A Two-Year Longitudinal Assessment of Ophthalmologists ’ Perceptions after Implementing an Electronic...
Conclusions: As ophthalmology practices continue to transition to EHRs, adapting them to their specific culture and needs is important to maintain efficiency and user satisfaction. This study identifies areas of concern to ophthalmologists that may be addressed through education of physicians and customization of software as other practices move forward with EHR implementation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 12, 2016 Category: Information Technology Source Type: research

Toward Designing Information Display to Support Critical Care
Conclusions: The results from this study can be used to guide the design of future acute care electronic health information display. Additional research and collaboration is needed to refine and implement intelligent graphical user interfaces to improve clinical information organization and prioritization to support care decisions.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 5, 2016 Category: Information Technology Source Type: research

Social Networking Services-Based Communicative Care for Patients with Diabetes Mellitus in Korea
Discussion: Patients in Korea with DM tend to have insufficient knowledge about diet and insulin regulation; continuously providing diet and insulin regulation information are desirable. It is hoped that the patients would be motivated to participate actively by“knowledge sharing.” Through this process, patients learn about their diseases not from the physicians but from among themselves.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 28, 2016 Category: Information Technology Source Type: research

Optimizing Clinical Decision Support in the Electronic Health Record
Conclusions: Performing on-site tool promotion significantly increased odds of CDSS activation. Optimizing CDSS adoption requires active education.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 21, 2016 Category: Information Technology Source Type: research

Practical considerations for implementing genomic information resources
Conclusion: This work identifies a need for the improved access to and expansion of information resources to support genomic medicine, and opportunities for content developers and EHR vendors to partner with institutions to develop needed resources, and streamline their use– such as a central content site in multiple modalities while implementing approaches to allow for site-specific customization.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 21, 2016 Category: Information Technology Source Type: research

Healthcare Applications of Smart Watches
Conclusion: Smart watches are unobtrusive and easy to wear. While smart watch technology supplied with biosensors has potential to be useful in a variety of healthcare applications, rigorous research with their use in clinical settings is needed.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 14, 2016 Category: Information Technology Source Type: research

The Hidden Lives of Nurses' Cognitive Artifacts
Conclusions: The“hidden lives“– the life cycle and evolution– of paper brains have implications for the design of successful electronic tools to support nursing practice, including handoff. Nurses’ paper brains provide cognitive support beyond the context of handoff. Information retrieval during handoff is undoubtedly an important function of nurses’ paper brains, but tools designed to standardize handoff communication without accounting for cognitive needs during all phases of the paper brain life cycle or the ability to evolve with changes to those cognitive needs will be underutilized...
Source: Applied Clinical Informatics - September 7, 2016 Category: Information Technology Source Type: research

Integrating Genomic Resources with Electronic Health Records using the HL7 Infobutton Standard
Conclusion: Genomic resources can be integrated with EHR systems via the HL7 Infobutton standard using OpenInfobutton. Full compliance of genomic resources with the Infobutton standard would further enhance interoperability with EHR systems.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 31, 2016 Category: Information Technology Source Type: research

Open Access: Integrating Genomic Resources with Electronic Health Records using the HL7 Infobutton...
Conclusion: Genomic resources can be integrated with EHR systems via the HL7 Infobutton standard using OpenInfobutton. Full compliance of genomic resources with the Infobutton standard would further enhance interoperability with EHR systems.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 31, 2016 Category: Information Technology Source Type: research

Meta-generalis: A novel method for structuring information from radiology reports
Conclusions: The proposed methodology allowed structuring information in a more intuitive and practical way. Indications of three textual superstructures, extraction of lexicon units and the normalization and ontologically conceptualization were achieved while maintaining references to their respective categories and free text radiology reports.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 24, 2016 Category: Information Technology Source Type: research

The Use of Evidence-Based, Problem-Oriented Templates as a Clinical Decision Support in an Inpatient...
Conclusion: Use of evidence-based and problem-oriented templates is associated with improved note quality without significant change in total charting time. It can be used as an effective CDS during note documentation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 17, 2016 Category: Information Technology Source Type: research

Perfect Storm of Inpatient Communication Needs and an Innovative Solution Utilizing Smartphones and...
Conclusions: Routine adoption of secured messaging improved perceived efficiency among providers on 4 hospital units. Our study suggests that a mobile application can improve communication and workflow efficiency among providers in a hospital. New technology has the potential to improve communication among care providers in hospitals.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 10, 2016 Category: Information Technology Source Type: research

Patient Education for Consumer-Mediated HIE
This study was conducted as a pilot two-arm randomized controlled trial. In the intervention arm, 27 veterans were taught how to generate a Continuity of Care Document (CCD) within the Blue Button feature of their VA patient portal and were then asked to share it with their community non-VA provider. In the attention control condition, 25 Veterans were taught how to look up health information on the Internet. The impact of this training on the next non-VA medical visit was examined. Results: Nineteen (90%) veterans in the intervention arm shared their CCD with their non-VA provider as compared with 2 (17%) in the attention...
Source: Applied Clinical Informatics - August 3, 2016 Category: Information Technology Source Type: research

A New Paradigm to Analyze Data Completeness of Patient Data
Conclusion: DCAP examines patient records and generates statistics that can be used to determine the completeness of individual patient data as well as the general thoroughness of record keeping in a medical database. DCAP uses a component that is customized to the settings of the software package used for storing patient data as well as a Comma Separated Values (CSV) file parser to determine the appropriate measurements. DCAP itself is assessed through a proof of concept exercise using hypothetical data as well as available HCUP SID patient data.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 3, 2016 Category: Information Technology Source Type: research

Renal Drug Dosing
Conclusions: Prescriber- and pharmacist-based CDSS provided comparable, low rates of potential medication errors. Future studies should be undertaken to examine patient benefits of the prescriber-based CDSS.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 28, 2016 Category: Information Technology Source Type: research