ICMCC

the international council on medical & care compunetics

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28
November, 2014
Friday

norway

Closing information gaps with shared electronic patient summaries––How much will it matter?

Remen VM, Grimsmo A. International Journal of Medical Informatics, 80(11)

Background
Information deficits contribute to medical errors. Hence several efforts to develop electronic communication systems to facilitate a flow of information between health care providers have been attempted, including initiatives to develop regional or national electronic patient summaries.

Objectives
To study information access and information needs in inpatient emergency departments, and how clinicians in these departments handle deficits in available information.
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21 October 2011 | No Comments »
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Privacy vs usability: a qualitative exploration of patients’ experiences with secure Internet communication with their general practitioner

Tjora A et al, J Med Internet Res, 7(2)

BACKGROUND
Direct electronic communication between patients and physicians has the potential to empower patients and improve health care services. Communication by regular email is, however, considered a security threat in many countries and is not recommended. Systems which offer secure communication have now emerged. Unlike regular email, secure systems require that users authenticate themselves. However, the authentication steps per se may become barriers that reduce use.

OBJECTIVES
The objective was to study the experiences of patients who were using a secure electronic communication system. The focus of the study was the users’ privacy versus the usability of the system.
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17 June 2011 | No Comments »
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Video calls for dispatcher-assisted cardiopulmonary resuscitation can improve the confidence of lay rescuers–surveys after simulated cardiac arrest

Bolle SR et al, Journal of Telemedicine and Telecare, 17(2)

Many mobile phones allow two-way video communication, which permits callers to hear and see each other. If used during medical emergencies, bystanders can receive supervision and guidance from medical staff based on visual information. We investigated whether video calls from mobile phones could improve the confidence of lay rescuers. High school students (n = 180) were randomly assigned in groups of three to communicate via video calls or via ordinary mobile phone calls. They received realtime guidance from experienced nurse dispatchers at an emergency medical dispatch centre during 10-min scenarios of simulated cardiac arrest. Each student answered a questionnaire to assess understanding, confidence and usefulness of the technology. The mean age was 17.3 years in the video group and 17.9 years in the audio group.
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11 April 2011 | No Comments »
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Disrupted rhythms and mobile ICT in a surgical department

Hasvold PE et al, International Journal of Medical Informatics, 2011

Purpose
This study presents a study of mobile information and communication technology (ICT) for healthcare professionals in a surgical ward. The purpose of the study was to create a participatory design process to investigate factors that affect the acceptance of mobile ICT in a surgical ward.

Methods
Observations, interviews, a participatory design process, and pilot testing of a prototype of a co-constructed application were used.
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14 February 2011 | No Comments »
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What does an e-mail address add? – Doing health and technology at home

Andreassen HK. Social Science & Medicine, 2010

There is increasing interest in using electronic mail and other electronic health technologies (e-health technologies) in patient follow-ups. This study sheds light on patients’ reception of provider-initiated e-health in their everyday environments. In a research project carried out in Norway (2005-2007), an electronic address for a hospital dermatology ward was offered to 50 patient families for improved access to expert advice from the patients’ homes. Drawing on semi-structured interviews with 12 families, this paper explores how the electronic address was integrated into everyday health practice. The research illuminates how the electronic address did not only represent changes related to treatment procedures and frequency or nature of expert contact; it was also important to other practices in the everyday lives of the families of patients with chronic illness.
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9 January 2011 | No Comments »
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Diffusion and use of Electronic Health Record Systems in Norway

Heimly V et al, MEDINFO 2010

This paper sums up some of the findings from a national survey on the diffusion and use of Electronic Health Record (EHR) systems in the Norwegian health sector. The survey shows that almost all hospitals and GPs use their EHR systems on a daily basis, while the municipalities are lagging behind, All three view costs and missing functionality as the most important challenges.
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25 September 2010 | No Comments »
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Economic gains from electronic message exchange: The importance of working procedures

Aanesen M et al, International Journal of Medical Informatics, 2010

Background and purpose
There are several cost-benefit evaluations of introducing new technology for administrative purposes in the health care sector. Whereas some of these recognise the importance of adapting the working procedures to the new technology, very few look into the consequences of delays in adaptation to the new technology. In this paper, we focus on the consequences of keeping old working procedures, although new technology is implemented.
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12 July 2010 | No Comments »
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Older people with and without dementia participating in the development of an individual plan with digital calendar and message board

Holthe T, Walderhaug S. Journal of Assistive Technologies, 4(2)

The EU-funded project ‘Middleware Platform for eMPOWERing older people and people with cognitive impairments – MPOWER’ is aimed at developing a technical middleware platform that enables rapid development of flexible, domain-specific applications that can be personalised for individual use. We focused on creating a set of reusable components that can easily be combined in order to provide the most relevant services in the user’s home, eg. calendar services, messaging services and different sensor technologies. In order to evaluate the feasibility of the platform, two full-scale proof of concept applications (POCAs) were developed and deployed to real-life environments; one ‘smart home’ solution in Poland and one individual internet-based digital plan in Norway. This paper presents the findings from the POCA development and trial in Norway.
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4 June 2010 | No Comments »
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Comparison of information technology in general practice in 10 countries

Protti, Denis, ElectronicHealthcare, 5(4)

A study commissioned by Canada Health Infoway provides a comparative analysis of automation in general practice in 10 countries. The most common clinical application is the automation of medication prescriptions–even if it is not a mandatory requirement as it is in Norway.
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27 March 2010 | No Comments »
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Mobile Phone-Based Self-Management Tools for Type 2 Diabetes: The Few Touch Application

Årsand, Eirik et al, Journal of Diabetes Science and Technology, 4(2)

BACKGROUND:
Mobile phones and other mobile information and communication technology applications and technologies hold great potential as a basis for powerful patient-operated self-management tools within diabetes. The work presented shows how such tools can be designed for supporting lifestyle changes among people with type 2 diabetes and how these were perceived by a group of 12 patients during a 6-month period.
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24 March 2010 | No Comments »
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Quality assurance as an integrated part of the electronic medical record – a prototype applied for colonoscopy

Objective.
Electronic medical records (EMRs) have not developed much beyond the days of typewritten journals when it comes to facilitating extraction of data for quality assurance (QA) and improvement of health-care performance.
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10 March 2010 | No Comments »
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Usability testing of mobile ICT for clinical settings: Methodological and practical challenges

Svanæs, Dag et al, International Journal of Medical Informatics, 79(4)

Background
While much is known about how to do usability testing of stationary Electronic Patient Record (EPR) systems, less is known about how to do usability testing of mobile ICT systems intended for use in clinical settings.

Aim
Our aim is to provide a set of empirically based recommendations for usability testing of mobile ICT for clinical work.
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9 March 2010 | No Comments »
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The quality of home care nurses’ documentation in new electronic patient records

Gjevjon, Edith R., and Ragnhild Hellesø, Journal of Clinical Nursing, 19(1-2)

Aims.
The present study explores how community nurses addressed patient care in the EPR and the comprehensiveness of their documentation.

Background.
The need for comprehensive nursing documentation in home health care is considerable and quality is regarded as a prerequisite for continuity of care. Documentation according to the nursing process is considered to be of good quality due to its logical structure. Nurses in home health care face different challenges than nurses in institutionalised care because of long-term patient situations and a focus on chronic illness rather than acute disease.Design. Retrospective study.
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20 December 2009 | No Comments »
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Norwegians GPs’ use of electronic patient record systems

Christensen, Tom et al, International Journal of Medical Informatics, 78(12)

Objective
To evaluate GPs use of three major electronic patient record systems with emphasis on the ability of the systems to support important clinical tasks and to compare the findings with results from a study of the three major hospital-wide systems.
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8 November 2009 | No Comments »
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A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences

Schoen, Cathy et al, Health Affairs, 28(6)

This 2009 survey of primary care doctors in Australia, Canada, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, the United Kingdom, and the United States finds wide differences in practice systems, incentives, perceptions of access to care, use of health information technology (IT), and programs to improve quality. Response rates exceeded 40 percent except in four countries: Canada, France, the United Kingdom, and the United States.
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6 November 2009 | No Comments »
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Beyond the EPR: Complementary roles of the hospital-wide Electronic health record and Clinical department systems

Vedvik, Eivind et al, BMC Medical Informatics and Decision Making 2009, 9:29

Background
Many hospital departments have implemented small clinical departmental systems (CDSs) to collect and use patient data for documentation as well as for other department-specific purposes. As hospitals are implementing institution-wide electronic patient records (EPRs), the EPR is thought to be integrated with, and gradually substitute the smaller systems. Many EPR systems however fail to support important clinical workflows. Also, successful integration of systems has proven hard to achieve. As a result, CDSs are still in widespread use. This study was conducted to see which tasks are supported by CDSs and to compare this to the support offered by the EPR.
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13 June 2009 | No Comments »
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A cross-case analysis of technology-in-use practices: EPR-adaptation in Canada and Norway

Boulus, Nina, and Pernille Bjorn, International Journal of Medical Informatics, Article in Press, Corrected Proof

Purpose
To identify and characterize enabling factors that support a continuous adaptation of technology and work practices in the health care sector.

Methods
Cross-case analysis of two longitudinal ethnographic studies of managing the gradual adaptation of electronic patient records, one in Canada and one Norway.
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1 August 2008 | No Comments »
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Expectations for the next generation of electronic patient records in primary care: a triangulated study

Christensen, Tom, and Anders Grimsmo, Informatics in Primary Care, 16(1)

Background:
Although primary care physicians are satisfied users of electronic patient records (EPRs) in Norway today, EPR systems may not have reached their full potential. We studied primary care physicians’ needs and experiences in relation to EPRs and analysed potential improvements for today’s EPR systems.
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5 May 2008 | No Comments »
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Instant availability of patient records, but diminished availability of patient information: a multi-method study of GP’s use of electronic patient records

Christensen, Tom, and Anders Grimsmo, BMC Medical Informatics and Decision Making, 8

Background
In spite of succesful adoption of electronic patient records (EPR) by Norwegian GPs, what constitutes the actual benefits and effects of the use of EPRs in the perspective of the GPs and patients has not been fully characterized. We wanted to study primary care physicians’ use of electronic patient record (EPR) systems in terms of use of different EPR functions and the time spent on using the records, as well as the potential effects of EPR systems on the clinician-patient relationship.
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1 April 2008 | No Comments »
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Method for automatic escalation of access rights to the electronic health record

Hansen, Frode Orbeck, and Rune Fensli, Ubiquity: Technologies for Better Health in Aging Societies

In an emergency situation, it can be vital for rescuing personnel to have access to fragmented parts of patients Electronic Health Record (EHR) shared between patients and health care services.
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31 December 2006 | No Comments »
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