Carrión Señor I et al, Gaceta Sanitaria, 2012
Objective
This study presents the results of a systematic literature review of aspects related to access control in electronic health records systems, wireless security and privacy and security training for users.
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Yeager VA, Menachemi N. Biennial Review of Health Care Management, 2011
Background
Studies suggest text messaging is beneficial to health care; however, no one has synthesized the overall evidence on texting interventions. In response to this need, we conducted a systematic review of the impacts of text messaging in health care.
Methods
PubMed database searches and subsequent reference list reviews sought English-language, peer-reviewed studies involving text messaging in health care. Commentaries, conference proceedings, and feasibilities studies were excluded. Data was extracted using an article coding sheet and input into a database for analysis.
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Joshi JK. The Internet Journal of Medical Informatics, 6(1)
Objectives:
We describe the clinical utility- both positive and negative- of Health Information Exchanges (HIE) in order to ascertain how true value can be attained through the adoption of such a system.
Methods:
We performed a literature review over multiple databases of 350 articles pertaining to the topic. After screening for relevance, we selected 135 articles that discuss studies pertaining to HIE.
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Brownsell S et al, J Telemed Telecare, 17(4)
The evidence base for lifestyle monitoring is relatively weak, even though there are significant numbers of commercial installations around the world. We conducted a literature review to summarize the current position with regard to lifestyle monitoring based on sensors in the home. In total, 74 papers met the inclusion criteria. Only four papers reported trials involving 20 or more subjects, with a further 21 papers reporting trials involving one or more subjects. Most papers (n = 49) were concerned with technology development. Motion detection was the most common of the technologies employed, followed by door and electrical appliance usage.
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Holroyd-Leduc JM et al, J Am Med Inform Assoc, 2011
Background
The electronic medical record (EMR)/electronic health record (EHR) is becoming an integral component of many primary-care outpatient practices. Before implementing an EMR/EHR system, primary-care practices should have an understanding of the potential benefits and limitations.
Objective
The objective of this study was to systematically review the recent literature around the impact of the EMR/EHR within primary-care outpatient practices.
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Emont S. California HealthCare Foundation, 2011
Patient portals can offer important benefits to patients and provider organizations. These technologies — particularly when integrated with an electronic health record (EHR) — have the potential to improve both quality and access to care through features that enable patients to: communicate electronically and securely with their provider; access their medical records; schedule appointments; pay bills; and refill prescriptions.
This paper examines research documenting the implementation of patient portals and their impact on health care delivery. It is intended to inform the work of health care providers — particularly safety-net organizations — as they plan and implement patient portals and develop measurement strategies for assessing their impact.
Many research initiatives document patient-level measures such as use of patient portals features, user demographics, and overall satisfaction with the portal. A limited number of studies bridge the gap between patient-level measures and long-term outcome measures, including health care quality indicators and operational efficiency.
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Tenforde M et al, Family Medicine, 43(5)
BACKGROUND AND OBJECTIVES
Electronic personal health records (PHRs) allow patients access to their medical records, self-management tools, and new avenues of communication with their health care providers. They will likely become a valuable component of the primary care Patient-centered Medical Home model. Primary care physicians, who manage the majority of chronic disease, will use PHRs to help patients manage their diabetes and other chronic diseases requiring continuity of care and enhanced information flow between patient and physician. In this brief report, we explore the evidence for the value of PHRs in chronic disease management.
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Steen RG. Journal of Medical Ethics, 2011
Background
Clinical papers so flawed that they are eventually retracted may put patients at risk. Patient risk could arise in a retracted primary study or in any secondary study that draws ideas or inspiration from a primary study.
Methods
To determine how many patients were put at risk, we evaluated 788 retracted English-language papers published from 2000 to 2010, describing new research with humans or freshly derived human material. These primary papers-together with all secondary studies citing them-were evaluated using ISI Web of Knowledge. Excluded from study were 468 basic science papers not studying fresh human material; 88 reviews presenting older data; 22 case reports; 7 papers retracted for journal error and 23 papers unavailable on Web of Knowledge. Overall, 180 retracted primary papers (22.8%) met the inclusion criteria. Subjects enrolled and patients treated in 180 primary studies and 851 secondary studies were combined.
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Radhakrishnan K, Jacelon C. The Journal of Cardiovascular Nursing, 2011
PURPOSE
The objective of the study was to explore the impact of telehealth interventions on individuals’ self-care of heart failure (HF).
BACKGROUND
Heart failure is a chronic illness that requires a complex treatment regimen over a long period. Historically, effective self-care has been difficult for this population. There is a need for innovative and effective approaches to improve individual self-care. Telehealth can potentially help individuals with HF follow the plan of care resulting in improved health outcomes and a better quality of life.
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Harrington L et al, Journal of Healthcare Management, 56(1)
Healthcare is a complex industry burdened by numerous and complicated clinical and administrative transactions that require many behavioral changes by patients, clinicians, and provider organizations. While healthcare information technology (HIT) is intended to relieve some of the burden by reducing errors, several aspects of systems such as the electronic medical record (EMR) may actually increase the incidence of certain types of errors or produce new safety risks that result in harm. Healthcare leaders must appreciate the complexity surrounding EMRs and understand the safety issues in order to mandate sound EMR design, development, implementation, and use.
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Buntin MB et al, Health Affairs, 30(3)
An unprecedented federal effort is under way to boost the adoption of electronic health records and spur innovation in health care delivery. We reviewed the recent literature on health information technology to determine its effect on outcomes, including quality, efficiency, and provider satisfaction. We found that 92 percent of the recent articles on health information technology reached conclusions that were positive overall. We also found that the benefits of the technology are beginning to emerge in smaller practices and organizations, as well as in large organizations that were early adopters.
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Waneka R, Spetz J. The Journal of Nursing Administration, 40(12)
Objective:
We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care.
Background:
Nurses’ effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality of care.
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Boonstra A, Broekhuis M. BMC Health Services Research, 10
Background
The main objective of this research is to identify, categorize, and analyze barriers perceived by physicians to the adoption of Electronic Medical Records (EMRs) in order to provide implementers with beneficial intervention options.
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Caffery LJ, Smith AC. Global Telehealth, 2010
A structured analysis of peer-reviewed literature about the delivery of health services by email was undertaken for this review. A total of 185 articles were included in the analysis. These articles were thematically categorised for medical specialty, participants, sub-topic, study design and service-delivery application. It was shown that email-based telemedicine can be practiced in a large number of medical specialties and has application in primary consultation, second opinion consultation, telediagnosis and administrative roles (e.g. e-referral).
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Ahmadian L et al, International Journal of Medical Informatics, 2010
Introduction
Clinical decision support systems (CDSSs) should be seamlessly integrated with existing clinical information systems to enable automatic provision of advice at the time and place where decisions are made. It has been suggested that a lack of agreed data standards frequently hampers this integration. We performed a literature review to investigate whether CDSSs used standardized (i.e. coded or numerical) data and which terminological systems have been used to code data. We also investigated whether a lack of standardized data was considered an impediment for CDSS implementation.
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Bemelmans R et al, Journal of the American Medical Directors Association, 2010
The ongoing development of robotics on the one hand and, on the other hand, the foreseen relative growth in number of elderly individuals suffering from dementia, raises the question of which contribution robotics could have to rationalize and maintain, or even improve the quality of care.
The objective of this review was to assess the published effects and effectiveness of robot interventions aiming at social assistance in elderly care.
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Wootton R, Bonnardot L. JRSM Short Reports, 1(5)
Objectives
To review papers reporting actual experience with telemedicine in developing countries and to summarize their findings, including the strength of the evidence.
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Warshaw EM et al, Journal of the American Academy of Dermatology, 2010
Objective
We performed a systematic review of the literature addressing teledermatology: (1) diagnostic accuracy/concordance; (2) management accuracy/concordance; (3) clinical outcomes; and (4) costs.
Methods
Peer-reviewed controlled trials published in English between 1990 and 2009 were identified through MEDLINE and PubMed searches.
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Castillo V et al, BMC Medical Informatics and Decision Making, 10(1)
Background
The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically.
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AbuDagga A et al, Telemedicine and e-Health, 16(7)
We searched five databases (PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest) from 1995 to September 2009 to collect evidence on the impact of blood pressure (BP) telemonitoring on BP control and other outcomes in telemonitoring studies targeting patients with hypertension as a primary diagnosis. Fifteen articles met our review criteria. We found that BP telemonitoring resulted in reduction of BP in all but two studies; systolic BP declined by 3.9 to 13.0 mm Hg and diastolic BP declined by 2.0 to 8.0 mm Hg across these studies. These magnitudes of effect are comparable to those observed in efficacy trials of some antihypertensive drugs.
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