Improving Medication Adherence with Two-way Short Message Service Reminders in Sickle Cell Disease...
Conclusion: This study demonstrated the feasibility for two-way SMS medication reminders to improve medication adherence in a high-risk population where daily medication adherence is critical to health outcomes and quality of life.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 24, 2017 Category: Information Technology Source Type: research
Insulin Bolus Calculator in a Pediatric Hospital
Conclusion: Implementation of an insulin calculator tool streamlined ordering and administration of insulin in a pediatric academic institution while maintaining patient safety. Users indicated high overall satisfaction with the tool.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 24, 2017 Category: Information Technology Source Type: research
Open Access: Advancing the integration of hospital IT
Conclusions: Highly complex enterprise system extensions may not be directly suited to specific process steering tasks in a high risk/low error-environment like the OR. In view of surgeons’ high primary task load, the repeated call for simpler IT is an imperative for ERP extensions. System design should consider a) that current OR IT suffers from an input limitation regarding planning-relevant real-time data, and b) that there are social processes that strongly affect planning and particularly ERP use beyond algorithms. Real improvement of clinical IT tools requires their independent evaluation according to standards...
Source: Applied Clinical Informatics - May 17, 2017 Category: Information Technology Source Type: research
A hospital-wide transition from paper to digital problem-oriented clinical notes
Conclusions: By two years after the start of the implementation, all medical specialties utilized the clinical notes application. User satisfaction was neutral (3.2 on a 1–5 scale). Authors believe that the significant factors facilitating this transition mirrored success factors reported by other groups: a generic, consistent, and transparent design of the application; intensive collaboration; continuous monitoring; and an incremental rollout.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 17, 2017 Category: Information Technology Source Type: research
Advancing the integration of hospital IT
Conclusions: Highly complex enterprise system extensions may not be directly suited to specific process steering tasks in a high risk/low error-environment like the OR. In view of surgeons’ high primary task load, the repeated call for simpler IT is an imperative for ERP extensions. System design should consider a) that current OR IT suffers from an input limitation regarding planning-relevant real-time data, and b) that there are social processes that strongly affect planning and particularly ERP use beyond algorithms. Real improvement of clinical IT tools requires their independent evaluation according to standards...
Source: Applied Clinical Informatics - May 17, 2017 Category: Information Technology Source Type: research
The Effects of Medication Alerts on Prescriber Response in a Pediatric Hospital
Conclusion: Alert burden plays a role in influencing provider response to medication alerts. An increased number of alerts a provider saw during a one-day period did not directly lead to decreased response to alerts. Given the multiple factors influencing the response to alerts, efforts focused solely on burden are not likely to be effective.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 10, 2017 Category: Information Technology Source Type: research
Towards Usable E-Health
Conclusions: Existing questionnaires provide a foundation for research on e-health usability. However, future research is needed to broaden the coverage of the usability attributes and psychometric properties of the available questionnaires.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 10, 2017 Category: Information Technology Source Type: research
Advanced 3D movement analysis algorithms for robust functional capacity assessment
Conclusions: The system shows good measurements reliability and generates a note reflecting the patient functional level that showed a good correlation with 4 clinical tests commonly used. We suggest that it is interesting to use this system to detect impairment of motor planning processes.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 10, 2017 Category: Information Technology Source Type: research
Combining Contrast Mining with Logistic Regression To Predict Healthcare Utilization in a Managed...
Conclusions: EHR mining reduced an unusably high number of patient attributes to a manageable set of potential healthcare utilization predictors, without conjecturing on which attributes would be useful. Treating these results as hypotheses to be tested by conventional methods yielded a highly accurate predictive model. This novel, two-step methodology can assist population health managers to focus preventive and longitudinal care on those patients who are at highest risk for increased utilization.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - May 3, 2017 Category: Information Technology Source Type: research
Open Access: Canary: An NLP Platform for Clinicians and Researchers
Information Extraction methods can help discover critical knowledge buried in the vast repositories of unstructured clinical data. However, these methods are underutilized in clinical research, potentially due to the absence of free software geared towards clinicians with little technical expertise. The skills required for developing/using such software constitute a major barrier for medical researchers wishing to employ these methods. To address this, we have developed Canary, a free and open-source solution designed for users without natural language processing (NLP) or software engineering experience. It was designed to...
Source: Applied Clinical Informatics - May 3, 2017 Category: Information Technology Source Type: research
Development and use of a clinical decision support tool for behavioral health screening in primary...
Conclusions: Modified workflows for BH screening and CDS tools with clinical recommendations can be deployed in the EHR. Using SBIRT tools changed clinical process metrics even when screening was negative, perhaps due to conversations about BH not captured in the screening flowsheet. Although there are limitations to the study, results support ongoing investigation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 26, 2017 Category: Information Technology Source Type: research
Application of Natural Language Processing and Network Analysis Techniques to Post-market Reports...
Conclusion: We demonstrated the feasibility of investigating a dose-related safety pattern for a particular product in FAERS using a set of automated tools.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 21, 2017 Category: Information Technology Source Type: research
Using telephony data to facilitate discovery of clinical workflows
Conclusions: Cross-correlation of phone calls identified by clinical cost center can be used to generate graphical displays of clinical enterprise communications. Many calls are short. The compact data transfers within short calls may serve as automation or re-design targets. The large absolute amount of time medical center employees were engaged in VoIP telecommunications suggests that analysis of telephone call patterns may offer additional insights into core clinical workflows.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 19, 2017 Category: Information Technology Source Type: research
Automating Clinical Score Calculation within the Electronic Health Record
Conclusion: Complete automation is not possible for most clinical scores because of the high prevalence of clinical examination findings or clinical judgments– partial automation is the most that can be achieved. The effect of fully or partially automated score calculation on clinical efficiency and clinical guideline adherence requires further study.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 12, 2017 Category: Information Technology Source Type: research
Technology-Mediated Interventions and Quality of Life for Persons Living with HIV/AIDS
Conclusions: The evidence to support the improvement of QoL using technology-mediated interventions is insufficient. This lack of research highlights the need for increased study of QoL as an outcome measure and the need for consistent measures to better understand the role of technology-mediated interventions in improving QoL for PLWH.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - April 12, 2017 Category: Information Technology Source Type: research
