Visual Analytics for Pattern Discovery in Home Care
Conclusions: We have demonstrated the use of visual analysis to discover novel patterns that described high-needs subgroups among the older home health patient population. The effective presentation of these data patterns can allow clinicians to identify areas of patient improvement, and time periods that are most effective for implementing home health interventions to improve patient outcomes.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 26, 2016 Category: Information Technology Source Type: research
On Bridges and Stacks
(Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 20, 2016 Category: Information Technology Source Type: research
Developing an Algorithm to Detect Early Childhood Obesity in Two Tertiary Pediatric Medical Centers
Conclusions: Detecting severe early childhood obesity is essential for the intervention potential in children at the highest long-term risk of developing comorbidities related to obesity and excluding patients with underlying pathological and non-syndromic causes of obesity assists in developing a high-precision cohort for genetic study. Further such phenotyping efforts inform future practical application in health care environments utilizing clinical decision support.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 20, 2016 Category: Information Technology Source Type: research
Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit
Conclusion: It is important to conduct baseline studies of the use of novel technologies. The importance of training and orientation affects the adoption and use patterns of this new technology. This study is notable for being the first to investigate a LCIM system, a next generation system implemented in the pediatric critical care setting. Our study revealed this next generation HIT might have great potential for family-centered rounds, team education during rounds, and family education/engagement in their child’s health in the patient room. This study also highlights the effect of training and orientation on the a...
Source: Applied Clinical Informatics - July 20, 2016 Category: Information Technology Source Type: research
Electronic data collection in epidemiological research
Conclusions: Adopting electronic data capture solutions, such as REDCap, in epidemiological research can bring several advantages over traditional paper-based data collection methods. In favor of improving their features, more research groups should migrate from paper to electronic-based epidemiological research.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 13, 2016 Category: Information Technology Source Type: research
Use of Text Searching for Trigger Words in Medical Records to Identify Adverse Drug Reactions within...
Conclusions: Targeted chart review using specific words and phrases as triggers for ADRs is a reasonable approach to identify ADRs and may save time compared to other methods after further refinement leads to a more accurately performing trigger word list.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 13, 2016 Category: Information Technology Source Type: research
Duly noted: Lessons from a two-site intervention to assess and improve the quality of clinical...
Conclusion: This educational quality improvement project did not improve the quality of clinical documentation as measured by the PDQI-9. This project underscores the difficulty in improving note quality. Further efforts should explore more effective educational tools to improve the quality of clinical documentation in the EHR.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 6, 2016 Category: Information Technology Source Type: research
Patient-generated Digital Images after Pediatric Ambulatory Surgery
Conclusion: Clinical teams have developed ad hoc workflows to use digital images to evaluate post-operative pediatric surgical patients. Because the use of digital images to support follow-up care after ambulatory surgery is likely to increase, it is important that high-quality images are captured and documented appropriately in the EHR to ensure privacy, security, and a high-level of care.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 6, 2016 Category: Information Technology Source Type: research
Personalized support for chronic conditions
Conclusion: The present study represents the preliminary step towards the development of a solution aimed at enhancing patients’ actual perception and encouraging self-management and self-awareness for a better lifestyle. Future work regards further identification of pathology-related needs and requirements through focus groups including all stakeholders in order to describe the architecture and functionality in greater detail.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - July 6, 2016 Category: Information Technology Source Type: research
Open Access: A Socio-technical Approach to Preventing, Mitigating, and Recovering from Ransomware...
Recently there have been several high-profile ransomware attacks involving hospitals around the world. Ransomware is intended to damage or disable a user’s computer unless the user makes a payment. Once the attack has been launched, users have three options: 1) try to restore their data from backup; 2) pay the ransom; or 3) lose their data. In this manuscript, we discuss a socio-technical approach to address ransomware and outline four overarching steps that organizations can undertake to secure an electronic health record (EHR) system and the underlying computing infrastructure. First, health IT professionals need t...
Source: Applied Clinical Informatics - June 30, 2016 Category: Information Technology Source Type: research
A Socio-technical Approach to Preventing, Mitigating, and Recovering from Ransomware Attacks
Recently there have been several high-profile ransomware attacks involving hospitals around the world. Ransomware is intended to damage or disable a user’s computer unless the user makes a payment. Once the attack has been launched, users have three options: 1) try to restore their data from backup; 2) pay the ransom; or 3) lose their data. In this manuscript, we discuss a socio-technical approach to address ransomware and outline four overarching steps that organizations can undertake to secure an electronic health record (EHR) system and the underlying computing infrastructure. First, health IT professionals need t...
Source: Applied Clinical Informatics - June 29, 2016 Category: Information Technology Source Type: research
Feasibility of population health analytics and data visualization for decision support in the...
Conclusion: A population database has great potential for reducing complexity and uncertainty in medicine to improve clinical care. The preferences identified for the population information display will guide future health information technology system designers for better and more intuitive display.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 29, 2016 Category: Information Technology Source Type: research
Derivation and validation of a search algorithm to retrospectively identify CRRT initiation in the...
Conclusions: The use of an electronic search strategy resulted in determining an accurate CRRT initiation time among ECMO patients.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 29, 2016 Category: Information Technology Source Type: research
Optimized Computerized Order Entry can Reduce Errors in Electronic Prescriptions and Associated...
Conclusions: Implementing optimization changes to the CPOE resulted in a reduction in error rate requiring pharmacist CTC. This study identifies effective optimization changes for electronic prescribing that can reduce prescribing errors and may result in cost saving.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 29, 2016 Category: Information Technology Source Type: research
Users’ attitudes towards personal health records
Conclusion: The attitude of patients towards using PHR in management of their diabetes was positive. Their attitude was mainly influenced by the extent to which the system helped them better perform activities and self-manage their condition.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - June 22, 2016 Category: Information Technology Source Type: research
