Physician Perceptions and Beliefs about Generating and Providing a Clinical Summary of the Office...
Conclusions: Achieving the core meaningful use measure of generating and providing the AVS was easy for physicians but it did not necessarily translate into positive beliefs about the effect of the AVS on patient outcomes or the care the physician delivered. Physicians also had negative beliefs about the effect of the AVS on workload. To promote positive beliefs among physicians around the AVS, organizations should obtain physician input into the design and implementation of the AVS and develop strategies to mitigate its negative impacts on workload.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 16, 2015 Category: Information Technology Source Type: research
Retrospective Derivation and Validation of an Automated Electronic Search Algorithm to Identify...
Conclusions: The derivation and validation of an electronic search strategy can accelerate the data abstraction process for research, quality improvement, and enhancement of patient care, while maintaining superb reliability compared to manual review.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 9, 2015 Category: Information Technology Source Type: research
Transition Networks in a Cohort of Patients with Congestive Heart Failure
Conclusions: We detected valid patterns consistent with a targeted care initiative, which experts could understand and explain, suggesting the method has utility for understanding coordination. The analysis revealed strong but complex patterns that could not be demonstrated using traditional linear methods alone. Network analysis supports measurement of real world health care service delivery, shows how transitions vary between services based on outcome, and with further development has potential to inform coordination strategies.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 2, 2015 Category: Information Technology Source Type: research
Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes...
Conclusion: The data transformation to the CDM was time consuming and resources required were substantial, beyond requirements for collecting native source data. The need to manually code subsets of data limited the conversion. However, once the native data was converted to the CDM, both systems were then able to use the same queries to identify cohorts. Thus, the CDM minimized the effort to develop cohorts and analyze the results across the sites.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 26, 2015 Category: Information Technology Source Type: research
Development, Evaluation and Implementation of Chief Complaint Groupings to Activate Data Collection
Conclusion: CC groupings can be successfully developed and implemented across multiple sites to accurately identify patients who should have a CTA triggered to facilitate EHR data collection. However, CC groupings will necessarily vary in order to attain high sensitivity and moderate-to-high specificity. In future trials, the balance between sensitivity and specificity should be considered based on the nature of the clinical condition, including prevalence and morbidity, in addition to the goals of the intervention being considered.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 5, 2015 Category: Information Technology Source Type: research
Machine Learning Techniques for Prediction of Early Childhood Obesity
Conclusions: This study demonstrated that data from a production clinical decision support system can be used to build an accurate machine learning model to predict obesity in children after age two.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 5, 2015 Category: Information Technology Source Type: research
A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health...
Conclusions: The proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and healthcare professionals, supporting the patient’s engagement in self-management and self-care.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 5, 2015 Category: Information Technology Source Type: research
eHealth 2015 Special Issue: Impact of Electronic Health Records on the Completeness of Clinical...
Conclusions: In our setting, the implementation of an EHR-S showed a statistically significant positive impact on documentation completeness.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 29, 2015 Category: Information Technology Source Type: research
Informed Consent
Conclusions: “Medical record”, a term used extensively in research informed consent documents, is ambiguous and does not serve us well in the context of contemporary information management and governance.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 22, 2015 Category: Information Technology Source Type: research
Computer decision support changes physician practice but not knowledge regarding autism spectrum...
Conclusions: A CDSS module to improve primary care management of ASD in pediatric practice led to significant improvements in physician-reported use of validated screening tools to screen for ASDs. However it did not lead to corresponding changes in physician knowledge or attitudes.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 15, 2015 Category: Information Technology Source Type: research
The impact of a health IT changeover on Medical Imaging Department work processes and turnaround...
Conclusions: The introduction of new health IT can be a “double-edged sword” providing improved efficiency but at the same time introducing potential hazards affecting the effectiveness of the Medical Imaging Department.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 8, 2015 Category: Information Technology Source Type: research
eHealth 2015 Special Issue: Effects of an assistance service on the quality of life of elderly users
Conclusion: ‘Confidence’ has the potential to affect elderly users’ lives. However, within this analysis positive or negative effects of its usage were not correlated with the QoL assessment. A connection between positive attitude towards technology prior use and a positive impact afterwards was found.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 1, 2015 Category: Information Technology Source Type: research
A Nursing Intelligence System to Support Secondary Use of Nursing Routine Data
Conclusions: Following a systematic approach for planning and designing a solution for reusing routine care data appeared to be successful. The resulting nursing intelligence system is useful in practice now, but remains malleable for future changes.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 24, 2015 Category: Information Technology Source Type: research
Feasibility of a Semi-computerized Line Bisection Test for Unilateral Visual Neglect Assessment
Conclusion: The semi-computerized system with the conventional paper-and pencil user-interface showed valid and reliable assessment results. It may be a feasible replacement for the manual rater assessment modality even in a clinical setting.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 17, 2015 Category: Information Technology Source Type: research
Prevalence and Risk Profile Of Unread Messages To Patients In A Patient Web Portal
Conclusions: Overall, secure messaging appears a safe form of communication, but systems to notify senders when messages are unread may have value. While most clinical messages were read, many outreach messages were not, providing caution for relying on such systems for information dissemination. Similar to other studies, differences by race and income were observed and require further study.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 12, 2015 Category: Information Technology Source Type: research
