The Impact of a Health IT Changeover on Medical Imaging Department Work Processes and Turnaround Times: A mixed method study.

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：SUMMARY:Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations...

journal_title：Applied clinical informatics

authors： Phansalkar S,Wright A,Kuperman GJ,Vaida AJ,Bobb AM,Jenders RA,Payne TH,Halamka J,Bloomrosen M,Bates DW

更新日期：2011-02-09 00:00:00

abstract：BACKGROUND:In 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released a revised guideline on statin therapy initiation. The guideline included a 10-year risk calculation based on regression modeling, which made hand calculation infeasible. Compliance to the guideline has been su...

journal_title：Applied clinical informatics

authors： Chang TS,Buchipudi A,Fonarow GC,Pfeffer MA,Singer JS,Cheng EM

更新日期：2019-05-01 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：OBJECTIVE:The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of human-factor principles when designing alerts for clinical decision support (CDS) systems. This study evaluated the ge...

journal_title：Applied clinical informatics

authors： Cho I,Lee J,Han H,Phansalkar S,Bates DW

更新日期：2014-06-18 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：BACKGROUND:Preoperative assessments are a required and essential element of anesthetic care, yet little is known about the utilization of these documents by clinicians who are not part of the anesthesia care team. As part of perioperative workflow restructuring, we implemented a data visualization technique of electron...

journal_title：Applied clinical informatics

authors： Wanderer JP,Gruss CL,Ehrenfeld JM

更新日期：2015-10-21 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：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 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: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:Smartphones are increasingly important for clinical decision support, but smartphone and Internet use are limited by cost or coverage in many settings. txt2MEDLINE provides access to published medical evidence by text messaging. Previous studies have evaluated this approach, but we found no comparisons with ...

journal_title：Applied clinical informatics

authors： Sheets L,Callaghan F,Gavino A,Liu F,Fontelo P

更新日期：2012-09-06 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：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: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:Although obesity is a growing problem, primary care physicians often inadequately address it. The objective of this study is to examine the prevalence of obesity documentation in the patient's problem list for patients with eligible body mass indexes (BMI) as contained in the patients' electronic medical rec...

journal_title：Applied clinical informatics

authors： Mattar A,Carlston D,Sariol G,Yu T,Almustafa A,Melton GB,Ahmed A

更新日期：2017-01-25 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: 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:In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Healt...

journal_title：Applied clinical informatics

authors： Maier C,Lang L,Storf H,Vormstein P,Bieber R,Bernarding J,Herrmann T,Haverkamp C,Horki P,Laufer J,Berger F,Höning G,Fritsch HW,Schüttler J,Ganslandt T,Prokosch HU,Sedlmayr M

更新日期：2018-01-01 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: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: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: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: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:Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have...

journal_title：Applied clinical informatics

authors： Sockolow PS,Bowles KH,Adelsberger MC,Chittams JL,Liao C

更新日期：2014-04-30 00:00:00

abstract：BACKGROUND:UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020. OBJECTIVE:Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pa...

journal_title：Applied clinical informatics

authors： Grange ES,Neil EJ,Stoffel M,Singh AP,Tseng E,Resco-Summers K,Fellner BJ,Lynch JB,Mathias PC,Mauritz-Miller K,Sutton PR,Leu MG

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

journal_title：Applied clinical informatics

authors： Grinspan ZM,Banerjee S,Kaushal R,Kern LM

更新日期：2013-05-22 00:00:00

abstract：BACKGROUND:High-quality clinical data and biological specimens are key for medical research and personalized medicine. The Biobanking and Biomolecular Resources Research Infrastructure-European Research Infrastructure Consortium (BBMRI-ERIC) aims to facilitate access to such biological resources. The accompanying ADOPT...

journal_title：Applied clinical informatics

authors： Mate S,Kampf M,Rödle W,Kraus S,Proynova R,Silander K,Ebert L,Lablans M,Schüttler C,Knell C,Eklund N,Hummel M,Holub P,Prokosch HU

更新日期：2019-08-01 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:Important information to support healthcare quality improvement is often recorded in free text documents such as radiology reports. Natural language processing (NLP) methods may help extract this information, but these methods have rarely been applied outside the research laboratories where they were develop...

journal_title：Applied clinical informatics

authors： Grundmeier RW,Masino AJ,Casper TC,Dean JM,Bell J,Enriquez R,Deakyne S,Chamberlain JM,Alpern ER,Pediatric Emergency Care Applied Research Network.

更新日期：2016-11-09 00:00:00