当前位置： SCI文献检索 > BMC Medical Informatics and Decision Making期刊下所有文献 > The impact of health information technologies on quality improvement methodologies' efficiency, throughput and financial outcomes: a retrospective observational study.

The impact of health information technologies on quality improvement methodologies' efficiency, throughput and financial outcomes: a retrospective observational study.

Abstract：

BACKGROUND:To evaluate whether or not the utilization of Health Information Technologies (HITs) in Quality Improvement Methodologies (QIMs) has impacts on QIMs' efficiency, throughput and financial outcomes at healthcare organizations and physician practices in the United States. METHODS:This is a retrospective observational study that was conducted between the years of 2014 and 2015 and relied on two data sources: the Dorenfest Institute dataset and the Healthcare Information and Management Systems Society (HIMSS) Analytics data source. In addition, questionnaires were submitted to collect data about how healthcare settings in the United States had been utilizing QIMs in the last 10 years. The submitted questionnaire invitations yielded 144 responses from 134 hospitals and 10 physician practices. Descriptive statistics were used to assess the condition of the data. This involved the utilization of Box-Whisker plots to visualize the data shape, outliers and variation. The Gamma correlation analysis method was used to evaluate the statistical relationships between the QIM outcomes, efficiency, throughput and financial outcomes, and the employment of HIT systems in QIMs. RESULTS:The study found that 99.3% of the healthcare organizations and physician practices had implemented at least one QIM over the last 10 years. In the QIM implementations, the total numbers of reported utilization instances of manual data collection, electronic health records, lab information systems, pharmacy information systems, computerized provider order entry and radiology information systems were 387, 352, 205, 185, 180 and 158, respectively. Based on a 95% confidence limit, the Gamma statistical test has shown an inverse correlation between the exclusive utilization of manual data collection and the overall QIM efficiency (p = 0.047, Gamma = -0.388) and throughput (p = 0.012, Gamma = -0.593) outcomes. However, the overall QIM financial outcomes were found to have a statistically insignificant correlation (p = 0.159). CONCLUSIONS:The study has revealed statistically significant negative impacts on QIMs' efficiency and throughput outcomes when the manual data collection is the sole method used in QIM implementations. This also indicates a positive correlation between the QIMs' efficiency and throughput outcomes and the HIT utilization in QIMs.

journal_name

BMC Med Inform Decis Mak

journal_title

BMC medical informatics and decision making

authors

AlHazme RH,Haque SS,Wiggin H,Rana AM

doi

10.1186/s12911-016-0395-z

subject

Has Abstract

pub_date

2016-12-05 00:00:00

pages

154

issue

1

issn

1472-6947

pii

10.1186/s12911-016-0395-z

journal_volume

16

pub_type

杂志文章

相关文献

BMC Medical Informatics and Decision Making文献大全
  • Data-driven approach for creating synthetic electronic medical records.

    abstract：BACKGROUND:New algorithms for disease outbreak detection are being developed to take advantage of full electronic medical records (EMRs) that contain a wealth of patient information. However, due to privacy concerns, even anonymized EMRs cannot be shared among researchers, resulting in great difficulty in comparing the...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-10-59

    authors： Buczak AL,Babin S,Moniz L

    更新日期：2010-10-14 00:00:00

  • Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.

    abstract：BACKGROUND:Shared decision-making (SDM) is considered a key component of high quality cancer care and may be supported by patient decision aids (PtDAs). Many patients, however, face multiple social disadvantages that may influence their ability to fully participate in SDM or to use PtDAs; additionally, these social dis...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-016-0303-6

    authors： Enard KR,Dolan Mullen P,Kamath GR,Dixon NM,Volk RJ

    更新日期：2016-06-06 00:00:00

  • In-silico interaction-resolution pathway activity quantification and application to identifying cancer subtypes.

    abstract：BACKGROUND:Identifying subtypes of complex diseases such as cancer is the very first step toward developing highly customized therapeutics on such diseases, as their origins significantly vary even with similar physiological characteristics. There have been many studies to recognize subtypes of various cancer based on ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-016-0295-2

    authors： Jung S

    更新日期：2016-07-18 00:00:00

  • Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes project.

    abstract：BACKGROUND:Providers and policymakers are pursuing strategies to increase patient engagement in health care. Increasingly, online sections of medical records are viewable by patients though seldom are clinicians' visit notes included. We designed a one-year multi-site trial of online patient accessible office visit not...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-12-32

    authors： Leveille SG,Walker J,Ralston JD,Ross SE,Elmore JG,Delbanco T

    更新日期：2012-04-13 00:00:00

  • Novel methodology to measure pre-procedure antimicrobial prophylaxis: integrating text searches with structured data from the Veterans Health Administration's electronic medical record.

    abstract：BACKGROUND:Antimicrobial prophylaxis is an evidence-proven strategy for reducing procedure-related infections; however, measuring this key quality metric typically requires manual review, due to the way antimicrobial prophylaxis is documented in the electronic medical record (EMR). Our objective was to electronically m...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-020-1031-5

    authors： Mull HJ,Stolzmann K,Kalver E,Shin MH,Schweizer ML,Asundi A,Mehta P,Stanislawski M,Branch-Elliman W

    更新日期：2020-01-30 00:00:00

  • A cohort study of a tailored web intervention for preconception care.

    abstract：BACKGROUND:Preconception care may be an efficacious tool to reduce risk factors for adverse pregnancy outcomes that are associated with lifestyles and health status before pregnancy. We conducted a web-based cohort study in Italian women planning a pregnancy to assess whether a tailored web intervention may change know...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-14-33

    authors： Agricola E,Pandolfi E,Gonfiantini MV,Gesualdo F,Romano M,Carloni E,Mastroiacovo P,Tozzi AE

    更新日期：2014-04-15 00:00:00

  • Assessing measures of comorbidity and functional status for risk adjustment to compare hospital performance for colorectal cancer surgery: a retrospective data-linkage study.

    abstract：BACKGROUND:Comparing outcomes between hospitals requires consideration of patient factors that could account for any observed differences. Adjusting for comorbid conditions is common when studying outcomes following cancer surgery, and a commonly used measure is the Charlson comorbidity index. Other measures of patient...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-015-0175-1

    authors： Dobbins TA,Badgery-Parker T,Currow DC,Young JM

    更新日期：2015-07-15 00:00:00

  • Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts.

    abstract：BACKGROUND:A large body of work in the clinical guidelines field has identified requirements for guideline systems, but there are formidable challenges in translating such requirements into production-quality systems that can be used in routine patient care. Detailed analysis of requirements from an implementation pers...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-12-16

    authors： Shah H,Allard RD,Enberg R,Krishnan G,Williams P,Nadkarni PM

    更新日期：2012-03-09 00:00:00

  • Stratification of coronary artery disease patients for revascularization procedure based on estimating adverse effects.

    abstract：BACKGROUND:Percutaneous coronary intervention (PCI) is the most commonly performed treatment for coronary atherosclerosis. It is associated with a higher incidence of repeat revascularization procedures compared to coronary artery bypass grafting surgery. Recent results indicate that PCI is only cost-effective for a su...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-015-0131-0

    authors： Pölsterl S,Singh M,Katouzian A,Navab N,Kastrati A,Ladic L,Kamen A

    更新日期：2015-02-14 00:00:00

  • The development of a web- and a print-based decision aid for prostate cancer screening.

    abstract：BACKGROUND:Whether early detection and treatment of prostate cancer (PCa) will reduce disease-related mortality remains uncertain. As a result, tools are needed to facilitate informed decision making. While there have been several decision aids (DAs) developed and tested, very few have included an exercise to help men ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1472-6947-10-12

    authors： Dorfman CS,Williams RM,Kassan EC,Red SN,Dawson DL,Tuong W,Parker ER,Ohene-Frempong J,Davis KM,Krist AH,Woolf SH,Schwartz MD,Fishman MB,Cole C,Taylor KL

    更新日期：2010-03-03 00:00:00

  • Use of online knowledge base in primary health care and correlation to health care quality: an observational study.

    abstract：BACKGROUND:Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-020-01313-9

    authors： Gerdesköld C,Toth-Pal E,Wårdh I,Nilsson GH,Nager A

    更新日期：2020-11-16 00:00:00

  • Real-time automatic hospital-wide surveillance of nosocomial infections and outbreaks in a large Chinese tertiary hospital.

    abstract：BACKGROUND:We aimed to develop a real-time nosocomial infection surveillance system (RT-NISS) to monitor all nosocomial infections (NIs) and outbreaks in a Chinese comprehensive hospital to better prevent and control NIs. METHODS:The screening algorithm used in RT-NISS included microbiological reports, antibiotic usag...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-14-9

    authors： Du M,Xing Y,Suo J,Liu B,Jia N,Huo R,Chen C,Liu Y

    更新日期：2014-01-29 00:00:00

  • Models predicting the growth response to growth hormone treatment in short children independent of GH status, birth size and gestational age.

    abstract：BACKGROUND:Mathematical models can be used to predict individual growth responses to growth hormone (GH) therapy. The aim of this study was to construct and validate high-precision models to predict the growth response to GH treatment of short children, independent of their GH status, birth size and gestational age. As...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-7-40

    authors： Dahlgren J,Kriström B,Niklasson A,Nierop AF,Rosberg S,Albertsson-Wikland K

    更新日期：2007-12-12 00:00:00

  • Scoping review of toolkits as a knowledge translation strategy in health.

    abstract：BACKGROUND:Significant resources are invested in the production of research knowledge with the ultimate objective of integrating research evidence into practice. Toolkits are becoming increasingly popular as a knowledge translation (KT) strategy for disseminating health information, to build awareness, inform, and chan...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章,评审

    doi：10.1186/s12911-014-0121-7

    authors： Barac R,Stein S,Bruce B,Barwick M

    更新日期：2014-12-24 00:00:00

  • Psychometric assessment and behavioral experiments using a free virtual reality platform and computational science.

    abstract：BACKGROUND:Virtual Reality has been extensively used in a wide range of psychological experiments. In this study, we aimed to introduce NeuroVirtual 3D, a platform that clinicians could use free of charge. IMPLEMENTATION:The platform we developed relies on NeuroVR software, but we extended it to apply to experiments. ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-016-0276-5

    authors： Cipresso P,Serino S,Riva G

    更新日期：2016-03-19 00:00:00

  • Legal assessment tool (LAT): an interactive tool to address privacy and data protection issues for data sharing.

    abstract：BACKGROUND:In an unprecedented rate data in the life sciences is generated and stored in many different databases. An ever increasing part of this data is human health data and therefore falls under data protected by legal regulations. As part of the BioMedBridges project, which created infrastructures that connect mor...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-016-0325-0

    authors： Kuchinke W,Krauth C,Bergmann R,Karakoyun T,Woollard A,Schluender I,Braasch B,Eckert M,Ohmann C

    更新日期：2016-07-07 00:00:00

  • What information is used in treatment decision aids? A systematic review of the types of evidence populating health decision aids.

    abstract：BACKGROUND:Patient decision aids (DAs) are support tools designed to provide patients with relevant information to help them make informed decisions about their healthcare. While DAs can be effective in improving patient knowledge and decision quality, it is unknown what types of information and evidence are used to po...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章,评审

    doi：10.1186/s12911-017-0415-7

    authors： Clifford AM,Ryan J,Walsh C,McCurtin A

    更新日期：2017-02-23 00:00:00

  • Health numeracy in Japan: measures of basic numeracy account for framing bias in a highly numerate population.

    abstract：BACKGROUND:Health numeracy is an important factor in how well people make decisions based on medical risk information. However, in many countries, including Japan, numeracy studies have been limited. METHODS:To fill this gap, we evaluated health numeracy levels in a sample of Japanese adults by translating two well-kn...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-12-104

    authors： Okamoto M,Kyutoku Y,Sawada M,Clowney L,Watanabe E,Dan I,Kawamoto K

    更新日期：2012-09-11 00:00:00

  • Recent advances in Swedish and Spanish medical entity recognition in clinical texts using deep neural approaches.

    abstract：BACKGROUND:Text mining and natural language processing of clinical text, such as notes from electronic health records, requires specific consideration of the specialized characteristics of these texts. Deep learning methods could potentially mitigate domain specific challenges such as limited access to in-domain tools ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-019-0981-y

    authors： Weegar R,Pérez A,Casillas A,Oronoz M

    更新日期：2019-12-23 00:00:00

  • EURISWEB--Web-based epidemiological surveillance of antibiotic-resistant pneumococci in day care centers.

    abstract：BACKGROUND:EURIS (European Resistance Intervention Study) was launched as a multinational study in September of 2000 to identify the multitude of complex risk factors that contribute to the high carriage rate of drug resistant Streptococcus pneumoniae strains in children attending Day Care Centers in several European c...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-3-9

    authors： Silva S,Gouveia-Oliveira R,Maretzek A,Carriço J,Gudnason T,Kristinsson KG,Ekdahl K,Brito-Avô A,Tomasz A,Sanches IS,de Lencastre H,Almeida J

    更新日期：2003-07-08 00:00:00

  • Optimal sequence of tests for the mediastinal staging of non-small cell lung cancer.

    abstract：BACKGROUND:Non-small cell lung cancer (NSCLC) is the most prevalent type of lung cancer and the most difficult to predict. When there are no distant metastases, the optimal therapy depends mainly on whether there are malignant lymph nodes in the mediastinum. Given the vigorous debate among specialists about which tests...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-016-0246-y

    authors： Luque M,Díez FJ,Disdier C

    更新日期：2016-01-26 00:00:00

  • Assessing accuracy of an electronic provincial medication repository.

    abstract：BACKGROUND:Jurisdictional drug information systems are being implemented in many regions around the world. British Columbia, Canada has had a provincial medication dispensing record, PharmaNet, system since 1995. Little is known about how accurately PharmaNet reflects actual medication usage. METHODS:This prospective,...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章,多中心研究

    doi：10.1186/1472-6947-12-42

    authors： Price M,Bowen M,Lau F,Kitson N,Bardal S

    更新日期：2012-05-23 00:00:00

  • Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa.

    abstract：BACKGROUND:Mobile phone technology has demonstrated the potential to improve health service delivery, but there is little guidance to inform decisions about acquiring and implementing mHealth technology at scale in health systems. Using the case of community-based health services (CBS) in South Africa, we apply a frame...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-12-123

    authors： Leon N,Schneider H,Daviaud E

    更新日期：2012-11-05 00:00:00

  • Atrial fibrillation classification based on convolutional neural networks.

    abstract：BACKGROUND:The global age-adjusted mortality rate related to atrial fibrillation (AF) registered a rapid growth in the last four decades, i.e., from 0.8 to 1.6 and 0.9 to 1.7 per 100,000 for men and women during 1990-2010, respectively. In this context, this study uses convolutional neural networks for classifying (dia...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-019-0946-1

    authors： Lee KS,Jung S,Gil Y,Son HS

    更新日期：2019-10-29 00:00:00

  • Automated extraction of Biomarker information from pathology reports.

    abstract：BACKGROUND:Pathology reports are written in free-text form, which precludes efficient data gathering. We aimed to overcome this limitation and design an automated system for extracting biomarker profiles from accumulated pathology reports. METHODS:We designed a new data model for representing biomarker knowledge. The ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-018-0609-7

    authors： Lee J,Song HJ,Yoon E,Park SB,Park SH,Seo JW,Park P,Choi J

    更新日期：2018-05-21 00:00:00

  • Algorithms for optimizing drug therapy.

    abstract：BACKGROUND:Drug therapy has become increasingly efficient, with more drugs available for treatment of an ever-growing number of conditions. Yet, drug use is reported to be sub optimal in several aspects, such as dosage, patient's adherence and outcome of therapy. The aim of the current study was to investigate the poss...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-4-10

    authors： Wanger P,Martin L

    更新日期：2004-07-20 00:00:00

  • Web-browser encryption of personal health information.

    abstract：BACKGROUND:Electronic health records provide access to an unprecedented amount of clinical data for research that can accelerate the development of effective medical practices. However it is important to protect patient confidentiality, as many medical conditions are stigmatized and disclosure could result in personal ...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-11-70

    authors： Morse RE,Nadkarni P,Schoenfeld DA,Finkelstein DM

    更新日期：2011-11-10 00:00:00

  • The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients.

    abstract：BACKGROUND:Personal health records (PHRs) provide patients with access to personal health information (PHI) and targeted education. The use of PHRs has the potential to improve a wide range of outcomes, including empowering patients to be more active participants in their care. There are a number of widespread barriers...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-10-46

    authors： Wiljer D,Leonard KJ,Urowitz S,Apatu E,Massey C,Quartey NK,Catton P

    更新日期：2010-09-01 00:00:00

  • The challenges of emerging HISs in bridging the communication gaps among physicians and nurses in China: an interview study.

    abstract：BACKGROUND:To explore the current situation, existing problems and possible causes of said problems with regards to physician-nurse communication under an environment of increasingly widespread usage of Hospital Information Systems and to seek out new potential strategies in information technology to improve physician-...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/s12911-017-0473-x

    authors： Wen D,Zhang X,Wan J,Fu J,Lei J

    更新日期：2017-06-12 00:00:00

  • Visibility of medical informatics regarding bibliometric indices and databases.

    abstract：BACKGROUND:The quantitative study of the publication output (bibliometrics) deeply influences how scientific work is perceived (bibliometric visibility). Recently, new bibliometric indices and databases have been established, which may change the visibility of disciplines, institutions and individuals. This study exami...

    journal_title：BMC medical informatics and decision making

    pub_type： 杂志文章

    doi：10.1186/1472-6947-11-24

    authors： Spreckelsen C,Deserno TM,Spitzer K

    更新日期：2011-04-15 00:00:00