Abstract:
OBJECTIVE:Nurses are increasingly using computerised decision support systems (CDSS) to support their practice. Previous studies have highlighted the importance organisational factors have on the successful implementation of new technologies in healthcare. However, it is unclear how the organisations where nurses work either facilitate or inhibit the successful use of CDSS. The aim of this paper is to explore what nurses and NHS (National Health Service) managers working in NHS organisations in England perceive as the organisational features facilitating the introduction and successful use of CDSS. METHODS:A study of four case sites where nurses were using CDSS. Data included 124 observations of nurse/patient consultations, 36 patient interviews, 55 nurse interviews and 18 interviews with clinical unit or NHS managers. The majority of the data were qualitative and analysed using thematic content analysis. FINDINGS:There were a number of drivers for the introduction of CDSS, including instigation from individual clinicians and initiatives at policy level. A key element for the successful introduction of technology such as CDSS was clinician engagement. However, also seen as important for successfully implementation of an IT system are other factors such as the need for adequate resources, characteristics of the system itself and adequate training. Other key issues are a supportive environment and the desire to improve continually the quality of patient services. CONCLUSIONS:For nurses to use CDSS successfully, engagement by clinicians in the procurement and implementation of systems is useful. However, the data collected in this study suggest this is not necessary for successful implementation; nurses may still successfully introduce and use a CDSS if they perceive it to have benefits to their practice.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Randell R,Dowding Ddoi
10.1016/j.ijmedinf.2010.02.003subject
Has Abstractpub_date
2010-06-01 00:00:00pages
412-21issue
6eissn
1386-5056issn
1872-8243pii
S1386-5056(10)00043-2journal_volume
79pub_type
杂志文章abstract:INTRODUCTION:The rapid scale-up of HIV care and treatment in resource-limited countries requires concurrent, rapid development of health information systems to support quality service delivery. Mozambique, a country with an 11.5% prevalence of HIV, has developed nation-wide patient monitoring systems (PMS) with standar...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2016.11.002
更新日期:2017-01-01 00:00:00
abstract::Single-switch communication is an effective auxiliary method for persons with disabilities. However, it is not easy to recognize the Morse codes typed by them. In our earlier proposed Morse code auto-recognition method, using the Least-Mean-Square (LMS) adaptive algorithm, it was demonstrated that the system could suc...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(97)00020-8
更新日期:1997-05-01 00:00:00
abstract::Service-oriented architectures (SOAs) and web service technologies have been proposed to respond to some central interoperability challenges of heterogeneous health information systems (HIS). We propose a model which we are using to define services and solutions for healthcare applications from the requirements in the...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.10.001
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:Modern machine learning-based modeling methods are increasingly applied to clinical problems. One such application is in variable selection methods for predictive modeling. However, there is limited research comparing the performance of classic and modern for variable selection in clinical datasets. MATERIAL...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2018.05.006
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:This work aims at extracting Adverse Drug Reactions (ADRs), i.e. a harm directly caused by a drug at normal doses, from Electronic Health Records (EHRs). The lack of readily available EHRs because of confidentiality issues and their lexical variability make the ADR extraction challenging. Furth...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2019.05.009
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Patient access to electronic health records (EHRs) is associated with several determinants and outcomes, which are interrelated. However, individual studies and the reviews summarizing them have only addressed particular aspects, such as policy, usability or health outcomes of adoption. Therefore, no compreh...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2019.05.014
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:The electronic health record (EHR) has become a fundamental tool in health care. The ordering and inclusion of lab tests and results is one of the most frequently requested services by EHR users. We have designed, developed and implemented in Andalusia, an autonomous community in the south of Spain (8.3 mill...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2013.03.006
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Recent developments in positioning systems and telecommunications have provided the technology needed for the development of location aware medical applications. We developed a system, named EmerLoc, which is based upon this technology and uses a set of sensors that are attached to the patient's body, a micr...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.07.010
更新日期:2007-10-01 00:00:00
abstract::This study evaluated the impact of telemedicine technology on the provision of neurosurgical health services. We focused on the differences between the use of real time audio-visual teleconferencing and teleradiology versus conventional telephone consultations in the referral of neurosurgical patients from a large dis...
journal_title:International journal of medical informatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s1386-5056(01)00161-7
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVES:Electronic Medical Records (EMR) have the potential to improve the coordination of healthcare in this country, yet the field of psychiatry has lagged behind other medical disciplines in its adoption of EMR. METHODS:Psychiatrists at 18 of the top US hospitals completed an electronic survey detailing whether ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2012.11.007
更新日期:2013-04-01 00:00:00
abstract::The Medical Dictionary for Regulatory Activities Terminology (MedDRA) version 2.1 (V2.1) was released in March 1999 accompanied by the MedDRA/J V2.1J specifically for Japanese users. In prescription-event monitoring in Japan (J-PEM), we have employed the MedDRA/J for data entry, signal generation and event listing. In...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(00)00062-9
更新日期:2000-07-01 00:00:00
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
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To carry out a systematic review of studies assessing the effects of chemotherapy prescription clinical decision-support systems (CDSSs) on the chemotherapy process. METHODS:Articles published in English before May 1, 2017 and indexed in the PubMed and Embase databases were reviewed systematically. Studies t...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2018.11.004
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The introduction of health information technologies (HIT) can lead to unintended consequences. We studied a newly introduced electronic messaging (e-messaging) system for communication between homecare providers and general practitioners (GPs) in Norway. The objective of this paper is to identify and discuss ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2014.02.001
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:Bedside stations, also known as bedside terminals, are in place to enhance the quality and experience of a hospital's healthcare service delivery. The purpose of this study was to identify information needs and overall satisfaction with the personalized patient bedside system, called Smart Bedside Station (SB...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2016.09.003
更新日期:2016-11-01 00:00:00
abstract::A usable medical information system should allow for reliable and accurate interaction between users and the system in emergencies. A participatory design approach was used to develop a medical information system in two Turkish hospitals. The process consisted of task and user analysis, an icon design survey, initial ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.08.005
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:Clinicians commonly use the modified Rankin Scale (mRS) and the Barthel Index (BI) to measure clinical outcome after stroke. These are potential targets in machine learning models for stroke outcome prediction. Therefore, the quality of the measurements is crucial for training and validation of these model...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2019.103988
更新日期:2019-12-01 00:00:00
abstract::In the last years, multidisciplinary post-discharge treatment programs, such as telemonitoring, have been promoted as a strategy for Heart Failure (HF) management. However, the distinctive requirements that a telemonitoring system should have, have not been clearly identified. To this aim, the most relevant requiremen...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104204
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::Store-and-forward telemedicine, using e-mail to send clinical data and digital images, offers a low-cost alternative for physicians in developing countries to obtain second opinions from specialists. To explore the potential usefulness of this technique, 91 chest X-ray images were photographed using a digital camera a...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2003.10.002
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:This study assessed current perspectives and expectations for telemedicine by nursing home caregivers and families of nursing home patients in Taipei, Taiwan. METHODS:A total of 116 interviews were conducted with family members (n=37) and caregivers (n=79) using an original, four-part questionnaire devised ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2009.02.009
更新日期:2009-07-01 00:00:00
abstract::A computer system of PCs, workstations, minicomputers etc. connected together via a local area network or wide area network represents a large pool of computational power. Our aim is to use this power for the implementation of an E(3) (efficiency, effectiveness, efficacy) medical decision support system, which can be ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(00)00086-1
更新日期:2000-09-01 00:00:00
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
更新日期:2017-06-01 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::To evaluate the idea of a multifunctional mobile pen computer to support information processing tasks of health care professionals we carried out a field study. On a tablet-sized mobile pen computer we set up a health professional workstation, MEDIAS/WIN, with most of the application systems that are presently used by...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00170-1
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:To describe the range of patients' beliefs, attitudes, expectations, and experiences of remote monitoring for chronic conditions across different healthcare contexts and populations. DESIGN:We searched MEDLINE, Embase, PsychINFO, and CINAHL, Google Scholar, and reference lists of related studies through to ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2019.01.013
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:The adoption rate of electronic health record (EHR) systems in South Korea has continuously increased. However, in contrast to the situation in the United States (US), where there has been a national effort to improve and standardize EHR interoperability, no consensus has been established in South Korea. The ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.02.009
更新日期:2017-05-01 00:00:00
abstract:INTRODUCTION:The pharmaceutical record system (PRS) is a French nationwide centralized electronic database shared among all community pharmacists listing all drugs dispensed by community pharmacists in the last four months. The objective of this study, the Medication Assessment Through Real time Information eXchange - ...
journal_title:International journal of medical informatics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijmedinf.2018.09.010
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Chatbots are systems that are able to converse and interact with human users using spoken, written, and visual languages. Chatbots have the potential to be useful tools for individuals with mental disorders, especially those who are reluctant to seek mental health advice due to stigmatization. While numerous...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2019.103978
更新日期:2019-12-01 00:00:00
abstract::The Health Service Reform Programme in Ireland will be the biggest change ever seen in the health service. This programme will be dependent on information structures that provide appropriate and timely information. The Nursing Informatics Project Team in the Mater Misericordiae University Hospital, Dublin is in the pr...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2005.07.041
更新日期:2005-12-01 00:00:00