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https://www.readbyqxmd.com/read/29681027/terminology-services-standard-terminologies-to-control-health-vocabulary
#1
Fernán González Bernaldo de Quirós, Carlos Otero, Daniel Luna
Healthcare Information Systems should capture clinical data in a structured and preferably coded format. This is crucial for data exchange between health information systems, epidemiological analysis, quality and research, clinical decision support systems, administrative functions, among others. Structured data entry is an obstacle for the usability of electronic health record (EHR) applications and their acceptance by physicians who prefer to document patient EHRs using "free text". Natural language allows for rich expressiveness but at the same time is ambiguous; it has great dependence on context and uses jargon and acronyms...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29677960/electronic-health-records-from-the-management-of-patients-to-the-research-use-of-clinical-data
#2
Barbara Giannini, Francesco Curtaz, Filippo Del Puente, Antonio Di Biagio, Mauro Giacomini
Paper based medical records are still widespread in Italian hospitals and the workflow to manage outpatients' visits is critical. Too many isolated software programs coexist in hospital wards and cause confusion and disorganization. A computerized medical record that unifies all the data contained in the various applications should be of fundamental importance in supporting physician's daily activities. Moreover, with the digital clinical record, data can be re-used for research purposes. The aim of this project is to create a web application for the management of outpatient visits to the Infectious Diseases Unit of the San Martino Hospital in Genoa...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677957/standardising-the-development-of-odm-converters-the-odmtoolbox
#3
Iñaki Soto-Rey, Philipp Neuhaus, Philipp Bruland, Sophia Geßner, Julian Varghese, Stefan Hegselmann, Tobias Brix, Martin Dugas, Michael Storck
CDISC's Operational Data Model (ODM) is a flexible standard for exchanging and archiving metadata and subject clinical data in clinical trials. The Portal of Medical Data Models (MDM-Portal) uses ODM to store more than 15000 medical forms. As not every electronic health system accepts ODM as input format, there is a need for conversion between ODM and other data standards and formats. This research proposes a standardised template-based process to develop ODM converters. So far, ten converters have been developed and integrated in the MDM-Portal following this process and new ones should be included soon...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29662433/palmitoylethanolamide-ameliorates-hippocampal-damage-and-behavioral-dysfunction-after-perinatal-asphyxia-in-the-immature-rat-brain
#4
María I Herrera, Lucas D Udovin, Nicolás Toro-Urrego, Carlos F Kusnier, Juan P Luaces, Francisco Capani
Perinatal asphyxia (PA) is an obstetric complication associated with an impaired gas exchange. This health problem continues to be a determinant of neonatal mortality and neurodevelopmental disorders. Palmitoylethanolamide (PEA) has exerted neuroprotection in several models of brain injury and neurodegeneration. We aimed at evaluating the potential neuroprotective role of PEA in an experimental model, which induces PA in the immature rat brain. PA was induced by placing Sprague Dawley newborn rats in a water bath at 37°C for 19 min...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29661107/implementation-of-health-information-exchange-at-the-pima-county-adult-detention-complex-lessons-learned
#5
Alyssa Hinchman, Sara Hodges, James Backus, Terri Warholak
Successful transition of patients between health care entities is difficult. Historically, the process of transitioning individuals through the corrections system with regard to health care was made even more challenging by the limitation of paper records. Recently, the advent of electronic medical records has improved health care nationwide. The use of health information exchange (HIE) systems in areas such as emergency medicine has also impacted patient outcomes. To date, this technology has not been used in the corrections system...
April 2018: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/29625949/optimizing-electronic-consultation-between-primary-care-providers-and-psychiatrists-mixed-methods-study
#6
Jennifer M Hensel, Rebecca Yang, Minnie Rai, Valerie H Taylor
BACKGROUND: The use of electronic consultation (e-consult) between primary care providers (PCPs) and psychiatrists has potential, given the high prevalence of mental health issues in primary care and problematic access to specialist care. Utilization and uptake, however, appears to be lower than would be expected. OBJECTIVE: This study aimed to examine actual utilization of e-consult between PCPs and psychiatrists and investigate the perceptions of PCPs about this form of psychiatric advice to inform how to optimize the utility and thereby the uptake of this service...
April 6, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29625912/integrating-a-health-information-exchange-into-a-community-pharmacy-transitions-of-care-service
#7
Frank A Fanizza, Janelle F Ruisinger, Emily S Prohaska, Brittany L Melton
OBJECTIVE: To describe the incorporation of a state health information exchange (HIE) into a community pharmacy transitions of care (TOC) service and to assess its impact on 30-day readmission rates. SETTING: Three suburban community pharmacies in Olathe, Kansas. PRACTICE DESCRIPTION: Balls Food Stores is a grocery store chain which operates 21 supermarket community pharmacies in the Kansas City metropolitan area. PRACTICE INNOVATION: Balls Food Stores launched a pharmacist-led self-referral TOC study in which a state HIE was utilized to collect discharge information from patients' electronic medical records (EMRs) to facilitate TOC comprehensive medication reviews (CMRs)...
April 3, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29618941/implementing-a-social-knowledge-networking-skn-system-to-enable-meaningful-use-of-an-ehr-medication-reconciliation-system
#8
Pavani Rangachari
Background: Despite the regulatory impetus toward meaningful use of electronic health record (EHR) Medication Reconciliation (MedRec) to prevent medication errors during care transitions, hospital adherence has lagged for one chief reason: low physician engagement, stemming from lack of consensus about which physician is responsible for managing a patient's medication list. In October 2016, Augusta University received a 2-year grant from the Agency for Healthcare Research and Quality to implement a Social Knowledge Networking (SKN) system for enabling its health system (AU Health) to progress from "limited use" of EHR MedRec technology to "meaningful use...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/29611421/cd2-doped-amorphous-tio2-hollow-spheres-for-robust-and-ultrasensitive-photoelectrochemical-sensing-of-hydrogen-sulfide
#9
Hongbo Li, Jing Li, Yunyun Zhu, Wenyu Xie, Rong Shao, Xiaxi Yao, Aiqin Gao, Yadong Yin
Hydrogen sulfide is a highly toxic molecule to human health, but its high-performance detection remains a challenge. Herein, we report an ultrasensitive photoelectrochemical (PEC) sensor for H2S by modifying indium tin oxide (ITO) electrodes with Cd2+-doped amorphous TiO2 hollow spheres, which are prepared by templating against colloidal silica particles followed by a cadmium-sodium cation exchange reaction. The amorphous TiO2 hollow spheres act as both the probing cation carrier and the photoelectric beacon...
April 3, 2018: Analytical Chemistry
https://www.readbyqxmd.com/read/29590350/usage-and-accuracy-of-medication-data-from-nationwide-health-information-exchange-in-quebec-canada
#10
Aude Motulsky, Daniala L Weir, Isabelle Couture, Claude Sicotte, Marie-Pierre Gagnon, David L Buckeridge, Robyn Tamblyn
Objective: (1) To describe the usage of medication data from the Health Information Exchange (HIE) at the health care system level in the province of Quebec; (2) To assess the accuracy of the medication list obtained from the HIE. Methods: A descriptive study was conducted utilizing usage data obtained from the Ministry of Health at the individual provider level from January 1 to December 31, 2015. Usage patterns by role, type of site, and tool used to access the HIE were investigated...
March 26, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29572671/electronic-health-information-exchange-opportunities-for-self-management-of-care-responses-from-older-adults-with-and-without-cancer-history-in-the-united-states
#11
REVIEW
Shirley M Bluethmann, Kisha I Coa, Catherine M Alfano, Bradford W Hesse
PURPOSE OF STUDY: Of 15.5 million US cancer survivors, 80% are ≥ 55 years. Supporting older patients in care self-management through electronic health information (EHI) exchange may enhance recovery. We assessed: (1) perceived importance of EHI access to adults ≥ 55 years (incl survivors) and (2) age-related preferences for EHI exchange. RECENT FINDINGS: Older adults are one of the fastest-growing user groups for internet/technologies. Most older adults 55-64 years are active internet users, and use among adults ≥ 65 years is growing quickly as baby boomers mature...
March 23, 2018: Current Oncology Reports
https://www.readbyqxmd.com/read/29569327/reducing-emergency-room-visits-and-in-hospitalizations-by-implementing-best-practice-for-transitional-care-using-innovative-technology-and-big-data
#12
Sharon Hewner, Suzanne S Sullivan, Guan Yu
BACKGROUND: Efforts to improve care transitions require coordination across the healthcare continuum and interventions that enhance communication between acute and community settings. AIMS: To improve post-discharge utilization value using technology to identify high-risk individuals who might benefit from rapid nurse outreach to assess social and behavioral determinants of health with the goal of reducing inpatient and emergency department visits. METHODS: The project employed a before and after comparison of the intervention site with similar primary care practice sites using population-level Medicaid claims data...
March 23, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29564850/consensus-statement-feature-and-function-recommendations-to-optimize-clinician-usability-of-direct-interoperability-to-enhance-patient-care
#13
Steven R Lane, Holly Miller, Elizabeth Ames, Lawrence Garber, David C Kibbe, Joseph H Schneider, Christoph U Lehmann
BACKGROUND: Secure clinical messaging and document exchange utilizing the Direct Protocol (Direct interoperability) has been widely implemented in health information technology (HIT) applications including electronic health records (EHRs) and by health care providers and organizations in the United States. While Direct interoperability has allowed clinicians and institutions to satisfy regulatory requirements and has facilitated communication and electronic data exchange as patients transition across care environments, feature and function enhancements to HIT implementations of the Direct Protocol are required to optimize the use of this technology...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29532186/improving-performance-in-the-ed-through-laboratory-information-exchange-systems
#14
Louis Raymond, Guy Paré, Éric Maillet, Ana Ortiz de Guinea, Marie-Claude Trudel, Josianne Marsan
BACKGROUND: The accessibility of laboratory test results is crucial to the performance of emergency departments and to the safety of patients. This study aims to develop a better understanding of which laboratory information exchange (LIE) systems emergency care physicians (ECPs) are using to consult their patients' laboratory test results and which benefits they derive from such use. METHODS: A survey of 163 (36%) ECPs in Quebec was conducted in collaboration with the Quebec's Department of Health and Social Services...
March 12, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29527466/identifying-quality-improvement-targets-to-facilitate-colorectal-cancer-screening-completion
#15
Simon J Craddock Lee, Stephen J Inrig, Bijal A Balasubramanian, Celette Sugg Skinner, Robin T Higashi, Katharine McCallister, Wendy Pechero Bishop, Noel O Santini, Jasmin A Tiro
The colorectal cancer (CRC) screening process involves multiple interfaces (communication exchanges and transfers of responsibility for specific actions) among primary care and gastroenterology providers, laboratory, and administrative staff. After a retrospective electronic health record (EHR) analysis discovered substantial clinic variation and low CRC screening prevalence overall in an urban, integrated safety-net system, we launched a qualitative analysis to identify potential quality improvement targets to enhance fecal immunochemical test (FIT) completion, the system's preferred screening modality...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29523565/feasibility-of-real-time-capture-of-routine-clinical-data-in-the-electronic-health-record-a-hospital-based-observational-service-evaluation-study
#16
Neil Bodagh, R Andrew Archbold, Roshan Weerackody, Meredith K D Hawking, Michael R Barnes, Aaron M Lee, Surjeet Janjuha, Charles Gutteridge, John Robson, Adam Timmis
OBJECTIVES: The electronic health record (EHR) is underused in the hospital setting. The aim of this service evaluation study was to respond to National Health Service (NHS) Digital's ambition for a paperless NHS by capturing routinely collected cardiac outpatient data in the EHR to populate summary patient reports and provide a resource for audit and research. DESIGN: A PowerForm template was developed within the Cerner EHR, for real-time entry of routine clinical data by clinicians attending a cardiac outpatient clinic...
March 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29521554/improving-medication-appropriateness-in-nursing-home-residents-by-enhancing-interprofessional-cooperation-a-study-protocol
#17
Dagmar Schaffler-Schaden, Stefan Pitzer, Magdalena Schreier, Johanna Dellinger, Beate Brandauer-Stickler, Miriam Lainer, Maria Flamm, Jürgen Osterbrink
Polypharmacy in elderly people is an increasing challenge for health professionals. Drug-Drug interactions, dosing or administration errors can cause preventable incidents and hospitalizations. Due to chronic illness and multi-morbidity, older people are considered as a particularly vulnerable group of patients. Furthermore, it is well known that communication between health professionals is often insufficient. The aim of this study is to improve the appropriateness of medication of nursing home residents by establishing a long-term structured medication review process and to enhance the interprofessional communication between general practitioners (GPs), nurses and pharmacists...
March 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29519774/patient-centeredness-in-electronic-communication-evaluation-of-patient-to-health-care-team-secure-messaging
#18
Timothy P Hogan, Tana M Luger, Julie E Volkman, Mary Rocheleau, Nora Mueller, Anna M Barker, Kim M Nazi, Thomas K Houston, Barbara G Bokhour
BACKGROUND: As information and communication technology is becoming more widely implemented across health care organizations, patient-provider email or asynchronous electronic secure messaging has the potential to support patient-centered communication. Within the medical home model of the Veterans Health Administration (VA), secure messaging is envisioned as a means to enhance access and strengthen the relationships between veterans and their health care team members. However, despite previous studies that have examined the content of electronic messages exchanged between patients and health care providers, less research has focused on the socioemotional aspects of the communication enacted through those messages...
March 8, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29510971/oncologic-therapy-support-via-means-of-a-dedicated-mobile-app-optimise-1-protocol-for-a-prospective-pilot-trial
#19
Rami A El Shafie, Nina Bougatf, Tanja Sprave, Dorothea Weber, Dieter Oetzel, Timo Machmer, Peter E Huber, Jürgen Debus, Nils H Nicolay
BACKGROUND: The increasing role of consumer electronics and Web-enabled mobile devices in the medical sector opens up promising possibilities for integrating novel technical solutions into therapy and patient support for oncologic illnesses. A recent survey carried out at Heidelberg University Hospital suggested a high acceptance among patients for an additional approach to patient care during radiotherapy based on patient-reported outcomes by a dedicated mobile app. OBJECTIVE: The aim of this trial (OPTIMISE-1: Oncologic Therapy Support Via Means of a Dedicated Mobile App - A Prospective Feasibility Evaluation) is to prospectively evaluate the feasibility of employing a mobile app for the systematic support of radiooncological patients throughout the course of their radiotherapy by monitoring symptoms and patient performance, and facilitating the background-exchange of relevant information between patient and physician...
March 6, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29510970/the-optimization-of-an-ehealth-solution-thought-spot-with-transition-aged-youth-in-postsecondary-settings-participatory-design-research
#20
Nicole VanHeerwaarden, Genevieve Ferguson, Alexxa Abi-Jaoude, Andrew Johnson, Elisa Hollenberg, Gloria Chaim, Kristin Cleverley, Gunther Eysenbach, Joanna Henderson, Andrea Levinson, Janine Robb, Sarah Sharpe, Aristotle Voineskos, David Wiljer
BACKGROUND: Seventy percent of lifetime cases of mental illness emerge before the age of 24 years, but many youth are unable to access the support and services they require in a timely and appropriate way. With most youth using the internet, electronic health (eHealth) interventions are promising tools for reaching this population. Through participatory design research (PDR) engagement methods, Thought Spot, a Web- and mobile-based platform, was redeveloped to facilitate access to mental health services by transition-aged youth (aged 16-29 years) in postsecondary settings...
March 6, 2018: Journal of Medical Internet Research
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