Common Laboratory Results Frequently Misunderstood by a Sample of Mechanical Turk Users.


OBJECTIVES:More patients are receiving their test results via patient portals. Given test results are written using medical jargon, there has been concern that patients may misinterpret these results. Using sample colonoscopy and Pap smear results, our objective was to assess how frequently people can identify the correct diagnosis and when a patient should follow up with a provider. METHODS:We used Mechanical Turk-a crowdsourcing tool run by Amazon that enables easy and fast gathering of users to perform tasks like answering questions or identifying objects-to survey individuals who were shown six sample test results (three colonoscopy, three Pap smear) ranging in complexity. For each case, respondents answered multiple choice questions on the correct diagnosis and recommended return time. RESULTS:Among the three colonoscopy cases (n = 642) and three Pap smear cases (n = 642), 63% (95% confidence interval [CI]: 60-67%) and 53% (95% CI: 49-57%) of the respondents chose the correct diagnosis, respectively. For the most complex colonoscopy and Pap smear cases, only 29% (95% CI: 23-35%) and 9% (95% CI: 5-13%) chose the correct diagnosis. CONCLUSION:People frequently misinterpret colonoscopy and Pap smear test results. Greater emphasis needs to be placed on assisting patients in interpretation.


Appl Clin Inform


Qureshi N,Mehrotra A,Rudin RS,Fischer SH




Has Abstract


2019-03-01 00:00:00










  • Usability Testing of a Sensor-Controlled Digital Game to Engage Older Adults with Heart Failure in Physical Activity and Weight Monitoring.

    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

    pub_type: 杂志文章


    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

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

    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

    pub_type: 杂志文章


    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

  • Clinical Practice Informs Secure Messaging Benefits and Best Practices.

    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

    pub_type: 杂志文章


    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

  • Physician specialty and variations in adoption of electronic health records.

    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

    pub_type: 杂志文章


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

    更新日期:2013-05-22 00:00:00

  • Nutrigenomic Information in the openEHR Data Set.

    abstract:BACKGROUND:The traditional concept of personalized nutrition is based on adapting diets according to individual needs and preferences. Discussions about personalized nutrition have been on since the Human Genome Project, which has sequenced the human genome. Thenceforth, topics such as nutrigenomics have been assessed ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Maranhão PA,Bacelar-Silva GM,Ferreira DNG,Calhau C,Vieira-Marques P,Cruz-Correia RJ

    更新日期:2018-01-01 00:00:00

  • Early Detection of Prediabetes and T2DM Using Wearable Sensors and Internet-of-Things-Based Monitoring Applications.

    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

    pub_type: 杂志文章


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

    更新日期:2021-01-01 00:00:00

  • A Quantitative and Qualitative Analysis of Electronic Prescribing Incidents Reported by Community Pharmacists.

    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

    pub_type: 杂志文章


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

    更新日期:2019-05-01 00:00:00

  • Evaluation of an Electronic Module for Reconciling Medications in Home Health Plans of Care.

    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

    pub_type: 杂志文章


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

    更新日期:2016-05-25 00:00:00

  • Ethical Considerations on Pediatric Genetic Testing Results in Electronic Health Records.

    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

    pub_type: 杂志文章


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

    更新日期:2020-10-01 00:00:00

  • Pan-European Data Harmonization for Biobanks in ADOPT BBMRI-ERIC.

    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

    pub_type: 杂志文章


    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

  • Copy-and-Paste in Medical Student Notes: Extent, Temporal Trends, and Relationship to Scholastic Performance.

    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

    pub_type: 杂志文章


    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

  • A Picture is Worth 1,000 Words. The Use of Clinical Images in Electronic Medical Records.

    abstract:OBJECTIVE:To understand how clinicians utilize image uploading tools in a home grown electronic health records (EHR) system. METHODS:A content analysis of patient notes containing non-radiological images from the EHR was conducted. Images from 4,000 random notes from July 1, 2009 - June 30, 2010 were reviewed and manu...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Ai AC,Maloney FL,Hickman TT,Wilcox AR,Ramelson H,Wright A

    更新日期:2017-07-12 00:00:00

  • User-centered design and usability testing of an innovative health-related quality of life module.

    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

    pub_type: 杂志文章


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

    更新日期:2014-12-10 00:00:00

  • Evaluation of Secure Messaging Applications for a Health Care System: A Case Study.

    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

    pub_type: 杂志文章


    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

  • Developing Mobile Clinical Decision Support for Nursing Home Staff Assessment of Urinary Tract Infection using Goal-Directed Design.

    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

    pub_type: 杂志文章


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

    更新日期:2017-06-20 00:00:00

  • Clinician preferences for verbal communication compared to EHR documentation in the ICU.

    abstract:BACKGROUND:Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Collins SA,Bakken S,Vawdrey DK,Coiera E,Currie L

    更新日期:2011-06-08 00:00:00

  • A pilot trial of a computerized renal template note to improve resident knowledge and documentation of kidney disease.

    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

    pub_type: 杂志文章


    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

  • Electronic Health Records in Danish Home Care and Nursing Homes: Inadequate Documentation of Care, Medication, and Consent.

    abstract:BACKGROUND: Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Hertzum M

    更新日期:2021-01-01 00:00:00

  • Physicians Voluntarily Using an EHR-Based CDS Tool Improved Patients' Guideline-Related Statin Prescription Rates: A Retrospective Cohort Study.

    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

    pub_type: 杂志文章


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

    更新日期:2019-05-01 00:00:00

  • An electronic alert for HIV screening in the emergency department increases screening but not the diagnosis of HIV.

    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

    pub_type: 杂志文章


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

    更新日期:2014-03-26 00:00:00

  • Health information technology knowledge and skills needed by HIT employers.

    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

    pub_type: 杂志文章


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

    更新日期:2012-12-05 00:00:00

  • Registers for Networked Medical Research in Germany: Situation and prospects.

    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

    pub_type: 杂志文章


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

    更新日期:2010-11-24 00:00:00

  • Code Status Reconciliation to Improve Identification and Documentation of Code Status in Electronic Health Records.

    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

    pub_type: 杂志文章


    authors: Jain VG,Greco PJ,Kaelber DC

    更新日期:2017-03-08 00:00:00

  • Measures of user experience in a streptococcal pharyngitis and pneumonia clinical decision support tools.

    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

    pub_type: 杂志文章,随机对照试验


    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

  • Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening.

    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

    pub_type: 杂志文章


    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

  • Exploring Data Quality Management within Clinical Trials.

    abstract:BACKGROUND:Clinical trials are an important research method for improving medical knowledge and patient care. Multiple international and national guidelines stipulate the need for data quality and assurance. Many strategies and interventions are developed to reduce error in trials, including standard operating procedur...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Houston L,Probst Y,Yu P,Martin A

    更新日期:2018-01-01 00:00:00

  • Evaluating the Impact of a New Smartphone Texting Tool on Patient Care in Obstetrics, an Emergent Healthcare Setting.

    abstract:BACKGROUND:Hospitals across the country are investing millions of dollars to adopt new Health Insurance Portability and Accountability Act (HIPAA)-compliant secure text messaging systems. However, in nearly all cases, these implementations are occurring without evaluation of their impact on patient care. OBJECTIVE:To ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章


    authors: Feinberg J,Shaw S,Kashyap N,Illuzzi J,Campbell K,Hsiao AL,Pettker CM

    更新日期:2019-10-01 00:00:00

  • Consensus Statement: Feature and Function Recommendations to Optimize Clinician Usability of Direct Interoperability to Enhance Patient Care.

    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

    pub_type: 杂志文章


    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

  • Interactive Cohort Identification of Sleep Disorder Patients Using Natural Language Processing and i2b2.

    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

    pub_type: 杂志文章


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

    更新日期:2015-05-27 00:00:00

  • Multilingual Medical Data Models in ODM Format: A Novel Form-based Approach to Semantic Interoperability between Routine Healthcare and Clinical Research.

    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

    pub_type: 杂志文章


    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