The ICMCC Science Pages offer you bibliographical information on scientific articles from journals and books, related to medical and care compunetics (the social, societal and ethical aspects of the use of ICT), based on the links contained in the ICMCC database (actually 2645 articles (2450 from 527 journals and 195 book articles/chapters) and 26 books and proceedings and growing).
Every item is Zotero ready. If you have the Zotero Firefox plugin (you see the ICMCC site best with Firefox), you can import all citation data directly into your Zotera database.
- abstract of the article
- links to the original abstract/article and to the journal volume
- all bibliographic data (including full citation)
- links to other articles from the authors (if in ICMCC database)
- links to other articles from involved academic institutes (if in ICMCC database)
- links to PubMed and Google Scholar for each author
- inventory of involved academic institutes
- indices on author, first author, article title, publication date, journal, academic institutes
- possibility to discuss the issues covered in the article
Recently Published
Unertl KM et al, J Am Med Inform Assoc, 19(3)
Objective
The goal of this study was to develop an in-depth understanding of how a health information exchange (HIE) fits into clinical workflow at multiple clinical sites.
Materials and Methods
The ethnographic qualitative study was conducted over a 9-month period in six emergency departments (ED) and eight ambulatory clinics in Memphis, Tennessee, USA. Data were collected using direct observation, informal interviews during observation, and formal semi-structured interviews. The authors observed for over 180 h, during which providers used the exchange 130 times.
[ More ]
Added: 16 May 2012 | Published:
1 May 2012 |
Schnipper JL et al, J Am Med Inform Assoc, 2012
Objective
To determine the effects of a personal health record (PHR)-linked medications module on medication accuracy and safety.
Design
From September 2005 to March 2007, we conducted an on-treatment sub-study within a cluster-randomized trial involving 11 primary care practices that used the same PHR. Intervention practices received access to a medications module prompting patients to review their documented medications and identify discrepancies, generating ‘eJournals’ that enabled rapid updating of medication lists during subsequent clinical visits.
[ More ]
Added: 16 May 2012 | Published:
3 May 2012 |
Marcotte L et al, Archives of Internal Medicine, 172(9)
Over 30 000 clinicians have already qualified to receive initial incentive payments for the meaningful use of electronic health records (EHRs) through the Centers for Medicare & Medicaid Services (CMS) EHR Incentive Programs. However, 2012 is the final year to receive maximum incentive payments, and many physicians still have questions regarding meaningful use objectives and how to register for, report, and attest to meaningful use.
[ More ]
Added: 16 May 2012 | Published:
14 May 2012 |
Singh H et al, BMJ Quality and Safety, 21(2)
BACKGROUND
Diagnostic errors in primary care are harmful but difficult to detect. The authors tested an electronic health record (EHR)-based method to detect diagnostic errors in routine primary care practice.
[ More ]
Added: 16 May 2012 | Published:
13 October 2011 |
Cafazzo JA et al, J Med Internet Res, 14(3)
BACKGROUND
The use of mHealth apps has shown improved health outcomes in adult populations with type 2 diabetes mellitus. However, this has not been shown in the adolescent type 1 population, despite their predisposition to the use of technology. We hypothesized that a more tailored approach and a strong adherence mechanism is needed for this group.
[ More ]
Added: 15 May 2012 | Published:
8 May 2012 |
Crosson JC et al, The Annals of Family Medicine, 10(3)
PURPOSE
Recent efforts to encourage meaningful use of electronic health records (EHRs) assume that widespread adoption will improve the quality of ambulatory care, especially for complex clinical conditions such as diabetes. Cross-sectional studies of typical uses of commercially available ambulatory EHRs provide conflicting evidence for an association between EHR use and improved care, and effects of longer-term EHR use in community-based primary care settings on the quality of care are not well understood.
[ More ]
Added: 15 May 2012 | Published:
1 May 2012 |
LeRouge C et al, International Journal of Medical Informatics, 2012
Purpose
Service interactions between service providers and health care consumers happen daily in health care organizations, and can occur face-to-face or through mediating technology. We use the demanding and rich environment of telemedicine to better understand the nature of the real time service-encounter interactions among the human and technology actors engaged in the process and to inform telemedicine providers about key factors to consider in telemedicine design.
[ More ]
Added: 14 May 2012 | Published:
10 May 2012 |
Recently Added/Updated
Vest JR, Gamm LD. J Am Med Inform Assoc, 17(3)
Recent federal policies and actions support the adoption of health information exchange (HIE) in order to improve healthcare by addressing fragmented personal health information. However, concerted efforts at facilitating HIE have existed for over two decades in this country.
[ More ]
Added: 16 May 2012 | Published:
May 2010 |
Lenert L et al, J Am Med Inform Assoc, 2012
In the midst of a US $30 billion USD investment in the Nationwide Health Information Network (NwHIN) and electronic health records systems, a significant change in the architecture of the NwHIN is taking place. Prior to 2010, the focus of information exchange in the NwHIN was the Regional Health Information Organization (RHIO). Since 2010, the Office of the National Coordinator (ONC) has been sponsoring policies that promote an internet-like architecture that encourages point to-point information exchange and private health information exchange networks.
[ More ]
Updated: 16 May 2012 | Published:
21 January 2012 |
Vest J. Journal of Medical Systems, 33(1)
Abstract
Health information exchange (HIE) makes previously inaccessible data available to clinicians, resulting in more complete information. This study tested the hypotheses that HIE information access reduced emergency room visits and inpatient hospitalizations for ambulatory care sensitive conditions among medically indigent adults. HIE access was quantified by how frequently system users’ accessed patients’ data. Encounter counts were modeled using zero inflated binomial regression.
[ More ]
Updated: 16 May 2012 | Published:
18 July 2008 |
Cabrnoch M, Hasić B. Health and Technology, 1(2-4)
In the last few years, electronic healthcare has become a phenomenon that is being widely discussed by both patients and physicians. The Electronic Health Book(EHB) system, a unique Czech solution for eHealth, is developing dynamically in the Czech Republic. EHB is a highly secure overview of a patient’s health and medical information in electronic form, accessible 24 h a day via the Internet. At the same time, it is a safe environment interconnecting healthcare service providers, patients, and health insurance companies. It serves to transfer medical information between the physician and the patient and amongst physicians. In emergencies, it can help save lives.
[ More ]
Updated: 14 May 2012 | Published:
19 July 2011 |
Frisse ME et al, J Am Med Inform Assoc, 19(3)
To examine the financial impact health information exchange (HIE) in emergency departments (EDs).Materials and MethodsWe studied all ED encounters over a 13-month period in which HIE data were accessed in all major emergency departments Memphis, Tennessee. HIE access encounter records were matched with similar encounter records without HIE access. Outcomes studied were ED-originated hospital admissions, admissions for observation, laboratory testing, head CT, body CT, ankle radiographs, chest radiographs, and echocardiograms. Our estimates employed generalized estimating equations for logistic regression models adjusted for admission type, length of stay, and Charlson co-morbidity index. Marginal probabilities were used to calculate changes in outcome variables and their financial consequences.ResultsHIE data were accessed in approximately 6.8% of ED visits across 12 EDs studied.
[ More ]
Updated: 14 May 2012 | Published:
4 November 2011 |
van der Sijs H et al, J Am Med Inform Assoc, 13(2)
Many computerized physician order entry (CPOE) systems have integrated drug safety alerts. The authors reviewed the literature on physician response to drug safety alerts and interpreted the results using Reason’s framework of accident causation. In total, 17 papers met the inclusion criteria. Drug safety alerts are overridden by clinicians in 49% to 96% of cases. Alert overriding may often be justified and adverse drug events due to overridden alerts are not always preventable. A distinction between appropriate and useful alerts should be made.
[ More ]
Added: 4 May 2012 | Published:
15 December 2005 |
Connelly DP et al, J Am Med Inform Assoc, 19(3)
Objective
To evaluate if electronic health records (EHR) have observable effects on care outcomes, we examined quality and efficiency measures for patients presenting to emergency departments (ED).
Materials and methods
We conducted a retrospective study of 5166 adults with heart failure in three metropolitan EDs. Patients were termed internal if prior information was in the EHR upon ED presentation, otherwise external. Associations of internality with hospitalization, mortality, length of stay (LOS), and numbers of tests, procedures, and medications ordered in the ED were examined after adjusting for age, gender, race, marital status, comorbidities and hospitalization as a proxy for acuity level where appropriate.
[ More ]
Updated: 26 April 2012 | Published:
9 November 2011 |
Stein JC et al, Academic Emergency Medicine, 18(10)
OBJECTIVES
The objective was to assess the efficiency and safety of an interactive computer kiosk module for the management of uncomplicated urinary tract infections (UTI) in emergency departments (EDs).
[ More ]
Added: 24 April 2012 | Published:
13 October 2011 |
Jha AK et al, Health Affairs, 25(6)
Electronic health records (EHRs) are promising tools to improve quality and efficiency in health care, but data on their adoption rate are limited. We identified surveys on EHR adoption and assessed their quality. Although surveys returned widely different estimates of EHR use, when available information is limited to studies of high or medium quality, national estimates are possible: Through 2005, approximately 23.9 percent of physicians used EHRs in the ambulatory setting, while 5 percent of hospitals used computerized physician order entry.
[ More ]
Updated: 6 April 2012 | Published:
November 2006 |
Dregan A et al, BMC Medical Research Methodology, 11
BACKGROUND
Electronic patient records are generally coded using extensive sets of codes but the significance of the utilisation of individual codes may be unclear. Item response theory (IRT) models are used to characterise the psychometric properties of items included in tests and questionnaires. This study asked whether the properties of medical codes in electronic patient records may be characterised through the application of item response theory models.
[ More ]
Added: 30 March 2012 | Published:
16 December 2011 |
Wears RL, Berg M. JAMA, 293(10)
Process-supporting information technology (IT) has been heralded as an important building block in attempts to improve the quality and safety of health care. Two areas in particular have drawn both attention and funding. The first is clinical decision support; that is, information systems designed to improve clinicians’ decision making.
[ More ]
Updated: 16 March 2012 | Published:
9 March 2005 |
Adler-Milstein J et al, Annals of Internal Medicine, 154(10)
Background:
To receive financial incentives for meaningful use of electronic health records, physicians and hospitals will need to engage in health information exchange (HIE). For most providers, joining regional organizations that support HIE is the most viable approach currently available.
Objective:
To assess the state of HIE in the United States through regional health information organizations (RHIOs).
[ More ]
Updated: 28 February 2012 | Published:
17 October 2011 |
Verhoeven F et al, J Med Internet Res, 9(5)
Background:
A systematic literature review was carried out to study the benefits of teleconsultation and videoconferencing on the multifaceted process of diabetes care. Previous reviews focused primarily on usability of technology and considered mainly one-sided interventions.
[ More ]
Updated: 27 February 2012 | Published:
14 December 2007 |
Nijland N et al, J Med Internet Res, 10(2)
Background:
Prior studies have shown that many patients are interested in Internet-based technology that enables them to control their own care. As a result, innovative eHealth services are evolving rapidly, including self-assessment tools and secure patient-caregiver email communication. It is interesting to explore how these technologies can be used for supporting self-care.
[ More ]
Updated: 27 February 2012 | Published:
15 May 2008 |
Mane KK et al, Clinical and Translational Science, 4(5)
This article presents a novel visual analytics (VA)-based clinical decision support (CDS) tool prototype that was designed as a collaborative work between Renaissance Computing Institute and Duke University. Using Major Depressive Disorder data from MindLinc electronic health record system at Duke, the CDS tool shows an approach to leverage data from comparative population (patients with similar medical profile) to enhance a clinicians’ decision making process at the point of care.
[ More ]
Added: 16 February 2012 | Published:
October 2011 |
Li YC et al, Yearbook of Medical Informatics, 2009(1)
OBJECTIVE
Increasing patient demand for convenient access to their own healthcare data has led to more personal use of the Electronic Health Record (EHR). With “consumer empowerment” being an important issue of EHR, we are seeing a more “patient-centric” approach of EHR from countries around the world. Researchers have reported on issues in EHR sharing including concerns on privacy and security, consumer empowerment, competition among providers, and content standards. This study attempts to analyze prior research and to synthesize comprehensive, empirically-based conceptual models of EHR for personal use.
[ More ]
Added: 29 January 2012 | Published:
2009 |
Ross SE et al, J Med Internet Res, 13(3)
BACKGROUND
Adverse drug events are a major safety issue in ambulatory care. Improving medication self-management could reduce these adverse events. Researchers have developed medication applications for tethered personal health records (PHRs), but little has been reported about medication applications for interoperable PHRs.
OBJECTIVE
Our objective was to develop two complementary personal health applications on a common PHR platform: one to assist children with complex health needs (MyMediHealth), and one to assist older adults in care transitions (Colorado Care Tablet).
[ More ]
Added: 26 January 2012 | Published:
12 July 2011 |
Johnson KB et al, J Am Med Inform Assoc, 18(5)
OBJECTIVE
Health information exchange (HIE) systems are being developed across the nation. Understanding approaches taken by existing successful exchanges can help new exchange efforts determine goals and plan implementations. The goal of this study was to explore characteristics of use and users of a successful regional HIE.
[ More ]
Added: 23 January 2012 | Published:
September 2011 |
Hasan A, Paul V. European Heart Journal, 32(12)
Clinical management of refractory heart failure remains challenging, with a high rate of rehospitalizations despite advances in medical and device therapy. Care can be provided in person, via telehomecare (by telephone), or telemonitoring, which involves wireless technology for remote follow-up. Telemonitoring wirelessly transmits parameters such as weight, heart rate, or blood pressure for review by health-care professionals. Cardiac implantable devices (defibrillators and cardiac resynchronization therapy) also transmit continually interrogated physiological data, such as heart rate variability or intrathoracic impedance, which may be of value to predict patients at greater risk of hospitalization for heart failure.
[ More ]
Added: 16 January 2012 | Published:
2 February 2011 |
Webster PC, Kondro W. CMAJ, 183(5)
“Canada Health Infoway’s plans for highly-centralized electronic health records (EHR) systems within each province containing patient records that can be shared nationwide may not be feasible, a chorus of experts say.
[ More ]
Updated: 16 January 2012 | Published:
22 March 2011 |
