Abstract：
BACKGROUND:Most hospitals keep and update their paper-based medical records after introducing an electronic medical record or a hospital information system (HIS). This case report describes a HIS in a hospital where the paper-based medical records are scanned and eliminated. To evaluate the HIS comprehensively, the perspectives of medical secretaries and nurses are described as well as that of physicians. METHODS:We have used questionnaires and interviews to assess and compare frequency of use of the HIS for essential tasks, task performance and user satisfaction among medical secretaries, nurses and physicians. RESULTS:The medical secretaries use the HIS much more than the nurses and the physicians, and they consider that the electronic HIS greatly has simplified their work. The work of nurses and physicians has also become simplified, but they find less satisfaction with the system, particularly with the use of scanned document images. CONCLUSIONS:Although the basis for reference is limited, the results support the assertion that replacing the paper-based medical record primarily benefits the medical secretaries, and to a lesser degree the nurses and the physicians. The varying results in the different employee groups emphasize the need for a multidisciplinary approach when evaluating a HIS.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Laerum H,Karlsen TH,Faxvaag Adoi
10.1186/1472-6947-4-18keywords:
subject
Has Abstractpub_date
2004-10-16 00:00:00pages
18issn
1472-6947pii
1472-6947-4-18journal_volume
4pub_type
杂志文章abstract：BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death in the United States (US). Better cardiovascular health (CVH) is associated with CVD prevention. Predicting future CVH levels may help providers better manage patients' CVH. We hypothesized that CVH measures can be predicted based on previous measure...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-01345-1
更新日期：2021-01-06 00:00:00
abstract：BACKGROUND:Machine learning is a branch of Artificial Intelligence that is concerned with the design and development of algorithms, and it enables today's computers to have the property of learning. Machine learning is gradually growing and becoming a critical approach in many domains such as health, education, and bus...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0990-x
更新日期：2019-12-12 00:00:00
abstract：BACKGROUND:Given an increased global prevalence of complementary and alternative medicine (CAM) use, healthcare providers commonly seek CAM-related health information online. Numerous online resources containing CAM-specific information exist, many of which are readily available/accessible, containing information share...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-01298-5
更新日期：2020-11-09 00:00:00
abstract：BACKGROUND:We present a method utilizing Healthcare Cost and Utilization Project (HCUP) dataset for predicting disease risk of individuals based on their medical diagnosis history. The presented methodology may be incorporated in a variety of applications such as risk management, tailored health communication and decis...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-11-51
更新日期：2011-07-29 00:00:00
abstract：BACKGROUND:Machine-learning classifiers mostly offer good predictive performance and are increasingly used to support shared decision-making in clinical practice. Focusing on performance and practicability, this study evaluates prediction of patient-reported outcomes (PROs) by eight supervised classifiers including a l...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0731-6
更新日期：2019-01-08 00:00:00
abstract：INTRODUCTION:While early diagnostic decision support systems were built around knowledge bases, more recent systems employ machine learning to consume large amounts of health data. We argue curated knowledge bases will remain an important component of future diagnostic decision support systems by providing ground truth...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0804-1
更新日期：2019-04-27 00:00:00
abstract：BACKGROUND:Adverse drug events (ADEs) often occur as a result of drug-drug interactions (DDIs). The use of data mining for detecting effects of drug combinations on ADE has attracted growing attention and interest, however, most studies focused on analyzing pairwise DDIs. Recent efforts have been made to explore the di...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1053-z
更新日期：2020-03-18 00:00:00
abstract：BACKGROUND:Feedback from service users will provide insight into opportunities for improvement so that performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction with a teleneurophysiology service was examined during a 20 week pilot period. METHODS:Questionnaire...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-10-49
更新日期：2010-09-15 00:00:00
abstract：BACKGROUND:New algorithms for disease outbreak detection are being developed to take advantage of full electronic medical records (EMRs) that contain a wealth of patient information. However, due to privacy concerns, even anonymized EMRs cannot be shared among researchers, resulting in great difficulty in comparing the...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-10-59
更新日期：2010-10-14 00:00:00
abstract：BACKGROUND:Personal health records (PHRs) provide patients with access to personal health information (PHI) and targeted education. The use of PHRs has the potential to improve a wide range of outcomes, including empowering patients to be more active participants in their care. There are a number of widespread barriers...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-10-46
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND:Geriatric patients frequently undergo emergency general surgery and accrue a greater risk of postoperative complications and fatal outcomes than the general population. It is highly relevant to develop the most appropriate care measures and to guide patient-centered decision-making around end-of-life care. P...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1100-9
更新日期：2020-05-07 00:00:00
abstract：BACKGROUND:High levels of adherence to medications for HIV infection are essential for optimal clinical outcomes and to reduce viral transmission, but many patients do not achieve required levels. Clinician-delivered interventions can improve patients' adherence, but usually require substantial effort by trained indivi...
journal_title：BMC medical informatics and decision making
pub_type： 临床试验,杂志文章
doi：10.1186/1472-6947-13-29
更新日期：2013-02-28 00:00:00
abstract：BACKGROUND:Providers and policymakers are pursuing strategies to increase patient engagement in health care. Increasingly, online sections of medical records are viewable by patients though seldom are clinicians' visit notes included. We designed a one-year multi-site trial of online patient accessible office visit not...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-12-32
更新日期：2012-04-13 00:00:00
abstract：BACKGROUND:Electronic health records provide access to an unprecedented amount of clinical data for research that can accelerate the development of effective medical practices. However it is important to protect patient confidentiality, as many medical conditions are stigmatized and disclosure could result in personal ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-11-70
更新日期：2011-11-10 00:00:00
abstract：BACKGROUND:Informational discontinuity can have far reaching consequences like medical errors, increased re-hospitalization rates and adverse events among others. Thus the holy grail of seamless informational continuity in healthcare has been an enigma with some nations going the digital way. Digitization in healthcare...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-01190-2
更新日期：2020-07-28 00:00:00
abstract：BACKGROUND:Transient ischemic attack (TIA) is a brief episode of neurological dysfunction resulting from cerebral ischemia not associated with permanent cerebral infarction. TIA is associated with high diagnostic errors because of the subjective nature of findings and the lack of clinical and imaging biomarkers. The go...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-01154-6
更新日期：2020-06-18 00:00:00
abstract：BACKGROUND:Different from adult clinical stage I (CS1) testicular cancer, surveillance has been recommended for CS1 pediatric testicular cancer. However, among high-risk children, more than 50% suffer a relapse and progression during surveillance, and adjuvant chemotherapy needs to be administered. Risk-adapted treatme...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-01365-x
更新日期：2020-12-14 00:00:00
abstract：BACKGROUND:In an unprecedented rate data in the life sciences is generated and stored in many different databases. An ever increasing part of this data is human health data and therefore falls under data protected by legal regulations. As part of the BioMedBridges project, which created infrastructures that connect mor...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-016-0325-0
更新日期：2016-07-07 00:00:00
abstract：BACKGROUND:The Personal Patient Profile-Prostate (P3P) is a web-based decision support system for men newly diagnosed with localized prostate cancer that has demonstrated efficacy in reducing decisional conflict. Our objective was to estimate willingness-to-pay (WTP) for men's decisional preparation activities. METHOD...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s12911-018-0725-4
更新日期：2019-01-09 00:00:00
abstract：BACKGROUND:Hospital electronic information management systems (HEIMS) are widely used in Ghana, and hence its performance must be carefully assessed. Nurses as clinical health personnel are the largest cluster of hospital staff and are the pillar of healthcare delivery. Therefore, they play a crucial role in the adopti...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0956-z
更新日期：2019-11-21 00:00:00
abstract：BACKGROUND:Clinical text classification is an fundamental problem in medical natural language processing. Existing studies have cocnventionally focused on rules or knowledge sources-based feature engineering, but only a limited number of studies have exploited effective representation learning capability of deep learni...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0781-4
更新日期：2019-04-04 00:00:00
abstract：BACKGROUND:EURIS (European Resistance Intervention Study) was launched as a multinational study in September of 2000 to identify the multitude of complex risk factors that contribute to the high carriage rate of drug resistant Streptococcus pneumoniae strains in children attending Day Care Centers in several European c...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-3-9
更新日期：2003-07-08 00:00:00
abstract：BACKGROUND:Clinical notes such as discharge summaries have a semi- or unstructured format. These documents contain information about diseases, treatments, drugs, etc. Extracting meaningful information from them becomes challenging due to their narrative format. In this context, we aimed to compare the automatic extract...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0654-2
更新日期：2018-09-14 00:00:00
abstract：BACKGROUND:As the use of electronic health records (EHRs) becomes more widespread, so does the need to search and provide effective information discovery within them. Querying by keyword has emerged as one of the most effective paradigms for searching. Most work in this area is based on traditional Information Retrieva...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-10-64
更新日期：2010-10-22 00:00:00
abstract：BACKGROUND:Mobile health has potential for promotion of self-management in patients with chronic diseases. This study was conducted to investigate smartphone usage in patients with type II diabetes and their intention to use it for self-management. METHODS:This cross-sectional study was conducted in 2018 with 176 pati...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1038-y
更新日期：2020-02-07 00:00:00
abstract：BACKGROUND:Large healthcare databases, with their ability to collect many variables from daily medical practice, greatly enable health services research. These longitudinal databases provide large cohorts and longitudinal time frames, allowing for highly pragmatic assessment of healthcare delivery. The purpose of this ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0588-8
更新日期：2018-01-31 00:00:00
abstract：BACKGROUND:Automated machine-learning systems are able to de-identify electronic medical records, including free-text clinical notes. Use of such systems would greatly boost the amount of data available to researchers, yet their deployment has been limited due to uncertainty about their performance when applied to new ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1026-2
更新日期：2020-01-30 00:00:00
abstract：BACKGROUND:Cancer-related fatigue is a distressing symptom experienced by many after cancer treatment. An exploratory randomised controlled trial was conducted to test proof of concept of RESTORE: a web-based tool to enhance self-efficacy to manage cancer-related fatigue. This paper reports findings from a qualitative ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12911-015-0214-y
更新日期：2015-11-14 00:00:00
abstract：BACKGROUND:Drug therapy has become increasingly efficient, with more drugs available for treatment of an ever-growing number of conditions. Yet, drug use is reported to be sub optimal in several aspects, such as dosage, patient's adherence and outcome of therapy. The aim of the current study was to investigate the poss...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-4-10
更新日期：2004-07-20 00:00:00
abstract：BACKGROUND:Discharge planning is a care process that aims to secure the transfer of care for the patient at transition from home to the hospital and back home. Information exchange and collaboration between care providers are essential, but deficits are common. A wide range of initiatives to improve the discharge plann...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-016-0285-4
更新日期：2016-04-27 00:00:00
