Showing papers in "International Journal of Medical Informatics in 2008"

TL;DR: It has been shown in several studies that the use of an information system was conducive to more complete and accurate documentation by health care professionals, and studies focusing on the content of EHRs are needed, especially studies of nursing documentation or patient self-documentation.

TL;DR: The extent and role of the research area of predictive data mining and a framework to cope with the problems of constructing, assessing and exploiting data mining models in clinical medicine are discussed and proposed.

TL;DR: The main findings show that having the right user attitude and skills base together with good leadership, IT-friendly environment and good communication can have positive influence on the system adoption.

TL;DR: The results of the survey strongly support the new hybrid technology acceptance model in predicting nurses' intention to use the electronic logistics information system and shows that 'compatibility', 'perceived usefulness', 'Perceived ease of use', and 'trust' all have great positive influence on 'behavioral intention toUse'.

TL;DR: Examining HIT adoption in seven industrialized nations found that many have achieved high levels of ambulatory EHR adoption but lagged with respect to inpatient EHR and HIE, and suggest that increased efforts will be needed if interoperable EHRs are soon to become ubiquitous in these seven nations.

TL;DR: The impact of CPOE systems was especially positive in the category adherence to guidelines, but also to some extent in alerts and appropriateness of alerts; costs and organizational efficiency; and satisfaction and usability.

TL;DR: It is found that an increasing number of evaluation studies deal with two distinct trends of HIS: one considers human and organizational issues and the other is concerned with the employment of a subjectivist approach.

TL;DR: The implications of RFID systems, such as privacy concerns and work intensification for nursing and other hospital staff, should be taken into account from the outset, especially during the design and implementation of the technology.

TL;DR: Although these systems could be beneficial for clinicians and patients, it is an ongoing research area, and they are not yet fully implemented and integrated into existing careflow management systems and hence used in daily practice in health care institutions.

TL;DR: This study confirms the importance of the credibility of information on the frequency of Internet use as a preferred source of Information on personal health and shows the potentially influential role of the Internet in the development of personal knowledge of health issues.

TL;DR: This web-based intervention using SMS of personal cellular phone and Internet improved HbA(1)c and 2HPPT at 3, 6, 9, and 12 months in patients with obese type 2 diabetes.

TL;DR: The findings of this study suggest that HTMS self-efficacy and anxiety are likely to be important constructs in patients' acceptance of home telecare and are proposed to be included in future HTMS acceptance models.

TL;DR: This research provides an enhanced understanding of interruptions in workflow in the ED, the identification of work constraints, and the need to develop interventions to manage interruptions.

TL;DR: It is clear that doctors are highly connected to the Internet, and their professional usage is increasing, and usage differences between demographic groups do exist, but are equalising.

TL;DR: An extensive review of the clinical decision support literature since 1959, sequenced the systems and developed a model that shows evolving and increasingly sophisticated attempts to ease integrating decision support systems into clinical workflows and other clinical systems.

TL;DR: The relevance of distributed cognition to medical informatics is described and argued, both for the study of human performance in healthcare and for the design of technologies meant to enhance this performance.

TL;DR: It is not necessarily the case that electronic discharge summaries are of higher quality than handwritten ones, but free text items such as summary of the patient's progress may less likely be omitted in electronic summaries.

TL;DR: The refinement of the ICD-10 accompanied by innumerous coding rules has established a complex environment that leads to significant uncertainties even for experts, and use of coded data for quality management, health care financing, and health care policy requires a remarkable simplification.

TL;DR: Pneumo-CAD could represent a complementary tool to screen children with clinical suspicion of pneumonia, and so to contribute to gather information on the burden of-pneumonia estimates in order to help guide health policies toward preventive interventions.

TL;DR: A generic methodological model to incorporate user perspectives in the design and development process of e-health systems and provides a practical framework for understanding and considering user perspectives is described.

TL;DR: Medication lists in EHRs were frequently inaccurate and most frequently overlooked over-the-counter and non-prescription drugs, and patients using a secure portal had just as many discrepancies between medication lists and self-report as those who did not, and notifying physicians of discrepancies via e-mail had no effect.

TL;DR: Demand and support for online communication tools amongst patients is strong, and can increase quality of care due to increased patient-physician communication, and there would not seem to be sufficient evidence as of yet to suggest that this is the case.

TL;DR: A long-term healthcare system integrating WLAN and CATV networks in the form of a ubiquitous network providing a service platform for physiological monitoring that can classify the health levels of the resident according to the variation tendency of his or her physiological signal for important reference of health management.

TL;DR: It is shown that synchronisation and feedback mechanisms in nurse-physician collaborations have been impaired after the CPOE system was introduced and recommendations for repairing the impaired mechanisms and for redesigning the C POE system are provided.

TL;DR: The results suggest benefits for the kind of synthesis provided in ED, but also a potential limitation if too many different pictorial formats are used in a display, detecting critical events may be more difficult.

TL;DR: The clinicians experienced positive effects of electronic records over paper records for the three clinical activities involved in the evaluation, which is important in its own right and likely to affect clinicians' acceptance of EPR systems, their command of their work, and consequently the attainment of 'downstream' effects on patient outcomes.

TL;DR: This study evaluated the post-implementation impact of a nursing information system and identified issues related to the technology adoption process and issues of concern at both stages were system functionality, efficiency, usability, and user support.

TL;DR: CI can be a powerful tool for benchmarking the effectiveness of EMR systems in hospitals in ways that can guide hospitals in computerization process as well as benchmark their systems against other hospitals.

TL;DR: The nature of errors in the emergency department are complex, multi-layered and result from an intertwined web of activity, in which stress in the work environment, high patient volume and the tendency to adopt shortcuts play a significant role.

TL;DR: The authors' approaches use a variety of informatics methods to integrate evidence into CISs as a mechanism for providing decision support for evidence-based practice in a manner consistent with nursing workflow.