Showing papers in "International Journal of Medical Informatics in 2015"

TL;DR: There is some evidence that implementing clinical and/or quality dashboards that provide immediate access to information for clinicians can improve adherence to quality guidelines and may help improve patient outcomes.

TL;DR: In this paper, a multicenter cross-sectional study was conducted in the medical-surgical wards of four hospitals ranked at different EPR adoption stages, and a randomized stratified sampling approach was used to recruit 616 nurses.

TL;DR: The findings of this study make a novel contribution in the context of healthcare industry that is to improve the decision process of innovation in adoption stage and to help enhance more the diffusion of IS in the hospital setting, which by doing so, can provide plenty of profits to the patient community and the hospitals.

TL;DR: There is substantially increased cognitive workload for nurses during the early phases (1-5 shifts) of EHR transitions, and health systems should anticipate variability across workers adapting to "meaningful use" EHRs.

TL;DR: A systematic review of telemedicine applications for hospital-based emergency care aims to synthesize the existing evidence on the impact of tele-emergency applications that could inform future efforts and research in this area.

TL;DR: The use of Skype was most prevalent in the management of chronic diseases such as cardiovascular diseases and diabetes, followed by educational and speech and language pathology applications and most reported uses were in developed countries.

TL;DR: The use of EHR technology has a major impact on ICU physician work and workflow and workflow (e.g., increased time spent on clinical review and documentation), and the impact of changes in physician work on the quality of care provided.

TL;DR: The present Delphi survey identified issues relevant for successful implementation of ICT-based health care solutions, providing a compilation of several areas that might require further research.

TL;DR: The results indicate that institutional trust and perceived risk integrated with the decomposed TPB model improve the prediction of physician's intentions to use EMR exchange, and provides valuable implications for academics and practitioners.

TL;DR: In a retrospective analysis of EHR systems at ten healthcare facilities, six success factors may be useful for healthcare organizations seeking to improve the quality of their problem list documentation: financial incentives, problem oriented charting, gap reporting, shared responsibility, links to billing codes, and organizational culture.

TL;DR: The system proposed in this study provides automatic identification and characterisation of cancers from large collections of free-text death certificates, which allows organisations such as Cancer Registries to monitor and report on cancer mortality in a timely and accurate manner.

TL;DR: This work uses de-identified Electronic Health Record data from a large urban hospital in Boston to identify patients with heart diseases and applies five machine learning algorithms to accurately and efficiently predict heart-related hospitalizations based on the available patient-specific medical history.

TL;DR: An integrated model to explain healthcare professionals' intention to use the health cloud service and their intention to resist it is developed, demonstrating the importance of incorporating user resistance in technology acceptance studies in general and in health technology usage studies in particular.

TL;DR: Scalable, semi-automated NLP methods can efficiently and accurately identify evidence of problem opioid use in vast amounts of EHR text and may increase prevalence estimates by as much as one-third relative to traditional methods.

TL;DR: The findings provide a comprehensive understanding of the factors that influence physicians' intention to adopt clinical decision support systems in a developing country and can help hospital managers manage CDSS implementation in an effective manner.

TL;DR: An excellent inter- and intra-observer agreement is found in the imaging assessment of tibial plateau fractures sent via WhatsApp Messenger and the use of the WhatsApp Messenger as an adjuvant tool could be broadened to other clinical centres to assess its viability in other skeletal and non-skeletal trauma situations.

TL;DR: Understanding of how FB is used to seek social support could impact supporting and maintaining effective communication among parents and/or caregivers of children with ASDs and improve approaches used by health professionals in developing, improving and evaluating social support systems for parents/caregivers.

TL;DR: The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR.

TL;DR: It is found that the community has some technological readiness but inequity was observed for human resource readiness and technological capabilities, and the study population is motivated to use mHealth.

TL;DR: Most participants would prefer to opt-in before their identifiable records are used before they are used, and half of participants would share their de-identified records under implicit consent.

TL;DR: Large-scale patient safety events associated with NPfIT reinforce that the use of IT does create hazardous circumstances and can lead to patient harm or death, and this suggests that addressing them should be a priority for all major IT implementations.

TL;DR: A meta-synthesis aggregates qualitative research findings as possible explanations for variable quantitative research outcomes in computerized clinical decision support systems (CDSS).

TL;DR: EHRs have yet to truly fulfill their promise to support clinicians in their patient care activities, including the essential work of building the patient's story, a longitudinal pre/post investigation at a large pediatric hospital suggests.

TL;DR: The case study findings showed that the system faced complex challenges and was underutilised despite its potential, and the comprehensive and specific evaluation measures of the Human-Organisation-Technology Fit framework can flexibly evaluate Critical Care Information Systems.

TL;DR: Designers of future mobile-based home monitoring systems for heart failure and other chronic conditions could leverage the described approach as a means of meeting patients' needs during system use within the home environment and facilitating successful uptake.

TL;DR: EMR-based data verification can improve the completeness of data collected in the patient record for maternal and child health, and significant improvements in data quality are recorded through implementation of this EMR model.

TL;DR: The exploration of PHD experience indicated that ease of learning and social norm significantly influenced PHD use intention, and many respondents expressed negative opinions on the accuracy, durability and maintenance service of PHDs.

TL;DR: The overall quality of documentation content for the nursing process was no better in the electronic system than in the paper-based system and both types of nursing care plan were weak in documenting measurable and concrete resident outcomes.

TL;DR: In this article, an audit of patients' online access to medical records was conducted in July-August 2011 using a survey questionnaire, and four main themes relating to the ways in which patients accessed their records were identified: making savings, checking past activity, preparation for future action, and setting new expectations.

TL;DR: A smartphone app that contained self-help material, functions to monitor behavior, and provisions of in-the-moment interventions was conceptualized and indicated that it would be highly feasible and acceptable to users and clinicians, though concerns about the degree of personalization and customizability were noted.