abstract：OBJECTIVE:More than 70% of hospitals in the United States have electronic health records (EHRs). Clinical decision support (CDS) presents clinicians with electronic alerts during the course of patient care; however, alert fatigue can influence a provider's response to any EHR alert. The primary goal was to evaluate the...

journal_title：Applied clinical informatics

authors： Dexheimer JW,Kirkendall ES,Kouril M,Hagedorn PA,Minich T,Duan LL,Mahdi M,Szczesniak R,Spooner SA

更新日期：2017-05-10 00:00:00

abstract：BACKGROUND:Code status (CS) of a patient (part of their end-of-life wishes) can be critical information in healthcare delivery, which can change over time, especially at transitions of care. Although electronic health record (EHR) tools exist for medication reconciliation across transitions of care, much less attention...

journal_title：Applied clinical informatics

authors： Jain VG,Greco PJ,Kaelber DC

更新日期：2017-03-08 00:00:00

abstract：BACKGROUND:As healthcare moves towards technology-driven population health management, clinicians must adopt complex digital platforms to access health information and document care. OBJECTIVES:This study explored information literacy, a set of skills required to effectively navigate population health information syst...

journal_title：Applied clinical informatics

authors： Dixon BE,Barboza K,Jensen AE,Bennett KJ,Sherman SE,Schwartz MD

更新日期：2017-02-15 00:00:00

abstract：BACKGROUND:The 2013 American College of Cardiology / American Heart Association Guidelines for the Treatment of Blood Cholesterol emphasize treatment based on cardiovascular risk. But finding time in a primary care visit to manually calculate cardiovascular risk and prescribe treatment based on risk is challenging. We ...

journal_title：Applied clinical informatics

authors： Scheitel MR,Kessler ME,Shellum JL,Peters SG,Milliner DS,Liu H,Komandur Elayavilli R,Poterack KA,Miksch TA,Boysen J,Hankey RA,Chaudhry R

更新日期：2017-02-08 00:00:00

abstract：BACKGROUND:Although obesity is a growing problem, primary care physicians often inadequately address it. The objective of this study is to examine the prevalence of obesity documentation in the patient's problem list for patients with eligible body mass indexes (BMI) as contained in the patients' electronic medical rec...

journal_title：Applied clinical informatics

authors： Mattar A,Carlston D,Sariol G,Yu T,Almustafa A,Melton GB,Ahmed A

更新日期：2017-01-25 00:00:00

abstract：OBJECTIVES:To understand and build a collective vision of all existing institutions in the Portuguese National Health Service as well as to perceive how and how far the interaction between those multiple institutions is supported by Information Systems (IS). METHODS:Upon identification of the institutions involved in ...

journal_title：Applied clinical informatics

authors： Pinto E,Brito AC,Cruz-Correia RJ

更新日期：2016-12-21 00:00:00

abstract：BACKGROUND:Important information to support healthcare quality improvement is often recorded in free text documents such as radiology reports. Natural language processing (NLP) methods may help extract this information, but these methods have rarely been applied outside the research laboratories where they were develop...

journal_title：Applied clinical informatics

authors： Grundmeier RW,Masino AJ,Casper TC,Dean JM,Bell J,Enriquez R,Deakyne S,Chamberlain JM,Alpern ER,Pediatric Emergency Care Applied Research Network.

更新日期：2016-11-09 00:00:00

abstract：BACKGROUND:A structured report for imaging exams aims at increasing the precision in information retrieval and communication between physicians. However, it is more concise than free text and may limit specialists' descriptions of important findings not covered by pre-defined structures. A computational ontological str...

journal_title：Applied clinical informatics

authors： Barbosa F,Traina AJ,Muglia VF

更新日期：2016-08-24 00:00:00

abstract：BACKGROUND:Electronic health records (EHRs) have potential to facilitate reliable communication and follow-up of test results. However, limitations in EHR functionality remain, leading practitioners to use workarounds while managing test results. Workarounds can lead to patient safety concerns and signify indications a...

journal_title：Applied clinical informatics

authors： Menon S,Murphy DR,Singh H,Meyer AN,Sittig DF

更新日期：2016-06-22 00:00:00

abstract：OBJECTIVES:Transitions in patient care pose an increased risk to patient safety. One way to reduce this risk is to ensure accurate medication reconciliation during the transition. Here we present an evaluation of an electronic medication reconciliation module we developed to reduce the transition risk in patients refer...

journal_title：Applied clinical informatics

authors： Kramer HS,Gibson B,Livnat Y,Thraen I,Brody AA,Rupper R

更新日期：2016-05-25 00:00:00

abstract：BACKGROUND:Accurate prediction of future patient census in hospital units is essential for patient safety, health outcomes, and resource planning. Forecasting census in the Neonatal Intensive Care Unit (NICU) is particularly challenging due to limited ability to control the census and clinical trajectories. The fixed a...

journal_title：Applied clinical informatics

authors： Capan M,Hoover S,Jackson EV,Paul D,Locke R

更新日期：2016-05-04 00:00:00

abstract：OBJECTIVES:Discharging patients from the Neonatal Intensive Care Unit (NICU) can be delayed for non-medical reasons including the procurement of home medical equipment, parental education, and the need for children's services. We previously created a model to identify patients that will be medically ready for discharge...

journal_title：Applied clinical informatics

authors： Temple MW,Lehmann CU,Fabbri D

更新日期：2016-02-24 00:00:00

abstract：BACKGROUND:Preoperative assessments are a required and essential element of anesthetic care, yet little is known about the utilization of these documents by clinicians who are not part of the anesthesia care team. As part of perioperative workflow restructuring, we implemented a data visualization technique of electron...

journal_title：Applied clinical informatics

authors： Wanderer JP,Gruss CL,Ehrenfeld JM

更新日期：2015-10-21 00:00:00

abstract：OBJECTIVES:The authors investigated the impact of computerized provider order entry (CPOE) on the delivery times of analgesia and subsequent patient outcomes. We hypothesized that patients would report less pain and use less pain medications compared with the previous paper-based system. METHODS:Two groups of patients...

journal_title：Applied clinical informatics

authors： Urban MK,Chiu T,Wolfe S,Magid S

更新日期：2015-09-23 00:00:00

abstract：OBJECTIVES:To assess the impact of introducing a new Picture Archiving and Communication System (PACS) and Radiology Information System (RIS) on: (i) Medical Imaging work processes; and (ii) turnaround times (TATs) for x-ray and CT scan orders initiated in the Emergency Department (ED). METHODS:We employed a mixed met...

journal_title：Applied clinical informatics

authors： Georgiou A,Prgomet M,Lymer S,Hordern A,Ridley L,Westbrook J

更新日期：2015-07-08 00:00:00

abstract：UNLABELLED:Nationwide Children's Hospital established an i2b2 (Informatics for Integrating Biology & the Bedside) application for sleep disorder cohort identification. Discrete data were gleaned from semistructured sleep study reports. The system showed to work more efficiently than the traditional manual chart review ...

journal_title：Applied clinical informatics

authors： Chen W,Kowatch R,Lin S,Splaingard M,Huang Y

更新日期：2015-05-27 00:00:00

abstract：BACKGROUND:Routine implementation of instruments to capture patient-reported outcomes could guide clinical practice and facilitate health services research. Audio interviews facilitate self-interviews across literacy levels. OBJECTIVES:To evaluate time burden for patients, and factors associated with response times fo...

journal_title：Applied clinical informatics

authors： Trick WE,Deamant C,Smith J,Garcia D,Angulo F

更新日期：2015-03-18 00:00:00

abstract：:Patient-generated health data are coming into broader use across the health care spectrum and hold great promise as a means to improve care and health outcomes. At the same time, rapid evolution in the social media and mobile health (mHealth) market has promoted an environment in which creation and transmission of per...

journal_title：Applied clinical informatics

authors： Petersen C,DeMuro P

更新日期：2015-01-14 00:00:00

abstract：OBJECTIVES:Various computerized health risk appraisals (HRAs) are available, but few of them assess health-related quality of life (HRQoL) in a goal-directed framework. This study describes the user-centered development and usability testing of an innovative HRQoL module that extends a validated HRA tool in primary car...

journal_title：Applied clinical informatics

authors： Nagykaldi ZJ,Jordan M,Quitoriano J,Ciro CA,Mold JW

更新日期：2014-12-10 00:00:00

abstract：OBJECTIVE:To understand clinician adoption of CDS tools as this may provide important insights for the implementation and dissemination of future CDS tools. MATERIALS AND METHODS:Clinicians (n=168) at a large academic center were randomized into intervention and control arms to assess the impact of strep and pneumonia...

journal_title：Applied clinical informatics

authors： Mann D,Knaus M,McCullagh L,Sofianou A,Rosen L,McGinn T,Kannry J

更新日期：2014-09-17 00:00:00

abstract：BACKGROUND:Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes...

journal_title：Applied clinical informatics

authors： Dhavle AA,Corley ST,Rupp MT,Ruiz J,Smith J,Gill R,Sow M

更新日期：2014-08-06 00:00:00

abstract：OBJECTIVE:The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of human-factor principles when designing alerts for clinical decision support (CDS) systems. This study evaluated the ge...

journal_title：Applied clinical informatics

authors： Cho I,Lee J,Han H,Phansalkar S,Bates DW

更新日期：2014-06-18 00:00:00

abstract：BACKGROUND:Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have...

journal_title：Applied clinical informatics

authors： Sockolow PS,Bowles KH,Adelsberger MC,Chittams JL,Liao C

更新日期：2014-04-30 00:00:00

abstract：OBJECTIVE:Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13-64. Three New York City adult emergency departments implemented an electro...

journal_title：Applied clinical informatics

authors： Schnall R,Liu N,Sperling J,Green R,Clark S,Vawdrey D

更新日期：2014-03-26 00:00:00

abstract：OBJECTIVES:An important challenge for biomedical informatics researchers is determining the best approach for healthcare providers to use when generating clinical notes in settings where electronic health record (EHR) systems are used. The goal of this qualitative study was to explore healthcare providers' and administ...

journal_title：Applied clinical informatics

authors： Ho YX,Gadd CS,Kohorst KL,Rosenbloom ST

更新日期：2014-02-26 00:00:00

abstract：BACKGROUND:Kidney disease is under-documented in physician notes. The use of template-guided notes may improve physician recognition of kidney disease early in training. OBJECTIVE:The objective of this study was to determine whether a computerized inpatient renal template note with clinical decision support improves r...

journal_title：Applied clinical informatics

authors： Shirazian S,Wang R,Moledina D,Liberman V,Zeidan J,Strand D,Mattana J

更新日期：2013-11-13 00:00:00

abstract：BACKGROUND:Asthma exacerbations are one of the most common medical reasons for children to be brought to the hospital emergency department (ED). Various prediction models have been proposed to support diagnosis of exacerbations and evaluation of their severity. OBJECTIVES:First, to evaluate prediction models construct...

journal_title：Applied clinical informatics

authors： Farion KJ,Wilk S,Michalowski W,O'Sullivan D,Sayyad-Shirabad J

更新日期：2013-08-07 00:00:00

abstract：OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

journal_title：Applied clinical informatics

authors： Grinspan ZM,Banerjee S,Kaushal R,Kern LM

更新日期：2013-05-22 00:00:00

abstract：BACKGROUND:We previously demonstrated that a general purpose text mining system, the Vaccine adverse event Text Mining (VaeTM) system, could be used to automatically classify reports of an-aphylaxis for post-marketing safety surveillance of vaccines. OBJECTIVE:To evaluate the ability of VaeTM to classify reports to th...

journal_title：Applied clinical informatics

authors： Botsis T,Woo EJ,Ball R

更新日期：2013-02-27 00:00:00

abstract：OBJECTIVE:To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. METHODS:Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural ...

journal_title：Applied clinical informatics

authors： Fenton SH,Gongora-Ferraez MJ,Joost E

更新日期：2012-12-05 00:00:00

abstract：BACKGROUND:Smartphones are increasingly important for clinical decision support, but smartphone and Internet use are limited by cost or coverage in many settings. txt2MEDLINE provides access to published medical evidence by text messaging. Previous studies have evaluated this approach, but we found no comparisons with ...

journal_title：Applied clinical informatics

authors： Sheets L,Callaghan F,Gavino A,Liu F,Fontelo P

更新日期：2012-09-06 00:00:00

abstract：BACKGROUND:Semantic interoperability between routine healthcare and clinical research is an unsolved issue, as information systems in the healthcare domain still use proprietary and site-specific data models. However, information exchange and data harmonization are essential for physicians and scientists if they want t...

journal_title：Applied clinical informatics

authors： Breil B,Kenneweg J,Fritz F,Bruland P,Doods D,Trinczek B,Dugas M

更新日期：2012-07-11 00:00:00

abstract：OBJECTIVES:Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variance in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variance. We hypothesized that selective redesign of orde...

journal_title：Applied clinical informatics

authors： Jacobs BR,Hart KW,Rucker DW

更新日期：2012-02-08 00:00:00

abstract：OBJECTIVES:Telemonitoring of vital signs is an established option in treatment of patients with chronic heart failure (CHF). In order to allow for early detection of atrial fibrillation (AF) which is highly prevalent in the CHF population telemonitoring programs should include electrocardiogram (ECG) signals. It was th...

journal_title：Applied clinical informatics

authors： Morak J,Kumpusch H,Hayn D,Leitner M,Scherr D,Fruhwald FM,Schreier G

更新日期：2011-11-23 00:00:00

abstract：BACKGROUND:Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information ...

journal_title：Applied clinical informatics

authors： Collins SA,Bakken S,Vawdrey DK,Coiera E,Currie L

更新日期：2011-06-08 00:00:00

abstract：SUMMARY:Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations...

journal_title：Applied clinical informatics

authors： Phansalkar S,Wright A,Kuperman GJ,Vaida AJ,Bobb AM,Jenders RA,Payne TH,Halamka J,Bloomrosen M,Bates DW

更新日期：2011-02-09 00:00:00

abstract：BACKGROUND:Several disease specific registers are operated by members of the 'TMF - Technology, Methods, and Infrastructure for Networked Medical Research', an umbrella organization of research networks in Germany. OBJECTIVE:To describe the coverage and the current state as well as financial and organizational issues ...

journal_title：Applied clinical informatics

authors： Stausberg J,Altmann U,Antony G,Drepper J,Sax U,Schütt A

更新日期：2010-11-24 00:00:00

abstract：OBJECTIVE:1. To conduct a review of the role of informatics in pediatric disaster preparedness using all medical databases. 2. To provide recommendations to improve pediatric disaster preparedness by the application of informatics. METHODS:A literature search was conducted using MEDLINE, CINHL and the Cochrane Library...

journal_title：Applied clinical informatics

authors： Burke RV,Ryutov T,Neches R,Upperman JS

更新日期：2010-08-04 00:00:00

abstract：:Web 2.0 technologies, known as social media, social technologies or Web 2.0, have emerged into the mainstream. As they grow, these new technologies have the opportunity to influence the methods and procedures of many fields. This paper focuses on the clinical implications of the growing Web 2.0 technologies. Five deve...

journal_title：Applied clinical informatics

authors： Spallek H,O'Donnell J,Clayton M,Anderson P,Krueger A

更新日期：2010-04-21 00:00:00