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

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：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：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：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: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：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: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: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: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：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：:Web 2.0 technologies, known as social media, social technologies or Web 2.0, have emerged into the mainstream. As they grow, these new technologies have the opportunity to influence the methods and procedures of many fields. This paper focuses on the clinical implications of the growing Web 2.0 technologies. Five deve...

journal_title：Applied clinical informatics

authors： Spallek H,O'Donnell J,Clayton M,Anderson P,Krueger A

更新日期：2010-04-21 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：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:Although diagnostic error (DE) is a significant problem, it remains challenging for clinicians to identify it reliably and to recognize its contribution to the clinical trajectory of their patients. The purpose of this work was to evaluate the reliability of real-time electronic health record (EHR) reviews u...

journal_title：Applied clinical informatics

authors： Soleimani J,Pinevich Y,Barwise AK,Huang C,Dong Y,Herasevich V,Gajic O,Pickering BW

更新日期：2020-05-01 00:00:00

abstract：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 corr...

journal_title：Applied clinical informatics

authors： Qureshi N,Mehrotra A,Rudin RS,Fischer SH

更新日期：2019-03-01 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：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：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: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: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：:Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record...

journal_title：Applied clinical informatics

authors： Ancker JS,Send A,Hafeez B,Osorio SN,Abramson E

更新日期：2017-10-01 00:00:00

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

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

更新日期：2011-06-08 00:00:00

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

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

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

authors： Hertzum M

更新日期：2021-01-01 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: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：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: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: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：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