Evaluating a Modular Decision Support Application For Colorectal Cancer Screening
Conclusion: The results speak to the benefits of using the Decision-Centered Design approach in the analysis, design, and evaluation of Health Information Technology. Furthermore, the Screening and Surveillance App shows promise for filling decision support gaps in current electronic health records.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 15, 2017 Category: Information Technology Source Type: research
Open Access: Measuring Practicing Clinicians ’ Information Literacy
Conclusions: While exploratory in nature, cautioning generalizability, the study suggests that measuring and improving clinicians’ information literacy may play a significant role in the implementation and use of digital information tools, as these tools are rapidly being deployed to enhance communication among care teams, improve health care outcomes, and reduce overall costs.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 15, 2017 Category: Information Technology Source Type: research
Screening Consolidated Clinical Document Architecture (CCDA) Documents for Sensitive Data Using a...
Conclusion: The analysis of the system demonstrates that production rules can be used to automatically screen the content of transition of care documents for sensitive data. The utilization of the rule-based decision support system enabled our hospitals to achieve meaningful use and, at the same time, remain compliant with state and federal laws.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 8, 2017 Category: Information Technology Source Type: research
Open Access: Effect of a Novel Clinical Decision Support Tool on the Efficiency and Accuracy of...
Conclusion: Informatics solution can greatly improve the efficiency and accuracy of individualized treatment recommendations and have the potential to increase guideline compliance.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 8, 2017 Category: Information Technology Source Type: research
Erratum to: Preprocessing structured clinical data for predictive modeling and decision support
(Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 1, 2017 Category: Information Technology Source Type: research
Leveraging the Value of Human Relationships to Improve Health Outcomes
Conclusions: We believe that flexible patient relationship data collection is critical for better healthcare, and can inform community care and chronic care initiatives across the world. Additionally, patient relationship data could also be leveraged for many other initiatives such as patient centric care and in the field of precision medicine.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 1, 2017 Category: Information Technology Source Type: research
Electronic Sentinel Surveillance of Influenza-like Illness
Conclusion: eILI assists clinicians to report ILI cases to public health authorities within a stipulated time period and is associated with faster, more reliable and improved information transfer.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - February 1, 2017 Category: Information Technology Source Type: research
The prevalence of obesity documentation in Primary Care Electronic Medical Records
Conclusion: Based on EHR documentation, obesity is under coded and generally not identified as a significant problem in primary care. Physicians are more likely to document obesity in the patient record for those with higher BMI scores who are morbidly obese. Moreover, physicians more frequently provide exercise than diet counseling for the documented obese.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 25, 2017 Category: Information Technology Source Type: research
Development and Feasibility of a Real-Time Clinical Decision Support System for Traumatic Brain...
Conclusions: CDS implementation is feasible and acceptable with a high rate of case capture and appropriate generation of alert and guidance messages for TBI anesthesia care.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 25, 2017 Category: Information Technology Source Type: research
Secondary Analysis of an Electronic Surveillance System Combined with Multi-focal Interventions for...
Conclusion: There was improvement over time across the hospital for patients on the intervention and non-intervention units with more improvement for sicker patients. Patients on intervention units with electronic surveillance has better outcomes; however, due to differences in exclusion criteria and types of units, further study is needed to draw a direct relationship between the electronic surveillance system and outcomes.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 18, 2017 Category: Information Technology Source Type: research
Using Active Learning to Identify Health Information Technology Related Patient Safety Events
The widespread adoption of health information technology (HIT) has led to new patient safety hazards that are often difficult to identify. Patient safety event reports, which are self-reported descriptions of safety hazards, provide one view of potential HIT-related safety events. However, identifying HIT-related reports can be challenging as they are often categorized under other more predominate clinical categories. This challenge of identifying HIT-related reports is exacerbated by the increasing number and complexity of reports which pose challenges to human annotators that must manually review reports. In this paper, ...
Source: Applied Clinical Informatics - January 18, 2017 Category: Information Technology Source Type: research
Safe Practices for Copy and Paste in the EHR
Conclusion: Despite regular copy and paste use, evidence regarding direct risk to patient safety remains sparse, with significant study limitations. Drawing on existing evidence, the Partnership developed four safe practice recommendations: 1) Provide a mechanism to make copy and paste material easily identifiable; 2) Ensure the provenance of copy and paste material is readily available; 3) Ensure adequate staff training and education; 4) Ensure copy and paste practices are regularly monitored, measured, and assessed.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 11, 2017 Category: Information Technology Source Type: research
Analysis of Smartphone Interruptions on Academic General Internal Medicine Wards
Conclusion: Interruptions were related to site-specific features, including volume, suggesting that future interventions should target the culture of individual hospitals. Excessive interruptions may have implications for patient safety especially when exceeding a maximal threshold over short periods of time.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - January 4, 2017 Category: Information Technology Source Type: research
Identification and Characterization of Inter-Organizational Information Flows in the Portuguese...
Conclusions: Funds/Money related processes are technologically more rigid and standardized, whereas auditing and inspection ones are less supported by automatic systems. There emerged an interesting level of sharing and integration in clinical processes, although the integration is mostly made at the interface level. The authors identified 5 particularly relevant and dominant actors (2 classes of individuals and 3 institutions) with which there is a need for coordination and cooperation. The authors consider that, in future works, an effort should be made to provide the various institutions with guidelines/interfaces and p...
Source: Applied Clinical Informatics - December 21, 2016 Category: Information Technology Source Type: research
A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician...
Conclusions: The positive relationship between non-IT communication and level of software adoption suggests that there is a complementary, rather than substitutive, relationship. Our results suggest that some technologies with the potential to further enhance communication, such as CPOE and secure messaging, are not being utilized to their full potential in many hospitals.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - December 21, 2016 Category: Information Technology Source Type: research
