2013), to examine between-group differences in patient HRQoL, PSC outcomes, and supportive care needs (Supportive Care Service Survey)...
June 21, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Liang Chen, Austin F Lee, Gabriel D Shapiro, Jeremy Goverman, Nicholas Faoro, Jeffrey C Schneider, Lewis E Kazis, Colleen M Ryan
Patient Reported Outcome Measures (PROMs) are useful for understanding the health needs and outcomes of the general public. We aim to develop a burn-specific metric-Adult Burn Outcome Questionnaire (ABOQ)-that is brief and can be administered electronically to all burn survivors over the age of 18. The 14-item ABOQ was developed from the already validated Young Adult Burn Outcome Questionnaire (YABOQ) long form. The ABOQ questionnaire, along with Patient-Reported Outcomes Measurement System-10 (PROMIS-10), was administered to 120 outpatient burn survivors at three hospitals...
December 6, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chester Fox
Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery. Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach...
July 4, 2017: EGEMS
Michael M Segal, Alanna K Rahm, Nathan C Hulse, Grant Wood, Janet L Williams, Lynn Feldman, Gregory J Moore, David Gehrum, Michelle Yefko, Steven Mayernick, Roger Gildersleeve, Margie C Sunderland, Steven B Bleyl, Peter Haug, Marc S Williams
Introduction: Reducing misdiagnosis has long been a goal of medical informatics. Current thinking has focused on achieving this goal by integrating diagnostic decision support into electronic health records. Methods: A diagnostic decision support system already in clinical use was integrated into electronic health record systems at two large health systems, after clinician input on desired capabilities. The decision support provided three outputs: editable text for use in a clinical note, a summary including the suggested differential diagnosis with a graphical representation of probability, and a list of pertinent positive and pertinent negative findings (with onsets)...
December 6, 2017: EGEMS
Matthew Phelan, Nrupen A Bhavsar, Benjamin A Goldstein
Electronic health record (EHR) data are becoming a primary resource for clinical research. Compared to traditional research data, such as those from clinical trials and epidemiologic cohorts, EHR data have a number of appealing characteristics. However, because they do not have mechanisms set in place to ensure that the appropriate data are collected, they also pose a number of analytic challenges. In this paper, we illustrate that how a patient interacts with a health system influences which data are recorded in the EHR...
December 6, 2017: EGEMS
Sean P Mikles, Jennifer L Wiltz, Lori Reed-Fourquet, Ian S Painter, William B Lober
Context: Obesity is a significant health issue in the United States that both clinical and public health systems struggle to address. Electronic health record data could help support multi-sectoral interventions to address obesity. Standards have been identified and created to support the electronic exchange of weight-related data across many stakeholder groups. Case Description: The Centers for Disease Control and Prevention initiated a public-private partnership including government, industry, and academic technology partners to develop workflow scenarios and supporting systems to exchange weight-related data through standard transactions...
December 6, 2017: EGEMS
Francesc Lopez Segui, Carme Pratdepadua Bufill, Nuria Abdon Gimenez, Jordi Martinez Roldan, Francesc Garcia Cuyas
BACKGROUND: In Catalonia, the Fundació TIC Salut Social's mHealth Office created the AppSalut Site to showcase to mobile apps in the field of health and social services. Its primary objective was to encourage the public to look after their health. The catalogue allows primary health care doctors to prescribe certified, connected apps, which guarantees a safe and reliable environment for their use. The generated data can be consulted by health care professionals and included in the patient's clinical history...
June 21, 2018: JMIR MHealth and UHealth
J D Roth, B M Whittam, A E Carroll, K M Szymanski, R Misseri, M P Cain, W E Bennett
INTRODUCTION AND BACKGROUND: Hypospadias is a common birth defect. It is present in about 34.2 in 10,000 live births in North America. However, few studies have evaluated the immediate reoperation and readmission rates following elective repair. OBJECTIVE: This study aimed to define the rates of readmission and reoperation following elective hypospadias repair, to improve pre-operative counseling on risks of the procedure. STUDY DESIGN: The Pediatric Health Information System (PHIS) was interrogated from 2004 to 2015 for all elective hypospadias repairs (ICD-9-CM code 58...
June 6, 2018: Journal of Pediatric Urology
Vijaya M Vemulakonda, Ruth A Bush, Michael G Kahn
BACKGROUND: The electronic health record (EHR) was designed as a clinical and administrative tool to improve clinical patient care. Electronic healthcare systems have been successfully adopted across the world through use of government mandates and incentives. METHODS: Using electronic health record, health information system, electronic medical record, health information systems, research, outcomes, pediatric, surgery, and urology as initial search terms, the literature focusing on clinical documentation data capture and the EHR as a potential resource for research related to clinical outcomes, quality improvement, and comparative effectiveness was reviewed...
June 9, 2018: Journal of Pediatric Urology
Barbara Nussbaumer-Streit, Ludwig Grillich, Anna Glechner, Lisa Affengruber, Gerald Gartlehner, Johannes Morche, Jörg J Meerpohl
In healthcare, the processes, criteria, and evidence that decision makers use to reach their judgments often remain unclear. Decision makers sometimes neglect important criteria, give undue weight to criteria, or do not use the best available evidence to inform their judgments. Thus, the GRADE (Grading of Recommendations Assessment, Development and Evaluation) working group developed a system, to support transparent decision making. The purpose of the Evidence-to-Decision (EtD) framework is to help people use evidence in a structured and transparent way to inform decisions in the context of clinical recommendations, coverage decisions, and health system, or public health recommendations and decisions...
June 18, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
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