abstract：BACKGROUND: Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most...

journal_title：Applied clinical informatics

authors： Hertzum M

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND: Prediabetes and type 2 diabetes mellitus (T2DM) are one of the major long-term health conditions affecting global healthcare delivery. One of the few effective approaches is to actively manage diabetes via a healthy and active lifestyle. OBJECTIVES: This research is focused on early detection of prediabete...

journal_title：Applied clinical informatics

authors： Baig MM,GholamHosseini H,Gutierrez J,Ullah E,Lindén M

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND: Poor self-management of heart failure (HF) has contributed to poor health outcomes. Sensor-controlled digital games (SCDGs) integrates data from behavior-tracking sensors to trigger progress, rewards, content, and positive feedback in a digital game to motivate real-time behaviors. OBJECTIVES: To assess th...

journal_title：Applied clinical informatics

authors： Radhakrishnan K,Julien C,O'Hair M,Baranowski T,Lee G,Allen C,Sagna A,Thomaz E,Kim M

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Medication dose adjustment is crucial for patients with renal dysfunction (RD). The assessment of renal function is generally mandatory; however, the renal function may change during the hospital stay and the manual assessment is sometimes challenging. OBJECTIVE:We developed the clinical decision support sy...

journal_title：Applied clinical informatics

authors： Wada R,Takeuchi J,Nakamura T,Sonoyama T,Kosaka S,Matsumoto C,Sakuma M,Ohta Y,Morimoto T

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this lead...

journal_title：Applied clinical informatics

authors： Kanungo S,Barr J,Crutchfield P,Fealko C,Soares N

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and o...

journal_title：Applied clinical informatics

authors： Snowdon JL,Robinson B,Staats C,Wolsey K,Sands-Lincoln M,Strasheim T,Brotman D,Keating K,Schnitter E,Jackson G,Kassler W

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Although patients who work and have related health issues are usually first seen in primary care, providers in these settings do not routinely ask questions about work. Guidelines to help manage such patients are rarely used in primary care. Electronic health record (EHR) systems with worker health clinical ...

journal_title：Applied clinical informatics

authors： Ash JS,Chase D,Baron S,Filios MS,Shiffman RN,Marovich S,Wiesen J,Luensman GB

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND: Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize te...

journal_title：Applied clinical informatics

authors： Hron JD,Parsons CR,Williams LA,Harper MB,Bourgeois FC

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:Although diagnostic error (DE) is a significant problem, it remains challenging for clinicians to identify it reliably and to recognize its contribution to the clinical trajectory of their patients. The purpose of this work was to evaluate the reliability of real-time electronic health record (EHR) reviews u...

journal_title：Applied clinical informatics

authors： Soleimani J,Pinevich Y,Barwise AK,Huang C,Dong Y,Herasevich V,Gajic O,Pickering BW

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:Early detection and efficient management of sepsis are important for improving health care quality, effectiveness, and costs. Due to its high cost and prevalence, sepsis is a major focus area across institutions and many studies have emerged over the past years with different models or novel machine learning...

journal_title：Applied clinical informatics

authors： Teng AK,Wilcox AB

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020. OBJECTIVE:Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pa...

journal_title：Applied clinical informatics

authors： Grange ES,Neil EJ,Stoffel M,Singh AP,Tseng E,Resco-Summers K,Fellner BJ,Lynch JB,Mathias PC,Mauritz-Miller K,Sutton PR,Leu MG

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:With the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the ...

journal_title：Applied clinical informatics

authors： El Mikati HK,Yazel-Smith L,Grout RW,Downs SM,Carroll AE,Hannon TS

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:To evaluate informatics-enabled quality improvement (QI) strategies for promoting time spent on face-to-face communication between ophthalmologists and patients. METHODS:This prospective study involved deploying QI strategies during implementation of an enterprise-wide vendor electronic health record (EHR) i...

journal_title：Applied clinical informatics

authors： Baxter SL,Gali HE,Chiang MF,Hribar MR,Ohno-Machado L,El-Kareh R,Huang AE,Chen HE,Camp AS,Kikkawa DO,Korn BS,Lee JE,Longhurst CA,Millen M

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Preventable adverse events continue to be a threat to hospitalized patients. Clinical decision support in the form of dashboards may improve compliance with evidence-based safety practices. However, limited research describes providers' experiences with dashboards integrated into vendor electronic health rec...

journal_title：Applied clinical informatics

authors： Bersani K,Fuller TE,Garabedian P,Espares J,Mlaver E,Businger A,Chang F,Boxer RB,Schnock KO,Rozenblum R,Dykes PC,Dalal AK,Benneyan JC,Lehmann LS,Gershanik EF,Bates DW,Schnipper JL

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Hospitals across the country are investing millions of dollars to adopt new Health Insurance Portability and Accountability Act (HIPAA)-compliant secure text messaging systems. However, in nearly all cases, these implementations are occurring without evaluation of their impact on patient care. OBJECTIVE:To ...

journal_title：Applied clinical informatics

authors： Feinberg J,Shaw S,Kashyap N,Illuzzi J,Campbell K,Hsiao AL,Pettker CM

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:High-quality clinical data and biological specimens are key for medical research and personalized medicine. The Biobanking and Biomolecular Resources Research Infrastructure-European Research Infrastructure Consortium (BBMRI-ERIC) aims to facilitate access to such biological resources. The accompanying ADOPT...

journal_title：Applied clinical informatics

authors： Mate S,Kampf M,Rödle W,Kraus S,Proynova R,Silander K,Ebert L,Lablans M,Schüttler C,Knell C,Eklund N,Hummel M,Holub P,Prokosch HU

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-sta...

journal_title：Applied clinical informatics

authors： Dolan JE,Lonsdale H,Ahumada LM,Patel A,Samuel J,Jalali A,Peck J,DeRosa JC,Rehman M,Varughese AM,Fernandez AM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Electronic prescribing (e-prescribing) technology was introduced as an alternative to handwritten prescriptions allowing health care professionals to send prescriptions directly to pharmacies. While the technology has many advantages, such as improving pharmacy workflow and reducing medication errors, some l...

journal_title：Applied clinical informatics

authors： Hincapie AL,Alamer A,Sears J,Warholak TL,Goins S,Weinstein SD

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:In 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released a revised guideline on statin therapy initiation. The guideline included a 10-year risk calculation based on regression modeling, which made hand calculation infeasible. Compliance to the guideline has been su...

journal_title：Applied clinical informatics

authors： Chang TS,Buchipudi A,Fonarow GC,Pfeffer MA,Singer JS,Cheng EM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Care plan concordance among patients and clinicians during hospitalization is suboptimal. OBJECTIVE:This article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and cl...

journal_title：Applied clinical informatics

authors： Dalal AK,Dykes P,Samal L,McNally K,Mlaver E,Yoon CS,Lipsitz SR,Bates DW

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Medical students may observe and subsequently perpetuate redundancy in clinical documentation, but the degree of redundancy in student notes and whether there is an association with scholastic performance are unknown. OBJECTIVES:This study sought to quantify redundancy, defined generally as the proportion o...

journal_title：Applied clinical informatics

authors： Monahan K,Ye C,Gould E,Xu M,Huang S,Spickard A 3rd,Rosenbloom ST,Coco J,Fabbri D,Miller B

更新日期：2019-05-01 00:00:00

abstract：OBJECTIVES:More patients are receiving their test results via patient portals. Given test results are written using medical jargon, there has been concern that patients may misinterpret these results. Using sample colonoscopy and Pap smear results, our objective was to assess how frequently people can identify the corr...

journal_title：Applied clinical informatics

authors： Qureshi N,Mehrotra A,Rudin RS,Fischer SH

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:The use of text messaging in clinical care has become ubiquitous. Due to security and privacy concerns, many hospital systems are evaluating secure text messaging applications. This paper highlights our evaluation process, and offers an overview of secure messaging functionalities, as well as a framework for ...

journal_title：Applied clinical informatics

authors： Liu X,Sutton PR,McKenna R,Sinanan MN,Fellner BJ,Leu MG,Ewell C

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Sepsis is a serious medical condition that can lead to organ dysfunction and death. Research shows that each hour delay in antibiotic administration increases mortality. The Surviving Sepsis Campaign Bundles created standards to assist in the timely treatment of patients with suspected sepsis to improve outc...

journal_title：Applied clinical informatics

authors： Fargo EL,D'Amico F,Pickering A,Fowler K,Campbell R,Baumgartner M

更新日期：2018-10-01 00:00:00

abstract：: ...

journal_title：Applied clinical informatics

authors： Petersen C,Lehmann CU

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:The assessment of user preferences for performance characteristics of patient-oriented clinical prediction models is lacking. It is unknown if complex statistical aspects of prediction models are readily understandable by a general audience. OBJECTIVE:A pilot study was conducted among nonclinical audiences ...

journal_title：Applied clinical informatics

authors： Weissman GE,Yadav KN,Madden V,Courtright KR,Hart JL,Asch DA,Schapira MM,Halpern SD

更新日期：2018-07-01 00:00:00

abstract：OBJECTIVE:Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algorithm using electronic health record (EHR) data. This study examin...

journal_title：Applied clinical informatics

authors： Pavon JM,Sloane RJ,Pieper CF,Colón-Emeric CS,Cohen HJ,Gallagher D,Morey MC,McCarty M,Ortel TL,Hastings SN

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-c...

journal_title：Applied clinical informatics

authors： Haux R,Ammenwerth E,Koch S,Lehmann CU,Park HA,Saranto K,Wong CP

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes. METHODS:A data dictionary, and subsequent data model, were developed describing EH...

journal_title：Applied clinical informatics

authors： Deakyne Davies SJ,Grundmeier RW,Campos DA,Hayes KL,Bell J,Alessandrini EA,Bajaj L,Chamberlain JM,Gorelick MH,Enriquez R,Casper TC,Scheid B,Kittick M,Dean JM,Alpern ER,Pediatric Emergency Care Applied Research Network.

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:The traditional concept of personalized nutrition is based on adapting diets according to individual needs and preferences. Discussions about personalized nutrition have been on since the Human Genome Project, which has sequenced the human genome. Thenceforth, topics such as nutrigenomics have been assessed ...

journal_title：Applied clinical informatics

authors： Maranhão PA,Bacelar-Silva GM,Ferreira DNG,Calhau C,Vieira-Marques P,Cruz-Correia RJ

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Clinical trials are an important research method for improving medical knowledge and patient care. Multiple international and national guidelines stipulate the need for data quality and assurance. Many strategies and interventions are developed to reduce error in trials, including standard operating procedur...

journal_title：Applied clinical informatics

authors： Houston L,Probst Y,Yu P,Martin A

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Secure clinical messaging and document exchange utilizing the Direct Protocol (Direct interoperability) has been widely implemented in health information technology (HIT) applications including electronic health records (EHRs) and by health care providers and organizations in the United States. While Direct ...

journal_title：Applied clinical informatics

authors： Lane SR,Miller H,Ames E,Garber L,Kibbe DC,Schneider JH,Lehmann CU,DirectTrust Clinicians' Steering Group.

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:While evidence generally supports the use of medication management technology, systems are typically implemented and evaluated piecemeal rather than as part of a comprehensive model for medication management. Systems to support drug therapy optimization, increasingly a key role of pharmacists in our healthca...

journal_title：Applied clinical informatics

authors： Pellegrin K,Chan F,Pagoria N,Jolson-Oakes S,Uyeno R,Levin A

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Healt...

journal_title：Applied clinical informatics

authors： Maier C,Lang L,Storf H,Vormstein P,Bieber R,Bernarding J,Herrmann T,Haverkamp C,Horki P,Laufer J,Berger F,Höning G,Fritsch HW,Schüttler J,Ganslandt T,Prokosch HU,Sedlmayr M

更新日期：2018-01-01 00:00:00

abstract：:Background Clinical care team members in Department of Veterans' Affairs (VA) facilities nationwide are working to integrate the use of Secure Messaging (SM) into care delivery and identify innovative uses. Identifying best practices for proactive use of SM is a key factor in its successful implementation and sustaine...

journal_title：Applied clinical informatics

authors： Haun JN,Hathaway W,Chavez M,Antinori N,Vetter B,Miller BK,Martin TL,Kendziora L,Nazi KM,Melillo C

更新日期：2017-10-01 00:00:00

abstract：:Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record...

journal_title：Applied clinical informatics

authors： Ancker JS,Send A,Hafeez B,Osorio SN,Abramson E

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVE:This article aimed to evaluate the effectiveness of newly established innovative smart home healthcare and health informatics laboratories, and a novel laboratory course that focuses on experiential health informatics training, and determine students' self-confidence to operate wireless home health monitoring...

journal_title：Applied clinical informatics

authors： Sapci AH,Sapci HA

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVE:To understand how clinicians utilize image uploading tools in a home grown electronic health records (EHR) system. METHODS:A content analysis of patient notes containing non-radiological images from the EHR was conducted. Images from 4,000 random notes from July 1, 2009 - June 30, 2010 were reviewed and manu...

journal_title：Applied clinical informatics

authors： Ai AC,Maloney FL,Hickman TT,Wilcox AR,Ramelson H,Wright A

更新日期：2017-07-12 00:00:00

abstract：BACKGROUND:Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiot...

journal_title：Applied clinical informatics

authors： Jones W,Drake C,Mack D,Reeder B,Trautner B,Wald H

更新日期：2017-06-20 00:00:00

abstract：OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

journal_title：Applied clinical informatics

authors： Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

更新日期：2017-05-31 00:00:00