Abstract:
BACKGROUND:Timely and accurate information is important to guide the medical treatment process. We developed, implemented and assessed an order-entry system to support documentation of prostate histologies involving urologists, pathologists and physicians in private practice. METHODS:We designed electronic forms for histological prostate biopsy reports in our hospital information system (HIS). These forms are created by urologists and sent electronically to pathologists. Pathological findings are entered into the system and sent back to the urologists. We assessed time from biopsy to final report (TBF) and compared pre-implementation phase (paper-based forms) and post-implementation phase. In addition we analysed completeness of the electronic data. RESULTS:We compared 87 paper-based with 86 electronic cases. Using electronic forms within the HIS decreases time span from biopsy to final report by more than one day per patient (p < 0.0001). Beyond the optimized workflow we observed a good acceptance because physicians were already familiar with the HIS. The possibility to use these routine data for quality management and research purposes is an additional important advantage of the electronic system. CONCLUSION:Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Breil B,Semjonow A,Dugas Mdoi
10.1186/1472-6947-9-5subject
Has Abstractpub_date
2009-01-20 00:00:00pages
5issn
1472-6947pii
1472-6947-9-5journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Circular RNAs (circRNAs) are those RNA molecules that lack the poly (A) tails, which present the closed-loop structure. Recent studies emphasized that some circRNAs imply different functions from canonical transcripts, and further associated with complex diseases. Several computational methods have been deve...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-020-1117-0
更新日期:2020-07-09 00:00:00
abstract:BACKGROUND:CDSS (computerized decision support system) for medical diagnostics have been studied for long. This study was undertaken to investigate how different preferences of Learning Styles (LS) of psychiatrists might affect acceptance, use and perceived usefulness of a CDSS for diagnostics in psychiatry. METHODS:4...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-5-1
更新日期:2005-01-07 00:00:00
abstract:BACKGROUND:Shared decision-making (SDM) is considered a key component of high quality cancer care and may be supported by patient decision aids (PtDAs). Many patients, however, face multiple social disadvantages that may influence their ability to fully participate in SDM or to use PtDAs; additionally, these social dis...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-016-0303-6
更新日期:2016-06-06 00:00:00
abstract::This paper by John D. Keen and James E. Keen addresses a thorny subject. The numerical findings and commentaries in their paper will be disturbing to some readers and seem to defy logic and well established viewpoints. It may well generate angry letters to the editor. However such numerical analysis and reporting incl...
journal_title:BMC medical informatics and decision making
pub_type: 评论,社论
doi:10.1186/1472-6947-9-20
更新日期:2009-04-02 00:00:00
abstract:BACKGROUND:Computer simulation studies of the emergency department (ED) are often patient driven and consider the physician as a human resource whose primary activity is interacting directly with the patient. In many EDs, physicians supervise delegates such as residents, physician assistants and nurse practitioners eac...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-13-59
更新日期:2013-05-22 00:00:00
abstract:BACKGROUND:Automated machine-learning systems are able to de-identify electronic medical records, including free-text clinical notes. Use of such systems would greatly boost the amount of data available to researchers, yet their deployment has been limited due to uncertainty about their performance when applied to new ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-020-1026-2
更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-020-01313-9
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:The Personal Patient Profile-Prostate (P3P), a web-based decision aid, was demonstrated to reduce decisional conflict in English-speaking men with localized prostate cancer early after initial diagnosis. The purpose of this study was to explore and enhance usability and cultural appropriateness of a Spanish ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-015-0180-4
更新日期:2015-07-24 00:00:00
abstract:BACKGROUND:EURIS (European Resistance Intervention Study) was launched as a multinational study in September of 2000 to identify the multitude of complex risk factors that contribute to the high carriage rate of drug resistant Streptococcus pneumoniae strains in children attending Day Care Centers in several European c...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-3-9
更新日期:2003-07-08 00:00:00
abstract:BACKGROUND:Systematic review (SR) of randomized controlled trials (RCT) is the gold standard for informing treatment choice. Decision analyses (DA) also play an important role in informing health care decisions. It is unknown how often the results of DA and matching SR of RCTs are in concordance. We assessed whether th...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,评审
doi:10.1186/1472-6947-14-57
更新日期:2014-07-15 00:00:00
abstract:BACKGROUND:Simulation applications on operations management in hospitals are frequently published and claim to support decision-making on operations management subjects. However, the reported implementation rates of recommendations are low and the actual impact of the changes recommended by the modeler has hardly been ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,评审
doi:10.1186/1472-6947-12-18
更新日期:2012-03-14 00:00:00
abstract:BACKGROUND:The Kentucky Cancer Registry (KCR) is a central cancer registry for the state of Kentucky that receives data about incident cancer cases from all healthcare facilities in the state within 6 months of diagnosis. Similar to all other U.S. and Canadian cancer registries, KCR uses a data dictionary provided by t...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-020-01288-7
更新日期:2020-12-15 00:00:00
abstract:BACKGROUND:Drug therapy has become increasingly efficient, with more drugs available for treatment of an ever-growing number of conditions. Yet, drug use is reported to be sub optimal in several aspects, such as dosage, patient's adherence and outcome of therapy. The aim of the current study was to investigate the poss...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-4-10
更新日期:2004-07-20 00:00:00
abstract:BACKGROUND:Electronic health records provide access to an unprecedented amount of clinical data for research that can accelerate the development of effective medical practices. However it is important to protect patient confidentiality, as many medical conditions are stigmatized and disclosure could result in personal ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-11-70
更新日期:2011-11-10 00:00:00
abstract:BACKGROUND:Electronic health records are now widely adopted in medical and behavioral health settings. While they have the potential to improve the quality of care, the research findings on their impact on clinical practice and outcomes have been mixed. This study explores how the electronic health record and its stage...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12911-019-0897-6
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:The objective of this study was to ascertain the performance of syndromic algorithms for the early detection of patients in healthcare facilities who have potentially transmissible infectious diseases, using computerised emergency department (ED) data. METHODS:A retrospective cohort in an 810-bed University...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-13-101
更新日期:2013-09-03 00:00:00
abstract:BACKGROUND:Functional Magnetic Resonance Imaging (fMRI) has been proven to be useful for studying brain functions. However, due to the existence of noise and distortion, mapping between the fMRI signal and the actual neural activity is difficult. Because of the difficulty, differential pattern analysis of fMRI brain im...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-9-S1-S6
更新日期:2009-11-03 00:00:00
abstract:BACKGROUND:Significant resources are invested in the production of research knowledge with the ultimate objective of integrating research evidence into practice. Toolkits are becoming increasingly popular as a knowledge translation (KT) strategy for disseminating health information, to build awareness, inform, and chan...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,评审
doi:10.1186/s12911-014-0121-7
更新日期:2014-12-24 00:00:00
abstract:BACKGROUND:Cancer-related fatigue is a distressing symptom experienced by many after cancer treatment. An exploratory randomised controlled trial was conducted to test proof of concept of RESTORE: a web-based tool to enhance self-efficacy to manage cancer-related fatigue. This paper reports findings from a qualitative ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12911-015-0214-y
更新日期:2015-11-14 00:00:00
abstract:BACKGROUND:Blood cultures are often performed to detect patients who has a serious illness without infections and patients with bloodstream infections. Early positive blood culture prediction is important, as bloodstream infections may cause inflammation of the body, even organ failure or death. However, existing work ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-020-1113-4
更新日期:2020-07-09 00:00:00
abstract:BACKGROUND:Even small variations of serum sodium concentration may be associated with mortality. Our objective was to confirm the impact of borderline dysnatremia for patients admitted to hospital on in-hospital mortality using real life care data from our electronic health record (EHR) and a phenome-wide association a...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-017-0549-7
更新日期:2017-11-22 00:00:00
abstract:BACKGROUND:Cardiac diseases represent the leading cause of sudden death worldwide. During the development of cardiac diseases, the left ventricle (LV) changes obviously in structure and function. LV motion estimation plays an important role for diagnosis and treatment of cardiac diseases. To estimate LV motion accurate...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-017-0560-z
更新日期:2017-12-20 00:00:00
abstract:BACKGROUND:A pilot experimentation of a telemonitoring system for chronic care patients is conducted in the Bilbao Primary Care Health Region (Basque Country, Spain). It seems important to understand the factors related to healthcare professionals' acceptance of this new technology in order to inform its extension to t...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-12-139
更新日期:2012-11-30 00:00:00
abstract:BACKGROUND:Diagnosis of neuromuscular diseases in primary care is often challenging. Rare diseases such as Pompe disease are easily overlooked by the general practitioner. We therefore aimed to develop a diagnostic support tool using patient-oriented questions and combined data mining algorithms recognizing answer patt...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,多中心研究
doi:10.1186/s12911-016-0268-5
更新日期:2016-03-08 00:00:00
abstract:BACKGROUND:Information and communication technologies have become a vital infrastructural asset for use in the retention of rural health workers. However, little is known about the potential influence of ICT use, perceptions of health workers on ICT in healthcare delivery, and contribution of ICT to health care provide...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-016-0403-3
更新日期:2017-01-10 00:00:00
abstract:BACKGROUND:Although a number of studies have evaluated the effectiveness of computerized decision-support systems (CDSS), there is lack of data on user perspectives, barriers, and facilitators to the implementation of CDSSs in real-life surroundings. The aim of this study was to assess individually perceived barriers, ...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-016-0245-z
更新日期:2016-01-22 00:00:00
abstract:BACKGROUND:Recently, claim-data-based comorbidity-adjusted methods such as the Charlson index and the Elixhauser comorbidity measures have been widely used among researchers. At the same time, there have been an increasing number of attempts to improve the predictability of comorbidity-adjusted models. We tried to impr...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/1472-6947-13-128
更新日期:2013-11-20 00:00:00
abstract:BACKGROUND:A main element of patient-centred care, Patient Decision Aids (PtDAs) facilitate shared decision-making (SDM). A recent update of the International Patient Decision Aids Standards (IPDAS) emphasised patient involvement during PtDA development, but omitted a methodology for doing so. This article reports on t...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-017-0433-5
更新日期:2017-04-26 00:00:00
abstract:BACKGROUND:Although fecal hemoglobin concentration (f-Hb) was highly associated with the risk of colorectal neoplasms, current studies on this subject are hampered by skewedness of the data and the ordinal property of f-Hb has not been well studied yet. Our aim was to develop a quantile-based method to estimate adjuste...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-019-0812-1
更新日期:2019-05-02 00:00:00
abstract:BACKGROUND:The global age-adjusted mortality rate related to atrial fibrillation (AF) registered a rapid growth in the last four decades, i.e., from 0.8 to 1.6 and 0.9 to 1.7 per 100,000 for men and women during 1990-2010, respectively. In this context, this study uses convolutional neural networks for classifying (dia...
journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
doi:10.1186/s12911-019-0946-1
更新日期:2019-10-29 00:00:00