Clinical Decision Support for Worker Health: A Five-Site Qualitative Needs Assessment in Primary Care Settings.

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：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: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：OBJECTIVE:Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algorithm using electronic health record (EHR) data. This study examin...

journal_title：Applied clinical informatics

authors： Pavon JM,Sloane RJ,Pieper CF,Colón-Emeric CS,Cohen HJ,Gallagher D,Morey MC,McCarty M,Ortel TL,Hastings SN

更新日期：2018-07-01 00:00:00

abstract：OBJECTIVE:1. To conduct a review of the role of informatics in pediatric disaster preparedness using all medical databases. 2. To provide recommendations to improve pediatric disaster preparedness by the application of informatics. METHODS:A literature search was conducted using MEDLINE, CINHL and the Cochrane Library...

journal_title：Applied clinical informatics

authors： Burke RV,Ryutov T,Neches R,Upperman JS

更新日期：2010-08-04 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:As healthcare moves towards technology-driven population health management, clinicians must adopt complex digital platforms to access health information and document care. OBJECTIVES:This study explored information literacy, a set of skills required to effectively navigate population health information syst...

journal_title：Applied clinical informatics

authors： Dixon BE,Barboza K,Jensen AE,Bennett KJ,Sherman SE,Schwartz MD

更新日期：2017-02-15 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: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：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: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: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 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: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: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：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：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：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: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: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：: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：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：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：: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: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 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

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

更新日期：2017-07-12 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: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: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: 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