mHealth applications for diabetes: User preference and implications for app development
This study gauges diabetes app user opinion to inform development work. An analysis of diabetes mHealth apps informed design of a questionnaire sent to a random sample of 400 patients stratified by diabetes type and age. Responses were analysed by sub-group, and preferences were compared with current diabetes apps. App features included data storage/graphics, exercise tracking, health/diet, reminders/alarms, education. Questionnaire response rate was 59 per cent (234/400); 144/233 (62%) owned smartphones. Smartphone users expressed preference towards mHealth (101/142 (71%)), although diabetes use was low (12/163 (7%)). Res...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Conway, N., Campbell, I., Forbes, P., Cunningham, S., Wake, D. Tags: Articles Source Type: research
Mobile devices in the operating room: Intended and unintended consequences for nurses work
This article reports the results of a case study of the consequences of mobile device use for the work practices of operating room nurses. The study identifies different patterns of mobile technology use by operating room nurses, including both work-related and non-work-related use. These patterns have multiple consequences for nurses, such as improvements in information access, e-learning and work-related communication, as well as a perceived increase in distractions from the collaborative work. We conceptualize these consequences in terms of three level effects and explain how we find both positive and negative consequen...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Sergeeva, A., Aij, K., van den Hooff, B., Huysman, M. Tags: Articles Source Type: research
A modular informatics platform for effective support of collaborative and multicenter studies in cardiology
Collaborative and multicenter studies permit a large number of patients to be enrolled within a reasonable time and providing the opportunity to collect different data. Informatics platforms play an important role in management, storage, and exchange of data between the participants involved in the study. In this article, we describe a modular informatics platform designed and developed to support collaborative and multicenter studies in cardiology. In each developed module, data management is implemented following local defined protocols. The modular characteristic of the developed platform allows independent transfer of ...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Marinelli, M., Positano, V., Lorenzoni, V., Caselli, C., Mangione, M., Marcheschi, P., Puzzuoli, S., Esposito, N., LAbbate, G. A., Neglia, D. Tags: Articles Source Type: research
Improving National Trauma Data Bank(R) coding data reliability for traumatic injury using a prospective systems approach
Trauma centers manage an active Trauma Registry from which research, quality improvement, and epidemiologic information are extracted to ensure optimal care of the trauma patient. We evaluated coding procedures using the Relational Trauma Scoring System™ to determine the relative accuracy of the Relational Trauma Scoring System for coding diagnoses in comparison to the standard retrospective chart-based format. Charts from 150 patients admitted to a level I trauma service were abstracted using standard methods. These charts were then randomized and abstracted by trauma nurse clinicians with coding software aide. For ...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Ewing, M., Funk, G. A., Warren, A. M., Rapier, N., Reynolds, M., Bennett, M., Mastropieri, C., Foreman, M. L. Tags: Articles Source Type: research
Assessment of eHealth capabilities and utilization in residential care settings
The US National Survey of Residential Care Facilities was used to conduct cross-sectional analyses of residential care facilities (n = 2302). Most residential care facilities lacked computerized capabilities for one or more of these capabilities in 2010. Lacking computerized systems supporting electronic health information exchange with pharmacies was associated with non-chain affiliation (p < .05). Lacking electronic health information exchange with physicians was associated with being a small-sized facility (vs large) (p < .05). Lacking computerized capabilities for discharge/transfer summaries was associated with ...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Towne, S. D., Lee, S., Li, Y., Smith, M. L. Tags: Articles Source Type: research
Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment
Opening and charting in the incorrect patient electronic record presents a patient safety issue. The authors investigated the prevalence of reported errors and whether efforts utilizing the anesthesia time-out and barcoding have decreased the incidence of errors in opening and charting in the patient electronic medical record in the perioperative environment. The authors queried the database for all surgeries and procedures requiring anesthesia from January 2009 to September 2012. Of the 115,760 records of anesthesia procedures identified, there were 57 instances of incorrect record opening and charting during the study pe...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Rebello, E., Kee, S., Kowalski, A., Harun, N., Guindani, M., Goravanchi, F. Tags: Articles Source Type: research
How do carers of people with multiple sclerosis engage with websites containing the personal experiences of other carers and patients?
The Internet supports the peer-to-peer healthcare and the promotion of shared patient narratives. Websites incorporating these narratives or personal accounts are known to offer support to carers of people with multiple sclerosis, but little is known about how carers make choices about what websites to visit and why. In total, 20 carers viewed a range of websites and online personal accounts about multiple sclerosis and subsequently took part in either a group discussion or an individual interview, followed by 2 weeks and 12 months and later by a telephone interview. Data were subjected to thematic analysis with the aim of...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Sillence, E., Hardy, C., Briggs, P., Harris, P. R. Tags: Articles Source Type: research
A naturalistic patient matching algorithm: Derivation and validation
We describe a novel naturalistic approach that is a hybrid of both deterministic (exact) and probabilistic ("close") systems that allows for manual adjudication of cases where necessary, but whose basis stems from the thought processes that a rational individual would follow in the comparison of medical records. A validation of this algorithm using large databases from two disparate sources demonstrates that the naturalistic approach can largely eliminate false positives (false matches) and false negatives (false mismatches). (Source: Health Informatics Journal)
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Lee, M. L., Clymer, R., Peters, K. Tags: Articles Source Type: research
Application of process mining to assess the data quality of routinely collected time-based performance data sourced from electronic health records by validating process conformance
Effective and accurate use of routinely collected health data to produce Key Performance Indicator reporting is dependent on the underlying data quality. In this research, Process Mining methodology and tools were leveraged to assess the data quality of time-based Emergency Department data sourced from electronic health records. This research was done working closely with the domain experts to validate the process models. The hospital patient journey model was used to assess flow abnormalities which resulted from incorrect timestamp data used in time-based performance metrics. The research demonstrated process mining as a ...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Perimal-Lewis, L., Teubner, D., Hakendorf, P., Horwood, C. Tags: Articles Source Type: research
Health information needs, sources, and barriers of primary care patients to achieve patient-centered care: A literature review
Conclusion:
Further research is warranted to assess how to create accurate and reliable health information sources for both Internet and non-Internet users. (Source: Health Informatics Journal)
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Clarke, M. A., Moore, J. L., Steege, L. M., Koopman, R. J., Belden, J. L., Canfield, S. M., Meadows, S. E., Elliott, S. G., Kim, M. S. Tags: Articles Source Type: research
Synoptic operative reports for spinal cord injury patients as a tool for data quality
The advent of synoptic operative reports has revolutionized how clinical data are captured at the time of care. In this article, an electronic synoptic operative report for spinal cord injury was implemented using interoperable standards, HL7 and Systematized Nomenclature of Medicine–Clinical Terms. Subjects (N = 10) recruited for a pilot study completed recruitment and feedback questionnaires, and produced both an electronic synoptic operative report for spinal cord injury report and a dictated narrative operative report for an actual patient case. Results indicated heterogeneity by subjects in access and use of ele...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Paterson, G. I., Christie, S., Bonney, W., Thibault-Halman, G. Tags: Articles Source Type: research
Transforming patient care by introducing an electronic medical records initiative in a developing country
The incorporation of an electronic medical record into patient care is a priority in developed countries, but faces significant obstacles for adoption in developing countries. The goal of our study was to define and assess the efficiency of a personalized intervention on village physicians’ use of electronic medical records in rural community health services of underprivileged areas. Six towns were selected with two bordering local health stations from each town. One was randomly given to the intervention group and the other to the control group. A structured on-site intervention was provided to village physicians in...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Shuaib, W., Suarez, J. M., Romero, J. D., Pamello, C. D., Alweis, R., Khan, A. A., Shah, S. R., Shahid, H., PierreCharles, S. B., Sanchez, L. R. Tags: Articles Source Type: research
Flutrack.org: Open-source and linked data for epidemiology
Epidemiology has made advances, thanks to the availability of real-time surveillance data and by leveraging the geographic analysis of incidents. There are many health information systems that visualize the symptoms of influenza-like illness on a digital map, which is suitable for end-users, but it does not afford further processing and analysis. Existing systems have emphasized the collection, analysis, and visualization of surveillance data, but they have neglected a modular and interoperable design that integrates high-resolution geo-location with real-time data. As a remedy, we have built an open-source project and we ...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Chorianopoulos, K., Talvis, K. Tags: Articles Source Type: research
Searching for a sustainable process of service user and health professional online discussions to facilitate the implementation of e-health
This study explored this approach further in eight domains including Health Promotion, Mental Health, and Carers. Courses comprised webinar, 1-week closed discussion forum, and final webinar. Participants discussed 12 e-health topics. Course analysis identified that five out of eight domains ‘worked’. Participation was appreciated and service users influenced health professional thinking. The principle of service user–health professional online discussions to prepare for e-health implementation works for most domains, but the work of participant recruitment and forum management may make other methods, suc...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Jones, R. B., Ashurst, E. J., Trappes-Lomax, T. Tags: Articles Source Type: research
Feasibility and acceptability of SMS text messaging in a prostate cancer educational intervention for African American men
We report on the feasibility and acceptability of the use of short messaging service text messages in the intervention. Short messaging service text messages served as (1) workshop reminders; (2) post-workshop message reinforcement; (3) spiritual/motivational messages; and (4) participant retention. At workshop 4, over 65 percent of participants wished to continue receiving the messages. While there was an increase in recall over time, more than one-third of the participants did not recall receiving the 53 text messages. However, recall was considerably greater among men who attended the Men’s Prostate Awareness Chur...
Source: Health Informatics Journal - November 16, 2016 Category: Information Technology Authors: Le, D., Holt, C. L., Saunders, D. R., Wang, M. Q., Coriolan, A., Savoy, A. D., Slade, J. L., Muwwakkil, B., Atkinson, N. L. Tags: Articles Source Type: research
