Assessing electronic health record systems in emergency departments: Using a decision analytic Bayesian model
This article evaluates the impact of an electronic health record on emergency department physicians’ diagnosis and admission decisions. A decision analytic approach using a decision tree was constructed to model the admission decision process to assess the added value of medical information retrieved from the electronic health record. Using a Bayesian statistical model, this method was evaluated on two coronary artery disease scenarios. The results show that the cases of coronary artery disease were better diagnosed when the electronic health record was consulted and led to more informed admission decisions. Furtherm...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Ben-Assuli, O., Leshno, M. Tags: Articles Source Type: research
Exploring perceptions and use of the electronic health record by parents of children with autism spectrum disorder: A qualitative study
This qualitative project used structured interviews with nine parents to examine perceptions of the electronic health record (EHR) and associated patient portal in the treatment of their child’s autism spectrum disorder. Thematic analysis identified six complementary themes including: Familiarity and exposure to the EHR, changing experience of care (streamlining appointments, providing more rapid medical record access, increasing clinician awareness of the complexity of their child’s medical treatment, and facilitating prescriptions), portal use, patient/EHR/portal interaction, interoperability, and mother as c...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Bush, R. A., Stahmer, A. C., Connelly, C. D. Tags: Articles Source Type: research
Combining transcranial ultrasound with intelligent communication methods to enhance the remote assessment and management of stroke patients: Framework for a technology demonstrator
With over 150,000 strokes in the United Kingdom every year, and more than 1 million living survivors, stroke is the third most common cause of death and the leading cause of severe physical disability among adults. A major challenge in administering timely treatment is determining whether the stroke is due to vascular blockage (ischaemic) or haemorrhage. For patients with ischaemic stroke, thrombolysis (i.e. pharmacological ‘clot-busting’) can improve outcomes when delivered swiftly after onset, and current National Health Service Quality Improvement Scotland guidelines are for thrombolytic therapy to be provid...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Mort, A., Eadie, L., Regan, L., Macaden, A., Heaney, D., Bouamrane, M.-M., Rushworth, G., Wilson, P. Tags: Articles Source Type: research
Mobile platform for treatment of stroke: A case study of tele-assistance
This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed ...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Torres Zenteno, A. H., Fernandez, F., Palomino-Garcia, A., Moniche, F., Escudero, I., Jimenez-Hernandez, M. D., Caballero, A., Escobar-Rodriguez, G., Parra, C. Tags: Articles Source Type: research
Development and preliminary testing of a web-based, self-help application for disaster-affected families
This article describes (a) the development of a novel web-based multi-module self-help intervention for disaster-affected adolescents and their parents and (b) a mixed-methods formal usability study to evaluate user response. A total of 24 adolescents were observed, videotaped, and interviewed as they used the depressed mood component of the self-help intervention. Quantitative results indicated an above-average user experience, and qualitative analysis identified 120 unique usability issues. We discuss the challenges of developing self-help applications, including design considerations and the value of usability testing i...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Yuen, E. K., Gros, K., Welsh, K. E., McCauley, J., Resnick, H. S., Danielson, C. K., Price, M., Ruggiero, K. J. Tags: Articles Source Type: research
Recruitment and retention in an SMS-based health education program: Lessons learned from Text2BHealthy
This study utilizes survey and focus group data from Text2BHealthy, a short messaging service–based nutrition and physical activity promotion program, to examine barriers to enrollment and facilitators of retention among parents of elementary school students. Results show that participants were hard to reach with recruitment materials, had difficulty with self-enrollment, and were apprehensive about program costs. However, 89–90 percent of participants were retained. Results suggest that providing manual enrollment options, alternative program delivery methods (e.g. email messages), and opportunities to reenrol...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Speirs, K. E., Grutzmacher, S. K., Munger, A. L., Messina, L. A. Tags: Articles Source Type: research
Development testing of mobile health interventions for cancer patient self-management: A review
As the vision of mobile health (mHealth) is beginning to be realized, rigorous intervention development protocols are needed in order to draw optimal efficacy and effectiveness to support patient-centered oncology care. The purpose of the current study was to conduct a review of published articles that describe the development process of mHealth interventions for patients’ cancer care self-management. The review search yielded 11 interventions, reported by 14 manuscripts. The following trends emerged: importance of stakeholder engagement during the development process, addressing the unique needs and experiences of c...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Darlow, S., Wen, K.-Y. Tags: Articles Source Type: research
Users experiences of an emergency department patient admission predictive tool: A qualitative evaluation
Emergency department overcrowding is an increasing issue impacting patients, staff and quality of care, resulting in poor patient and system outcomes. In order to facilitate better management of emergency department resources, a patient admission predictive tool was developed and implemented. Evaluation of the tool’s accuracy and efficacy was complemented with a qualitative component that explicated the experiences of users and its impact upon their management strategies, and is the focus of this article. Semi-structured interviews were conducted with 15 pertinent users, including bed managers, after-hours managers, ...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Jessup, M., Crilly, J., Boyle, J., Wallis, M., Lind, J., Green, D., Fitzgerald, G. Tags: Articles Source Type: research
There comes a baby! What should I do? Smartphones pregnancy-related applications: A web-based overview
Our article aims to give an overview of the most mentioned smartphones’ pregnancy-related applications (Apps). A keywords string with selected keywords was entered both in a general search engine (Google®) and PubMed. While PubMed returned no pertinent results, a total of 370 web pages were found on Google®, and 146 of them were selected. All the pregnancy-related Apps cited at least eight times were included. Information about App’s producer, price, contents, privacy policy, and presence of a scientific board was collected. Finally, nine apps were considered. The majority of them were free and availabl...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Bert, F., Passi, S., Scaioli, G., Gualano, M. R., Siliquini, R. Tags: Articles Source Type: research
Factors influencing physicians knowledge sharing on web medical forums
Web medical forums are relatively unique as knowledge-sharing platforms because physicians participate exclusively as knowledge contributors and not as knowledge recipients. Using the perspective of social exchange theory and considering both extrinsic and intrinsic motivations, this study aims to elicit the factors that significantly influence the willingness of physicians to share professional knowledge on web medical forums and develops a research model to explore the motivations that underlie physicians’ knowledge-sharing attitudes. This model hypothesizes that constructs, including shared vision, reputation, alt...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Lin, T. C., Lai, M. C., Yang, S. W. Tags: Articles Source Type: research
The process of development of a prioritization tool for a clinical decision support build within a computerized provider order entry system: Experiences from St Lukes Health System
This study establishes a process for developing a prioritization tool for a clinical decision support build within a computerized provider order entry system that may be applicable to similar institutions. (Source: Health Informatics Journal)
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Wolf, M., Miller, S., DeJong, D., House, J. A., Dirks, C., Beasley, B. Tags: Articles Source Type: research
Radio frequency identification-enabled capabilities in a healthcare context: An exploratory study
Increasingly, the adoption and use of radio frequency identification systems in hospital settings is gaining prominence. However, despite the transformative impact that radio frequency identification has in healthcare settings, few studies have examined how and why this change may occur. The purpose of this study is to systematically understand how radio frequency identification can transform work practices in an operational process that directly impacts cost and operational efficiency and indirectly contributes to impacting patient safety and quality of care. We leverage an interdisciplinary framework to explore the conte...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Hornyak, R., Lewis, M., Sankaranarayan, B. Tags: Articles Source Type: research
Managing information well: Toward an ontology-driven informatics platform for data sharing and secondary use in epilepsy self-management research centers
Epilepsy is a chronic neurological condition that requires active self-management to reduce personal and population burden. The Managing Epilepsy Well Network, funded by the US Centers for Disease Control and Prevention, conducts research on epilepsy self-management. There is an urgent need to develop an integrated informatics platform to maximize the secondary use of existing Managing Epilepsy Well Network data. We have implemented multiple steps to develop an informatics platform, including: (a) a survey of existing outcome data, (b) identification of common data elements, and (c) an integrated database using an epilepsy...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Sahoo, S. S., Zhang, G.-Q., Bamps, Y., Fraser, R., Stoll, S., Lhatoo, S. D., Tatsuoka, C., Sams, J., Welter, E., Sajatovic, M. Tags: Articles Source Type: research
Specific factors influencing information system/information and communication technology sourcing strategies in healthcare facilities
This study provides a set of internal and external factors with their impact levels. The findings also show that not enough attention is paid to these factors during decision-making. (Source: Health Informatics Journal)
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Potancok, M., Vorisek, J. Tags: Articles Source Type: research
Toward automated classification of consumers cancer-related questions with a new taxonomy of expected answer types
This article examines methods for automated question classification applied to cancer-related questions that people have asked on the web. This work is part of a broader effort to provide automated question answering for health education. We created a new corpus of consumer-health questions related to cancer and a new taxonomy for those questions. We then compared the effectiveness of different statistical methods for developing classifiers, including weighted classification and resampling. Basic methods for building classifiers were limited by the high variability in the natural distribution of questions and typical refin...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: McRoy, S., Jones, S., Kurmally, A. Tags: Articles Source Type: research
