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 2755 articles (2560 from 542 journals and 195 book articles/chapters) and 26 books and proceedings and growing).
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Recently Added/Updated
Bartlett C et al, BMC Medical Informatics and Decision Making, 12(1)
Background
Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK.
Methods
Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrolments and usage were extracted from the webserver.
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Added: 15 April 2013 | Published:
16 August 2012 |
Chhanabhai PN, Holt A. The open medical informatics journal, 4
Information and Communication Technologies (ICT) have merged into the world of healthcare slowly but surely. However, the marriage between the use of technology and its full impact in the health sector has not been fully realised. The focus of this paper is to highlight the impact of ICT on revolutionising access to healthcare information and thus quality of health for populations of the developing world.
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Added: 8 February 2013 | Published:
15 September 2010 |
Isaac T et al, Arch Intern Med. 169(3)
Background
Electronic prescribing systems with decision support may improve patient safety in ambulatory care by offering drug allergy and drug interaction alerts. However, preliminary studies show that clinicians override most of these alerts.
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Updated: 14 January 2013 | Published:
9 February 2009 |
McGowan BS et al, Journal of medical Internet research, 2012
BACKGROUND
Within the medical community there is persistent debate as to whether the information available through social media is trustworthy and valid, and whether physicians are ready to adopt these technologies and ultimately embrace them as a format for professional development and lifelong learning.
OBJECTIVE
To identify how physicians are using social media to share and exchange medical information with other physicians, and to identify the factors that influence physicians’ use of social media as a component of their lifelong learning and continuing professional development.
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Added: 2 January 2013 | Published:
24 September 2012 |
Parsons A et al, J Am Med Inform Assoc, 2012
Background
Since 2007, New York City’s primary care information project has assisted over 3000 providers to adopt and use a prevention-oriented electronic health record (EHR). Participating practices were taught to re-adjust their workflows to use the EHR built-in population health monitoring tools, including automated quality measures, patient registries and a clinical decision support system. Practices received a comprehensive suite of technical assistance, which included quality improvement, EHR customization and configuration, privacy and security training, and revenue cycle optimization. These services were aimed at helping providers understand how to use their EHR to track and improve the quality of care delivered to patients.
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Updated: 29 December 2012 | Published:
16 January 2012 |
Nusbaum NJ. Online Journal of Public Health Informatics, 3(11)
Background
One goal in EMR development should be to facilitate a patient-centered clinical encounter.
Methods
Qualitative analysis and suggestions are offered for how the EMR can individualize patient care, in support of a patient-centered approach.
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Added: 13 July 2012 | Published:
2011 |
Clemens NA. Journal of psychiatric practice, 18(1)
As electronic health record systems become widely adopted and proposals are advanced to integrate mental health with general health systems, there is mounting pressure to include mental health information on the same basis as general health information without any requirement for active, individual patient consent to do so. A prime example is the current effort to change the Mental Health Information Act of the District of Columbia, which has, up till now, stood as a model for protection of the privacy of patients with mental illness, the requirement of informed consent for disclosure of health information, and delimitation of minimum necessary disclosure. Mental health information is exceptionally sensitive and potentially damaging if privacy is breached, which makes patients reluctant to seek treatment if they cannot be assured of confidentiality. In addition, there have been spectacular breaches of the security of large electronic health record databases.
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Added: 13 June 2012 | Published:
January 2012 |
Samal L et al, The American journal of managed care, 17(9)
OBJECTIVES
Adding clinical decision support (CDS) to electronic health records (EHRs) is required under meaningful use legislation, but there has been little national data on effectiveness in improving clinical outcomes. We sought to determine whether EHRs with CDS improved blood pressure control in US primary care visits. Study Design: We used a cross-sectional, nationally representative survey.
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Added: 5 June 2012 | Published:
September 2011 |
Weiner JP et al, International Journal for Quality in Health Care, 24(3)
Measures of provider success are the centerpiece of quality improvement and pay-for-performance programs around the globe. In most nations, these measures are derived from administrative records, paper charts and consumer surveys; increasingly, electronic patient record systems are also being used. We use the term ‘e-QMs’ to describe quality measures that are based on data found within electronic health records and other related health information technology (HIT).
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Updated: 3 June 2012 | Published:
6 April 2012 |
Protti D et al, ElectronicHealthcare, 8(1)
This article follows on from part 1 on the history of medical computing in Alberta and Denmark (Protti et al. 2007). It provides background to the driving forces for automation in primary care physician offices in Denmark and Alberta. It also summarizes the functionality of electronic medical records (EMRs) in both jurisdictions and compares the status of primary care physician office computing in Alberta to that of Denmark.
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Added: 22 May 2012 | Published:
15 May 2007 |
Kasiri N et al, Simulation, 88(6)
Implementing electronic health record (EHR) systems in the next few years is on the agenda for many healthcare organizations. Before investing in an EHR system, however, decision makers need to identify and measure the benefits of such systems. We propose using a system dynamics (SD) approach to measuring the benefits of EHR systems. Using an SD approach, it is possible to map complex relationships among clinical processes in hospitals into a model by which one can dynamically measure the effect of any changes in the parameters over time.
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Updated: 21 May 2012 | Published:
15 August 2011 |
Abramson EL et al, Journal of evaluation in clinical practice, 2011
Rationale, aims and objectives
Unprecedented national and state initiatives are underway to promote adoption and meaningful use of electronic health records (EHRs) with health information exchange (HIE). New York State leads the nation in state initiatives and is conducting ongoing surveillance of its investments. Lessons learned from studying states like New York can inform federal policies and will be essential to evaluate the effectiveness of these initiatives. We undertook this first in a series of planned surveys to assess EHR adoption and HIE activities by New York State hospitals.
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Added: 20 May 2012 | Published:
13 September 2011 |
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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).
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Added: 24 April 2012 | Published:
13 October 2011 |
