information systems
Paul RJ et al, Health Systems, 1(2)
The user in this paper is not a medical specialist but a real user of healthcare, a patient. The paper starts by looking at the lack of impact of information systems (ISs) in healthcare, examining the causes as published in the literature. An overview of these causes is enriched by the concerns arising from the first author’s personal experiences as a Parkinson’s disease patient (about 4 million suffer worldwide) for over 12 years. Seven short ethnographic studies are told as the basis for supporting this user’s perspective of these concerns.
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Published:
December 2012 |
Keyword(s): Electronic Health Records, Information Systems, Parkinson´s Disease, Patient, Patient-clinician communication
Adler-Milstein J, Jha AK. JAMA, 307(16)
The United States is undertaking an ambitious effort to wire the health care system. The goal is to build a nationwide information infrastructure to serve as the foundation for large and sustained improvements in performance. Widespread adoption of health information technology will support new care delivery models, such as patient-centered medical homes, alongside broader initiatives, such as performance reporting and public health surveillance.
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Published:
25 April 2012 |
Keyword(s): Confidentiality, Electronic Health Records, Health Information Exchange, Health Policy, Hospital Information Systems, Information Services, Information Systems
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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Published:
20 December 2011 |
Keyword(s): Adoption, Chronic Diseases, Communication, Health Information Technology, Information Systems, Patient, Physician, Primary Care
Vezyridis P et al, International Journal of Medical Informatics, 80(7)
Purpose
The purpose of this study was to examine nurses’ attitudes and reflection on the transformation of their workpractices after the implementation of an Emergency Department Information System (EDIS).
Methods
A qualitative study using interviews, mainly with nurses, conducted four years after the implementation of an EDIS at the emergency department (ED) of a large university hospital in Midlands, UK.
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Published:
13 May 2011 |
Keyword(s): Electronic Health Records, Hospital Information Systems, Information Systems, Nursing, Patient, Terminals, Tracking, UK
Curioso WH et al, Revista Peruana De Medicina Experimental Y Salud Pública, 27(3)
La experiencia creciente en sistemas de información en salud, como las historias clínicas electrónicas (HCE), ha demostrado beneficios luego de una adecuada implementación en muchos países del mundo. La mayoría de estudios provienen de países desarrollados donde se ha reportado que en hospitales donde se ha implementado HCE registraron menos complicaciones, menos tasas de mortalidad y menores costos luego de su implementación.
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Published:
September 2010 |
Keyword(s): Electronic Health Records, Information Systems, Maternal Health, Peru
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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Published:
29 October 2010 |
Keyword(s): Cardiology, Communication, Information Systems, SMS, Spain, Telemedicine, Telemonitoring
Krist AH, Woolf SH. JAMA, 305(3)
The health information technology movement focuses much of its energy on the use of electronic medical records by clinicians, but the use of information technology by patients carries equal promise. Outside of health care, the public routinely uses computers and smart phones to access information and perform tasks with a click of a button.
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Published:
19 January 2011 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Information Systems, Patient Centric, Patient Education, United States
Lee T et al, International Journal of Medical Informatics, 2010
Purpose
The implementation of an information system has become a trend in healthcare institutions. How to identify variables related to patient safety among accumulated data has been viewed as a main issue. The purpose of this study was to identify critical factors related to patient falls through the application of data mining to available data through a hospital information system.
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Published:
5 November 2010 |
Keyword(s): Data Mining, Falls, Information Systems, Nursing
Singh R et al, Health Services Research, 45(4)
Objective.
To examine adoption of telehealth in a rural public health district and to explain how the innovation became sustainable.
Study Setting.
Longitudinal, qualitative study (1988–2008) of the largest public health district in Georgia.
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Published:
30 April 2010 |
Keyword(s): Adoption, Information Systems, Innovation, Public Health, Rural Health, Sustainability, Telehealth, Telemedicine, United States
Protti D et al, ElectronicHealthcare, 6(1)
Denmark and Alberta are both advanced in the application of the Western scientific model of healthcare and both currently enjoy similar levels of economic prosperity.
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Published:
2007 |
Keyword(s): Canada, Denmark, Electronic Health Records, Electronic Medical Records, Information Systems, Physicians, Primary Care
Cheriff AD et al, International Journal of Medical Informatics, 49(7)
Purpose
The impact of the ambulatory electronic health record (EHR) on physician productivity is poorly understood. Fear of productivity loss remains a major concern for practitioners and health care delivery organizations and inhibits system adoption. This study describes the changes in physician productivity after the implementation of a commercially available ambulatory EHR system in a large academic multi-specialty physician group.
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Published:
15 May 2010 |
Keyword(s): Adoption, Ambulatory Care, Electronic Health Records, Information Systems, Physician productivity, United States
Yu P et al, International Journal of Medical Informatics, 79(6)
Background and purpose
The experience of clinicians at two public hospitals in Sydney, Australia, with the introduction and use of an oncology information system (OIS) was examined to extract lessons to guide the introduction of clinical information systems in public hospitals.
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Published:
3 April 2010 |
Keyword(s): Australia, Clinical Information Systems, Evaluation, Hospital Information Systems, Implementation, Information Systems, Oncology
Callen J. et al, International Journal of Medical Informatics, 79(1)
Background
Medication errors in hospital discharge summaries have the potential to cause serious harm to patients. These errors are generally associated with manual transcription of medications between medication charts and discharge summaries. Studies also show junior doctors are more likely to contribute to discharge medication error rates. Electronic discharge summaries have the potential to reduce discharge medication errors to ensure the safe handover of care to the primary care provider.
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Published:
3 October 2009 |
Keyword(s): Australia, Discharge Summary, Documentation, Electronic Health Records, Hospital Information Systems, Information Systems, Medication Errors, transcription
Protti, Denis, Healthcare Quarterly, 13 Spec No
Integrated care entails that professionals from different organizations have to work together in a team-oriented way to provide high-quality care for a patient. This requires that healthcare professionals share information about–and with–patients at appropriate points in the care or treatment process.
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Published:
October 2009 |
Keyword(s): Canada, Case Management, Clinical Protocols, Computer Communication Networks, Continuity of Patient Care, Electronic Health Records, Health Care Reform, Information Management, Information Storage and Retrieval, Information Systems, Medical Record Linkage, Personal Health Records, Systems Integration, United States
Ash, Joan S. et al, J Am Med Inform Assoc, 11(2)
Medical error reduction is an international issue, as is the implementation of patient care information systems (PCISs) as a potential means to achieving it. As researchers conducting separate studies in the United States, The Netherlands, and Australia, using similar qualitative methods to investigate implementing PCISs, the authors have encountered many instances in which PCIS applications seem to foster errors rather than reduce their likelihood.
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Published:
21 November 2003 |
Keyword(s): Australia, Communication, Decision Support Systems, Information Storage and Retrieval, Information Systems, Medical Errors, Netherlands, Patient Care, Patient Care Management, United States, User-Computer Interface
Lammintakanen, Johanna et al, International Journal of Medical Informatics, 2010
Purpose
The purpose of this study is to describe nurse managers’ perceptions of the use of electronic information systems in their daily work. Several kinds of software are used for administrative and information management purposes in health care organizations, but the issue has been studied less from nurse managers’ perspective.
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Published:
8 March 2010 |
Keyword(s): Finland, Information Systems, Management, MeSH, Nursing
Song, Mei et al, BMC Medical Informatics and Decision Making, 10(1)
Background
A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists’ information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists’ information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems.
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Published:
2 February 2010 |
Keyword(s): Dentistry, Information Systems, United States
Maloney, Francine L., and Adam Wright, International Journal of Medical Informatics, 2010
Purpose
To determine the features of commercially available USB-based Personal Health Records (PHR) devices, and compare the commercial state of the art to recommendations made by certification committees.
Methods
Thirteen USB-based PHRs were identified and analyzed based on data elements used and features provided. Marketing techniques used by the companies were also explored.
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Published:
6 January 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Information Systems, Personal Health Records, United States, USB
E-health systems must be capable of adhering to clearly defined security policies based upon legal requirements, regulations and ethical standards while catering for dynamic healthcare and professional needs. Further, such security policies, incorporating enterprise level principles of privacy, integrity and availability, coupled with appropriate audit and control processes, must be able to be clearly defined by enterprise management with the understanding that such policy will be reliably and continuously enforced.
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Published:
31 December 2009 |
Keyword(s): Access management, e-Health, Information Systems, Privacy, Security
Atalağ, Koray, Archetype based Domain Modelling for Health Information Systems, 2007
A major problem to be solved in health informatics is high quality, structured and timely data collection. Standard terminologies and uniform domain conceptual models are important steps to alleviate this problem which are also proposed to enable interoperability among systems. With the aim of contributing to the solution of this problem, this study proposes novel features for the Archetypes and multi-level modeling technique in health information and knowledge modeling.
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Published:
July 2007 |
Keyword(s): Archetypes, Electronic Health Records, Endoscopy, Health Information Systems, Information Systems, Open Source
