m-Health Adoption by Healthcare Professionals: A Systematic Review
Conclusion This systematic review provides a set of key elements making it possible to understand the challenges and opportunities for m-health utilization by healthcare providers. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 15, 2015 Category: Information Technology Authors: Gagnon, M.-P., Ngangue, P., Payne-Gagnon, J., Desmartis, M. Tags: Reviews Source Type: research

An algorithm to identify medication nonpersistence using electronic pharmacy databases
Conclusions Our method has utility for health care operations and research in prevalent (ongoing) and new user cohorts. The algorithm detects a subset of patients with inadequate medication-taking behavior not identified as primary nonadherent or secondary nonadherent. Healthcare systems can most comprehensively identify patients with short- or long-term medication underutilization by identifying primary nonadherence, secondary nonadherence, and nonpersistence. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 15, 2015 Category: Information Technology Authors: Parker, M. M., Moffet, H. H., Adams, A., Karter, A. J. Tags: Research and Applications Source Type: research

Improving vaccine registries through mobile technologies. A vision for mobile enhanced Immunization information systems
Immunization registries or information systems are critical to improving the quality and evaluating the ongoing success of immunization programs. However, the completeness of these systems is challenged by a myriad of factors including the fragmentation of vaccine administration, increasing mobility of individuals, new vaccine development, use of multiple products, and increasingly frequent changes in recommendations. Mobile technologies could offer a solution, which mitigates some of these challenges. Engaging individuals to have more control of their own immunization information using their mobile devices could improve t...
Source: Journal of the American Medical Informatics Association - June 15, 2015 Category: Information Technology Authors: Wilson, K., Atkinson, K. M., Deeks, S. L., Crowcroft, N. S. Tags: Perspectives Source Type: research

The effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation
Objective To assess the effect of tablet computers with a mobile patient portal application on hospitalized patients’ knowledge and activation.Methods We developed a mobile patient portal application including pictures, names, and role descriptions of team members, scheduled tests and procedures, and a list of active medications. We evaluated the effect of the application using a controlled trial involving 2 similar units in a large teaching hospital. Patients on the intervention unit were offered use of tablet computers with the portal application during their hospitalization. We assessed patients’ ability to ...
Source: Journal of the American Medical Informatics Association - June 15, 2015 Category: Information Technology Authors: O'Leary, K. J., Lohman, M. E., Culver, E., Killarney, A., Randy Smith, G., Liebovitz, D. M. Tags: Research and Applications Source Type: research

What makes an EHR "open" or interoperable?
We have identified 5 use cases that comprise a useful definition of an "open or interoperable electronic health record (EHR)." Each of these use cases represents important functionality that should be available to 1) clinicians, so they can provide safe and effective health care; 2) researchers, so they can advance our understanding of disease and health care processes; 3) administrators, so they can reduce their reliance on a single-source EHR developer; 4) software developers, so they can develop innovative solutions to address limitations of current EHR user interfaces and new applications to improve the pract...
Source: Journal of the American Medical Informatics Association - June 15, 2015 Category: Information Technology Authors: Sittig, D. F., Wright, A. Tags: Perspectives Source Type: research

Domain adaptation for semantic role labeling of clinical text
Conclusion When all three source domain corpora were used, the feature augmentation algorithm achieved statistically significant higher F-measure (83.18%), compared to the baseline with MiPACQ dataset alone (F-measure, 81.53%), indicating that domain adaptation algorithms may improve SRL performance on clinical text. To achieve a comparable performance to the baseline method that used 90% of MiPACQ training samples, the feature augmentation algorithm required
Source: Journal of the American Medical Informatics Association - June 10, 2015 Category: Information Technology Authors: Zhang, Y., Tang, B., Jiang, M., Wang, J., Xu, H. Tags: Research and Applications Source Type: research

Expert Guided Natural Language Processing Using One-Class Classification
Conclusions 1C-SVMs trained on expert-selected relevant text sections perform better than 2C-SVMs classifiers trained on either snippets or whole notes when applied to realistically imbalanced data with low prevalence of the positive class. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 10, 2015 Category: Information Technology Authors: Joffe, E., Pettigrew, E. J., Herskovic, J. R., Bearden, C. F., Bernstam, E. V. Tags: Research and Applications Source Type: research

Innovating to enhance clinical data management using non-commercial and open source solutions across a multi-center network supporting inpatient pediatric care and research in Kenya
Conclusion A low-cost clinically focused but geographically dispersed quality CDM (Clinical Data Management) in a long-term, multi-site, and real world context can be achieved and sustained and challenges can be overcome through thoughtful design and implementation of open-source tools for handling data and supporting research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 10, 2015 Category: Information Technology Authors: Tuti, T., Bitok, M., Paton, C., Makone, B., Malla, L., Muinga, N., Gathara, D., English, M. Tags: Research and Applications Source Type: research

Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors
The usability of electronic health records (EHRs) continues to be a point of dissatisfaction for providers, despite certification requirements from the Office of the National Coordinator that require EHR vendors to employ a user-centered design (UCD) process. To better understand factors that contribute to poor usability, a research team visited 11 different EHR vendors in order to analyze their UCD processes and discover the specific challenges that vendors faced as they sought to integrate UCD with their EHR development. Our analysis demonstrates a diverse range of vendors’ UCD practices that fall into 3 categories...
Source: Journal of the American Medical Informatics Association - June 6, 2015 Category: Information Technology Authors: Ratwani, R. M., Fairbanks, R. J., Hettinger, A. Z., Benda, N. C. Tags: Brief Communication Source Type: research

Birth Month Affects Lifetime Disease Risk: A Phenome-Wide Method
Objective An individual’s birth month has a significant impact on the diseases they develop during their lifetime. Previous studies reveal relationships between birth month and several diseases including atherothrombosis, asthma, attention deficit hyperactivity disorder, and myopia, leaving most diseases completely unexplored. This retrospective population study systematically explores the relationship between seasonal affects at birth and lifetime disease risk for 1688 conditions.Methods We developed a hypothesis-free method that minimizes publication and disease selection biases by systematically investigating dise...
Source: Journal of the American Medical Informatics Association - June 2, 2015 Category: Information Technology Authors: Boland, M. R., Shahn, Z., Madigan, D., Hripcsak, G., Tatonetti, N. P. Tags: Research and Applications Source Type: research

Smartphone-based diagnostic for preeclampsia: an mHealth solution for administering the Congo Red Dot (CRD) test in settings with limited resources
Objective Morbidity and mortality due to preeclampsia in settings with limited resources often results from delayed diagnosis. The Congo Red Dot (CRD) test, a simple modality to assess the presence of misfolded proteins in urine, shows promise as a diagnostic and prognostic tool for preeclampsia. We propose an innovative mobile health (mHealth) solution that enables the quantification of the CRD test as a batch laboratory test, with minimal cost and equipment.Methods A smartphone application that guides the user through seven easy steps, and that can be used successfully by non-specialized personnel, was developed. After i...
Source: Journal of the American Medical Informatics Association - May 29, 2015 Category: Information Technology Authors: Jonas, S. M., Deserno, T. M., Buhimschi, C. S., Makin, J., Choma, M. A., Buhimschi, I. A. Tags: Research and Applications Source Type: research

Report of the AMIA EHR 2020 Task Force on the Status and Future Direction of EHRs
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 28, 2015 Category: Information Technology Authors: Payne, T. H., Corley, S., Cullen, T. A., Gandhi, T. K., Harrington, L., Kuperman, G. J., Mattison, J. E., McCallie, D. P., McDonald, C. J., Tang, P. C., Tierney, W. M., Weaver, C., Weir, C. R., Zaroukian, M. H. Tags: AMIA Position Paper Source Type: research

Assessing information system readiness for mitigating malpractice risk through simulation: results of a multi-site study
Conclusion The simulation approach to assessing malpractice risk mitigation through CDS was effective. Organizations should consider using malpractice claims experience to facilitate prioritizing CDS development. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 26, 2015 Category: Information Technology Authors: Wright, A., Maloney, F. L., Wien, M., Samal, L., Emani, S., Zuccotti, G. Tags: Research and Applications Source Type: research

Effectiveness of mobile technologies delivering Ecological Momentary Interventions for stress and anxiety: a systematic review
Conclusion This study found a small significant effect of EMI studies on reducing generalized anxiety. Studies on stress demonstrated EMI was effective compared to control, with the small number of studies on panic and social phobia demonstrating mixed results. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 21, 2015 Category: Information Technology Authors: Loo Gee, B., Griffiths, K. M., Gulliver, A. Tags: Review Source Type: research

Health information technology data standards get down to business : maturation within domains and the emergence of interoperability
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 16, 2015 Category: Information Technology Authors: Richesson, R. L., Chute, C. G. Tags: Editorial Source Type: research

Automating the generation of lexical patterns for processing free text in clinical documents
Conclusion We presented an MSA-based framework for generating lexical patterns that showed consistently high levels of both performance and recall over four different extraction tasks when compared to baseline methods. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 14, 2015 Category: Information Technology Authors: Meng, F., Morioka, C. Tags: Research and Applications Source Type: research

Exploring Relation Types for Literature-based Discovery
Conclusion The use of linguistic analysis-based relations improves accuracy of LBD without overly damaging coverage. LBD systems often generate huge numbers of hypotheses, which are infeasible to manually review. Improving their accuracy has the potential to make these systems significantly more usable. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 13, 2015 Category: Information Technology Authors: Preiss, J., Stevenson, M., Gaizauskas, R. Tags: Research and Applications Source Type: research

Meaningful Use Stage 2 E-Prescribing Threshold and Adverse Drug Events in the Medicare Part D Population with Diabetes
Evidence supports the potential for e-prescribing to reduce the incidence of adverse drug events (ADEs) in hospital-based studies, but studies in the ambulatory setting have not used occurrence of ADE as their outcome. Using the "prescription origin code" in 2011 Medicare Part D prescription drug events files, the authors investigate whether physicians who meet the meaningful use stage 2 threshold for e-prescribing (≥50% of prescriptions e-prescribed) have lower rates of ADEs among their diabetic patients. Risk of any patient with diabetes in the provider’s panel having an ADE from anti-diabetic medicati...
Source: Journal of the American Medical Informatics Association - May 6, 2015 Category: Information Technology Authors: Powers, C., Gabriel, M. H., Encinosa, W., Mostashari, F., Bynum, J. Tags: Brief Communication Source Type: research

A multilingual gold-standard corpus for biomedical concept recognition: the Mantra GSC
Conclusion To our knowledge, this is the first gold-standard corpus for biomedical concept recognition in languages other than English. Other distinguishing features are the wide variety of semantic groups that are being covered, and the diversity of text genres that were annotated. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 6, 2015 Category: Information Technology Authors: Kors, J. A., Clematide, S., Akhondi, S. A., van Mulligen, E. M., Rebholz-Schuhmann, D. Tags: Research and Applications Source Type: research

Toward high-throughput phenotyping: unbiased automated feature extraction and selection from knowledge sources
Conclusion The proposed automated feature extraction method, generating highly accurate phenotyping algorithms with improved efficiency, is a significant step toward high-throughput phenotyping. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 29, 2015 Category: Information Technology Authors: Yu, S., Liao, K. P., Shaw, S. Y., Gainer, V. S., Churchill, S. E., Szolovits, P., Murphy, S. N., Kohane, I. S., Cai, T. Tags: Research and Applications Source Type: research

Disparities in registration and use of an online patient portal among older adults: findings from the LitCog cohort
Objective To document disparities in registration and use of an online patient portal among older adults.Materials and methods Data from 534 older adults were linked with information from the Northwestern Medicine Electronic Data Warehouse on patient portal registration and use of functions (secure messaging, prescription reauthorizations, checking test results, and monitoring vital statistics). Age, gender, race, education, self-reported chronic conditions, and the Newest Vital Sign health literacy measure were available from cohort data.Results Most patients (93.4%) had a patient portal access code generated for them, an...
Source: Journal of the American Medical Informatics Association - April 25, 2015 Category: Information Technology Authors: Smith, S. G., O'Conor, R., Aitken, W., Curtis, L. M., Wolf, M. S., Goel, M. S. Tags: Research and Applications Source Type: research

R-U policy frontiers for health data de-identification
Conclusions R-U frontiers of de-identification policies can be discovered efficiently, allowing healthcare organizations to tailor protections to anticipated needs and trustworthiness of recipients. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 24, 2015 Category: Information Technology Authors: Xia, W., Heatherly, R., Ding, X., Li, J., Malin, B. A. Tags: Research and Applications Source Type: research

Tailoring of alerts substantially reduces the alert burden in computerized clinical decision support for drugs that should be avoided in patients with renal disease
Objective Electronic alerts are often ignored by physicians, which is partly due to the large number of unspecific alerts generated by decision support systems. The aim of the present study was to analyze critical drug prescriptions in a university-based nephrology clinic and to evaluate the effect of different alerting strategies on the alert burden.Methods In a prospective observational study, two advanced strategies to automatically generate alerts were applied when medication regimens were entered for discharge letters, outpatient clinic letters, and written prescriptions and compared to two basic reference strategies....
Source: Journal of the American Medical Informatics Association - April 24, 2015 Category: Information Technology Authors: Czock, D., Konias, M., Seidling, H. M., Kaltschmidt, J., Schwenger, V., Zeier, M., Haefeli, W. E. Tags: Research and Applications Source Type: research

Informatics to support the IOM Social and Behavioral Domains and Measures
Consistent collection and use of social and behavioral determinants of health can improve clinical care, prevention and general health, patient satisfaction, research, and public health. A recent Institute of Medicine committee defined a panel of 11 domains and 12 measures to be included in electronic health records. Incorporating the panel into practice creates a number of informatics research opportunities as well as challenges. The informatics issues revolve around standardization, efficient collection and review, decision support, and support for research. The informatics community can aid the effort by simultaneously ...
Source: Journal of the American Medical Informatics Association - April 24, 2015 Category: Information Technology Authors: Hripcsak, G., Forrest, C. B., Brennan, P. F., Stead, W. W. Tags: Perspective Source Type: research

Risk prediction for chronic kidney disease progression using heterogeneous electronic health record data and time series analysis
Background As adoption of electronic health records continues to increase, there is an opportunity to incorporate clinical documentation as well as laboratory values and demographics into risk prediction modeling.Objective The authors develop a risk prediction model for chronic kidney disease (CKD) progression from stage III to stage IV that includes longitudinal data and features drawn from clinical documentation.Methods The study cohort consisted of 2908 primary-care clinic patients who had at least three visits prior to January 1, 2013 and developed CKD stage III during their documented history. Development and validati...
Source: Journal of the American Medical Informatics Association - April 20, 2015 Category: Information Technology Authors: Perotte, A., Ranganath, R., Hirsch, J. S., Blei, D., Elhadad, N. Tags: Research and Applications Source Type: research

Associations between healthcare quality and use of electronic health record functions in ambulatory care
This study was designed to assess the relationship between physician use of individual EHR functions and healthcare quality.Materials and Methods Sixty-five providers eligible for "meaningful use" were included. Data were abstracted from office visit records during the study timeframe (183 095 visits with 61 977 patients). Three EHR functions were considered potential predictors: acceptance of best practice alerts, use of order sets, and viewing panel-level reports. Eighteen clinical quality measures from the "meaningful use" program were abstracted.Results Use of condition-specific best-practice alerts...
Source: Journal of the American Medical Informatics Association - April 20, 2015 Category: Information Technology Authors: Ancker, J. S., Kern, L. M., Edwards, A., Nosal, S., Stein, D. M., Hauser, D., Kaushal, R., With the HITEC Investigators Tags: Research and Applications Source Type: research

Increasing the Efficiency and Yield of a Tuberculosis Contact Investigation Through Electronic Data Systems Matching
Conclusion Data matching improved the efficiency and yield of this CI, thereby demonstrating the usefulness of enhancing CIs with electronic health data. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 17, 2015 Category: Information Technology Authors: Sanderson, J. M., Proops, D. C., Trieu, L., Santos, E., Polsky, B., Ahuja, S. D. Tags: Brief Communication Source Type: research

Supporting health insurance expansion: do electronic health records have valid insurance verification and enrollment data?
Conclusions EHR coverage data for children had a high overall correspondence with Medicaid data and reimbursement data, suggesting that in some systems EHR data could be utilized to promote insurance stability in their patients. Future work should attempt to replicate these analyses in other settings. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 17, 2015 Category: Information Technology Authors: Heintzman, J., Marino, M., Hoopes, M., Bailey, S. R., Gold, R., O'Malley, J., Angier, H., Nelson, C., Cottrell, E., Devoe, J. Tags: Brief Communication Source Type: research

Solving the interoperability challenge of a distributed complex patient guidance system: A data integrator based on HL7's Virtual Medical Record standard
Discussion The vMR model with its extension mechanism is demonstrated to be effective for data integration and communication within a distributed PGS implemented for two clinical domains across different healthcare settings in two nations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 15, 2015 Category: Information Technology Authors: Marcos, C., Gonzalez-Ferrer, A., Peleg, M., Cavero, C. Tags: Research and Applications Source Type: research

Readability of Patient Discharge Instructions with and without the Use of Electronically Available Disease-Specific Templates
Objective Low health literacy is common, leading to patient vulnerability during hospital discharge, when patients rely on written health instructions. We aimed to examine the impact of the use of electronic, patient-friendly, templated discharge instructions on the readability of discharge instructions provided to patients at discharge.Materials and Methods We performed a retrospective cohort study of 233 patients discharged from a large tertiary care hospital to their homes following the implementation of a web-based "discharge module," which included the optional use of diagnosis-specific templated discharge i...
Source: Journal of the American Medical Informatics Association - April 15, 2015 Category: Information Technology Authors: Mueller, S. K., Giannelli, K., Boxer, R., Schnipper, J. L. Tags: Research and Applications Source Type: research

Leveraging Health Information Technology to Achieve the "Triple Aim" of Healthcare Reform
Conclusions The HITECH Act has stimulated unprecedented, multi-stakeholder interest in HIT. Early experiences indicate that the resulting digital infrastructure is being used to improve quality of care and curtail costs. Reform efforts are however severely limited by problems with usability, limited interoperability and the persistence of the fee-for-service paradigm—addressing these issues therefore needs to be the federal government’s main policy target. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 15, 2015 Category: Information Technology Authors: Sheikh, A., Sood, H. S., Bates, D. W. Tags: Research and Applications Source Type: research

Challenges to the implementation of a nationwide electronic prescribing network in primary care: a qualitative study of users' perceptions
Conclusions Numerous challenges impeded realization of the benefits of this network. Standards for e-prescription messages, as well as rules for message validation, need to be improved to increase the potential benefits of e-prescriptions. Standard drug terminology including the concept of clinical medication should be developed, and the implementation of rules in local applications to allow for the classification and reconciliation of medication lists from dispensing data should be made a priority. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 15, 2015 Category: Information Technology Authors: Motulsky, A., Sicotte, C., Gagnon, M.-P., Payne-Gagnon, J., Langue-Dube, J.-A., Rochefort, C. M., Tamblyn, R. Tags: Research and Applications Source Type: research

Automated Methods for the Summarization of Electronic Health Records
Objectives This review examines work on automated summarization of electronic health record (EHR) data and in particular, individual patient record summarization. We organize the published research and highlight methodological challenges in the area of EHR summarization implementation.Target audience The target audience for this review includes researchers, designers, and informaticians who are concerned about the problem of information overload in the clinical setting as well as both users and developers of clinical summarization systems.Scope Automated summarization has been a long-studied subject in the fields of natura...
Source: Journal of the American Medical Informatics Association - April 15, 2015 Category: Information Technology Authors: Pivovarov, R., Elhadad, N. Tags: Review Source Type: research

Normalization of relative and incomplete temporal expressions in clinical narratives
Conclusions We formulate the RI-TIMEX normalization problem as a pair of multi-label classification problems. Considering only RI-TIMEX extraction and normalization, the system achieves statistically significant improvement over the RI-TIMEX results of the best systems in the 2012 i2b2 challenge. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 12, 2015 Category: Information Technology Authors: Sun, W., Rumshisky, A., Uzuner, O. Tags: Research and Applications Source Type: research

Subgraph Augmented Non-Negative Tensor Factorization (SANTF) for Modeling Clinical Narrative Text
Conclusion SANTF demonstrated over 10% improvement in averaged F-measure on patient clustering compared to widely used non-negative matrix factorization (NMF) and k-means clustering methods. Multiple baselines were established by modeling patient data using patient-by-features matrices with different feature configurations and then performing NMF or k-means to cluster patients. Feature analysis identified latent groups of higher-order features that lead to medical insights. We also found that the latent groups of atomic features help to better correlate the latent groups of higher-order features. (Source: Journal of the Am...
Source: Journal of the American Medical Informatics Association - April 9, 2015 Category: Information Technology Authors: Luo, Y., Xin, Y., Hochberg, E., Joshi, R., Uzuner, O., Szolovits, P. Tags: Research and Applications Source Type: research

Nature and management of duplicate medication alerts
Objective: To investigate the nature of duplicate medication (DM) alerts, their management by community pharmacists, and potential characteristics of DM alerts that lead to interventions by pharmacists.Methods: Observational study in 53 community pharmacies. Each pharmacist registered the nature and management of 24 DM alerts on a structured form.Results: On average, the clinical decision support systems generated 20.4 DM alerts per 100 dispensed drugs. In half of the 1272 registered alerts, the pharmacists judged that there was no risk for concurrent use of both prescriptions. In 32% of the alerts, the DM alert was genera...
Source: Journal of the American Medical Informatics Association - April 9, 2015 Category: Information Technology Authors: Heringa, M., Floor, A., Meijer, W. M., De Smet, P. A. G. M., Bouvy, M. L. Tags: Research and Applications Source Type: research

Implications for informatics given expanding access to care for Veterans and other populations
Recent investigations into appointment scheduling within facilities operated by the US Department of Veterans Affairs (VA) illuminate systemic challenges in meeting its goal of providing timely access to care for all Veterans. In the wake of these investigations, new policies have been enacted to expand access to care at VA facilities as well as non-VA facilities if the VA is unable to provide access within a reasonable timeframe or a Veteran lives more than 40 miles from a VA medical facility. These policies are similar to broader health reform efforts that seek to expand access to care for other vulnerable populations. I...
Source: Journal of the American Medical Informatics Association - March 31, 2015 Category: Information Technology Authors: Dixon, B. E., Haggstrom, D. A., Weiner, M. Tags: Perspectives Source Type: research

Integrating ontologies of rare diseases and radiological diagnosis
Conclusions Integrating these ontologies expanded the set of terms and scope of knowledge available for radiological differential diagnosis, and can support translational rare-disease research by linking knowledge of genetics and imaging phenotypes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 31, 2015 Category: Information Technology Authors: Kahn, C. E. Tags: Brief Communication Source Type: research

Recommendations to Improve the Usability of Drug-Drug Interaction Clinical Decision Support Alerts
Conclusion: DDI clinical decision support alerts need major improvements. We provide recommendations for healthcare organizations and IT vendors to improve the clinician interface of DDI alerts, with the aim of reducing alert fatigue and improving patient safety. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 30, 2015 Category: Information Technology Authors: Payne, T. H., Hines, L. E., Chan, R. C., Hartman, S., Kapusnik-Uner, J., Russ, A. L., Chaffee, B. W., Hartman, C., Tamis, V., Galbreth, B., Glassman, P. A., Phansalkar, S., van der Sijs, H., Gephart, S. M., Mann, G., Strasberg, H. R., Grizzle, A. J., Brow Tags: Review Source Type: research

Comparison of consumers' views on electronic data sharing for healthcare and research
New models of healthcare delivery such as accountable care organizations and patient-centered medical homes seek to improve quality, access, and cost. They rely on a robust, secure technology infrastructure provided by health information exchanges (HIEs) and distributed research networks and the willingness of patients to share their data. There are few large, in-depth studies of US consumers’ views on privacy, security, and consent in electronic data sharing for healthcare and research together.Objective This paper addresses this gap, reporting on a survey which asks about California consumers’ views of data s...
Source: Journal of the American Medical Informatics Association - March 30, 2015 Category: Information Technology Authors: Kim, K. K., Joseph, J. G., Ohno-Machado, L. Tags: Research and Applications Source Type: research

A needs assessment of health information technology for improving care coordination in three leading patient-centered medical homes
Conclusions New health IT that enables monitoring, notifying, collaborating, reporting, and interoperability would enhance care coordination within PCMHs beyond what current health IT enables. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 21, 2015 Category: Information Technology Authors: Richardson, J. E., Vest, J. R., Green, C. M., Kern, L. M., Kaushal, R., the HITEC Investigators Tags: Research and Applications Source Type: research

Linking Acknowledgement to Action: Closing the Loop on Non-Urgent, Clinically Significant Test Results in the Electronic Health Record
Failure to follow-up nonurgent, clinically significant test results (CSTRs) is an ambulatory patient safety concern. Tools within electronic health records (EHRs) may facilitate test result acknowledgment, but their utility with regard to nonurgent CSTRs is unclear. We measured use of an acknowledgment tool by 146 primary care physicians (PCPs) at 13 network-affiliated practices that use the same EHR. We then surveyed PCPs to assess use of, satisfaction with, and desired enhancements to the acknowledgment tool. The rate of acknowledgment of non-urgent CSTRs by PCPs was 78%. Of 73 survey respondents, 72 reported taking one ...
Source: Journal of the American Medical Informatics Association - March 21, 2015 Category: Information Technology Authors: Dalal, A. K., Pesterev, B. M., Eibensteiner, K., Newmark, L. P., Samal, L., Rothschild, J. M. Tags: Brief Communication Source Type: research

Clinical information modeling processes for semantic interoperability of electronic health records: systematic review and inductive analysis
Conclusion Independently of implementation technologies and standards, it is possible to find common patterns in methods for developing CIMs, suggesting the viability of defining a unified good practice methodology to be used by any clinical information modeler. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 21, 2015 Category: Information Technology Authors: Moreno-Conde, A., Moner, D., Cruz, W. D. d., Santos, M. R., Maldonado, J. A., Robles, M., Kalra, D. Tags: Review Source Type: research

Virtualization of Open-Source Secure Web Services to Support Data Exchange in a Pediatric Critical Care Research Network
Conclusions Use of virtualized open-source secure web service technology could enable direct electronic abstraction of data from hospital databases for research purposes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 21, 2015 Category: Information Technology Authors: Frey, L. J., Sward, K. A., Newth, C. J., Khemani, R. G., Cryer, M. E., Thelen, J. L., Enriquez, R., Shaoyu, S., Pollack, M. M., Harrison, R. E., Meert, K. L., Berg, R. A., Wessel, D. L., Shanley, T. P., Dalton, H., Carcillo, J., Jenkins, T. L., Dean, J. M Tags: Case Report Source Type: research

Graphical Display of Diagnostic Test Results in Electronic Health Records: A Comparison of 8 Systems
Accurate display and interpretation of clinical laboratory test results is essential for safe and effective diagnosis and treatment. In an attempt to ascertain how well current electronic health records (EHRs) facilitated these processes, we evaluated the graphical displays of laboratory test results in eight EHRs using objective criteria for optimal graphs based on literature and expert opinion. None of the EHRs met all 11 criteria; the magnitude of deficiency ranged from one EHR meeting 10 of 11 criteria to three EHRs meeting only 5 of 11 criteria. One criterion (i.e., the EHR has a graph with y-axis labels that display ...
Source: Journal of the American Medical Informatics Association - March 18, 2015 Category: Information Technology Authors: Sittig, D. F., Murphy, D. R., Smith, M. W., Russo, E., Wright, A., Singh, H. Tags: Brief Communication Source Type: research

Beyond technology acceptance to effective technology use: a parsimonious and actionable model
Conclusions To extend our effectiveness in implementing new health care information technology, we need parsimonious models that include actionable determinants of ETU and account for the differential effects of these determinants on the multiple dimensions of ETU. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 15, 2015 Category: Information Technology Authors: Holahan, P. J., Lesselroth, B. J., Adams, K., Wang, K., Church, V. Tags: Research and Applications Source Type: research

A Web-Based Personally Controlled Health Management System Increases Sexually Transmitted Infection Screening Rates in Young People: A Randomized Controlled Trial
Conclusion PCHMS interventions may provide an effective means of increasing the demand for STI testing which, combined with increased opportunistic testing by clinicians, could reduce the high and sustained rates of STIs in young people. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 15, 2015 Category: Information Technology Authors: Mortimer, N. J., Rhee, J., Guy, R., Hayen, A., Lau, A. Y. S. Tags: Research and Applications Source Type: research

Paper versus EHR: simplistic comparisons may not capture current reality
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 13, 2015 Category: Information Technology Authors: Hanauer, D. A., Zheng, K. Tags: Correspondence Source Type: research

Success criteria for electronic medical record implementations in low-resource settings: a systematic review
Conclusions Highly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 13, 2015 Category: Information Technology Authors: Fritz, F., Tilahun, B., Dugas, M. Tags: Review Source Type: research

Standard for improving emergency information interoperability: the HL7 data elements for emergency department systems
Discussion The HL7 DEEDS specification represents the first set of common ED related data elements to undergo rigorous standards development. The availability of this standard will contribute to improved interoperability of emergency care data. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 13, 2015 Category: Information Technology Authors: McClay, J. C., Park, P. J., Janczewski, M. G., Langford, L. H. Tags: Research and Applications Source Type: research