Identifying Home Care Clinicians’ Information Needs for Managing Fall Risks
Conclusion: The results highlight the essential information for fall risk management in home care. Home care workflows and health IT solutions must effectively and efficiently retain, exchange, and process information necessary for fall risk management. Interoperability and integration of the various health IT solutions to make data sharing accessible to all clinicians is critical for fall risk management. Findings from this study can help home health agencies better understand their information needs to manage fall risks.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 6, 2016 Category: Information Technology Source Type: research
A Design Methodology for Medical Processes
Conclusions: Despite being only an example, our case study showed the ability of process modeling to answer the actual needs in healthcare practices. Independently from the medical domain in which the modeling effort is done, the proposed methodology is useful to create high-quality models, and to detect and take into account relevant and tricky situations that can occur during process execution.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - March 30, 2016 Category: Information Technology Source Type: research
Milestones: Critical Elements in Clinical Informatics Fellowship Programs
Conclusions: A mapped strategy for Milestones offers significant advantages for Clinical Informatics programs.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - March 23, 2016 Category: Information Technology Source Type: research
Open Access: The Chief Clinical Informatics Officer (CCIO)
Conclusion: A better defined and specified education and skillset for all CCIO positions will motivate the CCIO workforce and empower them to perform the job of a 21st century CCIO. Formally educated and trained CCIOs will provide a competitive advantage to their respective enterprise by fully utilizing the power of Informatics science.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - March 17, 2016 Category: Information Technology Source Type: research
Usability Evaluation of a Clinical Decision Support System for Geriatric ED Pain Treatment
Conclusion: The iterative usability redesign process was instrumental in improving the usability of the CDSS; if implemented in practice, it could improve geriatric pain care. The usability evaluation process led to improved acknowledgement and favorability. Incorporating usability testing when designing CDSS interventions for studies may be effective to enhance clinician use.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - March 9, 2016 Category: Information Technology Source Type: research
Electronic prescribing and medication management at a residential aged care facility
Conclusions: GPs, nurses and pharmacists felt the ePMMS improved medication-safety and workforce-efficiency, however a number of barriers were identified that contributed to low GP-uptake and limited the benefits.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - March 3, 2016 Category: Information Technology Source Type: research
Natural Language Processing for Cohort Discovery in a Discharge Prediction Model for the Neonatal...
Conclusion: A BOW analysis provides a method to improve and refine our NICU discharge prediction model and could potentially avoid over 900 (0.9%) hospital days.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 25, 2016 Category: Information Technology Source Type: research
User Interface Problems of a Nationwide Inpatient Information System: A Heuristic Evaluation
This study suggests conducting further studies to confirm the findings concerning effect of evaluator experience on the results of Heuristic Evaluation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 17, 2016 Category: Information Technology Source Type: research
Application of an Ontology for Characterizing Data Quality for a Secondary Use of EHR Data
Conclusion: This approach can encourage the development of new detailed Domain ontologies that can be reused for data quality purposes across different organizations’ EHR data. Automating the data quality assessment process using this method can enable sharing of data quality metrics that may aid in making research results that use EHR data more transparent and reproducible.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 11, 2016 Category: Information Technology Source Type: research
Managing and Communicating Operational Workflow
Conclusions: The success of the electronic outpatient whiteboard demonstrates the usefulness of an operational workflow tool within the ambulatory clinic setting. Operational workflow tools can play a significant role in supporting coordination, collaboration, and teamwork in ambulatory healthcare settings.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 5, 2016 Category: Information Technology Source Type: research
The Development of Patient Scheduling Groups for an Effective Appointment System
Conclusions: This study provided an alternative method of redesigning patient scheduling groups to address the impact on both clinic flow and appointment accessibility. Balance between them ensured the feasibility to the recognized issues of patient service and access to care. The robustness of the proposed method on the changes of clinic conditions was also discussed.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 28, 2016 Category: Information Technology Source Type: research
Toward the Elimination of Paper Orders
With the adoption of Computerized Patient Order Entry (CPOE), many physicians – particularly consultants and those who are affiliated with multiple hospital systems – are faced with the challenge of learning to navigate and commit to memory the details of multiple EHRs and CPOE software modules. These physicians may resist CPOE adoption, and their refusal to use CPOE presents a risk to patient safety when paper and electronic orders co-exist, as paper orders generated in an electronic ordering environment can be missed or acted upon after delay, are frequently illegible, and bypass the Clinical Decision Support...
Source: Applied Clinical Informatics - January 21, 2016 Category: Information Technology Source Type: research
Software prototyping
Background: Health information exchange (HIE) between Poison Control Centers (PCCs) and Emergency Departments (EDs) could improve care of poisoned patients. However, PCC information systems are not designed to facilitate HIE with EDs; therefore, we are developing specialized software to support HIE within the normal workflow of the PCC using user-centered design and rapid prototyping.
Objective: To describe the design of an HIE dashboard and the refinement of user requirements through rapid prototyping.
Methods: Using previously elicited user requirements, we designed low-fidelity sketches of designs on paper with iterativ...
Source: Applied Clinical Informatics - January 14, 2016 Category: Information Technology Source Type: research
A Temporal Mining Framework for Classifying Un-Evenly Spaced Clinical Data
Conclusion: The obtained classification results prove the efficiency of the proposed framework in terms of its improved classification accuracy.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 13, 2016 Category: Information Technology Source Type: research
Clinical Decision Support and Palivizumab
Conclusions: Workflow and CDS tools integrated in an EHR may increase the administration of palivizumab. The support focused on palivizumab, rather than comprehensive intervention, was more effective at improving palivizumab administration.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 12, 2016 Category: Information Technology Source Type: research
