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https://www.readbyqxmd.com/read/28423838/computable-information-governance-contracts
#1
James Cunningham, Gary Leeming, John Ainsworth
The risks of relinquishing control of electronic healthcare data for re-use in research are mitigated by the use of data sharing agreements and information governance procedures. These exist as legal, or quasi-legal, textual documents exchanged between data owners. Their existence outside of the digital realm leads to a situation where breaches of an agreement can only be detected and acted on post-hoc. We introduce the design of a system of computable contracts, specified formally, that can enforce the rules of data sharing agreements within the bounds of electronic health care systems...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28384314/patient-satisfaction-after-implementation-of-person-centred-handover-in-oncological-inpatient-care-a-cross-sectional-study
#2
Anna Kullberg, Lena Sharp, Hemming Johansson, Yvonne Brandberg, Mia Bergenmar
Effective nurse shift-to-shift handover is a prerequisite for high-quality inpatient care. Combining person-centeredness with the need for improved handover rituals, we introduced and evaluated person-centered handover (PCH) in an oncological inpatient setting. PCH is the shift-to-shift nursing report performed together with the patient according to a set structure focused on patient participation, relevant clinical information, and patient safety. Non-verbal handover, standard at the department, is conducted via the electronic health record, in absence of the patient, and without a set structure...
2017: PloS One
https://www.readbyqxmd.com/read/28381721/regulatory-science-in-practice-pharmaceuticals-and-medical-devices-agency
#3
Taisuke Hojo
 Review, safety, and relief services of the Pharmaceuticals and Medical Devices Agency are primarily focused on scientifically evaluating pharmaceuticals, medical devices, and cellular and tissue-based products referring to their quality, efficacy, and safety, which requires a variety of scientific knowledge and methods. Pharmaceutical regulation should be established based on the most advanced scientific expertise at all times. In order to evaluate products that use cutting-edge technology such as induced pluripotent stem cells and information and communication technology adequately, since fiscal year 2012 the Science Committee has been established as a platform to exchange opinions among members from top-ranking domestic and international academia and to enhance personnel exchanges through the Initiative to Facilitate Development of Innovative Drugs...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28379190/assessment-of-the-indoor-odour-impact-in-a-naturally-ventilated-room
#4
Lidia Eusebio, Marco Derudi, Laura Capelli, Giuseppe Nano, Selena Sironi
Indoor air quality influences people's lives, potentially affecting their health and comfort. Nowadays, ventilation is the only technique commonly used for regulating indoor air quality. CO₂ is the reference species considered in order to calculate the air exchange rates of indoor environments. Indeed, regarding air quality, the presence of pleasant or unpleasant odours can strongly influence the environmental comfort. In this paper, a case study of indoor air quality monitoring is reported. The indoor field tests were conducted measuring both CO₂ concentration, using a photoacoustic multi-gas analyzer, and odour trends, using an electronic nose, in order to analyze and compare the information acquired...
April 5, 2017: Sensors
https://www.readbyqxmd.com/read/28376785/patients-support-for-health-information-exchange-a-literature-review-and-classification-of-key-factors
#5
Pouyan Esmaeilzadeh, Murali Sambasivan
BACKGROUND: Literature indicates that one of the most important factors affecting the widespread adoption of Health Information Exchange (HIE) is patient support and endorsement. In order to reap all the expected benefits of HIE, patients' acceptance of technology is a challenge that is not fully studied. There are a few studies which have focused on requirements of electronic medical information exchange from consumers' views and expectations. This study is aimed at reviewing the literature to articulate factors that affect patients to support HIE efforts...
April 4, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28375501/seven-ethical-issues-affecting-neurosurgeons-in-the-context-of-health-care-reform
#6
T Forcht Dagi
Ethical discussions around health care reform typically focus on problems of social justice and health care equity. This review, in contrast, focuses on ethical issues of particular importance to neurosurgeons, especially with respect to potential changes in the physician-patient relationship that may occur in the context of health care reform.The Patient Protection and Affordable Care Act (ACA) of 2010 (H.R. 3590) was not the first attempt at health care reform in the United States but it is the one currently in force...
April 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28358653/untapped-potential-of-observational-research-to-inform-clinical-decision-making-american-society-of-clinical-oncology-research-statement
#7
Kala Visvanathan, Laura A Levit, Derek Raghavan, Clifford A Hudis, Sandra Wong, Amylou Dueck, Gary H Lyman
ASCO believes that high-quality observational studies can advance evidence-based practice for cancer care and are complementary to randomized controlled trials (RCTs). Observational studies can generate hypotheses by evaluating novel exposures or biomarkers and by revealing patterns of care and relationships that might not otherwise be discovered. Researchers can then test these hypotheses in RCTs. Observational studies can also answer or inform questions that either have not been or cannot be answered by RCTs...
March 30, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28355050/release-of-va-records-relating-to-hiv-final-rule
#8
(no author information available yet)
The Department of Veterans Affairs (VA) is amending its medical regulations governing the release of VA medical records. Specifically, VA is eliminating the restriction on sharing a negative test result for the human immunodeficiency virus (HIV) with veterans' outside providers. HIV testing is a common practice today in healthcare and the stigma of testing that may have been seen in the 1980s when HIV was first discovered is no longer prevalent. Continuing to protect negative HIV tests causes delays and an unnecessary burden on veterans when VA tries to share electronic medical information with the veterans' outside providers through electronic health information exchanges...
March 23, 2017: Federal Register
https://www.readbyqxmd.com/read/28346129/health-information-exchange-as-a-complex-and-adaptive-construct-scoping-review
#9
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/28346127/in-this-issue-everything-you-wanted-to-know-about-electronic-health-exchange-diversity-and-ethnicity
#10
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/28339791/bridg-a-domain-information-model-for-translational-and-clinical-protocol-driven-research
#11
Lauren B Becnel, Smita Hastak, Wendy Ver Hoef, Robert P Milius, MaryAnn Slack, Diane Wold, Michael L Glickman, Boris Brodsky, Charles Jaffe, Rebecca Kush, Edward Helton
Background: It is critical to integrate and analyze data from biological, translational, and clinical studies with data from health systems; however, electronic artifacts are stored in thousands of disparate systems that are often unable to readily exchange data. Objective: To facilitate meaningful data exchange, a model that presents a common understanding of biomedical research concepts and their relationships with health care semantics is required. The Biomedical Research Integrated Domain Group (BRIDG) domain information model fulfills this need...
February 26, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28327593/characterisation-of-mental-health-conditions-in-social-media-using-informed-deep-learning
#12
George Gkotsis, Anika Oellrich, Sumithra Velupillai, Maria Liakata, Tim J P Hubbard, Richard J B Dobson, Rina Dutta
The number of people affected by mental illness is on the increase and with it the burden on health and social care use, as well as the loss of both productivity and quality-adjusted life-years. Natural language processing of electronic health records is increasingly used to study mental health conditions and risk behaviours on a large scale. However, narrative notes written by clinicians do not capture first-hand the patients' own experiences, and only record cross-sectional, professional impressions at the point of care...
March 22, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28299934/antibacterial-composite-film-based-triboelectric-nanogenerator-for-harvesting-walking-energy
#13
Guang Qin Gu, Chang Bao Han, Jing Jing Tian, Cun Xin Lu, Chuan He, Tao Jiang, Zhou Li, Zhong Lin Wang
As a green and eco-friendly technology, triboelectric nanogenerator (TENG) can harvest energy from human motion to generate electricity, so TENGs have been widely applied in wearable electronic devices to replace traditional batteries. However, the surface of these TENGs is easily contaminated and breeds bacteria, which is a threat to human health. Here, we report an antibacterial composite film-based triboelectric nanogenerator (ACF-TENG) that uses Ag-exchanged zeolite (Ag-zeolite) and polypropylene (PP) composite film as the triboelectric layer...
March 27, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28284190/notifiable-condition-reporting-practices-implications-for-public-health-agency-participation-in-a-health-information-exchange
#14
Debra Revere, Rebecca H Hills, Brian E Dixon, P Joseph Gibson, Shaun J Grannis
BACKGROUND: The future of notifiable condition reporting in the United States is undergoing a transformation with the increasing development of Health Information Exchanges which support electronic data-sharing and -transfer networks and the wider adoption of electronic laboratory reporting. Communicable disease report forms originating in clinics are an important source of surveillance data for public health agencies. However, problems of poor data quality and delayed submission of reports to public health agencies are common...
March 11, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28272599/health-information-exchange-in-us-hospitals-the-current-landscape-and-a-path-to-improved-information-sharing
#15
REVIEW
A Jay Holmgren, Julia Adler-Milstein
Electronic health information exchange (HIE) was a foundational goal of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, but 7 years later we are far from a nationally interoperable health system. Connected electronic health records have the potential to enable fast access to a wealth of clinical data and can deliver a solution to the highly fragmented US healthcare system. In this review, we present a history and background of HIE, including its potential to deliver significant cost savings to the healthcare system...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28271121/medication-use-among-veterans-across-health-care-systems
#16
Khoa A Nguyen, David A Haggstrom, Susan Ofner, Susan M Perkins, Dustin D French, Laura J Myers, Marc Rosenman, Michael Weiner, Brian E Dixon, Alan J Zillich
INTRODUCTION: Dual healthcare system use can create gaps and fragments of information for patient care. The Department of Veteran Affairs is implementing a health information exchange (HIE) program called the Virtual Lifetime Electronic Record (VLER), which allows providers to access and share information across healthcare systems. HIE has the potential to improve the safety of medication use. However, data regarding the pattern of outpatient medication use across systems of care is largely unknown...
March 8, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28254735/a-personal-electronic-health-record-study-protocol-of-a-feasibility-study-on-implementation-in-a-real-world-health-care-setting
#17
Dominik Ose, Aline Kunz, Sabrina Pohlmann, Helene Hofmann, Markus Qreini, Johannes Krisam, Lorenz Uhlmann, Christian Jacke, Eva C Winkler, Hans-Joachim Salize, Joachim Szecsenyi
BACKGROUND: A significant potential for patient empowerment is seen in concepts aiming to give patients access to their personal health information (PHI) and to share this PHI across different care settings and health systems. Personal health records (PHRs) and the availability of information through health information exchanges are considered to be key components of effective and efficient health care. With tethered PHRs, as often used in the United States, patients' opportunities to manage their PHI are strongly restricted...
March 2, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28212653/coordination-between-primary-and-secondary-care-the-role-of-electronic-messages-and-economic-incentives
#18
Antonella La Rocca, Thomas Hoholm
BACKGROUND: In Norway, a government reform has recently been introduced to enhance coordination between primary and secondary care. This paper examines the effects of two newly introduced measures to improve the coordination: an ICT-based communication tool/standard and an economic incentive scheme. METHOD: This qualitative study is based primarily on 27 open-ended interviews. We interviewed nine employees at a hospital (the focal actor), 17 employees from seven different municipalities, and a representative of a Regional Health Authority...
February 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28207198/integrated-precision-medicine-the-role-of-electronic-health-records-in-delivering-personalized-treatment
#19
REVIEW
Amy Sitapati, Hyeoneui Kim, Barbara Berkovich, Rebecca Marmor, Siddharth Singh, Robert El-Kareh, Brian Clay, Lucila Ohno-Machado
Precision Medicine involves the delivery of a targeted, personalized treatment for a given patient. By harnessing the power of electronic health records (EHRs), we are increasingly able to practice precision medicine to improve patient outcomes. In this article, we introduce the scientific community at large to important building blocks for personalized treatment, such as terminology standards that are the foundation of the EHR and allow for exchange of health information across systems. We briefly review different types of clinical decision support (CDS) and present the current state of CDS, which is already improving the care patients receive with genetic profile-based tailored recommendations regarding diagnostic and treatment plans...
May 2017: Wiley Interdisciplinary Reviews. Systems Biology and Medicine
https://www.readbyqxmd.com/read/28186059/information-exchange-between-providers-during-transitions-of-surgical-care-communication-documentation-and-sometimes-both
#20
Stacey Slager, Julie Beckstrom, Charlene Weir, Guilherme Del Fiol, Benjamin S Brooke
Poor communication of health information between healthcare providers is associated with over 80% of medical errors that occur during transitions of care [1]. We interviewed a diverse sample of primary care providers and surgical providers during their patient's transitions of care before and after surgery at a Veteran's Health Administration hospital and a large tertiary academic medical center to understand how providers communicate and exchange health information for medically complex older patient across different care settings...
2017: Studies in Health Technology and Informatics
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