Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California
Conclusion: We found a mismatch between MU-based metrics of patient engagement and the priorities and needs of safety net patient populations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 16, 2017 Category: Information Technology Source Type: research

User-centered design of discharge warnings tool for colorectal surgery patients
Discussion: We developed a discharge warnings tool for colorectal surgery using staged user-centered design. The lexicon of surgical discharge warnings could structure communication among patients, caregivers, and clinicians to improve post-discharge care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 16, 2017 Category: Information Technology Source Type: research

Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care
While great progress has been made in digitizing the US health care system, today’s health information technology (IT) infrastructure remains largely a collection of systems that are not designed to support a transition to value-based care. In addition, the pursuit of value-based care, in which we deliver better care with better outcomes at lower cost, places new demands on the health care system that our IT infrastructure needs to be able to support. Provider organizations pursuing new models of health care delivery and payment are finding that their electronic systems lack the capabilities needed to succeed. The re...
Source: Journal of the American Medical Informatics Association - March 15, 2017 Category: Information Technology Source Type: research

Pragmatic (trial) informatics: a perspective from the NIH Health Care Systems Research Collaboratory
AbstractPragmatic clinical trials (PCTs) are research investigations embedded in health care settings designed to increase the efficiency of research and its relevance to clinical practice. The Health Care Systems Research Collaboratory, initiated by the National Institutes of Health Common Fund in 2010, is a pioneering cooperative aimed at identifying and overcoming operational challenges to pragmatic research. Drawing from our experience, we present 4 broad categories of informatics-related challenges: (1) using clinical data for research, (2) integrating data from heterogeneous systems, (3) using electronic health recor...
Source: Journal of the American Medical Informatics Association - March 14, 2017 Category: Information Technology Source Type: research

Personalizing lung cancer risk prediction and imaging follow-up recommendations using the National Lung Screening Trial dataset
Conclusion: By incorporating 3 demographic data points, the risk of lung nodule malignancy within the Fleischner categories can be considerably stratified and more personalized follow-up recommendations can be made. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 11, 2017 Category: Information Technology Source Type: research

Advancing the efficiency and efficacy of patient reported outcomes with multivariate computer adaptive testing
Conclusion: By reducing the number of items administered, MCAT can allow clinicians and researchers to assess a wider range of PROs with less patient burden. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 11, 2017 Category: Information Technology Source Type: research

Effects of consumer-oriented health information technologies in diabetes management over time: a systematic review and meta-analysis of randomized controlled trials
Objective: To reveal the effects of consumer-oriented health information technologies (CHITs) on patient outcomes in diabetes management over time through systematic review and meta-analysis.Methods: We searched 5 electronic databases (from database inception to July 2016) for studies that reported on randomized controlled trials examining the effects of CHITs on glycemic control and other patient outcomes in diabetes management. Data were analyzed using either meta-analysis or a narrative synthesis approach.Results: Eighty randomized controlled trial studies, representing 87 individual trials, were identified and included...
Source: Journal of the American Medical Informatics Association - March 9, 2017 Category: Information Technology Source Type: research

Utilizing patient geographic information system data to plan telemedicine service locations
Conclusion: Geospatial data and methods can assist health care location planning, generating data about load, load balance, and spatial accessibility. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 3, 2017 Category: Information Technology Source Type: research

BRIDG: a domain information model for translational and clinical protocol-driven research
Background: It is critical to integrate and analyze data from biological, translational, and clinical studies with data from health systems; however, electronic artifacts are stored in thousands of disparate systems that are often unable to readily exchange data.Objective: To facilitate meaningful data exchange, a model that presents a common understanding of biomedical research concepts and their relationships with health care semantics is required. The Biomedical Research Integrated Domain Group (BRIDG) domain information model fulfills this need. Software systems created from BRIDG have shared meaning “baked in,&r...
Source: Journal of the American Medical Informatics Association - February 27, 2017 Category: Information Technology Source Type: research

Implementing patient-reported outcome surveys as part of routine care: lessons from an academic radiation oncology department
Patient reported outcomes (PROs) are reports of health conditions that come directly from patients. Use of PROs has been associated with improved patient outcomes, enhanced quality of life, and reduced end-of-life spending. Yet there are still outstanding questions regarding the process of implementing PRO collection in routine practice. In this article, we describe the experience of selecting and implementing PROs in a multisite, multidisease academic medical center–based radiation oncology practice and demonstrate that such large-scale rollout is feasible. We establish that PROs can be implemented with minimal to n...
Source: Journal of the American Medical Informatics Association - February 27, 2017 Category: Information Technology Source Type: research

Design and evaluation of a pharmacogenomics information resource for pharmacists
Conclusion: A clinician-focused pharmacogenomics information resource can answer pharmacogenomics-related medication questions faster, more correctly, and more easily than widely used alternatives, as perceived by pharmacists. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 26, 2017 Category: Information Technology Source Type: research

Comparison of three commercial knowledge bases for detection of drug-drug interactions in clinical decision support
Conclusion: The commercial KBs differ considerably in size and quantity of alerts generated. There is less variability in severity ranking of DDIs than suggested by previous studies. All KBs provide very good coverage of the ONC list. More work is needed to standardize the editorial policies and evidence for inclusion of DDIs to reduce variation among knowledge sources and improve relevance. Some DDIs considered contraindicated in all 3 KBs might be possible candidates to add to the ONC list. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 22, 2017 Category: Information Technology Source Type: research

Mining non-lattice subgraphs for detecting missing hierarchical relations and concepts in SNOMED CT
Conclusions: Our hybrid structural-lexical method is innovative and proved effective not only in detecting errors in SNOMED CT, but also in suggesting remediation for these errors. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 20, 2017 Category: Information Technology Source Type: research

Addressing Beacon re-identification attacks: quantification and mitigation of privacy risks
The Global Alliance for Genomics and Health (GA4GH) created the Beacon Project as a means of testing the willingness of data holders to share genetic data in the simplest technical context—a query for the presence of a specified nucleotide at a given position within a chromosome. Each participating site (or “beacon”) is responsible for assuring that genomic data are exposed through the Beacon service only with the permission of the individual to whom the data pertains and in accordance with the GA4GH policy and standards.While recognizing the inference risks associated with large-scale data aggregation, a...
Source: Journal of the American Medical Informatics Association - February 20, 2017 Category: Information Technology Source Type: research

Learning from errors: analysis of medication order voiding in CPOE systems
Conclusion: Medication safety initiatives require availability of error data to create repositories for learning and training. The voiding function is available in several electronic health record systems, so order voiding could provide a low-effort mechanism for self-reporting of medication ordering errors. Additional clinician training could help increase the quality of such reporting. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison
Conclusion: Our analysis highlights important areas of usability and safety policy from other industries that can better inform ONC policies on EHRs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Movement patterns in women at risk for perinatal depression: use of a mood-monitoring mobile application in pregnancy
Conclusion: This study lays the groundwork for future research on how smartphone mood-monitoring applications can combine actively and passively collected data to better understand the relationship between the symptoms of perinatal depression and physical activity that could lead to improved monitoring and novel interventions. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Information needs of generalists and specialists using online best-practice algorithms to answer clinical questions
Objective: To better understand clinician information needs and learning opportunities by exploring the use of best-practice algorithms across different training levels and specialties.Methods: We developed interactive online algorithms (care process models [CPMs]) that integrate current guidelines, recent evidence, and local expertise to represent cross-disciplinary best practices for managing clinical problems. We reviewed CPM usage logs from January 2014 to June 2015 and compared usage across specialty and provider type.Results: During the study period, 4009 clinicians (2014 physicians in practice, 1117 resident physici...
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Genomic decision support needs in pediatric primary care
Clinical genome and exome sequencing can diagnose pediatric patients with complex conditions that often require follow-up care with multiple specialties. The American Academy of Pediatrics emphasizes the role of the medical home and the primary care pediatrician in coordinating care for patients who need multidisciplinary support. In addition, the electronic health record (EHR) with embedded clinical decision support is recognized as an important component in providing care in this setting. We interviewed 6 clinicians to assess their experience caring for patients with complex and rare genetic findings and hear their opini...
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Decrease in unnecessary vitamin D testing using clinical decision support tools: Making it harder to do the wrong thing
Objective: To evaluate the impact of clinical decision support (CDS) tools on rates of vitamin D testing. Screening for vitamin D deficiency has increased in recent years, spurred by studies suggesting vitamin D’s clinical benefits. Such screening, however, is often unsupported by evidence and can incur unnecessary costs.Materials and Methods: We evaluated how rates of vitamin D screening changed after we implemented 3 CDS tools in the electronic health record (EHR) of a large health plan: (1) a new vitamin D screening guideline, (2) an alert that requires clinician acknowledgement of current guidelines to continue o...
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Automated classification of eligibility criteria in clinical trials to facilitate patient-trial matching for specific patient populations
Conclusion: The eligibility status of specific patient populations, such as persons living with HIV and pregnant women, for clinical trials is of interest to both patients and clinicians. We show that it is feasible to develop a high-performing, automated trial classification system for eligibility status that can be integrated into consumer-facing search engines as well as patient-trial matching systems. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 19, 2017 Category: Information Technology Source Type: research

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy
In this report, we describe 2 instances in which expert use of an electronic health record (EHR) system interfaced to an external clinical laboratory information system led to unintended consequences wherein 2 patients failed to have laboratory tests drawn in a timely manner. In both events, user actions combined with the lack of an acknowledgment message describing the order cancellation from the external clinical system were the root causes. In 1 case, rapid, near-simultaneous order entry was the culprit; in the second, astute order management by a clinician, unaware of the lack of proper 2-way interface messaging from t...
Source: Journal of the American Medical Informatics Association - February 16, 2017 Category: Information Technology Source Type: research

Meaningful use of health information technology and declines in in-hospital adverse drug events
Conclusion: Findings support the contention that adoption of MU capabilities and interoperability spurred by the Health Information Technology for Economic and Clinical Health Act contributed in part to the recent decline in ADEs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 16, 2017 Category: Information Technology Source Type: research

Development and validation of a structured query language implementation of the Elixhauser comorbidity index
Conclusions: This algorithm may be useful where preprocessing of large datasets in a relational database environment and comorbidity determination is desired before statistical analysis. A validated SQL procedure to calculate Elixhauser comorbidities and the van Walraven index from ICD-9 or ICD-10 discharge diagnosis codes has been published. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 16, 2017 Category: Information Technology Source Type: research

Analysis of professional competencies for the clinical research data management profession: implications for training and professional certification
Conclusion: The results document the scope of the profession and will serve as a foundation for the next revision of the Certified Clinical Data ManagerTM exam. A clear articulation of professional competencies and necessary foundational knowledge could inform the content of graduate degree programs or tracks in areas such as clinical research informatics that will develop the current and future clinical research data management workforce. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 16, 2017 Category: Information Technology Source Type: research

Systematic review of the effectiveness of health-related behavioral interventions using portable activity sensing devices (PASDs)
Conclusion: There is insufficient evidence to draw a conclusion about the general health-related benefits of PASD interventions. PASD interventions may improve intermediate outcomes when coupled with multiple behavioral change techniques. Devices alone or with minimal behavioral change support are insufficient to change health-related outcomes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 11, 2017 Category: Information Technology Source Type: research

A ward-based time study of paper and electronic documentation for recording vital sign observations
Objective: To investigate time differences in recording observations and an early warning score using traditional paper charts and a novel e-Obs system in clinical practice.Methods: Researchers observed the process of recording observations and early warning scores across 3 wards in 2 university teaching hospitals immediately before and after introduction of the e-Obs system. The process of recording observations included both measurement and documentation of vital signs. Interruptions were timed and subtracted from the measured process duration. Multilevel modeling was used to compensate for potential confounding factors....
Source: Journal of the American Medical Informatics Association - February 11, 2017 Category: Information Technology Source Type: research

Embedding Nursing Interventions into the World Health Organization’s International Classification of Health Interventions (ICHI)
Conclusion: This study has produced a set of proposals concerning changes needed to improve the classification. The novel method described here will inform future health terminology and classification content coverage studies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 11, 2017 Category: Information Technology Source Type: research

Using digital interventions to improve the cardiometabolic health of populations: a meta-review of reporting quality
Conclusion. The inconsistent quality of reporting of digital health interventions for cardiometabolic outcomes may be a critical impediment to real-world implementation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 11, 2017 Category: Information Technology Source Type: research

To act or not to act: responses to electronic health record prompts by family medicine clinicians
Conclusions: To unleash the potential of electronic clinical alerts, electronic health record and health care institutions need to address some key barriers. We outline these barriers and propose solutions. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 31, 2017 Category: Information Technology Source Type: research

MetaMap Lite: an evaluation of a new Java implementation of MetaMap
This study presents MetaMap Lite, an implementation of some of the basic MetaMap functions in Java. On several collections of biomedical literature and clinical text, MetaMap Lite demonstrated real-time speed and precision, recall, and F1 scores comparable to or exceeding those of MetaMap and other popular biomedical text processing tools, clinical Text Analysis and Knowledge Extraction System (cTAKES) and DNorm. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 27, 2017 Category: Information Technology Source Type: research

Drug-drug interaction discovery and demystification using Semantic Web technologies
Conclusion: The D3 system provides an early-warning framework for augmenting knowledge of known DDIs and deducing unknown DDIs. It shows promise in suggesting interaction pathways of research and evaluation interest and aiding clinicians in evaluating and adjusting courses of drug therapy. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 23, 2017 Category: Information Technology Source Type: research

The UCLA Health Resident Informaticist Program – A Novel Clinical Informatics Training Program
Few opportunities exist for physician trainees to gain exposure to, and training in, the field of clinical informatics, an Accreditation Council for Graduate Medical Education–accredited, recently board-certified specialty. Currently, 21 approved programs exist nationwide for the formal training of fellows interested in pursuing careers in this discipline. Residents and fellows training in medical and surgical fields, however, have few avenues available to gain experience in clinical informatics. An early introduction to clinical informatics brings an opportunity to generate interest for future career trajectories. A...
Source: Journal of the American Medical Informatics Association - January 23, 2017 Category: Information Technology Source Type: research

Automatic health record review to help prioritize gravely ill Social Security disability applicants
Conclusion: To a limited extent, it is possible to identify gravely ill Social Security disability applicants by analyzing annotations of unstructured electronic health records, and the level of identification is sufficient to be useful in prioritizing case reviews. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 19, 2017 Category: Information Technology Source Type: research

Screening for medication errors using an outlier detection system
Conclusion: The screening system was able to generate alerts that might otherwise be missed with existing CDS systems and did so with a reasonably high degree of alert usefulness when subjected to review of patients’ clinical contexts and details. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 19, 2017 Category: Information Technology Source Type: research

Standard-based comprehensive detection of adverse drug reaction signals from nursing statements and laboratory results in electronic health records
Conclusion. Systematic discovery and evaluation of the wide spectrum of ADR signals using standard-based observational electronic health record data across many institutions will affect drug development and use, as well as postmarketing surveillance and regulation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 13, 2017 Category: Information Technology Source Type: research

Standard-based comprehensive detection of adverse drug reaction signals from nursing statements and laboratory results in electronic health records
Conclusion. Systematic discovery and evaluation of the wide spectrum of ADR signals using standard-based observational electronic health record data across many institutions will affect drug development and use, as well as postmarketing surveillance and regulation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 13, 2017 Category: Information Technology Authors: Lee, S., Choi, J., Kim, H.-S., Kim, G. J., Lee, K. H., Park, C. H., Han, J., Yoon, D., Park, M. Y., Park, R. W., Kang, H.-R., Kim, J. H. Tags: Research and Applications Source Type: research

From loquacious to reticent: understanding patient health information communication to guide consumer health IT design
Conclusion. Facebook has been widely adopted for health information communication; This study demonstrates that Facebook has been widely adopted for health information communication. It also shows that the ways in which patients communicate health information on and off Facebook are diverse. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 9, 2017 Category: Information Technology Authors: Valdez, R. S., Guterbock, T. M., Fitzgibbon, K., Williams, I. C., Wellbeloved-Stone, C. A., Bears, J. E., Menefee, H. K. Tags: Research and Applications Source Type: research

Cost and economic benefit of clinical decision support systems for cardiovascular disease prevention: a community guide systematic review
Conclusion: We were unable to conclude whether CDSSs for CVD prevention is either cost-beneficial or cost-effective. Several evidence gaps are identified, most prominently a lack of information about major drivers of cost and benefit, a lack of standard metrics for the cost of CDSSs, and not allowing for useful life of a CDSS that generally extends beyond one accounting period. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 3, 2017 Category: Information Technology Authors: Jacob, V., Thota, A. B., Chattopadhyay, S. K., Njie, G. J., Proia, K. K., Hopkins, D. P., Ross, M. N., Pronk, N. P., Clymer, J. M., the Community Preventive Services Task Force Tags: Review Source Type: research

Engineering technology resilience through informatics safety science
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 31, 2016 Category: Information Technology Authors: Coiera, E., Magrabi, F., Talmon, J. Tags: Editorial Source Type: research

Assessment of the French National Health Insurance Information System as a Tool for Epidemiological Surveillance of Malaria
Conclusion: Traditional epidemiological surveillance and the approach presented in this paper are complementary, but a formal validation framework for case identification algorithms is necessary. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 31, 2016 Category: Information Technology Authors: Delon, F., Mayet, A., Thellier, M., Kendjo, E., Michel, R., Ollivier, L., Chatellier, G., Desjeux, G. Tags: Research and Applications Source Type: research

Using knowledge-driven genomic interactions for multi-omics data analysis: metadimensional models for predicting clinical outcomes in ovarian carcinoma
It is common that cancer patients have different molecular signatures even though they have similar clinical features, such as histology, due to the heterogeneity of tumors. To overcome this variability, we previously developed a new approach incorporating prior biological knowledge that identifies knowledge-driven genomic interactions associated with outcomes of interest. However, no systematic approach has been proposed to identify interaction models between pathways based on multi-omics data. Here we have proposed such a novel methodological framework, called metadimensional knowledge-driven genomic interactions (MKGIs)...
Source: Journal of the American Medical Informatics Association - December 31, 2016 Category: Information Technology Authors: Kim, D., Li, R., Lucas, A., Verma, S. S., Dudek, S. M., Ritchie, M. D. Tags: Research and Applications Source Type: research

De-identification of patient notes with recurrent neural networks
Conclusion: Our findings support the use of ANNs for de-identification of patient notes, as they show better performance than previously published systems while requiring no manual feature engineering. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 30, 2016 Category: Information Technology Authors: Dernoncourt, F., Lee, J. Y., Uzuner, O., Szolovits, P. Tags: Research and Applications Source Type: research

Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results
Conclusion: Patient-facing displays of laboratory test results should use visual displays rather than tables to increase people’s sensitivity to variations in their results. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 30, 2016 Category: Information Technology Authors: Zikmund-Fisher, B. J., Scherer, A. M., Witteman, H. O., Solomon, J. B., Exe, N. L., Tarini, B. A., Fagerlin, A. Tags: Research and Applications Source Type: research

Drug-drug interaction discovery and demystification using Semantic Web technologies
Conclusion: The D3 system provides an early-warning framework for augmenting knowledge of known DDIs and deducing unknown DDIs. It shows promise in suggesting interaction pathways of research and evaluation interest and aiding clinicians in evaluating and adjusting courses of drug therapy. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 28, 2016 Category: Information Technology Authors: Noor, A., Assiri, A., Ayvaz, S., Clark, C., Dumontier, M. Tags: Research and Applications Source Type: research

The use of computerized clinical decision support systems in emergency care: a substantive review of the literature
Conclusion: This is the first review to consider the role of CCDSSs in emergency care and expose the research in this area. The role of CCDSSs in emergency care may provide some solutions to the current challenges in EDs, but further high-quality research is needed to better understand what technological solutions can offer clinicians and patients. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 28, 2016 Category: Information Technology Authors: Bennett, P., Hardiker, N. R. Tags: Review Source Type: research

Safety huddles to proactively identify and address electronic health record safety
Conclusions: Safety huddles promoted discussion of several technology-related issues at the organization level and can serve as a promising technique to identify and address EHR-related safety concerns. Based on our findings, we recommend that health care organizations consider huddles as a strategy to promote understanding and improvement of EHR safety. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 28, 2016 Category: Information Technology Authors: Menon, S., Singh, H., Giardina, T. D., Rayburn, W. L., Davis, B. P., Russo, E. M., Sittig, D. F. Tags: Research and Applications Source Type: research

An informatics-based approach to reducing heart failure all-cause readmissions: the Stanford heart failure dashboard
Background. Reduction of 30-day all-cause readmissions for heart failure (HF) has become an important quality-of-care metric for health care systems. Many hospitals have implemented quality improvement programs designed to reduce 30-day all-cause readmissions for HF. Electronic medical record (EMR)-based measures have been employed to aid in these efforts, but their use has been largely adjunctive to, rather than integrated with, the overall effort.Objectives. We hypothesized that a comprehensive EMR-based approach utilizing an HF dashboard in addition to an established HF readmission reduction program would further reduce...
Source: Journal of the American Medical Informatics Association - December 23, 2016 Category: Information Technology Authors: Banerjee, D., Thompson, C., Kell, C., Shetty, R., Vetteth, Y., Grossman, H., DiBiase, A., Fowler, M. Tags: Research and Applications Source Type: research

Anonymization for outputs of population health and health services research conducted via an online data center
Conclusion: The checklist can be used more broadly in health care research, not just in ODCs. Ease of online publication as well as encouragement from journals to submit supplementary material are likely to increase both the volume and detail of analysis results publicly available, which in turn will increase the need for approaches such as the one suggested in this paper. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 23, 2016 Category: Information Technology Authors: OKeefe, C. M., Westcott, M., OSullivan, M., Ickowicz, A., Churches, T. Tags: Research and Applications Source Type: research

Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review
Discussion and conclusion: The research evidence describing problems with health IT remains largely qualitative, and many opportunities remain to systematically study and quantify risks and benefits with regard to patient safety. The information value chain, when used in conjunction with existing classifications for health IT safety problems, can enhance measurement and should facilitate identification of the most significant risks to patient safety. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 23, 2016 Category: Information Technology Authors: Kim, M. O., Coiera, E., Magrabi, F. Tags: Review Source Type: research