RF-Medisys: a radio frequency identification-based electronic medical record system for improving medical information accessibility and services at point of care.
Authors: Ting JS, Tsang AH, Ip AW, Ho GT Abstract This paper presents an innovative electronic medical records (EMR) system, RF-MediSys, which can perform medical information sharing and retrieval effectively and which is accessible via a 'smart' medical card. With such a system, medical diagnoses and treatment decisions can be significantly improved when compared with the conventional practice of using paper medical records systems. Furthermore, the entire healthcare delivery process, from registration to the dispensing or administration of medicines, can be visualised holistically to facilitate performan...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Consumer e-health: an overview of research evidence and implications for future policy.
This study, an interpretive review, assessed the evidence about consumer use of e-health and identified five categories that encompass consumer e-health: (i) peer-to-peer online support groups; (ii) self-management/self-monitoring applications; (iii) decision aids; (iv) the personal health record; and (v) Internet use. Our findings reveal that e-health offers consumers many possibilities and potential benefits, although there appears to be apprehension concerning the efficacy of some interventions and barriers relating to the trustworthiness of Internet-acquired information. It is imperative that policy initiatives address...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Developing policies for e-health: use of online health information by Australian health professionals and their patients.
This study further reports that Internet recommendations from health professionals (1-10%), Internet requests from patients (<1%) and Internet consultation processes (1%), do not mirror similar international research. It is recommended that development of policies that might influence e-health should not be based on a presumption that the use of the Internet for accessing health information is universal or that the Internet strongly influences Australian healthcare delivery. PMID: 21712557 [PubMed - indexed for MEDLINE] (Source: Health Information Management Journal)
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Does attitude matter in computer use in Australian general practice? A zero-inflated Poisson regression analysis.
This study is based on data extracted from a national telephone survey of 480 general practitioners (GPs) across Australia. Clinical functions performed by GPs using computers were examined using a zero-inflated Poisson (ZIP) regression modelling. About 17% of GPs were not using computer for any clinical function, while 18% reported using computers for all clinical functions. The ZIP model showed that computer anxiety was negatively associated with effective computer use, while practitioners' belief about usefulness of computers was positively associated with effective computer use. Being a female GP or working in partners...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Improving quality of service of home healthcare units with health information technologies.
This study examined crucial links between HITs and quality of service provided through an empirical investigation of 252 patients in a hospital-in-the-home unit (HHU) in a Spanish regional hospital. The study sought to test the relationship between HITs and the quality of service using factor analysis and structural equation modeling (SEM) to investigate how HITs mediate effects of organisational learning on quality of service. Findings support the notion that the relationship between organisational learning and quality of service can be mediated by HITs. This study provides HHU managers with guidelines for understanding t...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Hospital coding of dementia: is it accurate?
Authors: Cummings E, Maher R, Showell CM, Croft T, Tolman J, Vickers J, Stirling C, Robinson A, Turner P Abstract This paper investigates the coding of dementia in the episode of care in a pilot study group (N=48) post hospital discharge and the possible implications of under-coding. The assigned ICD-10-AM codes and Diagnosis Related Groups were reviewed. Results demonstrate under-coding of dementia and of cognitive deficits; poor correlation between admission diagnoses and dementia codes on separation; and changes in individual patients' cognitive status across forms and assessments in the same admission....
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

How good is New South Wales admitted patient data collection in recording births?
Authors: Lam MK Abstract This record linkage study aims to examine the coding concordance of delivery outcome and discharge status between the New South Wales (NSW) Midwives Data Collection (MDC) and Admitted Patients Data Collection (APDC) as well as factors that contribute to hospital births not being recorded in the APDC. Births recorded in the APDC and MDC datasets for the calendar year 2005 were used for analysis. Births registered in the NSW Registry of Births Deaths and Marriages for the same period were used as validation. Descriptive analysis was used to examine coding concordance between the APDC...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Dual vs. single computer monitor in a Canadian hospital Archiving Department: a study of efficiency and satisfaction.
Authors: Poder TG, Godbout ST, Bellemare C Abstract This paper describes a comparative study of clinical coding by Archivists (also known as Clinical Coders in some other countries) using single and dual computer monitors. In the present context, processing a record corresponds to checking the available information; searching for the missing physician information; and finally, performing clinical coding. We collected data for each Archivist during her use of the single monitor for 40 hours and during her use of the dual monitor for 20 hours. During the experimental periods, Archivists did not perform other...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Smart use of data, information and communication: the INFORM-ed Best Local Practice Project--Grafton Base Hospital.
Authors: Lloyd S, Collie J, McInnes A, King K, Lollback A, Garland A Abstract This paper describes current progress for an information management project in a medium-sized rural hospital after the first four months of the one-year project. In particular, the article examines some of the project outcomes to date as these relate to the National Hospitals and Health Reform recommendations for the smart use of data, information and communication. The paper identifies a number of important challenges and issues that have been addressed by the project and proposes that the project findings may be used to inform ...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Social media in health--what are the safety concerns for health consumers?
Authors: Lau AY, Gabarron E, Fernandez-Luque L, Armayones M Abstract Recent literature has discussed the unintended consequences of clinical information technologies (IT) on patient safety, yet there has been little discussion about the safety concerns in the area of consumer health IT. This paper presents a range of safety concerns for consumers in social media, with a case study on YouTube. We conducted a scan of abstracts on 'quality criteria' related to YouTube. Five areas regarding the safety of YouTube for consumers were identified: (a) harmful health material targeted at consumers (such as inappropr...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Damages claim for wrongful birth due to a systems failure.
Authors: Mair J Abstract Health professionals are well versed in the need to have systems in place which avoid mishaps happening to patients due to human error or breakdown in communications: for example, legal actions for damages for operations wrongfully performed on patients due to a failure in the identification process; surgery involving the wrong limb or organ; medications being given to the wrong patient. Hospitals set in place systems by which a patient's name and procedures to be performed are checked multiple times throughout the patient's stay. This process is particularly vital when a patient i...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Capture and documentation of coded data on adverse drug reactions: an overview.
Authors: Paul L, Robinson KM Abstract Allergic responses to prescription drugs are largely preventable, and incur significant cost to the community both financially and in terms of healthcare outcomes. The capacity to minimise the effects of repeated events rests predominantly with the reliability of allergy documentation in medical records and computerised physician order entry systems (CPOES) with decision support such as allergy alerts. This paper presents an overview of the nature and extent of adverse drug reactions (ADRs) in Australia and other developed countries, a discussion and evaluation of stra...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

An accessible method for teaching doctors about death certification.
Authors: Walker S, Rampatige R, Wainiqolo I, Aumua A Abstract The World Health Organization (WHO) recommends that data on mortality in its member countries are collected utilising the Medical Certificate of Cause of Death published in the instruction volume of the ICD-10. However, investment in health information processes necessary to promote the use of this certificate and improve mortality information is lacking in many countries. An appeal for support to make improvements has been launched through the Health Metrics Network's MOVE-IT strategy (Monitoring of Vital Events Information Technology) (WHO 201...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

A study of the difference in volume of information in chief complaint and present illness between electronic and paper medical records.
Authors: Boo Y, Noh YA, Kim MG, Kim S Abstract The introduction of an electronic medical record (EMR) has been rapidly accelerating in South Korea. The EMR was expected to improve quality of care, readability, availability, and the quality of data. However, the reluctance of healthcare providers to use the EMR may have caused a reduction of information recorded in EMRs. The purpose of this study was to identify whether there was any loss of information following the introduction of a narrative text-based EMR in the recording of chief complaint and present illness in inpatient medical records. Inpatient med...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Deploying information technology and continuous control monitoring systems in hospitals to prevent medication errors.
Authors: Escobar-Rodríguez T, Monge-Lozano P, Romero-Alonso MM, Bolívar-Raya MA Abstract The serious repercussions of healthcare errors on patient safety have led hospitals to deploy information technology and continuous control monitoring systems to prevent them. Hospitals are moving away from traditional paper-based systems and focusing on designing new systems that prevent errors, using information technologies to catalyse the process re-engineering. This paper presents a case study that analyses the effect of computerised physician order entry and automated unit-based medication storage and distribut...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research