A survey about the usefulness of computerized systems to support illness management in clinical practice.

Abstract:

PURPOSE:This survey among an interdisciplinary group of clinicians was conducted to obtain their opinions about the usefulness of decision support systems (DSS) for evidence- and patient preference-based illness management, factors important to their implementation, and criteria for evaluating their effectiveness. METHODS:A questionnaire was sent by mail or electronically to a convenience sample of 184 nurses, physicians and other health care professionals. RESULTS:The DSS ability to provide information about potential benefits and harms of intervention options and reports on patient outcomes of symptom relief, functional status and preference achievement was considered most useful among DSS features. Nurses rated the usefulness of the DSS higher than physicians did. Ease of use, no increase in workload, and timely, precise information were rated as the most important factors for successful implementation. The most frequently selected patient, care process/provider and system outcomes rated as indicators for DSS effectiveness were: patient satisfaction, health-related quality of life, symptom relief, functional status, and alignment of patient preferences with realistic expectations; congruence between patient preferences and patient care; clinician time use; quality of patient documentation and cost-effectiveness. CONCLUSION:This survey provided crucial information to successfully develop DSS for evidence- and patient preference-based illness management that are perceived helpful by their potential users.

journal_name

Int J Med Inform

authors

Ruland CM

doi

10.1016/j.ijmedinf.2004.08.004

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

797-805

issue

11-12

eissn

1386-5056

issn

1872-8243

pii

S1386-5056(04)00183-2

journal_volume

73

pub_type

杂志文章
  • Cognitive psychological studies of representation and use of clinical practice guidelines.

    abstract::Clinical practice guidelines provide a means to enhance physician performance. This investigation was undertaken in an attempt to understand the nature of impact of guideline use on physician performance. We investigated the impact of (a) algorithmic-based and (b) text-based practice guidelines on clinical decision-ma...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/s1386-5056(01)00165-4

    authors: Patel VL,Arocha JF,Diermeier M,How J,Mottur-Pilson C

    更新日期:2001-10-01 00:00:00

  • Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system.

    abstract:OBJECTIVE:To compare how nurses in two different paper-based systems perceive the impact of a computerized physician order entry (CPOE) system on their medication-related activities. SETTING:13 non-surgical, adult inpatient wards in a Dutch academic hospital. METHODS:Questionnaire survey of 295 nurses before and 304 ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2008.06.012

    authors: Niazkhani Z,van der Sijs H,Pirnejad H,Redekop WK,Aarts J

    更新日期:2009-03-01 00:00:00

  • Performance of primary healthcare dentists in a distance learning course in pediatric dentistry.

    abstract:OBJECTIVE:Children are an important portion of the population of the territories covered by Primary Health Care (PHC), with needs and characteristics that can be managed at this level of care. Therefore, it is essential that professionals working in PHC be capable of providing child care. The aim of this study was to e...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.06.014

    authors: Bavaresco CS,Bragança S,Vencato V,Feltes B,Sória GS,Brew MC,de Moura FR,D'Ávila OP,Umpierre RN,Harzheim E,Rodrigues JA

    更新日期:2019-09-01 00:00:00

  • Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations.

    abstract:BACKGROUND:Despite attempts to reform the healthcare delivery system in the Middle East, expectations for its progress have been-and for some still are-somewhat slow. OBJECTIVE:This study reviewed progress in the use and adoption of telemedicine in Middle Eastern countries. The key dimensions affecting the progress of...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104232

    authors: Al-Samarraie H,Ghazal S,Alzahrani AI,Moody L

    更新日期:2020-09-01 00:00:00

  • Evaluation of an intravenous preparation information system for improving the reconstitution and dilution process.

    abstract:BACKGROUND:There are very few studies reporting the impact of providing intravenous (IV) preparation information on quality use of antimicrobials, particularly regarding their reconstitution and dilution. Therefore, to improve these processes in IV antimicrobial administration, an IV preparation information system (IPI...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2016.07.005

    authors: Jo YH,Shin WG,Lee JY,Yang BR,Yu YM,Jung SH,Kim HS

    更新日期:2016-10-01 00:00:00

  • A new application of community detection for identifying the real specialty of physicians.

    abstract:BACKGROUND:There is an increasing trend in using network science methods and algorithms, including community detection methods, in different areas of healthcare. These areas include protein networks, drug prescriptions, healthcare fraud detection, and drug abuse. Counterfeit drugs, off-label marketing issues, and findi...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104161

    authors: Shirazi S,Albadvi A,Akhondzadeh E,Farzadfar F,Teimourpour B

    更新日期:2020-08-01 00:00:00

  • Security issues arising in establishing a regional health information infrastructure.

    abstract::A regional health information infrastructure is being developed in an internally self-governing country which is a dependent territory of the British Crown, is not part of the United Kingdom but is a member of the British Commonwealth. This country of about 70000 inhabitants (and significant numbers of visitors) withi...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2003.11.010

    authors: Neame R,Olson MJ

    更新日期:2004-03-31 00:00:00

  • Physician satisfaction with a critical care clinical information system using a multimethod evaluation of usability.

    abstract:INTRODUCTION:Physician satisfaction with electronic medical records has often been poor. Usability has frequently been identified as a source for decreased satisfaction. While surveys can identify many issues, and are logistically easier to administer, they may miss issues identified using other methods This study soug...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.01.010

    authors: Hudson D,Kushniruk A,Borycki E,Zuege DJ

    更新日期:2018-04-01 00:00:00

  • The introduction of a diagnostic decision support system (DXplain™) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs).

    abstract:BACKGROUND:In an era of short inpatient stays, residents may overlook relevant elements of the differential diagnosis as they try to evaluate and treat patients. However, if a resident's first principal diagnosis is wrong, the patient's appropriate evaluation and treatment may take longer, cost more, and lead to worse ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2010.09.004

    authors: Elkin PL,Liebow M,Bauer BA,Chaliki S,Wahner-Roedler D,Bundrick J,Lee M,Brown SH,Froehling D,Bailey K,Famiglietti K,Kim R,Hoffer E,Feldman M,Barnett GO

    更新日期:2010-11-01 00:00:00

  • Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective study.

    abstract::Clinical evidence has indicated the effectiveness of computer-based systems for preventing and reducing diagnostic errors. Our study aimed to evaluate the effectiveness of UpToDate, a computer-based clinical knowledge management system, for reducing diagnostic errors. We retrospectively identified 100 patients who vis...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.09.010

    authors: Shimizu T,Nemoto T,Tokuda Y

    更新日期:2018-01-01 00:00:00

  • Videoconference compared to telephone in healthcare delivery: A systematic review.

    abstract:INTRODUCTION:Telehealth is an important tool for ensuring accessible healthcare access particularly over geographical distances. Videoconference and telephone are two common telehealth modalities, yet little is known as to the relative advantage of these modalities. Synthesizing evidence as to the impact of these modal...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2018.07.007

    authors: Rush KL,Howlett L,Munro A,Burton L

    更新日期:2018-10-01 00:00:00

  • Patients as actors: the patient's role in detecting, preventing, and recovering from medical errors.

    abstract:PURPOSE:Patients have the most to gain from reducing medical errors; yet, little research has been done to investigate the role they could or already do play in detecting and preventing errors in their own health care. The purpose of this study is to examine patient's role in detecting, preventing, and recovering from ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2006.05.021

    authors: Unruh KT,Pratt W

    更新日期:2007-06-01 00:00:00

  • Sensor technologies aiming at fall prevention in institutionalized old adults: a synthesis of current knowledge.

    abstract:BACKGROUND:Falls are a serious health problem in old adults especially in nursing home residents and hospitalized patients. To prevent elderly from falling, sensors have been increasingly used in intramural care settings. However, there is no clear overview of the current used technologies and their results in fall pre...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2013.06.001

    authors: Kosse NM,Brands K,Bauer JM,Hortobagyi T,Lamoth CJ

    更新日期:2013-09-01 00:00:00

  • Electronic consenting for conducting research remotely: A review of current practice and key recommendations for using e-consenting.

    abstract:BACKGROUND:Electronic approaches are becoming more widely used to obtain informed consent for research participation. Electronic consent (e-consent) provides an accessible and versatile approach to the consenting process, which can be enhanced with audio-visual and interactive features to improve participant engagement...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2020.104271

    authors: Skelton E,Drey N,Rutherford M,Ayers S,Malamateniou C

    更新日期:2020-11-01 00:00:00

  • Web-based learning in undergraduate medical education: development and assessment of an online course on experimental surgery.

    abstract::In order to increase the number of practical and discussion classes offered to students in the traditional-curriculum scenario, while decreasing the lecture-based ones and to create an online community to share knowledge on surgery, we developed and assessed the first online course for undergraduate medical students o...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2004.06.002

    authors: Bernardo V,Ramos MP,Plapler H,De Figueiredo LF,Nader HB,Anção MS,Von Dietrich CP,Sigulem D

    更新日期:2004-09-01 00:00:00

  • Example of a Human Factors Engineering approach to a medication administration work system: potential impact on patient safety.

    abstract:OBJECTIVE:The objectives of this paper are: In this approach, the implementation of such a complex IT solution is considered a major redesign of the work system. The paper describes the Human Factor (HF) tasks embedded in the project lifecycle: (1) analysis and modelling of the current work system and usability assessm...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2009.07.002

    authors: Beuscart-Zéphir MC,Pelayo S,Bernonville S

    更新日期:2010-04-01 00:00:00

  • An integral care telemedicine system for HIV/AIDS patients.

    abstract:OBJECTIVE:In this article we will describe a new approach to improve the quality of care of chronic HIV/AIDS patients, combining the integral care approach with a telemedicine system. METHODS:Following the integral care approach, we included the patient in a multidisciplinary care team, covering the whole process of c...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2006.04.010

    authors: Caceres C,Gomez EJ,Garcia F,Gatell JM,del Pozo F

    更新日期:2006-09-01 00:00:00

  • Evaluation of context-specific alerts for potassium-increasing drug-drug interactions: A pre-post study.

    abstract:OBJECTIVE:To investigate whether context-specific alerts for potassium-increasing drug-drug interactions (DDIs) in a clinical decision support system reduced the alert burden, increased alert acceptance, and had an effect on the occurrence of hyperkalemia. MATERIALS AND METHODS:In the pre-intervention period all alert...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2019.104013

    authors: Muylle KM,Gentens K,Dupont AG,Cornu P

    更新日期:2020-01-01 00:00:00

  • Measuring mobile patient safety information system success: an empirical study.

    abstract:OBJECTIVE:The Health Risk Reminders and Surveillance (HRRS) system was designed to deliver critical abnormal test results of severely ill patients from Laboratory, Radiology, and Pathology departments to physicians within 5 min using cell phone text messages. This paper explores the success of the HRRS system. METHOD:...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2008.03.003

    authors: Jen WY,Chao CC

    更新日期:2008-10-01 00:00:00

  • Enhancing patient understanding of medical procedures: evaluation of an interactive multimedia program with in-line exercises.

    abstract:INTRODUCTION:Standard print and verbal information provided to patients undergoing treatments are often difficult to understand and may impair their ability to be truly informed. This study examined the effect of an interactive multimedia informational program with in-line exercises and corrected feedback on patients' ...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijmedinf.2014.01.011

    authors: Tait AR,Voepel-Lewis T,Chetcuti SJ,Brennan-Martinez C,Levine R

    更新日期:2014-05-01 00:00:00

  • Core competencies for clinical informaticians: A systematic review.

    abstract:BACKGROUND:Building on initial work carried out by the Faculty of Clinical Informatics (FCI) in the UK, the creation of a national competency framework for Clinical Informatics is required for the definition of clinical informaticians' professional attributes and skills. We aimed to systematically review the academic l...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.ijmedinf.2020.104237

    authors: Davies A,Mueller J,Moulton G

    更新日期:2020-09-01 00:00:00

  • Decaying relevance of clinical data towards future decisions in data-driven inpatient clinical order sets.

    abstract:OBJECTIVE:Determine how varying longitudinal historical training data can impact prediction of future clinical decisions. Estimate the "decay rate" of clinical data source relevance. MATERIALS AND METHODS:We trained a clinical order recommender system, analogous to Netflix or Amazon's "Customers who bought A also boug...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2017.03.006

    authors: Chen JH,Alagappan M,Goldstein MK,Asch SM,Altman RB

    更新日期:2017-06-01 00:00:00

  • The impact of clinical leadership on health information technology adoption: systematic review.

    abstract:PURPOSE:To conduct a systematic review to examine evidence of associations between clinical leadership and successful information technology (IT) adoption in healthcare organisations. METHODS:We searched Medline, Embase, Cinahl, and Business Source Premier for articles published between January 2000 to May 2013 with k...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2014.02.005

    authors: Ingebrigtsen T,Georgiou A,Clay-Williams R,Magrabi F,Hordern A,Prgomet M,Li J,Westbrook J,Braithwaite J

    更新日期:2014-06-01 00:00:00

  • Impacts of second-generation electronic prescriptions on the medication management process in primary care: a systematic review.

    abstract:OBJECTIVE:To describe second-generation electronic prescription (eRx) technologies and identify their impacts on the medication management process in primary care. Second-generation eRx technologies have focused on networking various stakeholders so that they can communicate electronically. METHOD:Using key words, a s...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2013.01.012

    authors: Motulsky A,Lamothe L,Sicotte C

    更新日期:2013-06-01 00:00:00

  • Clinical information seeking behavior of physicians: A systematic review.

    abstract:INTRODUCTION:Physicians encounter a large number of questions during patient care. Therefore, finding high-quality evidence provides a good opportunity to improve patient care and continue learning. OBJECTIVES:The present study aims to obtain a comprehensive understanding of the physicians' clinical information-seekin...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104144

    authors: Daei A,Soleymani MR,Ashrafi-Rizi H,Zargham-Boroujeni A,Kelishadi R

    更新日期:2020-07-01 00:00:00

  • Developing hierarchical standardized home care nursing statements using nursing standard terminologies.

    abstract:OBJECTIVES:Home care nursing requires high quality documentation to facilitate communication between health providers. Despite the awareness surrounding the importance of documentation, the home care nursing environment lends itself to incomplete and inaccurate documentation. Our study aims to develop a hierarchical st...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104227

    authors: Lee J,Kang MJ,Garcia JP,Dykes PC

    更新日期:2020-09-01 00:00:00

  • The effect of registry-based performance feedback via short text messages and traditional postal letters on prescribing parenteral steroids by general practitioners--A randomized controlled trial.

    abstract:BACKGROUND:It is conjectured that providing feedback on physicians' prescribing behavior improves quality of drug prescriptions. However, the effectiveness of feedback provision and mode of feedback delivery is not well understood. The objective of this study was to assess and compare the effect of traditional paper le...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijmedinf.2015.12.008

    authors: Nejad AS,Noori MR,Haghdoost AA,Bahaadinbeigy K,Abu-Hanna A,Eslami S

    更新日期:2016-03-01 00:00:00

  • The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey.

    abstract:INTRODUCTION:Clinical decision support systems (CDSSs) should be seamlessly integrated with existing clinical information systems to enable automatic provision of advice at the time and place where decisions are made. It has been suggested that a lack of agreed data standards frequently hampers this integration. We per...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijmedinf.2010.11.006

    authors: Ahmadian L,van Engen-Verheul M,Bakhshi-Raiez F,Peek N,Cornet R,de Keizer NF

    更新日期:2011-02-01 00:00:00

  • Predicting in-hospital mortality of patients with febrile neutropenia using machine learning models.

    abstract:BACKGROUND:Febrile neutropenia (FN) has been associated with high mortality among adults with cancer. Current systems for early detection of inpatient FN mortality are based on scoring indexes that require intensive physicians' subjective evaluation. OBJECTIVE:In this study, we leveraged machine learning techniques to...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2020.104140

    authors: Du X,Min J,Shah CP,Bishnoi R,Hogan WR,Lemas DJ

    更新日期:2020-07-01 00:00:00

  • The Malaysian Telehealth Flagship Application: a national approach to health data protection and utilisation and consumer rights.

    abstract::Telehealth refers to the integration of information, telecommunication, human-machine interface technologies and health technologies to deliver health care, to promote the heath status of the people and to create health. The Malaysian Telehealth Application will, on completion, provide every resident of the country an...

    journal_title:International journal of medical informatics

    pub_type: 杂志文章

    doi:10.1016/j.ijmedinf.2003.11.023

    authors: Mohan J,Razali Raja Yaacob R

    更新日期:2004-03-31 00:00:00