Providing Patients with Implantable Cardiac Device Data through a Personal Health Record: A...
Conclusion Sharing ICD data from remote monitoring requires adequate context and scaffolding to support patient understanding. Engaging patients with in formation that is useful and valuable to them through a PHR may require appropriate and individua-lized tailoring of information.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 23, 2017 Category: Information Technology Source Type: research
Usability Evaluation of Electronic Health Record System around Clinical Notes Usage –An Ethnographic...
Conclusion This study provides usability-specific insights to infor m future, improved, EHR interface that is better aligned with UCD approach.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 22, 2017 Category: Information Technology Source Type: research
Health Information Exchange for Continuity of Maternal and Neonatal Care Supporting: A...
Conclusion The approach for using XML transformations could make easier the process for ISO 13606 noncompliant EMR systems to exchange EHR data with the SES/MG EHR system.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 15, 2017 Category: Information Technology Source Type: research
Patient Self-Management of Asthma Using Mobile Health Applications: A Systematic Review of the...
Conclusion Multifunctional mHealth apps have good potential in the control of asthma and in improving the quality of life in such patients compared with traditional interventions. Further studies are needed to identify the effectiveness of these interventions on outcomes related to medication adherence and costs.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 15, 2017 Category: Information Technology Source Type: research
Better Usability and Technical Stability Could Lead to Better Work-Related Well-Being among...
Conclusion To relieve time pressure and increase sense of job control experienced by physicians, usability, integrations, and stability of the EPR systems should be improved: fewer login procedures, easier readability of nursing records, and decreased need for separate documentation for statistical purposes. Physician participation in the EPR development would increase the feeling of job control, but would add the time pressure. Hence, time for developmental work should be arranged.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 9, 2017 Category: Information Technology Source Type: research
Leveraging the Electronic Health Record to Get Value from Referrals
(Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - November 8, 2017 Category: Information Technology Source Type: research
Clinical Practice Informs Secure Messaging Benefits and Best Practices
Background Clinical care team members in Department of Veterans’ Affairs (VA) facilities nationwide are working to integrate the use of Secure Messaging (SM) into care delivery and identify innovative uses. Identifying best practices for proactive use of SM is a key factor in its successful implementation and sustained use by VA clinical care team members and veterans.
Objectives A collaborative project solicited input from VA clinical care teams about their local practices using SM to provide access to proactive patient-centered care for veterans and enhance work flow.
Methods This project implemented a single-ite...
Source: Applied Clinical Informatics - October 11, 2017 Category: Information Technology Source Type: research
A New EHR Training Curriculum and Assessment for Pediatric Residents
Conclusion An enhanced training curriculum along with a proficiency assessment was developed and described here. An enhance d training curriculum significantly improved PGY1 EHR efficiency and some measures of proficiency but not self-efficacy. This intervention may support improved EHR-related clinic workflows, which ultimately could enable residents and preceptors to prioritize patient care and time for clinical e ducation.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - October 11, 2017 Category: Information Technology Source Type: research
A Qualitative Exploration of Nurses ’ Information-Gathering Behaviors Prior to Decision Support Tool...
Conclusions: In an effort to successfully incorporate predictive analytics into clinical workflows, we have described nurses’ perceived work practices for gathering information related to clinical deterioration and nurses’ beliefs related to probability-based information. Findings from our study could guide design and implementation efforts of predictive analytics in the clinical arena.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 27, 2017 Category: Information Technology Source Type: research
The International Classification of Functioning, Disability and Health (ICF) in Electronic Health...
Conclusion: Different approaches and technical solutions exist for integrating the ICF in EHRs, such as combining the ICF with other existing standards for EHR or selecting ICF codes with natural language processing. Though the use of the ICF in EHRs is beneficial as this review revealed, the ICF could profit from further improvements such as formalizing the knowledge representation in the ICF to support and enhance interoperability.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 20, 2017 Category: Information Technology Source Type: research
Adaptation of Radiology Software to Improve Cardiology Results Reporting
Conclusion: EMR systems are not typically designed for pediatric cardiology, but existing systems can be adapted, yielding important gains for patient care. In specialties like pediatric cardiology, there is insufficient volume nationally to drive development of commercial systems. This study demonstrates the general principle that creative adaptation of EMR systems can improve result reporting in pediatric cardiology and likely in other cardiology practices.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - September 20, 2017 Category: Information Technology Source Type: research
Designing An Individualized EHR Learning Plan For Providers
Electronic Health Records (EHRs) have been quickly implemented for meaningful use incentives; however these implementations have been associated with provider dissatisfaction and burnout. There are no previously reported instances of a comprehensive EHR educational program designed to engage providers and assist in improving efficiency and understanding of the EHR. Utilizing adult learning theory as a framework, Stanford Children’s Health designed a tailored provider efficiency program with various inputs from: (1) provider specific EHR data; (2) provider survey data; and (3) structured observation sessions. This cas...
Source: Applied Clinical Informatics - September 6, 2017 Category: Information Technology Source Type: research
Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches...
Conclusions: Provided insights and identified success factors could serve as a constituent of the strategic starting points for continuous integration of interoperability principles into the healthcare domain. Moreover, the general implementation of the identified success factors could facilitate better penetration of ICT into the healthcare environment and enable the eHealth-based transformation of the health system especially in the countries which are still in an early phase of eHealth planning and development and are often confronted with differing interests, requirements, and contending strategies.... (Source: Applied...
Source: Applied Clinical Informatics - August 9, 2017 Category: Information Technology Source Type: research
Barriers to Achieving Economies of Scale in Analysis of EHR Data
We describe the development process and report initial outcomes of a chronic kidney disease analytics application that identifies high-risk patients for nephrology referral. The cost to validate and integrate the analytics application into clinical workflow was $217,138. Despite the success of the program, redundant development and validation efforts will require $38.8 million to scale the application across all multihospital systems in the nation. We address the shortcomings of current technology investments and distill insights from the technology industry. To yield a return on technology investments, we propose policy c...
Source: Applied Clinical Informatics - August 8, 2017 Category: Information Technology Source Type: research
Long-term Patterns of Patient Portal Use for Pediatric Patients at an Academic Medical Center
Conclusion: Pediatric patients and caregivers have avidly used messaging, test result, and appointment functions. The majority of access was done by surrogates. Adolescent portal usage increased with age. Most accounts for pediatric patients were only used actively for a few years, with peak usage for patients in early childhood and late adolescence.... (Source: Applied Clinical Informatics)
Source: Applied Clinical Informatics - August 2, 2017 Category: Information Technology Source Type: research
