Delbanco T et al, Annals of internal medicine, 157(7)
BACKGROUND
Little information exists about what primary care physicians (PCPs) and patients experience if patients are invited to read their doctors’ office notes.
OBJECTIVE
To evaluate the effect on doctors and patients of facilitating patient access to visit notes over secure Internet
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Cooper CP et al, J Am Med Inform Assoc, 2012
The demographic and practice-related characteristics of physicians who use social networking websites, portable devices to access the internet, email to communicate with patients, podcasts, widgets, RSS feeds, and blogging were investigated. Logistic regression was used to analyze a survey of US primary care physicians, pediatricians, obstetrician/gynecologists, and dermatologists (N=1750). Reported technology use during the last 6 months ranged from 80.6% using a portable device to access the internet to 12.9% writing a blog. The most consistent predictors of use were being male, being younger, and having teaching hospital privileges.
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Murphy DR et al, Archives of Internal Medicine, 172(3)
Communication between clinicians is critical to coordination of care and prevention of adverse outcomes in the outpatient setting. Increasing the adoption of electronic health records (EHRs) and medical home-based care models will greatly increase electronic communication between different members of the health care team.
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Carrington JM, Effken JA. Computers Informatics Nursing, 29(6)
The purpose of this research was to compare nurses’ perceptions of the strengths and limitations of the electronic health record with and without nursing languages for documenting and retrieving patient information regarding a clinical event. The effectiveness of the electronic health record to facilitate nurse-to-nurse communication is not well understood. Furthermore, little is known how nurse-to-nurse communication influences patient safety and failure-to-rescue events.
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Vedel I et al, International Journal of Medical Informatics, 2011
Given the increasing prevalence of multimorbidity in primary care (PC), interdisciplinary PC teams supported by appropriate clinical information systems (CIS) are needed in order to deal with the complexity of multimorbid patients’ care. Our team has developed such a system, called the Da Vinci system. However, despite the expected benefits, evidence suggests generally low rates of CIS adoption. To optimize adoption in PC settings, a better understanding of the implementation process of such systems is crucial.
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Vest JR, Miller TR. Applied Clinical Informatics, 2(4)
Objective:
Health information exchange (HIE) is the interorganizational sharing of patient information and is one of many health information technology initiatives expected to transform the U.S. healthcare system. Two outcomes expected to be improved by HIE are patient-provider communication and patient satisfaction . This analysis examined the relationship between the level of HIE engagement and these two factors in a sample of U.S. hospitals.
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Davis Giardina T, Singh H. JAMA. 2011
In the outpatient setting, between 8% and 26% of abnormal test results, including those suspicious for malignancy, are not followed up in a timely manner. Despite the use of electronic health records (EHRs) to facilitate communication of test results, follow-up remains a significant safety challenge.
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Taneva S et al, Health and Technology, 2011
With the goal to achieve a better understanding of the challenges to communication technology adoption in the clinical setting, we conducted intensive observations of activities of clinical and administrative staff in a large teaching hospital’s surgical unit prior to and 8-months post-implementation of an electronic whiteboard communication tool (eWhiteboard). The hospital IT department developed the e-Whiteboard for the support of inter-team coordination of patient status within the surgical flow. After the system had been integrated into the work process for 8 months, we conducted another round of intensive observations. The RATE data collection platform was utilized in both studies. Data were coded and analyzed quantitatively. Qualitative observational notes complemented the statistical results. We compared the pre- and post-implementation observational data with regard to communication load, types of coordination breakdowns, triggers, and consequences. Additionally, a questionnaire on perceived usefulness of the eWhiteboard was administered.
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Wu R te al, J Med Internet Res, 13(3)
Background:
Communication between clinicians is critical to providing quality patient care but is often hampered by limitations of current systems. Smartphones such as BlackBerrys may improve communication, but studies of these technologies have been limited to date.
Objective: Our objectives were to describe how smartphones were adopted for clinical communication within general internal medical wards and determine their impact on team effectiveness and communication.
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McInnes DK et al, BMC Research Notes, 4(1)
BACKGROUND:
When detected, HIV can be effectively treated with antiretroviral therapy. Nevertheless in the U.S. approximately 25% of those who are HIV-infected do not know it. Much remains unknown about how to increase HIV testing rates. New Internet outreach methods have the potential to increase disease awareness and screening among patients, especially as electronic personal health records (PHRs) become more widely available. In the US Department of Veterans Affairs medical care system, 900,000 veterans have indicated an interest in receiving electronic health-related communications through the PHR. Therefore we sought to evaluate the optimal circumstances and conditions for outreach about HIV screening. In an exploratory, qualitative research study we examined patient and provider perceptions of Internet-based outreach to increase HIV screening among veterans who use the Veterans Health Administration (VHA) health care system.
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Jordan Lanham H et al, J Am Med Inform Assoc, 2011
Objective
Despite efforts made by ambulatory care organizations to standardize the use of electronic health records (EHRs), practices often incorporate these systems into their work differently from each other. One potential factor contributing to these differences is within-practice communication patterns. The authors explore the linkage between within-practice communication patterns and practice-level EHR use patterns.
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Radecki RP, Sittig DF. JAMA, 306(1)
Since publication of To Err Is Human, electronic health records (EHRs) and related health information technologies have been promoted as means to improve patient safety. This promise remains largely unfulfilled. For instance, whereas EHRs with clinical decision support (CDS) interventions integrated into computerized physician order entry (CPOE) have measurably improved clinicians’ performance on process metrics, their effect on patient outcomes remains unconfirmed.
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Busis N. Neurologic Clinics, 28(2)
Smartphones make mobile computing at point of care practical. Smartphones can think, sync, and link. Built-in and user-installed applications facilitate communications between neurologists and their medical colleagues and patients and augment data acquisition and processing in the core medical information domains of patient data, clinical decision support, and practice management.
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Bas M et al, Telemedicine and e-Health, 16(9)
Despite some clinical, economic, and other qualitative advantages associated with remote cardiac device monitoring systems, one of the main challenges concerns the management of the out-of-hospital data. Manual updating of hospital databases with the data stored in the manufacturers’ servers increases time requirements and may introduce mistakes in the entries. The use of communication standards such as Health Level 7 for data interchange could provide a safe and easy way to access patient and device information. The present study of 38 patients was carried out with the Carelink® remote monitoring technology. A formal process for remote cardiac device monitoring was established, including some features in the Arrhythmias Information System: mobile phone and e-mail were included for communication between patients and hospital, with a new gateway for automatic message sending.
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Chretien KC et al, JAMA, 305(6)
To the Editor: The existence of social media is transforming the way physicians communicate with the public, bringing both challenges and opportunities for medical professionalism. Indeed, the American Medical Association recently issued a policy statement on professionalism in the use of social media. Medical schools are adopting social media policies.
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Hasvold PE et al, International Journal of Medical Informatics, 2011
Purpose
This study presents a study of mobile information and communication technology (ICT) for healthcare professionals in a surgical ward. The purpose of the study was to create a participatory design process to investigate factors that affect the acceptance of mobile ICT in a surgical ward.
Methods
Observations, interviews, a participatory design process, and pilot testing of a prototype of a co-constructed application were used.
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Fernandez-Luque L et al, J Med Internet Res, 13(1)
In recent years the Web has come into its own as a social platform where health consumers are actively creating and consuming Web content. Moreover, as the Web matures, consumers are gaining access to personalized applications adapted to their health needs and interests. The creation of personalized Web applications relies on extracted information about the users and the content to personalize. The Social Web itself provides many sources of information that can be used to extract information for personalization apart from traditional Web forms and questionnaires.
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Martin S et al, Patient Education and Counseling, 2011
Objective
Examine the effectiveness and impacts of the networked communication technologies used by health care professionals for the treatment of adolescents/young adults with mental health disorders.
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Naik AD, Singh H. Medical Decision Making, 30(6)
Background
Processes of communication that guide decision making among clinicians collaboratively caring for complex patients are poorly understood and vary based on local contexts. In this paper, the authors characterize these processes and propose a wiki-style communication model to improve coordination of decision making among clinicians using an integrated electronic health record (EHR).
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Greene JA et al, Journal of General Internal Medicine, 26(3)
BACKGROUND:
Several disease-specific information exchanges now exist on Facebook and other online social networking sites. These new sources of knowledge, support, and engagement have become important for patients living with chronic disease, yet the quality and content of the information provided in these digital arenas are poorly understood.
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