Data discovery with DATS: exemplar adoptions and lessons learned
AbstractThe DAta Tag Suite (DATS) is a model supporting dataset description, indexing, and discovery. It is available as an annotated serialization with schema.org, a vocabulary used by major search engines, thus making the datasets discoverable on the web. DATS underlies DataMed, the National Institutes of Health Big Data to Knowledge Data Discovery Index prototype, which aims to provide a “PubMed for datasets.” The experience gained while indexing a heterogeneous range of >60 repositories in DataMed helped in evaluating DATS ’s entities, attributes, and scope. In this work, 3 additional exempl...
Source: Journal of the American Medical Informatics Association - December 8, 2017 Category: Information Technology Source Type: research

PIE: A prior knowledge guided integrated likelihood estimation method for bias reduction in association studies using electronic health records data
ConclusionsThis study demonstrates that the proposed method can effectively reduce estimation bias caused by imperfect phenotyping in EHR-derived data by incorporating prior information through integrated likelihood. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 1, 2017 Category: Information Technology Source Type: research

Estimating the causal effects of chronic disease combinations on 30-day hospital readmissions based on observational Medicaid data
ConclusionMulti-hypothesis causal analysis, a new methodological tool, generates meaningful insights from health care claims data, guiding the design of care and intervention programs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 30, 2017 Category: Information Technology Source Type: research

Clinical documentation variations and NLP system portability: a case study in asthma birth cohorts across institutions
DiscussionThe criteria for asthma ascertainment are largely dependent on asthma-related concepts. Therefore, we believe that semantic similarity is important to estimate NLP system portability. As the Mayo Clinic and SCH corpora were relatively homogeneous at a semantic level, the NLP system, developed at Mayo Clinic, was imported to SCH successfully with proper adjustments to deal with the intrinsic corpus heterogeneity. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 30, 2017 Category: Information Technology Source Type: research

User needs analysis and usability assessment of DataMed – a biomedical data discovery index
ConclusionWhile available data and researchers ’ information needs are complex and heterogeneous, a successful DDI must meet those needs and fit into the processes of biomedical researchers. Research directions include formalizing researchers’ information needs, standardizing overviews of data to facilitate relevance judgments, implementing user interfaces for concept-based searching, and developing evaluation methods for open-ended discovery systems such as DDIs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 30, 2017 Category: Information Technology Source Type: research

3D-MICE: integration of cross-sectional and longitudinal imputation for multi-analyte longitudinal clinical data
Conclusions3D-MICE offers a novel and practical approach to imputing clinical laboratory time series data. 3D-MICE may provide an additional tool for use as a foundation in clinical predictive analytics and intelligent clinical decision support. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 30, 2017 Category: Information Technology Source Type: research

Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance
ConclusionVendor choice accounts for a meaningful proportion of variation in hospital meaningful use performance, and specific vendors are consistently associated with higher or lower performance across criteria. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 24, 2017 Category: Information Technology Source Type: research

CLAMP – a toolkit for efficiently building customized clinical natural language processing pipelines
AbstractExisting general clinical natural language processing (NLP) systems such as MetaMap and Clinical Text Analysis and Knowledge Extraction System have been successfully applied to information extraction from clinical text. However, end users often have to customize existing systems for their individual tasks, which can require substantial NLP skills. Here we present CLAMP (Clinical Language Annotation, Modeling, and Processing), a newly developed clinical NLP toolkit that provides not only state-of-the-art NLP components, but also a user-friendly graphic user interface that can help users quickly build customized NLP ...
Source: Journal of the American Medical Informatics Association - November 24, 2017 Category: Information Technology Source Type: research

Assessing the capacity of social determinants of health data to augment predictive models identifying patients in need of wraparound social services
DiscussionThe need for various social service referrals can be predicted with considerable accuracy using a wide range of readily available clinical and community data that measure socioeconomic and public health conditions. While the use of SDH did not result in significant performance improvements, our approach represents a novel and important application of risk predictive modeling. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 21, 2017 Category: Information Technology Source Type: research

Hierarchical attention networks for information extraction from cancer pathology reports
ConclusionsHAN-based DL models show promise in information abstraction tasks within unstructured clinical pathology reports. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 16, 2017 Category: Information Technology Source Type: research

Managing public health data: mobile applications and mass vaccination campaigns
AbstractIn response to data collection challenges during mass immunization events, Denver Public Health developed a mobile application to support efficient public health immunization and prophylaxis activities. The Handheld Automated Notification for Drugs and Immunizations (HANDI) system has been used since 2012 to capture influenza vaccination data during Denver Health ’s annual employee influenza campaign. HANDI has supported timely and efficient administration and reporting of influenza vaccinations through standardized data capture and database entry. HANDI’s mobility allows employee work locations and sch...
Source: Journal of the American Medical Informatics Association - November 13, 2017 Category: Information Technology Source Type: research

Assessing privacy risks in population health publications using a checklist-based approach
ConclusionThis study has demonstrated that a checklist can be a reliable tool to assist researchers with anonymizing analysis outputs in population health research. This further suggests that such an approach may have the potential to be developed into a broadly applicable standard providing consistent confidentiality protection across multiple analyses of the same data. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 10, 2017 Category: Information Technology Source Type: research

Decentralized and reproducible geocoding and characterization of community and environmental exposures for multisite studies
ConclusionThe open source DeGAUSS software overcomes multiple challenges in the use of address data in multisite studies and also serves as a more general reproducible research tool for geocoding and geomarker assessment. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 8, 2017 Category: Information Technology Source Type: research

Higher accuracy of complex medication reconciliation through improved design of electronic tools
AbstractObjectiveInvestigate the accuracy of 2 different medication reconciliation tools integrated into electronic health record systems (EHRs) using a cognitively demanding scenario and complex medication history.Materials and MethodsSeventeen physicians reconciled medication lists for a polypharmacy patient using 2 EHRs in a simulation study. The lists contained 3 types of discrepancy and were transmitted between the systems via a Continuity of Care Document. Participants updated each EHR and their interactions were recorded and analyzed for the number and type of errors.ResultsParticipants made 748 drug comparisons tha...
Source: Journal of the American Medical Informatics Association - November 7, 2017 Category: Information Technology Source Type: research

Corrigendum
to: The use of Twitter to facilitate sharing of clinical expertise in urology (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 4, 2017 Category: Information Technology Source Type: research

Erratum to: Evaluation of an electronic health record-supported obesity management protocol implemented in a community health center: a cautionary note
Steglitz J, Edberg D, Sommers M, Talen MR, Thornton LK, Spring B. Evaluation of an electronic health record-supported obesity management protocol implemented in a community health center: a cautionary note.J Am Med Inform Assoc 2015; 22:755 –763; DOI:https://doi.org/10.1093/jamia/ocu034 (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 3, 2017 Category: Information Technology Source Type: research

Enabling phenotypic big data with PheNorm
ConclusionThe accuracy of the PheNorm algorithms is on par with algorithms trained with annotated samples. PheNorm fully automates the generation of accurate phenotyping algorithms and demonstrates the capacity for EHR-driven annotations to scale to the next level – phenotypic big data. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - November 3, 2017 Category: Information Technology Source Type: research

Using machine learning for sequence-level automated MRI protocol selection in neuroradiology
We present a machine learning method for analyzing the unstructured text of clinical indications and patient demographics from magnetic resonance imaging (MRI) orders to automatically protocol MRI procedures at the sequence level. We compared 3 machine learning models – support vector machine, gradient boosting machine, and random forest – to a baseline model that predicted the most common protocol for all observations in our test set. The gradient boosting machine model significantly outperformed the baseline and demonstrated the best performance of the 3 mo dels in terms of accuracy (95%), precision (86%), re...
Source: Journal of the American Medical Informatics Association - October 27, 2017 Category: Information Technology Source Type: research

FACETS: using open data to measure community social determinants of health
ConclusionFACETS is an important first step in standardizing and compiling SDH-related data in an open architecture that can give context to a patient ’s condition and enable better decision-making when developing a plan of care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 27, 2017 Category: Information Technology Source Type: research

Medication-related clinical decision support alert overrides in inpatients
ObjectiveTo define the types and numbers of inpatient clinical decision support alerts, measure the frequency with which they are overridden, and describe providers ’ reasons for overriding them and the appropriateness of those reasons.Materials and MethodsWe conducted a cross-sectional study of medication-related clinical decision support alerts over a 3-year period at a 793-bed tertiary-care teaching institution. We measured the rate of alert overrides, the rate of overrides by alert type, the reasons cited for overrides, and the appropriateness of those reasons.ResultsOverall, 73.3% of patient allergy, drug-drug i...
Source: Journal of the American Medical Informatics Association - October 27, 2017 Category: Information Technology Source Type: research

Characteristics of knowledge content in a curated online evidence library
ObjectiveTo describe types of recommendations represented in a curated online evidence library, report on the quality of evidence-based recommendations pertaining to diagnostic imaging exams, and assess underlying knowledge representation.Materials and MethodsThe evidence library is populated with clinical decision rules, professional society guidelines, and locally developed best practice guidelines. Individual recommendations were graded based on a standard methodology and compared using chi-square test. Strength of evidence ranged from grade 1 (systematic review) through grade 5 (recommendations based on expert opinion)...
Source: Journal of the American Medical Informatics Association - October 27, 2017 Category: Information Technology Source Type: research

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review
ConclusionsThis review highlights 5  key factors that contributed to the occurrence of CPOE-related medication errors in pediatrics. Dosing support is the most important. More advanced clinical decision support that can suggest doses based on the drug indication is needed. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 26, 2017 Category: Information Technology Source Type: research

Ethical issues in the use of SMS messaging in HIV care and treatment in low- and middle-income countries: case examples from Mozambique
AbstractThe introduction of mobile communication technologies in health care in low- and middle-income countries offers an opportunity for increased efficiencies in provision of care, improved utilization of scarce resources, reductions in workload, and increased reach of services to a larger target population. Short message service (SMS) technologies offer promise, with several large-scale SMS-based implementations already under way. Still largely lacking in the research literature are evaluations of specific ethical issues that arise when SMS programs are implemented and studied in resource-limited settings. In this pape...
Source: Journal of the American Medical Informatics Association - October 26, 2017 Category: Information Technology Source Type: research

Exploring completeness in clinical data research networks with DQ e -c
ConclusionEHR data quality assessment has been hampered by implementation of ad hoc processes. The architecture and implementation of DQe-c offer valuable insights for developing reproducible and scalable data science tools to assess, manage, and process data in clinical data repositories. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 23, 2017 Category: Information Technology Source Type: research

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy
ConclusionCDS alert malfunctions are frequent. The empirically derived taxonomy formalizes the common recurring issues that cause these malfunctions, helping CDS developers anticipate and prevent CDS malfunctions before they occur or detect and resolve them expediently. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 16, 2017 Category: Information Technology Source Type: research

High-fidelity phenotyping: richness and freedom from bias
AbstractElectronic health record phenotyping is the use of raw electronic health record data to assert characterizations about patients. Researchers have been doing it since the beginning of biomedical informatics, under different names. Phenotyping will benefit from an increasing focus on fidelity, both in the sense of increasing richness, such as measured levels, degree or severity, timing, probability, or conceptual relationships, and in the sense of reducing bias. Research agendas should shift from merely improving binary assignment to studying and improving richer representations. The field is actively researching new...
Source: Journal of the American Medical Informatics Association - October 12, 2017 Category: Information Technology Source Type: research

Barriers to the success of an electronic pharmacovigilance reporting system in Kenya: an evaluation three years post implementation
ConclusionWhile several factors hindered the optimal use of the electronic pharmacovigilance reporting system in Kenya, all were considered modifiable. Effort should be directed toward tackling the identified issues in order to facilitate use and improve pharmacovigilance reporting rates. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 12, 2017 Category: Information Technology Source Type: research

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project
We report on the impact of prepopulating and aligning community and hospital drug lists with data from population-based and hospital-based drug information systems to reduce workload and enhance adoption and use of an e-medication reconciliation application, RightRx.MethodsThe prototype e-medical reconciliation web-based software was developed for a cluster-randomized trial at the McGill University Health Centre. User-centered design and agile development processes were used to develop features intended to enhance adoption, safety, and efficiency. RightRx was implemented in medical and surgical wards, with support and trai...
Source: Journal of the American Medical Informatics Association - October 11, 2017 Category: Information Technology Source Type: research

The medical science DMZ: a network design pattern for data-intensive medical science
ConclusionBy implementing a Medical Science DMZ architecture, biomedical researchers can leverage the scale provided by high-performance computer and cloud storage facilities and national high-speed research networks while preserving privacy and meeting regulatory requirements. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 6, 2017 Category: Information Technology Source Type: research

Uncovering exposures responsible for birth season – disease effects: a global study
ConclusionA global study of birth month –disease relationships reveals distal risk factors involved in causal biological pathways that underlie them. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 28, 2017 Category: Information Technology Source Type: research

The MIMIC Code Repository: enabling reproducibility in critical care research
ConclusionBy providing open source code alongside the freely accessible MIMIC-III database, we enable end-to-end reproducible analysis of electronic health records. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2017 Category: Information Technology Source Type: research

It ’s all in the timing: calibrating temporal penalties for biomedical data sharing
ConclusionThe enduring value of data for subsequent studies implies that revoking usage for short periods of time may not sufficiently deter those who would violate Data Use Certificate agreements and that alternative penalty mechanisms may need to be invoked. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 26, 2017 Category: Information Technology Source Type: research

Secondary use of electronic health record data for clinical workflow analysis
ConclusionThe secondary use of EHR timestamp data is a valuable resource for clinical workflow studies. Sample timestamp data files and algorithms for processing them are provided and can be used as a template for more studies in other clinical specialties and settings. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 26, 2017 Category: Information Technology Source Type: research

Corrigendum to: Evaluating the reliability, validity, acceptability, and practicality of SMS text messaging as a tool to collect research data: results from the Feeding Your Baby project
Whitford HM, Donnan PT, Symon AG, Kellett G, Monteith-Hodge E, Rauchhaus P, Wyatt JC. Evaluating the reliability, validity, acceptability, and practicality of SMS text messaging as a tool to collect research data: results from the Feeding Your Baby project.J Am Med Inform Assoc 2012; 19:744-749; DOI:https://doi.org/10.1136/amiajnl-2011-000785 (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 23, 2017 Category: Information Technology Source Type: research

Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review
AbstractObjectivesTo systematically classify the clinical impact of computerized clinical decision support systems (CDSSs) in inpatient care.Materials and MethodsMedline, Cochrane Trials, and Cochrane Reviews were searched for CDSS studies that assessed patient outcomes in inpatient settings. For each study, 2 physicians independently mapped patient outcome effects to a predefined medical effect score to assess the clinical impact of reported outcome effects. Disagreements were measured by using weighted kappa and solved by consensus. An example set of promising disease entities was generated based on medical effect scores...
Source: Journal of the American Medical Informatics Association - September 23, 2017 Category: Information Technology Source Type: research

Unintended adverse consequences of a clinical decision support system: two cases
AbstractMany institutions have implemented clinical decision support systems (CDSSs). While CDSS research papers have focused on benefits of these systems, there is a smaller body of literature showing that CDSSs may also produce unintended adverse consequences (UACs). Detailed here are 2 cases of UACs resulting from a CDSS. Both of these cases were related to external systems that fed data into the CDSS. In the first case, lack of knowledge of data categorization in an external pharmacy system produced a UAC; in the second case, the change of a clinical laboratory instrument produced the UAC. CDSSs rely on data from many ...
Source: Journal of the American Medical Informatics Association - September 23, 2017 Category: Information Technology Source Type: research

Implementing electronic health records (EHRs): health care provider perceptions before and after transition from a local basic EHR to a commercial comprehensive EHR
AbstractObjectiveWe assessed changes in the percentage of providers with positive perceptions of electronic health record (EHR) benefit before and after transition from a local basic to a commercial comprehensive EHR.MethodsChanges in the percentage of providers with positive perceptions of EHR benefit were captured via a survey of academic health care providers before (baseline) and at 6 –12 months (short term) and 12–24 months (long term) after the transition. We analyzed 32 items for the overall group and by practice setting, provider age, and specialty using separate multivariable-adjusted random effects lo...
Source: Journal of the American Medical Informatics Association - September 23, 2017 Category: Information Technology Source Type: research

A computable pathology report for precision medicine: extending an observables ontology unifying SNOMED CT and LOINC
DiscussionThe absence of a robust observables ontology represents a barrier to data capture and reuse in clinical areas founded upon observational information. Terminology developed in this project establishes the model to characterize pathology data for information exchange, public health, and research analytics. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 13, 2017 Category: Information Technology Source Type: research

The representativeness of eligible patients in type 2 diabetes trials: a case study using GIST 2.0
AbstractObjectiveThe population representativeness of a clinical study is influenced by how real-world patients qualify for the study. We analyze the representativeness of eligible patients for multiple type 2 diabetes trials and the relationship between representativeness and other trial characteristics.MethodsSixty-nine study traits available in the electronic health record data for 2034 patients with type 2 diabetes were used to profile the target patients for type 2 diabetes trials. A set of 1691 type 2 diabetes trials was identified from ClinicalTrials.gov, and their population representativeness was calculated using ...
Source: Journal of the American Medical Informatics Association - September 13, 2017 Category: Information Technology Source Type: research

Applications of network analysis to routinely collected health care data: a systematic review
DiscussionWe use the literature sample to inform a discussion of good practice at this methodological interface, including the concordance of motivations, study design, data, and tools and the validation and standardization of techniques. We then highlight instances of positive feedback between methodological development and knowledge domains and assess the overall cohesion of the sample. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 13, 2017 Category: Information Technology Source Type: research

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department
AbstractTo reduce the risk of wrong-patient errors, safety experts recommend allowing only one patient chart to be open at a time. Due to the lack of empirical evidence, the number of allowable open charts is often based on anecdotal evidence or institutional preference, and hence varies across institutions. Using an interrupted time series analysis of intercepted wrong-patient medication orders in an emergency department during 2010 –2016 (83.6 intercepted wrong-patient events per 100 000 orders), we found no significant decrease in the number of intercepted wrong-patient medication orders during the transiti...
Source: Journal of the American Medical Informatics Association - September 11, 2017 Category: Information Technology Source Type: research

A conceptual framework for evaluating data suitability for observational studies
ConclusionsThe suitability framework evaluates a clinical data source ’s fitness for research use. Its construction reflects both researchers’ points of view and data custodians’ design features. The feedback from domain experts rated Usability, Relevance, and Quality categories as the most important considerations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 8, 2017 Category: Information Technology Source Type: research

Blockchain distributed ledger technologies for biomedical and health care applications
AbstractObjectivesTo introduce blockchain technologies, including their benefits, pitfalls, and the latest applications, to the biomedical and health care domains.Target AudienceBiomedical and health care informatics researchers who would like to learn about blockchain technologies and their applications in the biomedical/health care domains.ScopeThe covered topics include: (1) introduction to the famous Bitcoin crypto-currency and the underlying blockchain technology; (2) features of blockchain; (3) review of alternative blockchain technologies; (4) emerging nonfinancial distributed ledger technologies and applications; (...
Source: Journal of the American Medical Informatics Association - September 8, 2017 Category: Information Technology Source Type: research

Online physician ratings fail to predict actual performance on measures of quality, value, and peer review
ConclusionOnline consumer ratings should not be used in isolation to select physicians, given their poor association with clinical performance. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 8, 2017 Category: Information Technology Source Type: research

Corrigendum to: Meaningful use of health information technology and declines in in-hospital adverse drug events
Furukawa MF, Spector WD, Limcangco MR, Encinosa WE. Meaningful use of health information technology and declines in in-hospital adverse drug events.J Am Med Inform Assoc 2017; 24: 729-736. DOI:10.1093/jamia/ocw183 (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 6, 2017 Category: Information Technology Source Type: research

Comprehensive process model of clinical information interaction in primary care: results of a “best-fit” framework synthesis
ConclusionThe CIIM offers a new framework for achieving CDSS workflow integration and new directions for CDSS design that can support the work of diverse primary care clinicians. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 2, 2017 Category: Information Technology Source Type: research

Assessing the quality of administrative data for research: a framework from the Manitoba Centre for Health Policy
AbstractThe growth of administrative data repositories worldwide has spurred the development and application of data quality frameworks to ensure that research analyses based on these data can be used to draw meaningful conclusions. However, the research literature on administrative data quality is sparse, and there is little consensus regarding which dimensions of data quality should be measured. Here we present the core dimensions of the data quality framework developed at the Manitoba Centre for Health Policy, a world leader in the use of administrative data for research purposes, and provide examples and context for th...
Source: Journal of the American Medical Informatics Association - September 1, 2017 Category: Information Technology Source Type: research

Impact of an emergency department electronic sepsis surveillance system on patient mortality and length of stay
AbstractObjective: The purpose of this study was to determine whether an electronic health record –based sepsis alert system could improve quality of care and clinical outcomes for patients with sepsis.Materials and Methods: We performed a patient-level interrupted time series study of emergency department patients with severe sepsis or septic shock between January 2013 and April 2015. The intervention, introduced in February 2014, was a system of interruptive sepsis alerts triggered by abnormal vital signs or laboratory results. Primary outcomes were length of stay (LOS) and in-hospital mortality; other outcomes inc...
Source: Journal of the American Medical Informatics Association - August 28, 2017 Category: Information Technology Source Type: research

A critical appraisal of guidelines for electronic communication between patients and clinicians: the need to modernize current recommendations
ConclusionOur analysis revealed major weaknesses in current guidelines for electronic communication between patients and providers: the guidelines appear to be based on minimal evidence and offer little guidance on how best to use electronic tools to communicate effectively. Further work is needed to systematically evaluate and identify effective practices, create a framework to evaluate quality of communication, and assess the relationship between electronic communication and quality of care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 25, 2017 Category: Information Technology Source Type: research