the international council on medical & care compunetics


December, 2014


Two Studies Highlight Benefits of Electronic Health Records


“The use of electronic health records reduces diabetes patients’ rates of emergency-room visits and hospitalizations, according to a new study.
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11 September 2013 | No Comments »
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Approaches to the prevention and management of childhood obesity: The role of social networks and the use of social media and related electronic technologies a scientific statement from the American Heart Association

Li JS et al, Circulation, 2013

Despite the significant attention and resources committed to the prevention and treatment of childhood obesity, the epidemic shows no sign of abating. Although all children are at risk for obesity, there are marked disparities by race/ethnicity, socioeconomic status, neighborhood, and access to health care. Any successful approach to addressing the overall burden of obesity must not rely solely on the healthcare system, but must include the implementation of policies that take into account the physical and social environment to change the eating and activity behaviors of children and their families.
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7 December 2012 | No Comments »
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Impact of an active video game on healthy children’s physical activity

Baranowski T et al, Pediatrics, 129(3)

This naturalistic study tests whether children receiving a new (to them) active video game spontaneously engage in more physical activity than those receiving an inactive video game, and whether the effect would be greater among children in unsafe neighborhoods, who might not be allowed to play outside.
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3 July 2012 | No Comments »
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Physician Impressions of Using Text Message Technology to Increase Vaccination Compliance

Hart T et al, Telemedicine and e-Health, 17(6)

Immunization schedules are complicated and difficult for parents to remember. Parents are willing to receive text message reminders. However, it is unknown whether physicians are willing to implement such a system. The purpose of this study was to evaluate the feasibility of a text messaging reminder system from the physician’s perspective.

Materials and Methods:
Surveys were distributed in the winter of 2009–2010 by e-mail, facsimile, and telephone interview to 149 family physicians and pediatricians who provide immunizations in Sedgwick County, Kansas.
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19 July 2011 | No Comments »
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Characterisation of children’s asthma status by ICD-9 code and criteria-based medical record review

Juhn Y et al, Primary Care Respiratory Journal, 20(1)

To characterise the relationship between ICD code-based (i.e. physician diagnosis-based) and criteria-based asthma ascertainment.

We compared identification of children with asthma between criteria-based medical record review for asthma ascertainment and an ICD-9 code-based approach. We determined the agreement rate and validity index of ICD code-based asthma ascertainment using asthma status by medical record review as a gold standard.
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13 July 2011 | No Comments »
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Approaches to enhancing the validity of coded data in electronic medical records

Kalra D, Fernando B. Primary Care Respiratory Journal, 20(1)

In the linked paper entitled “Characterisation of children’s asthma status by ICD-9 code and criteria-based medical record review”, the authors have observed a discrepancy between the presence of clinical features compatible with the diagnosis of asthma in children’s hospital electronic health records and the tagging of the record with a corresponding classification code.
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13 July 2011 | No Comments »
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Interactive Games to Promote Behavior Change in Prevention and Treatment

Read JL, Shortell SM. JAMA, 2011

Anyone who has observed someone deeply absorbed in a video game can appreciate that use of these games is a uniquely powerful interaction. For the player, time stands still and self-consciousness disappears. Csikszentmihalyi described this state as “flow.”​ His concept was exemplified by mountain climbers living in the moment of ascent or surgeons lost in a delicate and demanding task. He could just as well have been describing what happens when individuals engage with some of today’s interactive games.
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30 March 2011 | No Comments »
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Electronic Health Record Adoption by Children’s Hospitals in the United States

Nakamura MM et al, Arch Pediatr Adolesc Med, 164(12)

To assess adoption of electronic health records (EHRs) and clinical functionalities, involvement in health information exchange, and barriers to and facilitators of adoption among children’s hospitals in the United States.

Survey presented as an information technology supplement to the American Hospital Association’s annual member survey.
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7 December 2010 | No Comments »
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Telepsychiatry assessments of child or adolescent behavior disorders: a review of evidence and issues

Diamond JM, Bloch RM. Telemedicine and e-Health, 16(6)

The limited number of mental health specialists for children has led to an increased need for child and adolescent psychiatrists to provide primary care consultations and treatment recommendations. Psychiatric assessments and treatments provided via two-way videoconferencing (telepsychiatry) have been used to increase the availability of child psychiatrists. This article reviews the literature on telepsychiatry assessment of children and adolescents.
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18 August 2010 | No Comments »
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Hearing health-care delivery in sub-Saharan Africa–a role for tele-audiology

Swanepoel DW et al, J Telemed Telecare, 16(2)

Hearing loss is the most prevalent chronic disability and a major contributor to the global burden of disease. Its effects are far-reaching and can lead to severely restricted developmental outcomes for children and limited vocational prospects for adults. The benefits of intervention are dramatic and can significantly improve developmental outcomes, especially in infants identified early. Hearing health-care services in developing regions such as sub-Saharan Africa are however severely limited, leaving affected individuals without access to secondary and tertiary intervention.
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1 August 2010 | No Comments »
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Wireless Sensor Networks for Healthcare: A Survey

Alemdar H, Ersoy C, Computer Networks, 2010

Becoming mature enough to be used for improving the quality of life, wireless sensor network technologies are considered as one of the key research areas in computer science and healthcare application industries. The pervasive healthcare systems provide rich contextual information and alerting mechanisms against odd conditions with continuous monitoring. This minimizes the need for caregivers and helps the chronically ill and elderly to survive an independent life, besides provides quality care for the babies and little children whose both parents have to work.
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14 May 2010 | No Comments »
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Integrating telemedicine in urban pediatric primary care: provider perspectives and performance

McConnochie K et al, Telemedicine and e-Health, 16(3)

Health-e-Access, an urban telemedicine service, enabled 6,511 acute-illness telemedicine visits over a 7-year period for children at 22 childcare and school sites in Rochester, NY.

The aims of this article were to (1) describe provider attitudes and perceptions about efficiency and effectiveness of Health-e-Access and (2) assess hypotheses that (a) providers will complete a large proportion of the telemedicine visits attempted and (b) high levels of continuity with the primary care practice will be achieved.
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29 April 2010 | No Comments »
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A Smart-Phone Application and a Companion Website for the Improvement of the Communication Skills of Children with Autism: Clinical Rationale, Technical Development and Preliminary Results

De Leo G et al, Journal of Medical Systems, 2010

Autism is a complex neurobiological disorder that is part of a group of disorders known as autism spectrum disorders (ASD). Today, one in 150 individuals is diagnosed with autism. Lack of social interaction and problems with communication are the main characteristics displayed by children with ASD. The Picture Exchange Communication System (PECS) is a communication system where children exchange visual symbols as a form of communication. The visual symbols are laminated pictures stored in a binder.
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3 February 2010 | No Comments »
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Effect of a weight-based prescribing method within an electronic health record on prescribing errors

Ginzburg R et al, American Journal of Health-System Pharmacy, 66(22)

The effect of a weight-based prescribing method within the electronic health record (EHR) on the rate of prescribing errors was studied.
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26 January 2010 | No Comments »
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In-Home Virtual Reality Videogame Telerehabilitation in Adolescents With Hemiplegic Cerebral Palsy

Golomb, Meredith R. et al, Archives of Physical Medicine and Rehabilitation, 91(1)

To investigate whether in-home remotely monitored virtual reality videogame-based telerehabilitation in adolescents with hemiplegic cerebral palsy can improve hand function and forearm bone health, and demonstrate alterations in motor circuitry activation.
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12 January 2010 | No Comments »
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Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial

Ford, Anna L. et al, BMJ, 340(jan05_1)

To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.

Randomised controlled trial with 12 month intervention.
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6 January 2010 | No Comments »
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Prospective tracking of a pediatric emergency department e-kiosk to deliver asthma education

Joshi A et al, Health Informatics Journal, 15(4)

The study objective was to describe the prospective use of an interactive Patient Education and Motivation Tool (PEMT) placed within a pediatric emergency department (ED). A touch screen computer was utilized to deliver asthma education to children and their parents/guardians during their acute asthma visit between November 2006 and April 2007. Ninety-nine participants were enrolled in this prospective non-randomized pre–post study. PEMT comprised three key components: screening, learning and evaluation.
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10 December 2009 | No Comments »
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Mobile Phone Technology for Children with Type 1 and Type 2 Diabetes: A Parent Survey

Peña, Venessa et al, Journal of Diabetes Science and Technology, 3(6)

The novel application of information technology has the potential to improve care for children with diabetes. We surveyed parents of children with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) to (1) identify their concerns related to their children’s diabetes and (2) assess the relationship between these concerns and parental attitudes toward a glucometer integrated into a mobile phone that could provide parents and health care providers with a child’s real-time glucose readings via text message and a secure Web site.
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9 December 2009 | No Comments »
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Improved Adherence and Outcomes for Pediatric Liver Transplant Recipients by Using Text Messaging

Miloh, Tamir et al, Pediatrics, 124(5)

The goal was to improve immunosuppressant adherence for pediatric patients with orthotopic liver transplants by using text messaging (TM).

A prospective study of sending TM reminders to the primary medication administrator (patient or caregiver) for pediatric transplant recipients was performed. Patient records were reviewed, comparing the year before and the year of the study. The SD of serum tacrolimus levels was used as an indicator of adherence.
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6 November 2009 | No Comments »
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Speed of telemedicine vs ophthalmoscopy for retinopathy of prematurity diagnosis

Richter, Grace M. et al, American Journal of Ophthalmology, 148(1)

To compare the speed of retinopathy of prematurity (ROP) diagnosis using standard indirect ophthalmoscopy with that of telemedicine.

Prospective, comparative study.
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30 June 2009 | No Comments »
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