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Clinical Informatics

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22 papers 0 to 25 followers Current literature on Clinical Informatics.
By J Edward B. Maddela, MD Clinical Assistant Professor and Assistant Director of the Doctoring Curriculum at the University of Arizona College of Medicine - Phoenix Biomedical Campus
Guoqian Jiang, Harold R Solbrig, Christopher G Chute
The beta phase of the 11th revision of International Classification of Diseases (ICD-11) intends to accept public input through a distributed model of authoring. One of the core use cases is to create textual definitions for the ICD categories. The objective of the present study is to design, develop, and evaluate approaches to support ICD-11 textual definitions authoring using Semantic Web technology. We investigated a number of heterogeneous resources related to the definitions of diseases, including the linked open data (LOD) from DBpedia, the textual definitions from the Unified Medical Language System (UMLS) and the formal definitions of the Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT)...
2013: Journal of Biomedical Semantics
F Phil Cartagena, Molly Schaeffer, Dorothy Rifai, Victoria Doroshenko, Howard S Goldberg
OBJECTIVE: Develop and test web services to retrieve and identify the most precise ICD-10-CM code(s) for a given clinical encounter. Facilitate creation of user interfaces that 1) provide an initial shortlist of candidate codes, ideally visible on a single screen; and 2) enable code refinement. MATERIALS AND METHODS: To satisfy our high-level use cases, the analysis and design process involved reviewing available maps and crosswalks, designing the rule adjudication framework, determining necessary metadata, retrieving related codes, and iteratively improving the code refinement algorithm...
May 2015: Journal of the American Medical Informatics Association: JAMIA
C U Lehmann, C A Longhurst, W Hersh, V Mohan, B P Levy, P J Embi, J T Finnell, A M Turner, R Martin, J Williamson, B Munger
In the US, the new subspecialty of Clinical Informatics focuses on systems-level improvements in care delivery through the use of health information technology (HIT), data analytics, clinical decision support, data visualization and related tools. Clinical informatics is one of the first subspecialties in medicine open to physicians trained in any primary specialty. Clinical Informatics benefits patients and payers such as Medicare and Medicaid through its potential to reduce errors, increase safety, reduce costs, and improve care coordination and efficiency...
2015: Applied Clinical Informatics
Steven Chan, John Torous, Ladson Hinton, Peter Yellowlees
INTRODUCTION: Mobile phones are ubiquitous in society and owned by a majority of psychiatric patients, including those with severe mental illness. Their versatility as a platform can extend mental health services in the areas of communication, self-monitoring, self-management, diagnosis, and treatment. However, the efficacy and reliability of publicly available applications (apps) have yet to be demonstrated. Numerous articles have noted the need for rigorous evaluation of the efficacy and clinical utility of smartphone apps, which are largely unregulated...
December 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Michael G Kahn, Jeffrey S Brown, Alein T Chun, Bruce N Davidson, Daniella Meeker, Patrick B Ryan, Lisa M Schilling, Nicole G Weiskopf, Andrew E Williams, Meredith Nahm Zozus
INTRODUCTION: Poor data quality can be a serious threat to the validity and generalizability of clinical research findings. The growing availability of electronic administrative and clinical data is accompanied by a growing concern about the quality of these data for observational research and other analytic purposes. Currently, there are no widely accepted guidelines for reporting quality results that would enable investigators and consumers to independently determine if a data source is fit for use to support analytic inferences and reliable evidence generation...
2015: EGEMS
Christopher L Fillmore, Casey A Rommel, Brandon M Welch, Mingyuan Zhang, Kensaku Kawamoto
Clinical decision support interventions are typically heterogeneous in nature, making it difficult to identify why some interventions succeed while others do not. One approach to identify factors important to the success of health information systems is the use of meta-regression techniques, in which potential explanatory factors are correlated with the outcome of interest. This approach, however, can result in misleading conclusions due to several issues. In this manuscript, we present a cautionary case study in the context of clinical decision support systems to illustrate the limitations of this type of analysis...
August 2015: Journal of Biomedical Informatics
Pallavi Ranade-Kharkar, Susan E Pollock, Darren K Mann, Sidney N Thornton
Growing participation in Healthcare Information Exchange (HIE) has created opportunities for the seamless integration of external data into an organization's own EHR and clinical workflows. The process of integrating external data has the potential to detect data integrity issues. Lack of critiquing external data before its incorporation can lead to data unfit for use in the clinical setting. HIE data adjudication, by detecting inconsistencies, physiological and temporal incompatibilities, data completeness and timeliness issues in HIE data, facilitates corrective actions and improves clinical data integrity...
2014: AMIA ... Annual Symposium Proceedings
Aziz Sheikh, Harpreet S Sood, David W Bates
OBJECTIVE: To investigate experiences with leveraging health information technology (HIT) to improve patient care and population health, and reduce healthcare expenditures. MATERIALS AND METHODS: In-depth qualitative interviews with federal government employees, health policy, HIT and medico-legal experts, health providers, physicians, purchasers, payers, patient advocates, and vendors from across the United States. RESULTS: The authors undertook 47 interviews...
July 2015: Journal of the American Medical Informatics Association: JAMIA
María del Carmen Legaz-García, Marcos Menárguez-Tortosa, Jesualdo Tomás Fernández-Breis, Christopher G Chute, Cui Tao
INTRODUCTION: The semantic interoperability of electronic healthcare records (EHRs) systems is a major challenge in the medical informatics area. International initiatives pursue the use of semantically interoperable clinical models, and ontologies have frequently been used in semantic interoperability efforts. The objective of this paper is to propose a generic, ontology-based, flexible approach for supporting the automatic transformation of clinical models, which is illustrated for the transformation of Clinical Element Models (CEMs) into openEHR archetypes...
May 2015: Journal of the American Medical Informatics Association: JAMIA
Thomson Kuhn, Peter Basch, Michael Barr, Thomas Yackel
Clinical documentation was developed to track a patient's condition and communicate the author's actions and thoughts to other members of the care team. Over time, other stakeholders have placed additional requirements on the clinical documentation process for purposes other than direct care of the patient. More recently, new information technologies, such as electronic health record (EHR) systems, have led to further changes in the clinical documentation process. Although computers and EHRs can facilitate and even improve clinical documentation, their use can also add complexities; new challenges; and, in the eyes of some, an increase in inappropriate or even fraudulent documentation...
February 17, 2015: Annals of Internal Medicine
M-M Bouamrane, C Tao, I N Sarkar
In recent years, we have witnessed substantial progress in the use of clinical informatics systems to support clinicians during episodes of care, manage specialised domain knowledge, perform complex clinical data analysis and improve the management of health organisations' resources. However, the vision of fully integrated health information eco-systems, which provide relevant information and useful knowledge at the point-of-care, remains elusive. This journal Focus Theme reviews some of the enduring challenges of interoperability and complexity in clinical informatics systems...
2015: Methods of Information in Medicine
William R Hersh, Paul N Gorman, Frances E Biagioli, Vishnu Mohan, Jeffrey A Gold, George C Mejicano
Physicians in the 21st century will increasingly interact in diverse ways with information systems, requiring competence in many aspects of clinical informatics. In recent years, many medical school curricula have added content in information retrieval (search) and basic use of the electronic health record. However, this omits the growing number of other ways that physicians are interacting with information that includes activities such as clinical decision support, quality measurement and improvement, personal health records, telemedicine, and personalized medicine...
2014: Advances in Medical Education and Practice
Kathryn H Bowles, Eric Heil
This paper will describe the process for taking a decision support solution to market as a start-up business. The nurse inventor and Co-Founder of RightCare Solutions, Inc. will share the steps from answering a clinical question, to registering an invention, creating a business plan and company, obtaining venture funding, and launching a commercial product. We will share positives about the experience such as how to get start-up funds, gaining national exposure and access to an excellent team, disseminating your work broadly, further enhancing the product, and obtaining equity, and financial rewards...
2014: Studies in Health Technology and Informatics
Don E Detmer, Edward H Shortliffe
No abstract text is available yet for this article.
May 2014: JAMA: the Journal of the American Medical Association
Allan F Simpao, Luis M Ahumada, Jorge A Gálvez, Mohamed A Rehman
Federal investment in health information technology has incentivized the adoption of electronic health record systems by physicians and health care organizations; the result has been a massive rise in the collection of patient data in electronic form (i.e. "Big Data"). Health care systems have leveraged Big Data for quality and performance improvements using analytics-the systematic use of data combined with quantitative as well as qualitative analysis to make decisions. Analytics have been utilized in various aspects of health care including predictive risk assessment, clinical decision support, home health monitoring, finance, and resource allocation...
April 2014: Journal of Medical Systems
Tor Ingebrigtsen, Andrew Georgiou, Robyn Clay-Williams, Farah Magrabi, Antonia Hordern, Mirela Prgomet, Julie Li, Johanna Westbrook, Jeffrey Braithwaite
PURPOSE: To conduct a systematic review to examine evidence of associations between clinical leadership and successful information technology (IT) adoption in healthcare organisations. METHODS: We searched Medline, Embase, Cinahl, and Business Source Premier for articles published between January 2000 to May 2013 with keywords and subject terms related to: (1) the setting--healthcare provider organisations; (2) the technology--health information technology; (3) the process--adoption; and (4) the intervention--leadership...
June 2014: International Journal of Medical Informatics
Don E Detmer, Benson S Munger, Christoph U Lehmann
Within health and health care, medical informatics and its subspecialties of biomedical, clinical, and public health informatics have emerged as a new discipline with increasing demands for its own work force. Knowledge and skills in medical informatics are widely acknowledged as crucial to future success in patient care, research relating to biomedicine, clinical care, and public health, as well as health policy design. The maturity of the domain and the demand on expertise necessitate standardized training and certification of professionals...
2010: Applied Clinical Informatics
Brian R Jacobs, Craig K Hallstrom, Kim Ward Hart, Daniela Mahoney, Gayle Lykowski
OBJECTIVES: The electronic health record (EHR) can improve patient safety, care efficiency, cost effectiveness and regulatory compliance. Cincinnati Children's Hospital Medical Center (CCHMC) has successfully implemented an Integrating Clinical Information System (ICIS) that includes Computerized Provider Order Entry (CPOE). This review describes some of the unanticipated challenges and solutions identified during the implementation of ICIS. METHODS: Data for this paper was derived from user-generated feedback within the ICIS...
April 2007: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
Mark E Frisse
No abstract text is available yet for this article.
July 2012: Medical Care
Suzanne Bakken, Cornelia M Ruland
OBJECTIVE: Clinical informatics intervention research suffers from a lack of attention to external validity in study design, implementation, evaluation, and reporting. This hampers the ability of others to assess the fit of a clinical informatics intervention with demonstrated efficacy in one setting for implementation in their setting. The objective of this model formulation paper is to demonstrate the applicability of the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework with proposed extensions to clinical informatics intervention research and describe the framework's role in facilitating the translation of evidence into practice and generation of evidence from practice...
November 2009: Journal of the American Medical Informatics Association: JAMIA
2015-01-27 03:47:32
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