A qualitative analysis evaluating the purposes and practices of clinical documentation.

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: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：OBJECTIVES:To understand and build a collective vision of all existing institutions in the Portuguese National Health Service as well as to perceive how and how far the interaction between those multiple institutions is supported by Information Systems (IS). METHODS:Upon identification of the institutions involved in ...

journal_title：Applied clinical informatics

authors： Pinto E,Brito AC,Cruz-Correia RJ

更新日期：2016-12-21 00:00:00

abstract：OBJECTIVE:Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13-64. Three New York City adult emergency departments implemented an electro...

journal_title：Applied clinical informatics

authors： Schnall R,Liu N,Sperling J,Green R,Clark S,Vawdrey D

更新日期：2014-03-26 00:00:00

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：BACKGROUND:Electronic health records (EHRs) have potential to facilitate reliable communication and follow-up of test results. However, limitations in EHR functionality remain, leading practitioners to use workarounds while managing test results. Workarounds can lead to patient safety concerns and signify indications a...

journal_title：Applied clinical informatics

authors： Menon S,Murphy DR,Singh H,Meyer AN,Sittig DF

更新日期：2016-06-22 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

abstract：BACKGROUND:Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-c...

journal_title：Applied clinical informatics

authors： Haux R,Ammenwerth E,Koch S,Lehmann CU,Park HA,Saranto K,Wong CP

更新日期：2018-07-01 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:A structured report for imaging exams aims at increasing the precision in information retrieval and communication between physicians. However, it is more concise than free text and may limit specialists' descriptions of important findings not covered by pre-defined structures. A computational ontological str...

journal_title：Applied clinical informatics

authors： Barbosa F,Traina AJ,Muglia VF

更新日期：2016-08-24 00:00:00

abstract：BACKGROUND: Poor self-management of heart failure (HF) has contributed to poor health outcomes. Sensor-controlled digital games (SCDGs) integrates data from behavior-tracking sensors to trigger progress, rewards, content, and positive feedback in a digital game to motivate real-time behaviors. OBJECTIVES: To assess th...

journal_title：Applied clinical informatics

authors： Radhakrishnan K,Julien C,O'Hair M,Baranowski T,Lee G,Allen C,Sagna A,Thomaz E,Kim M

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

journal_title：Applied clinical informatics

authors： Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

更新日期：2017-05-31 00:00:00

abstract：BACKGROUND:Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and o...

journal_title：Applied clinical informatics

authors： Snowdon JL,Robinson B,Staats C,Wolsey K,Sands-Lincoln M,Strasheim T,Brotman D,Keating K,Schnitter E,Jackson G,Kassler W

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND: Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize te...

journal_title：Applied clinical informatics

authors： Hron JD,Parsons CR,Williams LA,Harper MB,Bourgeois FC

更新日期：2020-05-01 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：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:The assessment of user preferences for performance characteristics of patient-oriented clinical prediction models is lacking. It is unknown if complex statistical aspects of prediction models are readily understandable by a general audience. OBJECTIVE:A pilot study was conducted among nonclinical audiences ...

journal_title：Applied clinical informatics

authors： Weissman GE,Yadav KN,Madden V,Courtright KR,Hart JL,Asch DA,Schapira MM,Halpern SD

更新日期：2018-07-01 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：BACKGROUND:Electronic prescribing (e-prescribing) technology was introduced as an alternative to handwritten prescriptions allowing health care professionals to send prescriptions directly to pharmacies. While the technology has many advantages, such as improving pharmacy workflow and reducing medication errors, some l...

journal_title：Applied clinical informatics

authors： Hincapie AL,Alamer A,Sears J,Warholak TL,Goins S,Weinstein SD

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:While evidence generally supports the use of medication management technology, systems are typically implemented and evaluated piecemeal rather than as part of a comprehensive model for medication management. Systems to support drug therapy optimization, increasingly a key role of pharmacists in our healthca...

journal_title：Applied clinical informatics

authors： Pellegrin K,Chan F,Pagoria N,Jolson-Oakes S,Uyeno R,Levin A

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Care plan concordance among patients and clinicians during hospitalization is suboptimal. OBJECTIVE:This article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and cl...

journal_title：Applied clinical informatics

authors： Dalal AK,Dykes P,Samal L,McNally K,Mlaver E,Yoon CS,Lipsitz SR,Bates DW

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiot...

journal_title：Applied clinical informatics

authors： Jones W,Drake C,Mack D,Reeder B,Trautner B,Wald H

更新日期：2017-06-20 00:00:00

abstract：: ...

journal_title：Applied clinical informatics

authors： Petersen C,Lehmann CU

更新日期：2018-10-01 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：OBJECTIVES:Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variance in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variance. We hypothesized that selective redesign of orde...

journal_title：Applied clinical informatics

authors： Jacobs BR,Hart KW,Rucker DW

更新日期：2012-02-08 00:00:00

abstract：BACKGROUND:Sepsis is a serious medical condition that can lead to organ dysfunction and death. Research shows that each hour delay in antibiotic administration increases mortality. The Surviving Sepsis Campaign Bundles created standards to assist in the timely treatment of patients with suspected sepsis to improve outc...

journal_title：Applied clinical informatics

authors： Fargo EL,D'Amico F,Pickering A,Fowler K,Campbell R,Baumgartner M

更新日期：2018-10-01 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:Early detection and efficient management of sepsis are important for improving health care quality, effectiveness, and costs. Due to its high cost and prevalence, sepsis is a major focus area across institutions and many studies have emerged over the past years with different models or novel machine learning...

journal_title：Applied clinical informatics

authors： Teng AK,Wilcox AB

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:Several disease specific registers are operated by members of the 'TMF - Technology, Methods, and Infrastructure for Networked Medical Research', an umbrella organization of research networks in Germany. OBJECTIVE:To describe the coverage and the current state as well as financial and organizational issues ...

journal_title：Applied clinical informatics

authors： Stausberg J,Altmann U,Antony G,Drepper J,Sax U,Schütt A

更新日期：2010-11-24 00:00:00