ICMCC

the international council on medical & care compunetics

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28
August, 2014
Thursday

hospital information systems

Sharing Clinical Data Electronically A Critical Challenge for Fixing the Health Care System

Adler-Milstein J, Jha AK. JAMA, 307(16)

The United States is undertaking an ambitious effort to wire the health care system. The goal is to build a nationwide information infrastructure to serve as the foundation for large and sustained improvements in performance. Widespread adoption of health information technology will support new care delivery models, such as patient-centered medical homes, alongside broader initiatives, such as performance reporting and public health surveillance.
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26 April 2012 | No Comments »
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The adoption of electronic medical records and decision support systems in Korea

Chae YM et al, Healthcare Informatics Research, 17(3)

OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
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28 November 2011 | No Comments »
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Encryption and the loss of patient data

Miller AR, Tucker CE. Journal of Policy Analysis and Management, 30(3)

Fast-paced IT advances have made it increasingly possible and useful for firms to collect data on their customers on an unprecedented scale. One downside of this is that firms can experience negative publicity and financial damage if their data are breached. This is particularly the case in the medical sector, where we find empirical evidence that increased digitization of patient data is associated with more data breaches. The encryption of customer data is often presented as a potential solution, because encryption acts as a disincentive for potential malicious hackers, and can minimize the risk of breached data being put to malicious use.
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30 July 2011 | No Comments »
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Going paperless at the emergency department: A socio-technical study of an information system for patient tracking

Vezyridis P et al, International Journal of Medical Informatics, 80(7)

Purpose
The purpose of this study was to examine nurses’ attitudes and reflection on the transformation of their workpractices after the implementation of an Emergency Department Information System (EDIS).

Methods
A qualitative study using interviews, mainly with nurses, conducted four years after the implementation of an EDIS at the emergency department (ED) of a large university hospital in Midlands, UK.
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15 May 2011 | No Comments »
Categories: Bibliography, Journal Article, UK EHR | Keyword(s): , , , , , , ,

Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation

Herzberg S et al, International Journal of Medical Informatics, 2011

PURPOSE:
Medical documentation is often incomplete. Missing information may impede or bias analysis of study data and can cause delays. In a single source information system, clinical routine documentation and electronic data capture (EDC) systems are connected in the hospital information system (HIS). In this setting, both clinical routine and research would benefit from a higher rate of complete documentation.
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20 March 2011 | No Comments »
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Development of a clinical information tool for the electronic medical record: a case study

Epstein BA et al, Journal of the Medical Library Association, 98(3)

Question:
What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

Setting:
The development took place at the University of Pittsburgh Health Sciences Library System.
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17 January 2011 | No Comments »
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Why don’t innovation models help with informatics implementations?

Ward R. MEDINFO 2010

This paper describes various models that have been postulated to understand and explain the acceptance and diffusion of technological innovation. The wide range of factors relating to the innovation itself, and, most importantly, the human and organisational factors which will impinge on these processes, is detailed. Attempts to apply the model to healthcare settings are explored. In particular a systematic review in 2005 which attempted to integrate the models and apply them in the UK’s National Health Service will be critiqued.
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3 January 2011 | No Comments »
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A business case for HIT adoption: effects of “meaningful use” EHR financial incentives on clinic revenue

Behkami NA et al, MEDINFO 2010, 2010

The goal of this study is to describe a framework that allows decision makers to efficiently evaluate factors that affect Electronic Health Record (EHR) adoption and test suitable interventions; specifically financial incentives. The United States healthcare delivery system is experiencing a transformation to improve population health. There is strong agreement that “meaningful use” of Health Information Technology (HIT) is a major enabler in this effort.
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2 January 2011 | No Comments »
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Model-based design of clinical information systems

Mathe J et al, Methods of Information in Medicine, 47(5)

Objective:
The goal of this research is to provide a framework to enable the model-based development, simulation, and deployment of clinical information system prototypes with mechanisms that enforce security and privacy policies.
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27 November 2010 | No Comments »
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Ontology driven health information systems architectures enable pHealth for empowered patients

Blobel B. International Journal of Medical Informatics, 2010

The paradigm shift from organization-centered to managed care and on to personal health settings increases specialization and distribution of actors and services related to the health of patients or even citizens before becoming patients. As a consequence, extended communication and cooperation is required between all principals involved in health services such as persons, organizations, devices, systems, applications, and components. Personal health (pHealth) environments range over many disciplines, where domain experts present their knowledge by using domain-specific terminologies and ontologies.
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8 November 2010 | No Comments »
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Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument

Ammenwerth E et al, International Journal of Medical Informatics, 2010

Objectives
To assess the changes in the quality of information processing in nursing after the introduction of a computer-based nursing information system.
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8 November 2010 | No Comments »
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Getting to the point: developing IT for the sharp end of healthcare

Nemeth C et al, Journal of Biomedical Informatics, 38(1)

Healthcare demonstrates the same properties of risk, complexity, uncertainty, dynamic change, and time-pressure as other high hazard sectors including aviation, nuclear power generation, the military, and transportation. Unlike those sectors, healthcare has particular traits that make it unique such as wide variability, ad hoc configuration, evanescence, resource constraints, and governmental and professional regulation. While healthcare’s blunt (management) end is more easily understood, the sharp (operator) end is more difficult to research the closer one gets to the sharp end’s point.
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5 August 2010 | No Comments »
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Direct text entry in electronic progress notes. An evaluation of input errors

Weir CR et al, Methods of Information in Medicine, 42(1)

Objectives:
It is not uncommon that the introduction of a new technology fixes old problems while introducing new ones. The Veterans Administration recently implemented a comprehensive electronic medical record system (CPRS) to support provider order entry. Progress notes are entered directly by clinicians, primarily through keyboard input. Due to concerns that there may be significant, invisible disruptions to information flow, this study was conducted to formally examine the incidence and characteristics of input errors in the electronic patient record.
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5 July 2010 | No Comments »
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IHE profiles applied to regional PACS

Fernandez-Bayó J. European Journal of Radiology, 2010

PACS has been widely adopted as an image storage solution that perfectly fits the radiology department workflow and that can be easily extended to other hospital departments. Integrations with other hospital systems, like the Radiology Information System, the Hospital Information System and the Electronic Patient Record are fully achieved but still challenging aims. PACS also creates the perfect environment for teleradiology and teleworking setups. One step further is the regional PACS concept where different hospitals or health care enterprises share the images in an integrated Electronic Patient Record.
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1 July 2010 | No Comments »
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Transforming to a computerized system for nursing care: organizational success within Magnet idealism

Lindgren CL et al, Computers, Informatics, Nursing, 28(2)

In reaching the goal for standardized, quality care, a not-for-profit healthcare system consisting of seven institutional entities is transforming nursing practice guidelines, patient care workflow, and patient documents into electronic, online, real-time modalities for use across departments and all healthcare delivery entities of the system. Organizational structure and a strategic plan were developed for the 2-year Clinical Transformation Project. The Siemens Patient Care Document System was adopted and adapted to the hospitals’ documentation and information needs. Two fast-track sessions of more than 100 nurses and representatives from other health disciplines were held to standardize assessments, histories, care protocols, and interdisciplinary plans of care for the top 10 diagnostic regulatory groups.
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31 May 2010 | No Comments »
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Real-time location and inpatient care systems based on passive RFID

Najera P et al, Journal of Network and Computer Applications, 2010

RFID technology meets identification and tracking requirements in healthcare environments with potential to speed up and increase reliability of involved processes. Due to this, high expectations for this integration have emerged, but hospital and medical centers interested in adoption of RFID technology require prior knowledge on how to squeeze RFID capabilities, real expectations and current challenges. In this paper, we show our lab tested solutions in two specific healthcare scenarios. On the one hand, we analyze the case of a medical equipment tracking system for healthcare facilities enabling both real-time location and theft prevention.
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14 May 2010 | No Comments »
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Different usage of the same oncology information system in two hospitals in Sydney–lessons go beyond the initial introduction

Yu P et al, International Journal of Medical Informatics, 79(6)

Background and purpose
The experience of clinicians at two public hospitals in Sydney, Australia, with the introduction and use of an oncology information system (OIS) was examined to extract lessons to guide the introduction of clinical information systems in public hospitals.
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9 May 2010 | No Comments »
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Accuracy of medication documentation in hospital discharge summaries: A retrospective analysis of medication transcription errors in manual and electronic discharge summaries

Callen J. et al, International Journal of Medical Informatics, 79(1)

Background
Medication errors in hospital discharge summaries have the potential to cause serious harm to patients. These errors are generally associated with manual transcription of medications between medication charts and discharge summaries. Studies also show junior doctors are more likely to contribute to discharge medication error rates. Electronic discharge summaries have the potential to reduce discharge medication errors to ensure the safe handover of care to the primary care provider.
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24 April 2010 | No Comments »
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Open source challenges for hospital information system (HIS) in developing countries: a pilot project in Mali

Bagayoko C, et al. BMC Medical Informatics and Decision Making, 10(1)

Background
We are currently witnessing a significant increase in use of Open Source tools in the field of health. Our study aims to research the potential of these software packages for developing countries. Our experiment was conducted at the Centre Hospitalier Mere Enfant in Mali.
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19 April 2010 | No Comments »
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Exploring health information technology innovativeness and its antecedents in Canadian hospitals

Paré G et al, Methods of Information in Medicine, 49(1)

Objectives:
The primary aim of this study was to assess the antecedents of health information technology (HIT) innovativeness in public hospitals. To do so, we built upon our own previous work to relate the level of HIT innovativeness to organizational capacity characteristics.

Methods:
We conducted a survey of chief information officers (CIOs) in public hospitals in the two largest Canadian provinces to identify the level of HIT innovativeness in these settings and test nine research hypotheses derived from the proposed research model.
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16 April 2010 | No Comments »
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