ePrescribing: Reducing Costs through In-Class Therapeutic Interchange
Conclusion: A therapeutic interchange clinical decision support tool at the point of prescribing resulted in increased compliance with recommendations for outpatient prescriptions while producing substantial cost savings to the Vanderbilt Employee Health Plan– $17.77 per member per year. Therapeutic interchange rules require rational targeting, appropriate governance, and vigilant content updates.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - December 14, 2016 Category: Information Technology Source Type: research
Medical Record Keeping in the Summer Camp Setting
Conclusions: Summer camps in the United States make efforts to appropriately document healthcare given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Survey responses suggest that the current methods used by camps to document healthcare cause limitations in consistency, efficiency, and communications between providers, camp staff, and parents. As of 2012, survey respondents articulated need for a standard software to document summer camp healthcare practices that accounts for camp-specific needs. Improvement may be achieved if documentation sof...
Source: Applied Clinical Informatics - December 14, 2016 Category: Information Technology Source Type: research
Preprocessing structured clinical data for predictive modeling and decision support
Conclusions: This article contributes to literature by providing a roadmap to inform structured EHR data preprocessing. It may advise researchers on potential pitfalls and implications of methodological decisions in handling structured data, so as to avoid biases and help realize the benefits of the secondary use of EHR data.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - December 7, 2016 Category: Information Technology Source Type: research
BPcontrol
Conclusions: Its optimal design and the good behavior of its facilities make BPcontrol a very promising mobile app for monitoring hypertensive patients.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - December 7, 2016 Category: Information Technology Source Type: research
Metrics for Electronic-Nursing-Record-Based Narratives: cross-sectional analysis
Conclusions: Diverse hospital admissions can be consistently described with nursing-document-derived metrics for similar hospital admissions and diagnoses. Some areas of hospital admissions may have consistently increasing volumes of nursing documentation across years. Usability of electronic nursing document metrics for evaluating healthcare requires multiple aspects of hospital admissions to be considered.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 30, 2016 Category: Information Technology Source Type: research
Iterative Development and Evaluation of a Pharmacogenomic-Guided Clinical Decision Support System...
Conclusions: A pharmacogenomic-guided CDSS has been developed using warfarin as the test drug. The final CDSS prototype was trusted by prescribers and significantly increased the time using the tool and acceptance of the recommended doses. This study is an important step toward incorporating pharmacogenomics into CDSS design for clinical testing.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 23, 2016 Category: Information Technology Source Type: research
Mind the Gap
Conclusions from both sources of data were compared to identify areas of misalignment.
Results: We identified six emerging themes from the literature and stakeholder interviews: cost and resources, risk assessment, governance and consensus building, customization, clinical workflow and usability testing, and training. Across these themes, there were misalignments between the literature and stakeholder perspectives, indicating major gaps. Discussion: Major gaps identified from each of six emerging themes are discussed as critical areas for future research, opportunities for new stakeholder initiatives, and opportunities to...
Source: Applied Clinical Informatics - November 16, 2016 Category: Information Technology Source Type: research
Identification of Long Bone Fractures in Radiology Reports Using Natural Language Processing to...
Conclusions: NLP methods using a corpus of 1,000 training documents accurately identified acute long bone fractures from radiology reports. Strategic use of straightforward NLP methods, implemented with freely available software, offers quality improvement teams new opportunities to extract information from narrative documents.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 9, 2016 Category: Information Technology Source Type: research
Telemedicine for Developing Countries
Conclusions: We highlight some challenges and recommendations to be considered when designing a telemedicine system for developing countries.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 2, 2016 Category: Information Technology Source Type: research
Usability and Workflow Evaluation of “RhEumAtic Disease activitY” (READY)
Conclusion: Patients preferred READY to paper documents. Many found it easier to input information because of the larger font size and the ease of‘tapping’ rather than writing-out or circling answers. Even though patients spent more time on READY than using paper documents, the longer usage of READY was mainly due to when troubleshooting was needed. Most patients did not have problems after receiving initial support from the staff. This study not only enabled improvements to the software but also serves as good reference for other researchers or institutional decision makers who are interested in implementing s...
Source: Applied Clinical Informatics - November 2, 2016 Category: Information Technology Source Type: research
How Physician Perspectives on E-Prescribing Evolve over Time
Conclusions: Ensuring that physicians are able to do key prescribing tasks efficiently is critical to the perceived value of e-prescribing applications. However, successful transitions may take longer than expected and e-prescribing system features that do not support workflow or require constant upgrades may further prolong the process. Additionally, as system features continually evolve, physicians may need ongoing training and support to maintain efficiency.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 26, 2016 Category: Information Technology Source Type: research
Improving Individual Acceptance of Health Clouds through Confidentiality Assurance
This study examines the effect of confidentiality assurance in a cloud-computing environment on individuals’ willingness to accept the infrastructure for inter-organizational sharing of medical data.
Methods: We empirically investigate our research question by a survey with over 260 full responses. For the setting with a high confidentiality assurance, we base on a recent multi-cloud architecture which provides very high confidentiality assurance through a secret-sharing mechanism: Health information is cryptographically encoded and distributed in a way that no single and no small group of cloud providers is able to...
Source: Applied Clinical Informatics - October 26, 2016 Category: Information Technology Source Type: research
Evaluation of a Pilot Asthma Care Program for Electronic Communication between School Health and a...
Conclusions: Findings suggest a collaborative model of care that is enhanced through electronic communication via the EMR could positively impact the health of children with asthma or other chronic illnesses.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 19, 2016 Category: Information Technology Source Type: research
Appointment Lead Time Policy Development to Improve Patient Access to Care
Conclusions: The proposed approach and study findings may help clinics identify feasible appointment lead times.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 19, 2016 Category: Information Technology Source Type: research
Patient Perceptions of Wearable Face-Mounted Computing Technology and the Effect on the...
Conclusion: Most patients appear open to and would want their doctor to use face-mounted wearable computers such as Glass, even when unfamiliar with this technology. While some patients expressed concerns about privacy, patients were much less concerned about wearable technologies affecting the trust they have in their physician.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 12, 2016 Category: Information Technology Source Type: research
