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 visited an outpatient department in a community-based hospital from July 2014 to June 2015. Fifty patients (exposure group) were seen by UpToDate-equipped physicians and another 50 (control group) were seen by UpToDate-unequipped physicians. We extracted data on patient sex, age, primary diagnosis, and case difficulty that could potentially affect diagnostic outcomes. We compared the two groups regarding diagnostic error rate and performed logistic regression analysis to analyze the concurrent effects of various factors affecting diagnostic error. The diagnostic error rate was 2% in the exposure group, while the error rate was 24% in the control group. Multivariate logistic regression analysis showed that error rate reduction was significantly associated with exposure to UpToDate with an odds ratio of 15.21 (95% CI 1.86-124.36). Our results demonstrated the effectiveness of UpToDate for the prevention and reduction of diagnostic error.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Shimizu T,Nemoto T,Tokuda Ydoi
10.1016/j.ijmedinf.2017.09.010subject
Has Abstractpub_date
2018-01-01 00:00:00pages
1-4eissn
1386-5056issn
1872-8243pii
S1386-5056(17)30233-2journal_volume
109pub_type
杂志文章abstract:PURPOSE:To develop, implement and test a novel audience response system (ARS) that allows image based interaction for radiology education. METHODS:The ARS developed in this project is based on standard Personal Digital Assistants (PDAs) (HP iPAQ 114 classic handheld) running Microsoft® Windows Mobile® 6 Classic with a...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.05.002
更新日期:2011-08-01 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:OBJECTIVE:To investigate factors influencing variations in clinicians' use of an online evidence retrieval system. SETTING:Public hospitals in New South Wales, Australia. METHOD:Web log analysis demonstrated considerable variation in rates of evidence use by clinicians at different hospitals. Focus groups and intervi...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(02)00046-1
更新日期:2003-01-01 00:00:00
abstract:UNLABELLED:This study analyzed patient adoption of secure messaging to update medication list in an ambulatory care setting. The objective was to establish demographic differences between users and non-users of secure messaging for medications list update. Efficiency of secure messaging for the updates was compared to ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2015.06.003
更新日期:2015-10-01 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:PURPOSE:This report describes an ongoing transition from the HELP Hospital Information System to HELP II, a replacement Health Information System built to manage clinical information captured in a variety of medical settings. The focus of the article is on the medical decision support provided by this system and studie...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(02)00110-7
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Autonomous use of online health care services without interaction with a health care provider challenges existing models for achieving informed consent (IC); current examinations of this issue have focused on commercial direct-to-consumer genetic testing. As IC is integral to publicly funded clinical testing...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.05.020
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To obtain an overview of study designs and study methods used in research evaluating IT in health care, to present a list of quality criteria by which all kinds of reported evaluation studies on IT systems in health care can be assessed, and to assess the quality of reported evaluation studies on IT in health...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2006.11.009
更新日期:2008-01-01 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:OBJECTIVES:A number of studies have been conducted to identify the self-care strategies that are used by persons living with chronic illnesses to manage their symptoms, but little work has been done to identify the primary information source for these self-care strategies. METHODS:We conducted an anonymous online surv...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.12.002
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Lifestyle changes and the adoption of healthy behaviours are well established recommendations for the management of hypertension-a risk factor for cardiovascular and kidney disease. Mobile health interventions offer unique advantages and novel approaches to helping individuals make and maintain such behaviou...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2018.08.002
更新日期:2018-11-01 00:00:00
abstract::The present computer system is the first of its kind based on problem-oriented medical record (POMR) design developed and operated in a hospital in Hong Kong. It went live in May 1996 with two workstations installed in the medical record office (MRO). Doctors have no direct access to it. They dictate medical notes on ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(99)00019-2
更新日期:1999-07-01 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:PURPOSE:Home-polysomnography (HPSG) has been proposed as a cost-effective alternative for obstructive sleep apnea (OSA) diagnosis. We assessed, in a feasibility study, whether telematic transmission using the Dream® and Sleepbox® technologies was associated with low HPSG failure rate. METHODS:Patients referred by ches...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2013.02.008
更新日期:2013-08-01 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:OBJECTIVE:To develop and characterize a large, representative sample of guideline recommendations that can be used to better understand how current recommendations are written and to test the adequacy of guideline models. We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC). METHOD:To develop the...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.11.001
更新日期:2009-05-01 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:INTRODUCTION:The nursing care plan plays an essential role in supporting care provision in Australian aged care. The implementation of electronic systems in aged care homes was anticipated to improve documentation quality. Standardized nursing terminologies, developed to improve communication and advance the nursing pr...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2015.04.004
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:Efforts in the domain of mobile health, or mHealth, have been criticized for the unfettered proliferation of pilots and a lack of a rigorous evidence base to support these strategies. In this letter, we present the response of a group of researchers in the mHealth community to the recent calls for evidence is...
journal_title:International journal of medical informatics
pub_type: 信件
doi:10.1016/j.ijmedinf.2012.11.016
更新日期:2013-05-01 00:00:00
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
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION:Many hospitals are increasing their efforts to improve processes because processes play an important role in enhancing work efficiency and reducing costs. However, to date, a quantitative tool has not been available to examine the before and after effects of processes and environmental changes, other than ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2015.12.018
更新日期:2016-04-01 00:00:00
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
更新日期:2004-03-31 00:00:00
abstract::Telemedicine systems have been considered as a necessary measure to alleviate the shortfall in skilled medical specialists in developing countries. However, the obvious challenge is whether clinicians are willing to use this technological innovation, which has aided medical practice globally. One factor which has rece...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.05.008
更新日期:2017-08-01 00:00:00
abstract:UNLABELLED:The paper provides detailed descriptions of general practitioners (GPs') interactions, both with their computers and their patients, with the aim of facilitating the detailed understanding of how GPs use their computers while in consultation with patients. The focus is on the coordinated activities of the do...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2005.04.002
更新日期:2005-07-01 00:00:00
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
更新日期:2007-06-01 00:00:00
abstract::To date there have been fewer than a dozen studies on the nature of, and contributory factors in, critical incidents (CI) in anaesthesia. The first of these, by Cooper and colleagues, showed that the vast majority of their CI involved human error [1]. Most recently, the on-going Australian Incident Monitoring Study (A...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(97)00087-7
更新日期:1997-11-01 00:00:00
abstract:CONTEXT:Data mining (DM) provides the methodology and technology needed to transform huge amounts of data into useful information for decision making. It is a powerful process employed to extract knowledge and discover new patterns embedded in large data sets. Data mining has been increasingly used in medicine, particu...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2016.09.005
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:To develop a powerful archetype editing framework capable of handling multiple reference models and oriented towards the semantic description and standardization of legacy data. METHODS:The main prerequisite for implementing tools providing enhanced support for archetypes is the clear specification of archetyp...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2009.03.006
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:This study reviewed the competency and threshold standards for allied health professionals to identify the inclusion of digital health competencies. MATERIALS AND METHODS:A nine-stage, sequential meta-synthesis of professional standards was undertaken. Statements relevant to digital health were extracted, ca...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2020.104296
更新日期:2020-12-01 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