Towards meaningful medication-related clinical decision support: recommendations for an initial implementation.

abstract：BACKGROUND: Prediabetes and type 2 diabetes mellitus (T2DM) are one of the major long-term health conditions affecting global healthcare delivery. One of the few effective approaches is to actively manage diabetes via a healthy and active lifestyle. OBJECTIVES: This research is focused on early detection of prediabete...

journal_title：Applied clinical informatics

authors： Baig MM,GholamHosseini H,Gutierrez J,Ullah E,Lindén M

更新日期：2021-01-01 00:00:00

abstract：OBJECTIVE:More than 70% of hospitals in the United States have electronic health records (EHRs). Clinical decision support (CDS) presents clinicians with electronic alerts during the course of patient care; however, alert fatigue can influence a provider's response to any EHR alert. The primary goal was to evaluate the...

journal_title：Applied clinical informatics

authors： Dexheimer JW,Kirkendall ES,Kouril M,Hagedorn PA,Minich T,Duan LL,Mahdi M,Szczesniak R,Spooner SA

更新日期：2017-05-10 00:00:00

abstract：BACKGROUND:Medication dose adjustment is crucial for patients with renal dysfunction (RD). The assessment of renal function is generally mandatory; however, the renal function may change during the hospital stay and the manual assessment is sometimes challenging. OBJECTIVE:We developed the clinical decision support sy...

journal_title：Applied clinical informatics

authors： Wada R,Takeuchi J,Nakamura T,Sonoyama T,Kosaka S,Matsumoto C,Sakuma M,Ohta Y,Morimoto T

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVE:The use of text messaging in clinical care has become ubiquitous. Due to security and privacy concerns, many hospital systems are evaluating secure text messaging applications. This paper highlights our evaluation process, and offers an overview of secure messaging functionalities, as well as a framework for ...

journal_title：Applied clinical informatics

authors： Liu X,Sutton PR,McKenna R,Sinanan MN,Fellner BJ,Leu MG,Ewell C

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVES:Various computerized health risk appraisals (HRAs) are available, but few of them assess health-related quality of life (HRQoL) in a goal-directed framework. This study describes the user-centered development and usability testing of an innovative HRQoL module that extends a validated HRA tool in primary car...

journal_title：Applied clinical informatics

authors： Nagykaldi ZJ,Jordan M,Quitoriano J,Ciro CA,Mold JW

更新日期：2014-12-10 00:00:00

abstract：BACKGROUND:Semantic interoperability between routine healthcare and clinical research is an unsolved issue, as information systems in the healthcare domain still use proprietary and site-specific data models. However, information exchange and data harmonization are essential for physicians and scientists if they want t...

journal_title：Applied clinical informatics

authors： Breil B,Kenneweg J,Fritz F,Bruland P,Doods D,Trinczek B,Dugas M

更新日期：2012-07-11 00:00:00

abstract：OBJECTIVE:With the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the ...

journal_title：Applied clinical informatics

authors： El Mikati HK,Yazel-Smith L,Grout RW,Downs SM,Carroll AE,Hannon TS

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Although patients who work and have related health issues are usually first seen in primary care, providers in these settings do not routinely ask questions about work. Guidelines to help manage such patients are rarely used in primary care. Electronic health record (EHR) systems with worker health clinical ...

journal_title：Applied clinical informatics

authors： Ash JS,Chase D,Baron S,Filios MS,Shiffman RN,Marovich S,Wiesen J,Luensman GB

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Accurate prediction of future patient census in hospital units is essential for patient safety, health outcomes, and resource planning. Forecasting census in the Neonatal Intensive Care Unit (NICU) is particularly challenging due to limited ability to control the census and clinical trajectories. The fixed a...

journal_title：Applied clinical informatics

authors： Capan M,Hoover S,Jackson EV,Paul D,Locke R

更新日期：2016-05-04 00:00:00

abstract：OBJECTIVES:The authors investigated the impact of computerized provider order entry (CPOE) on the delivery times of analgesia and subsequent patient outcomes. We hypothesized that patients would report less pain and use less pain medications compared with the previous paper-based system. METHODS:Two groups of patients...

journal_title：Applied clinical informatics

authors： Urban MK,Chiu T,Wolfe S,Magid S

更新日期：2015-09-23 00:00:00

abstract：: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 sustaine...

journal_title：Applied clinical informatics

authors： Haun JN,Hathaway W,Chavez M,Antinori N,Vetter B,Miller BK,Martin TL,Kendziora L,Nazi KM,Melillo C

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Routine implementation of instruments to capture patient-reported outcomes could guide clinical practice and facilitate health services research. Audio interviews facilitate self-interviews across literacy levels. OBJECTIVES:To evaluate time burden for patients, and factors associated with response times fo...

journal_title：Applied clinical informatics

authors： Trick WE,Deamant C,Smith J,Garcia D,Angulo F

更新日期：2015-03-18 00:00:00

abstract：UNLABELLED:Nationwide Children's Hospital established an i2b2 (Informatics for Integrating Biology & the Bedside) application for sleep disorder cohort identification. Discrete data were gleaned from semistructured sleep study reports. The system showed to work more efficiently than the traditional manual chart review ...

journal_title：Applied clinical informatics

authors： Chen W,Kowatch R,Lin S,Splaingard M,Huang Y

更新日期：2015-05-27 00:00:00

abstract：OBJECTIVE:To evaluate informatics-enabled quality improvement (QI) strategies for promoting time spent on face-to-face communication between ophthalmologists and patients. METHODS:This prospective study involved deploying QI strategies during implementation of an enterprise-wide vendor electronic health record (EHR) i...

journal_title：Applied clinical informatics

authors： Baxter SL,Gali HE,Chiang MF,Hribar MR,Ohno-Machado L,El-Kareh R,Huang AE,Chen HE,Camp AS,Kikkawa DO,Korn BS,Lee JE,Longhurst CA,Millen M

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVE:To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. METHODS:Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural ...

journal_title：Applied clinical informatics

authors： Fenton SH,Gongora-Ferraez MJ,Joost E

更新日期：2012-12-05 00:00:00

abstract：BACKGROUND:Asthma exacerbations are one of the most common medical reasons for children to be brought to the hospital emergency department (ED). Various prediction models have been proposed to support diagnosis of exacerbations and evaluation of their severity. OBJECTIVES:First, to evaluate prediction models construct...

journal_title：Applied clinical informatics

authors： Farion KJ,Wilk S,Michalowski W,O'Sullivan D,Sayyad-Shirabad J

更新日期：2013-08-07 00:00:00

abstract：BACKGROUND:Code status (CS) of a patient (part of their end-of-life wishes) can be critical information in healthcare delivery, which can change over time, especially at transitions of care. Although electronic health record (EHR) tools exist for medication reconciliation across transitions of care, much less attention...

journal_title：Applied clinical informatics

authors： Jain VG,Greco PJ,Kaelber DC

更新日期：2017-03-08 00:00:00

abstract：BACKGROUND:The 2013 American College of Cardiology / American Heart Association Guidelines for the Treatment of Blood Cholesterol emphasize treatment based on cardiovascular risk. But finding time in a primary care visit to manually calculate cardiovascular risk and prescribe treatment based on risk is challenging. We ...

journal_title：Applied clinical informatics

authors： Scheitel MR,Kessler ME,Shellum JL,Peters SG,Milliner DS,Liu H,Komandur Elayavilli R,Poterack KA,Miksch TA,Boysen J,Hankey RA,Chaudhry R

更新日期：2017-02-08 00:00:00

abstract：BACKGROUND:Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-sta...

journal_title：Applied clinical informatics

authors： Dolan JE,Lonsdale H,Ahumada LM,Patel A,Samuel J,Jalali A,Peck J,DeRosa JC,Rehman M,Varughese AM,Fernandez AM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:We previously demonstrated that a general purpose text mining system, the Vaccine adverse event Text Mining (VaeTM) system, could be used to automatically classify reports of an-aphylaxis for post-marketing safety surveillance of vaccines. OBJECTIVE:To evaluate the ability of VaeTM to classify reports to th...

journal_title：Applied clinical informatics

authors： Botsis T,Woo EJ,Ball R

更新日期：2013-02-27 00:00:00

abstract：BACKGROUND:Preventable adverse events continue to be a threat to hospitalized patients. Clinical decision support in the form of dashboards may improve compliance with evidence-based safety practices. However, limited research describes providers' experiences with dashboards integrated into vendor electronic health rec...

journal_title：Applied clinical informatics

authors： Bersani K,Fuller TE,Garabedian P,Espares J,Mlaver E,Businger A,Chang F,Boxer RB,Schnock KO,Rozenblum R,Dykes PC,Dalal AK,Benneyan JC,Lehmann LS,Gershanik EF,Bates DW,Schnipper JL

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVE:To understand clinician adoption of CDS tools as this may provide important insights for the implementation and dissemination of future CDS tools. MATERIALS AND METHODS:Clinicians (n=168) at a large academic center were randomized into intervention and control arms to assess the impact of strep and pneumonia...

journal_title：Applied clinical informatics

authors： Mann D,Knaus M,McCullagh L,Sofianou A,Rosen L,McGinn T,Kannry J

更新日期：2014-09-17 00:00:00

abstract：BACKGROUND:Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this lead...

journal_title：Applied clinical informatics

authors： Kanungo S,Barr J,Crutchfield P,Fealko C,Soares N

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVES:To assess the impact of introducing a new Picture Archiving and Communication System (PACS) and Radiology Information System (RIS) on: (i) Medical Imaging work processes; and (ii) turnaround times (TATs) for x-ray and CT scan orders initiated in the Emergency Department (ED). METHODS:We employed a mixed met...

journal_title：Applied clinical informatics

authors： Georgiou A,Prgomet M,Lymer S,Hordern A,Ridley L,Westbrook J

更新日期：2015-07-08 00:00:00

abstract：OBJECTIVES:Discharging patients from the Neonatal Intensive Care Unit (NICU) can be delayed for non-medical reasons including the procurement of home medical equipment, parental education, and the need for children's services. We previously created a model to identify patients that will be medically ready for discharge...

journal_title：Applied clinical informatics

authors： Temple MW,Lehmann CU,Fabbri D

更新日期：2016-02-24 00:00:00

abstract：BACKGROUND:Kidney disease is under-documented in physician notes. The use of template-guided notes may improve physician recognition of kidney disease early in training. OBJECTIVE:The objective of this study was to determine whether a computerized inpatient renal template note with clinical decision support improves r...

journal_title：Applied clinical informatics

authors： Shirazian S,Wang R,Moledina D,Liberman V,Zeidan J,Strand D,Mattana J

更新日期：2013-11-13 00:00:00

abstract：OBJECTIVES:Transitions in patient care pose an increased risk to patient safety. One way to reduce this risk is to ensure accurate medication reconciliation during the transition. Here we present an evaluation of an electronic medication reconciliation module we developed to reduce the transition risk in patients refer...

journal_title：Applied clinical informatics

authors： Kramer HS,Gibson B,Livnat Y,Thraen I,Brody AA,Rupper R

更新日期：2016-05-25 00:00:00

abstract：BACKGROUND:Secure clinical messaging and document exchange utilizing the Direct Protocol (Direct interoperability) has been widely implemented in health information technology (HIT) applications including electronic health records (EHRs) and by health care providers and organizations in the United States. While Direct ...

journal_title：Applied clinical informatics

authors： Lane SR,Miller H,Ames E,Garber L,Kibbe DC,Schneider JH,Lehmann CU,DirectTrust Clinicians' Steering Group.

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Medical students may observe and subsequently perpetuate redundancy in clinical documentation, but the degree of redundancy in student notes and whether there is an association with scholastic performance are unknown. OBJECTIVES:This study sought to quantify redundancy, defined generally as the proportion o...

journal_title：Applied clinical informatics

authors： Monahan K,Ye C,Gould E,Xu M,Huang S,Spickard A 3rd,Rosenbloom ST,Coco J,Fabbri D,Miller B

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes...

journal_title：Applied clinical informatics

authors： Dhavle AA,Corley ST,Rupp MT,Ruiz J,Smith J,Gill R,Sow M

更新日期：2014-08-06 00:00:00