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Healthcare Informatics

A Idri, H Benhar, J L Fernández-Alemán, I Kadi
BACKGROUND AND OBJECTIVE: Datamining (DM) has, over the last decade, received increased attention in the medical domain and has been widely used to analyze medical datasets in order to extract useful knowledge and previously unknown patterns. However, historical medical data can often comprise inconsistent, noisy, imbalanced, missing and high dimensional data. These challenges lead to a serious bias in predictive modeling and reduce the performance of DM techniques. Data preprocessing is, therefore, an essential step in knowledge discovery as regards improving the quality of data and making it appropriate and suitable for DM techniques...
August 2018: Computer Methods and Programs in Biomedicine
Robert Flatman
Harmonization initiatives in laboratory medicine seek to eliminate or reduce illogical variations in service to patients, clinicians and other healthcare professionals. Significant effort will be required to achieve consistent application of terminology, units and reporting across laboratory testing providers. Current variations in practice for nomenclature, reference intervals, flagging, units, standardization and traceability between analytical methods, and presentation of cumulative result data are inefficient and inconvenient, or worse yet, patient safety risks...
June 8, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
Patricia Franklin, Kate Chenok, Danielle Lavalee, Rebecca Love, Liz Paxton, Courtney Segal, Erin Holve
Background: Web-based collection of patient-reported outcome measures (PROMs) in clinical practice is expanding rapidly as electronic health records include web portals for patients to report standardized assessments of their symptoms. As the value of PROMs in patient care expands, a framework to guide the implementation planning, collection, and use of PROs to serve multiple goals and stakeholders is needed. Methods: We identified diverse clinical, quality, and research settings where PROMs have been successfully integrated into care and routinely collected and analyzed drivers of successful implementation...
September 4, 2017: EGEMS
Mahboobeh Zare Moayedi, Azam Aslani, Mostafa Fakhrahmad, Shahrokh Ezzatzadegan J
OBJECTIVES: This study was conducted to develop an android based patient decision aid (PDA) as a self-care instrument for patients after kidney transplant and its usability evaluation. METHODS: In this study, the systematic development process of Android-based self-care application for patients after kidney transplant based on Ottawa standard was included: scoping, assemble steering group, analysis of requirements, designing, develop of a prototype and system evaluation...
2018: Studies in Health Technology and Informatics
Virginia Saba, Luann Whittenburg, Kaija Saranto, William Dan Roberts
The panel focuses on Point-of-Care (POC) solutions for the documentation of nursing practice in electronic health record (EHR) and/or healthcare information technology (HIT) systems using the Clinical Care Classification (CCC) System. The CCC System was developed by Dr. Saba and Colleagues for the electronic documentation of patient care by nurses and allied health professionals and has been approved by American Nurses Association and U.S. Department of Health and Human Services as an interoperable, standardized nursing terminology The unique POC solutions will be described by different nursing informaticians, designers, and implementers who will describe how they document patient care using the CCC System and their impact on care outcomes...
2018: Studies in Health Technology and Informatics
Evelyn Hovenga, Helen Sinnott, Janette Gogler
The need for nurses and midwives to drive the digital transformation of care has been recognised as an important factor in future health care innovation. An Australian Chief Nursing Informatics Officers collaboration is leading the way. They were supported by the three professional organisations who collaboratively developed a National Nursing Informatics position statement. This paper describes the development and use of the elements described in the statement in operationalising Nursing informatics within individual healthcare organisations and for driving national digital transformation initiatives...
2018: Studies in Health Technology and Informatics
Yiqing Zhuang, Xu Chen, Xiaohua Ge
This poster proposes an informatics report system designed to estimate the readiness of Emergency Departments (ED) to overcrowing and readiness of a real-time usage of medical response. This system can be installed with the applications on all kinds of electronic devices approved by the hospital. A automatically system generated electronic report can clearly and organized demonstrate the condition of ED, and offer the data to inform healthcare managers on decision making, and more importantly, improve the patient outcomes...
2018: Studies in Health Technology and Informatics
Ju Wang, Jing Wang, Hongyu Miao, Michael Marschollek, Klaus-Hendrik Wolf, Kerry A Lynch, Yang Gong
Seniors expect to age in place, which means living in their own homes as long as possible with familiar facilities and environments. Due to the capability of continuous and unobtrusive monitoring, the sensor-enhanced in-ho monitoring is regarded as a promising solution to support aging in place. In this paper, by reviewing three influential projects in this field of in-home monitoring for aging in place, we present our opinions and suggestions on the development of informatics-supported aging in place for its practical application in healthcare such as diagnosis and nursing in the era of data science...
2018: Studies in Health Technology and Informatics
P Soares, K Fidler, J Felton, R Tavendale, A Hövels, S A Bremner, C N A Palmer, S Mukhopadhyay
BACKGROUND: Eczema and asthma are chronic diseases with onset usually before the age of 5 years. More than 50% of individuals with eczema will develop asthma and/or other allergic diseases. Several loss-of-function mutations in filaggrin (FLG) have been identified in patients with eczema. However, the association of FLG with healthcare use is unknown. OBJECTIVES: To determine whether FLG mutations are associated with increased prescribing for eczema and asthma and whether increased prescribing is associated with increased healthcare costs...
May 31, 2018: British Journal of Dermatology
Matthew T Harting, Austin Wheeler, Todd Ponsky, Benedict Nwomeh, Chuck L Snyder, Nicholas E Bruns, Aaron Lesher, Samir Pandya, Belinda Dickie, Sohail R Shah
IMPORTANCE: Telemedicine is an emerging strategy for healthcare delivery that has the potential to expand access, optimize efficiency, minimize cost, and enhance patient satisfaction. OBJECTIVE: To review the current spectrum, potential strategies, and implementation process of telemedicine in pediatric surgery. DESIGN: Review and opinion design. SETTING: n/a. PARTICIPANTS: n/a. MAIN OUTCOMES AND MEASURES: n/a...
May 5, 2018: Journal of Pediatric Surgery
Benjamin S Brooke, Stacey L Slager, Douglas S Swords, Charlene R Weir
Care coordination for patients with chronic disease commonly involves multiple transitions between primary care and surgical providers. These transitions often cross healthcare settings, providers, and information systems. We performed a cross-sectional qualitative study to gain a better understanding of the factors that influence how patients and caregivers perceive care coordination during transitions of surgical care. Eight focus groups were conducted among individuals from three different U.S. states who had experienced an episode of surgical care within the past year...
May 23, 2018: Translational Behavioral Medicine
Thomas Nind, James Galloway, Gordon McAllister, Donald Scobbie, Wilfred Bonney, Christopher Hall, Leandro Tramma, Parminder Reel, Martin Groves, Philip Appleby, Alex Doney, Bruce Guthrie, Emily Jefferson
Background: The Health Informatics Centre (HIC) at the University of Dundee provides a service to securely host clinical datasets and extract relevant data for anonymised cohorts to researchers to enable them to answer key research questions. As is common in research using routine healthcare data, the service was historically delivered using ad-hoc processes resulting in the slow provision of data whose provenance was often hidden to the researchers using it. This paper describes the development and evaluation of the Research Data Management Platform (RDMP): an open source tool to load, manage, clean, and curate longitudinal healthcare data for research and provide reproducible and updateable datasets for defined cohorts to researchers...
May 22, 2018: GigaScience
Tiffany C Veinot, Hannah Mitchell, Jessica S Ancker
Health informatics interventions are designed to help people avoid, recover from, or cope with disease and disability, or to improve the quality and safety of healthcare. Unfortunately, they pose a risk of producing intervention-generated inequalities (IGI) by disproportionately benefiting more advantaged people. In this perspective paper, we discuss characteristics of health-related interventions known to produce IGI, explain why health informatics interventions are particularly vulnerable to this phenomenon, and describe safeguards that can be implemented to improve health equity...
May 16, 2018: Journal of the American Medical Informatics Association: JAMIA
Maryam Eslami Jahromi, Leila Ahmadian
OBJECTIVE: Investigating the required infrastructure for the implementation of telemedicine and the satisfaction of target groups improves the acceptance of this technology and facilitates the delivery of healthcare services. The aim of this study was to assess the satisfaction of patients with stutter concerning the therapeutic method and the infrastructure used to receive tele-speech therapy services. METHODS: This descriptive-analytical study was conducted on all patients with stutter aged between 14 and 39 years at Jahrom Social Welfare Bureau (n = 30)...
July 2018: International Journal of Medical Informatics
Mona Choi, Jung A Kim
No abstract text is available yet for this article.
April 2018: Healthcare Informatics Research
Christine Urquhart, Rosemary Currell, Maria J Grant, Nicholas R Hardiker
BACKGROUND: A nursing record system is the record of care that was planned or given to individual patients and clients by qualified nurses or other caregivers under the direction of a qualified nurse. Nursing record systems may be an effective way of influencing nurse practice. OBJECTIVES: To assess the effects of nursing record systems on nursing practice and patient outcomes. SEARCH METHODS: For the original version of this review in 2000, and updates in 2003 and 2008, we searched: the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; MEDLINE, EMBASE, CINAHL, BNI, ISI Web of Knowledge, and ASLIB Index of Theses...
May 15, 2018: Cochrane Database of Systematic Reviews
Anuradha S Shenoy-Bhangle, Ronald L Eisenberg, Tabitha Fineberg, Priscilla J Slanetz
RATIONALE AND OBJECTIVES: With the restructuring of radiology board certification, many residencies created PGY-5 "mini-fellowships," during which residents spend focused time pursuing advanced subspecialty training or developing nonclinical skills in leadership, health policy and health-care economics, education, quality improvement, informatics, research, or global health. We surveyed graduates of an academic diagnostic radiology residency to assess the relative value and impact of PGY-5 mini-fellowships on career satisfaction and success...
June 2018: Academic Radiology
Judy W Gichoya, Marc Kohli, Larry Ivange, Teri S Schmidt, Saptarshi Purkayastha
Open-source development can provide a platform for innovation by seeking feedback from community members as well as providing tools and infrastructure to test new standards. Vendors of proprietary systems may delay adoption of new standards until there are sufficient incentives such as legal mandates or financial incentives to encourage/mandate adoption. Moreover, open-source systems in healthcare have been widely adopted in low- and middle-income countries and can be used to bridge gaps that exist in global health radiology...
May 10, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Peter I Kamel, Paul G Nagy
Fast Healthcare Interoperability Resources (FHIR) is an open interoperability standard that allows external software to quickly search for and access clinical information from the electronic medical record (EMR) in a method that is developer-friendly, using current internet technology standards. In this article, we highlight the new FHIR standard and illustrate how FHIR can be used to offer the field of radiology a more clinically integrated and patient-centered system, opening the EMR to external radiology software in ways unfeasible with traditional standards...
May 3, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Shinji Kobayashi, Thomas B Kane, Chris Paton
OBJECTIVE:  The International Medical Informatics Association (IMIA) Open Source Working Group (OSWG) initiated a group discussion to discuss current privacy and security issues in the open data movement in the healthcare domain from the perspective of the OSWG membership. METHODS:  Working group members independently reviewed the recent academic and grey literature and sampled a number of current large-scale open data projects to inform the working group discussion...
April 22, 2018: Yearbook of Medical Informatics
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