Abstract：
OBJECTIVE:The purpose of this study was to develop a prototype personal digital assistant-decision support system (PDA-DSS) based on a clinical practice guideline (CPG) for the management of obesity. DESIGN:The study was composed of four phases: (1) analysis of advanced practice nurse (APN) students' documentation related to the management of obesity using the Clinical Log-APN (CL-APN), (2) identification of functional requirements and data modeling through use case analysis and unified modeling language (UML), (3) evaluation of representation of obesity-related concepts with standardized terminologies, and (4) design of a web-based prototype user interface. RESULTS:The analysis revealed the documentation rate of obesity as an assessment diagnosis and adherence to the CPG for obesity was low. Through use case analysis and UML modeling, the functional requirements - screening, assessment, and documentation of CPG-based obesity treatment plan - were identified and a data model was built. Overall, the standardized terminologies that are used in the database for the CL-APN could represent about 80% of the obesity-related concepts. However, the terms of these standardized terminologies were not specific enough to represent all the concepts. The systematized nomenclature of medicine-clinical terms (SNOMED CT) could represent 83% of the concepts and was used to extend the knowledge base. Based on the functional requirements specification, four prototype screens were designed. CONCLUSION:The PDA-DSS for the management of obesity has potential uses for education, nursing practice, and research. As an educational tool, it can be used to improve APN students' adherence to the CPG's recommendations and to enhance informatics competencies. The PDA-DSS has the potential to improve APN students' clinical decision making at the point-of-care and delivery of CPG-based care, thereby improving patients' outcomes related to the management of obesity. A randomized trial is underway to investigate the PDA-DSS's impact on APN students' screening rates and adherence to obesity CPG recommendations, and users' acceptance of the system.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Lee NJ,Bakken Sdoi
10.1016/j.ijmedinf.2007.05.009subject
Has Abstractpub_date
2007-10-01 00:00:00pages
S281-92eissn
1386-5056issn
1872-8243pii
S1386-5056(07)00100-1journal_volume
76 Suppl 2pub_type
杂志文章abstract：BACKGROUND:Cardiovascular disease is the leading killer globally and secondary prevention substantially reduces risk. Uptake of, and adherence to, face-to-face preventive programs is often low. Alternative models of care are exploiting the prominence of technology in daily life to facilitate lifestyle behavior change. ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.01.009
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION:Information and Communication Technologies (ICTs) are acknowledged as vital tools to strengthen Primary Health Care (PHC) in low- and middle-income countries (LMICs). However, these technologies have been used only for selected services. Moreover, there is limited evidence on how effective these interventi...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104235
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:The use of the Internet to search for health-related information (HRI) has become a common practice worldwide. Our literature review failed to find any evidence of previous studies on this topic from Saudi Arabia. OBJECTIVE:To determine the public use of the Internet in Saudi Arabia to search for HRI and to...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.12.004
更新日期：2012-06-01 00:00:00
abstract：:The continuous increase in the complexity and the heterogeneity of corporate and healthcare telecommunications infrastructures will require new assessment methods of quality of service (QoS) provision that are capable of addressing all engineering and social issues with much faster speeds. Speed and accessibility to a...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.07.019
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVES:INCA (Intelligent Control Assistant for Diabetes) is an EU funded project aimed at improving diabetes therapy by creating a personal closed-loop system interacting with telemedical remote control. This study aims at identifying and applying suitable methods for a cost-benefit analysis from the perspective of...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.06.002
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:To identify factors that can enhance the use of e-consultation in primary care. We investigated the barriers, demands and motivations regarding e-consultation among patients with no e-consultation experience (non-users). METHODS:We used an online survey to gather data. Via online banners on 26 different webs...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2009.06.002
更新日期：2009-10-01 00:00:00
abstract：:To realize clinical data exchange between healthcare providers, there must be many standards in many layers. Terms and codes should be standardized, syntax to wrap the data must be mutually parsable, then transfer protocol or exchange media should be agreed. Among many standards for the syntax, HL7 and DICOM are most ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(98)00090-2
更新日期：1998-07-01 00:00:00
abstract：:This paper introduces the topic of this special issue: challenges for medical informatics in the 21st century. This paper discusses the nature of medical informatics. Some descriptions and definitions of medical informatics are reviewed. Then the research aspects of medical informatics are discussed. It is argued that...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/S1386-5056(97)01253-7
更新日期：1997-03-01 00:00:00
abstract：BACKGROUND:Digital epidemiology tries to identify diseases dynamics and spread behaviors using digital traces collected via search engines logs and social media posts. However, the impacts of news on information-seeking behaviors have been remained unknown. METHODS:Data employed in this research provided from two sour...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.03.017
更新日期：2018-07-01 00:00:00
abstract：:Due to its complexity intensive care is vulnerable to errors. On the ICU adults of the AMC (Amsterdam, The Netherlands) the available registries used for error reporting did not give insight in the occurrence of unwanted events, and did not lead to preventive measures. Therefore, a new registry has been developed on t...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2006.08.003
更新日期：2007-02-01 00:00:00
abstract：BACKGROUND:Electronic health record (EHR) systems are often modified through the addition of new features over time. Few studies have examined the specific effects of such changes. We examined whether implementation of a bidirectional laboratory interface for order entry and data reporting within an existing ambulatory...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2012.07.012
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:The purpose of this paper is to demonstrate how current visual representations of organizational and technological processes do not fully account for the variability present in everyday practices. We further demonstrate how narrative networks can augment these representations to indicate potential areas for s...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.01.005
更新日期：2011-08-01 00:00:00
abstract：PURPOSE:To examine the relationship between cognitive status and the usability of an integrated medication delivery unit (MDU) in older adults who reside in an Assisted Living Facility (ALF). METHODS:Subjects were recruited from a single ALF in Pittsburgh, PA. Usability testing sessions required subjects to execute ta...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2014.07.004
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Serious games (SGs) are a type of simulation technology that may provide nursing students with the opportunity to practice their clinical reasoning and decision-making skills in a safe and authentic environment. Despite the growing number of SGs developed for healthcare professionals, few SGs are video based...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.06.014
更新日期：2016-10-01 00:00:00
abstract：PURPOSE:The agent-oriented paradigm has emerged as a viable approach for the development of autonomic systems in the healthcare domain. This paper reviews representative works in this area in order to identify the main research lines and study their level of applicability. Moreover, from the analysis of those works and...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2010.01.003
更新日期：2010-03-01 00:00:00
abstract：PURPOSE:Collecting and analyzing findings constitute the basis of medical activity. Computer assisted medical activity raises the problem of modelling findings. We propose a unified representation of findings integrating the representations of findings in the GAMUTS in Radiology [M.M. Reeder, B. Felson, GAMUTS in radio...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.11.003
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:EMR system can provide three main types of benefits: it can solve the logistical organization problems associated with paper systems; it can improve the quality of professionals' clinical decisions; and it can improve physicians' return on their practices by reducing the cost of managing clinical information...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2014.06.003
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:mHealth (mobile health) services are becoming an increasingly important form of information and communication technology (ICT) enabled delivery for healthcare, especially in low-resource environments such as developing countries like Bangladesh. Despite widespread adoption of mobile phones and the acknowledg...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2017.02.002
更新日期：2017-05-01 00:00:00
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
更新日期：2020-09-01 00:00:00
abstract：INTRODUCTION:Social distancing requirements during COVID-19 pose a challenge to conducting traditional academic detailing, which typically involves in-person peer education visits to improve patient outcomes. The main alternative is to conduct virtual academic detailing delivered through web-based technology, but this ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104365
更新日期：2021-03-01 00:00:00
abstract：OBJECTIVE:The purpose of the research was to assess real-time location systems (RTLS) that have been implemented in U.S. hospitals. We examined the type of uses to which RTLS have been put, the degree of functionality of the various technologies and software, and the organizational effects of implementing RTLS. METHOD...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2012.07.001
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To investigate the rate of automation bias - the propensity of people to over rely on automated advice and the factors associated with it. Tested factors were attitudinal - trust and confidence, non-attitudinal - decision support experience and clinical experience, and environmental - task difficulty. The par...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2014.01.001
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:The drug information most commonly requested by patients is to learn more about potential adverse drug reactions (ADRs) of their drugs. Such information should be customizable to individual information needs. While approaches to automatically aggregate ADRs by text-mining processes and establishment of respe...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.103970
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:From the Hippocratic Oath to the World Medical Association's Declaration of Geneva, physicians have sworn to protect patients' privacy. However, as systems move to more integrated architectures, protecting this medical data becomes more of a challenge. The increase in complexity of IT environments, the aggregat...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2006.09.004
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting. DESIGN:Ethnographic and interview data were collected by an interdisciplinary team over a 7 month period at four clinics. MEASUREMENTS:Instances of unintended...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2006.05.017
更新日期：2007-06-01 00:00:00
abstract：:In spite of over four decades of research into Electronic Healthcare Record Systems, the penetration of records which incorporate more than simply basic information, into the working life of healthcare organisations is relatively small. This paper discusses some of the key impediments to progress including in particul...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(01)00205-2
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:Poorly designed infusion pumps can lead to user errors and adverse incidents. Therefore, assessments of their usability and performance that can inform managerial decisions about the selection of appropriate medical devices are essential. OBJECTIVE:This study aimed to identify design deficiencies and evalua...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.07.011
更新日期：2019-11-01 00:00:00
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
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:Predicting the function of transplanted kidneys would help clinicians in individualized medical interventions. We aimed to develop and validate a predictive tool for a future value of estimated glomerular filtration rate (eGFR) at upcoming visits. METHODS:We used static and time-dependent covariates as inpu...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.09.012
更新日期：2018-11-01 00:00:00
abstract：PURPOSE:The purpose of this qualitative study was to improve understanding of family caregivers' use of Web-based intervention support by integrating three theoretical models. The study applied the Anderson's model of health service utilization, Venkatesh's theory of technology acceptance, and Chatman's and Wilson's in...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.08.010
更新日期：2011-11-01 00:00:00
