Comparison of EHR-based diagnosis documentation locations to a gold standard for risk stratification...
Conclusions: EHR data locations were inaccurate 30% of the time, leading to improvement in overall modeling from a gold standard from chart review for individual diagnoses. However, the impact on identification of the highest risk patients was minor, and combining data from different EHR locations was equivalent to gold standard performance. The reviewer’s ability to identify a diagnosis as correct was influenced by a variety of factors, including completeness, temporality, and perceived accuracy of chart data.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 1, 2017 Category: Information Technology Source Type: research
Comparison of secure messaging application (WhatsApp) and standard telephone usage for consultations...
Conclusions: Use of secure messaging application for consultations in the ED reduces the total ED LOS and consultation time. Consultation with secure messaging application eliminated more than half of in-person ED consultation visits.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 19, 2017 Category: Information Technology Source Type: research
A Web-based Game for Teaching Facial Expressions to Schizophrenic Patients
Conclusions: Computer games may be used for the purpose of educating people who have difficulty in recognizing facial expressions.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 12, 2017 Category: Information Technology Source Type: research
A Picture is Worth 1,000 Words
Conclusion: The diversity of image types, content, and uploaders within a home grown EHR system reflected the versatility and importance of the image uploading tool. Understanding how users utilize image uploading tools in a clinical setting highlights important considerations for designing better EHR tools and the importance of interoperability between EHR systems and other health technology.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 11, 2017 Category: Information Technology Source Type: research
Patient portal readiness among postpartum patients in a safety net setting
Conclusions: Most participants in this study have the required resources such as a device and familiarity with the internet to access a patient portal including an interest in interacting with a healthcare institution via electronic means. Pregnancy is a critical episode of care where active engagement with the healthcare system can influence outcomes. Healthcare systems and portal developers should consider ways to tailor a portal to address the specific health needs of a maternity population including those in a safety net setting.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 6, 2017 Category: Information Technology Source Type: research
Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers
Conclusions: Burnout associated with alert workload may be in part due to subjective differences at an individual level, and not solely a function of the objective work environment. This suggests the need for both individual and organizational-level interventions to improve alert workload and subsequent burnout. Additional research should confirm these findings in larger, more representative samples.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 5, 2017 Category: Information Technology Source Type: research
Domain Modeling and Application Development of an Archetype- and XML-based EHRS
Conclusion: We conclude that the development of a standardized overarching EHR and an EHRS is feasible using openEHR and W3C standards, enabling a high degree of semantic interoperability. The standardized representation visualizes data and can in this way support the decision process of clinicians.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 28, 2017 Category: Information Technology Source Type: research
Developing Mobile Clinical Decision Support for Nursing Home Staff Assessment of Urinary Tract...
Conclusions: Goal-Directed Design informed the development of a mobile CDSS supporting participant-identified information needs for UTI assessment and communication in NHs. Future work will include iterative deployment and evaluation of UTI Decide in NHs to decrease inappropriate use of antibiotics for suspected UTI.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 21, 2017 Category: Information Technology Source Type: research
Solving Interoperability in Translational Health
Conclusion: International workshops such as IPHIE provide a unique opportunity for graduate student learning and knowledge sharing. BHI faculty are encouraged to incorporate into their curriculum opportunities to exercise and strengthen student critical thinking to prepare our students for solving health informatics problems in the future.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 21, 2017 Category: Information Technology Source Type: research
The Obesity Epidemic and the Potential of Augmented Reality
(Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 14, 2017 Category: Information Technology Source Type: research
Development of Multivariable Models to Predict and Benchmark Transfusion in Elective Surgery...
Conclusion: We conclude that predictive modeling can be used to benchmark the importance of different features on the models derived with data from different hospitals. This might help to optimize crucial processes in a specific hospital, even in other scenarios beyond Patient Blood Management.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 14, 2017 Category: Information Technology Source Type: research
A FHIR Human Leukocyte Antigen (HLA) Interface for Platelet Transfusion Support
We describe our methods and outcome for constructing this FHIR interface, as well as the architecture and data flow of HLA data from its proprietary database to the SMART on FHIR environment and application database along with RESTful cPRA web service calculator. Future work will evaluate the clinical impact of this platelet visualization tool and overall success of our FHIR implementation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 7, 2017 Category: Information Technology Source Type: research
An Analysis of Patient Safety Incident Reports Associated with Electronic Health Record...
Conclusions: Interoperability efforts should prioritize systems in pharmacy, laboratory, and radiology. Providers should recognize the need to improve EHRs interfacing with other health IT systems within their own organization.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 7, 2017 Category: Information Technology Source Type: research
The effects of natural language processing on cross-institutional portability of influenza case...
Conclusion: In all but one instance (influenza versus NI-ILI using IH cases), local parsers were more effective at supporting case-detection although performances of non-local parsers were reasonable.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 31, 2017 Category: Information Technology Source Type: research
Rapid Adjustment of Clinical Decision Support in Response to Updated Recommendations for Palivizumab...
Conclusion: We quickly adapted CDS in response to changes in recommendations for palivizumab administration. The consistent AAP policy statement structure and the link we developed between these statements and the CDS rules facilitated our efforts. We recommend that CDS implementers establish linkages between published narrative recommendations and their executable rules to facilitate maintenance efforts.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 31, 2017 Category: Information Technology Source Type: research
