Abstract：
:Tricyclic antidepressants are known as potentially inappropriate medications in the elderly. A notification issued in July 2015 in South Korea recommended caution while prescribing tricyclic antidepressants to the elderly. Further, since October 2015, the nationwide computerized drug utilization review monitoring system provides a pop-up window, on a real-time basis, whenever tricyclic antidepressants are prescribed to elderly outpatients. Therefore, we evaluated whether providing drug utilization review information was effective in reducing tricyclic antidepressant prescription to elderly outpatients. We used the Health Insurance Review and Assessment Service-Adult Patient Sample data from 2014 to 2016. Data related to the prescription of tricyclic antidepressants to outpatients aged 65 years or more were extracted. We determined the number of prescriptions per day per 100,000 elderly patients in each month, compared the average number of prescriptions before and after the drug utilization review information was provided, and evaluated the changes in the number of prescriptions by using an interrupted time series analysis. The average number of tricyclic antidepressant prescriptions per day per 100,000 elderly patients decreased from 76.6 (75.5 to 77.6) to 65.7 (64.5 to 66.9), a 14.2% reduction after the provision of drug utilization review information started. Following initiation of provision of drug utilization review information, there was an immediate drop of 9.2 tricyclic antidepressant prescriptions per day per 100,000 elderly patients, whereas there was no statistically significant change in trends. Providing the drug utilization review information on tricyclic antidepressant prescription for the elderly contributed to the reduction in tricyclic antidepressant prescriptions.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Park MJ,Kim MH,Shin SM,Chung SYdoi
10.1007/s10916-018-1061-zsubject
Has Abstractpub_date
2018-09-13 00:00:00pages
198issue
10eissn
0148-5598issn
1573-689Xpii
10.1007/s10916-018-1061-zjournal_volume
42pub_type
杂志文章abstract：:The characteristics of disaster management are outlined. Planning for the efficient management of a disaster is described. The level of preparedness for disasters can be increased using simulation models in conjunction with drills. With the simulation model, "what-if" analyses are performed to predict the consequences...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1020521909778
更新日期：1998-10-01 00:00:00
abstract：:The goals of occupational health information and surveillance systems are outlined together with the components required to achieve these objectives. The various input sources (different divisions within the concerned organization) are identified and major types of output reports of the system are described. These gen...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：
更新日期：1984-12-01 00:00:00
abstract：:Hospitals and other health-care providers today are being pressed more than ever to use technologies for reducing medical errors. Particularly, medication errors are likely to increase fast as Americans age. This paper intends to provide a starting point for understanding information technologies and database systems ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1025937916203
更新日期：2003-12-01 00:00:00
abstract：STUDY OBJECTIVE:To study the relationship between a trauma center per diem charges and medicare DRG reimbursement. DESIGN:Retrospective comparison of charges ($630/day, $1500/ICU day) and hypothetical DRG reimbursement using medical records ICD-9 N and P codes and version 5.0 of grouper. SETTING:An urban level I trau...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02257265
更新日期：1995-08-01 00:00:00
abstract：:Last few decades have witnessed boom in the development of information and communication technologies. Health-sector has also been benefitted with this advancement. To ensure secure access to healthcare services some user authentication mechanisms have been proposed. In 2012, Wei et al. proposed a user authentication ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-013-9954-3
更新日期：2013-08-01 00:00:00
abstract：:In healthcare organizations, clinical workflows are executed by interdisciplinary healthcare teams (IHTs) that operate in ways that are difficult to manage. Responding to a need to support such teams, we designed and developed the MET4 multi-agent system that allows IHTs to manage patients according to presentation-sp...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0375-3
更新日期：2016-02-01 00:00:00
abstract：:Searchable encryption is an important cryptographic primitive that enables privacy-preserving keyword search on encrypted electronic medical records (EMRs) in cloud storage. Efficiency of such searchable encryption in a medical cloud storage system is very crucial as it involves client platforms such as smartphones or...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0178-y
更新日期：2015-02-01 00:00:00
abstract：:We studied the survival rates and the prognostic variables that corresponded to death during hospitalization in 312 AIDS CDC group IV patients in São Paulo. Discriminant analysis proved to be a good tool to perform the exploratory data analysis that guided the survival analysis groups. It selected nine variables that ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996941
更新日期：1993-08-01 00:00:00
abstract：:Three-dimensional post-processing operations on the volume data generated by a series of CT or MR images had important significance on image reading and diagnosis. As a part of the DIOCM standard, WADO service defined how to access DICOM objects on the Web, but it didn't involve three-dimensional post-processing opera...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0196-4
更新日期：2015-02-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00995672
更新日期：1989-12-01 00:00:00
abstract：:An increase in aging population and the consequent chronic diseases pose not only serious effects to the economy but also a heavy burden to the medical system. Wireless body area networks (WBANs) provide a simple and low-cost strategy for health monitoring and telemedicine of the elderly. Many authentication schemes b...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-018-1129-9
更新日期：2018-12-18 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0894-9
更新日期：2018-02-19 00:00:00
abstract：:This paper presents automatic detection and localization of myocardial infarction (MI) using K-nearest neighbor (KNN) classifier. Time domain features of each beat in the ECG signal such as T wave amplitude, Q wave and ST level deviation, which are indicative of MI, are extracted from 12 leads ECG. Detection of MI aim...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9474-3
更新日期：2012-02-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9904-5
更新日期：2013-04-01 00:00:00
abstract：:The healthcare industry is streamlining processes to offer more timely and effective services to all patients. Computerized software algorithm and smart devices can streamline the relation between users and doctors by providing more services inside the healthcare telemonitoring systems. This paper proposes a multi-sou...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0103-4
更新日期：2014-09-01 00:00:00
abstract：:Kyasanur Forest Disease (KFD) is a life-threatening tick-borne viral infectious disease endemic to South Asia and has been taking so many lives every year in the past decade. But recently, this disease has been witnessed in other regions to a large extent and can become an epidemic very soon. In this paper, a new fog ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1041-3
更新日期：2018-09-01 00:00:00
abstract：:Worker health centers and health zones provide occupational healthcare services to workers in underserved areas of industrial health. Health zones cannot counsel workers on occupational disease prevention; worker health center personnel have to provide such services through in-person visits. Video teleconsultation can...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01664-w
更新日期：2020-10-01 00:00:00
abstract：:Due to lack of a central bureaucrat in mobile ad hoc networks, the security of the network becomes serious issue. During malicious attacks, according to the motivation of intruder the severity of the threat varies. It may lead to loss of data, energy or throughput. This paper proposes a lightweight Intruder Node Detec...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1309-2
更新日期：2019-05-10 00:00:00
abstract：:Attention to the quality of information in design of a medical information system is fundamental to the success of that system. This point is made using WWI and WWII combat casualty statistics. While the analyses presented are legitimate, serious problems of interpretation arise from the operational definitions used i...
journal_title：Journal of medical systems
pub_type： 历史文章,杂志文章
doi：10.1007/BF00995741
更新日期：1983-10-01 00:00:00
abstract：:Analyze the utility of a mobile health app named HeartKeeper in several groups of population and obtain conclusions to be applied to other similar apps. A questionnaire has been designed to evaluate the usage and utility of the HeartKeeper app. The questionnaire information was collected by collaborating cardiologists...
journal_title：Journal of medical systems
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doi：10.1007/s10916-016-0531-4
更新日期：2016-08-01 00:00:00
abstract：:Due to insufficient samples, the generalization performance of deep network is insufficient. In order to solve this problem, an improved U-net based image automatic segmentation and diagnosis algorithm was proposed, in which the max-pooling operation in original U-net model was replaced by the convolution operation to...
journal_title：Journal of medical systems
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更新日期：2019-08-12 00:00:00
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journal_title：Journal of medical systems
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doi：10.1007/s10916-010-9434-y
更新日期：2011-12-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9152-x
更新日期：2008-12-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：1994-06-01 00:00:00
abstract：:The Department of Defense has been engaged in the Defense Modeling and Simulation Initiative (DMSI) to provide advanced distributed simulation warfighters in geographically distributed localities. Lessons learned from the Defense Simulation Internet (DSI) concerning architecture, standards, protocols, interoperability...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02257175
更新日期：1995-06-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS:We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospit...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0274-7
更新日期：2015-09-01 00:00:00
abstract：:Health care in the United States is rarely delivered in a coordinated manner. Current methods to share patient information are inefficient and may lead to medical errors, higher readmission rates, and delays in the delivery of needed health services. This qualitative study describes lessons learned concerning the earl...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9557-1
更新日期：2012-04-01 00:00:00
abstract：:The objective of this research is to provide an ophthalmologist with a helpful system, capable of classifying a degree of patients' retinal hemorrhage. The system is composed of four modules: (a) data acquisition module, (b) image Database module, (c) image processing module, (d) image classification module. The syste...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1022695215066
更新日期：1998-06-01 00:00:00
abstract：:Although theoretical studies on Anesthesia Information Management Systems (AIMS) have proved their benefits, much less attention has been paid to researching the actual adoption of AIMS. Only a few studies from the USA and Western Europe have been published up to now. The purpose of this article is to assess the adopt...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-1545-5
更新日期：2020-02-19 00:00:00
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journal_title：Journal of medical systems
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doi：10.1007/s10916-017-0723-6
更新日期：2017-05-01 00:00:00
