the international council on medical & care compunetics


December, 2014


First medical contact and physicians’ opinion after the implementation of an electronic record system

Claret P-G et al, The American Journal of Emergency Medicine, 2011

Hospitals implement electronic medical record systems (EMRSs) that are intended to support medical and nursing staff in their daily work. Evolution toward more computerization seems inescapable. Nevertheless, this evolution introduced new problems of organization.

This before-and-after observational study evaluated the door-to-first-medical-contact (FMC) times before and after the introduction of EMRS. A satisfaction questionnaire, administered after the “after” period, measured clinicians’ satisfaction concerning computerization in routine clinical use. The following 5 questions were asked: Do you spare time in your note taking with EMRS? Do you spare time in the medical care that you provide to the patients with EMRS? Does EMRS improve the quality of medical care for your patients? Are you satisfied with the EMRS implementation? Would you prefer a return to handwritten records?

Results showed an increase in door-to-FMC time induced by EMRS and a lower triage capacity. In the satisfaction questionnaire, clinicians reported minimal satisfaction but refused to return to handwritten records.

The increase in door-to-FMC time may be explained by the improved quantity/quality of data and by the many interruptions due to the software. Medical reorganization was requested after the installation of the EMRS.

25 October 2011 | No Comments »
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Planned implementations of ePrescribing systems in NHS hospitals in England: a questionnaire study

Crowe S et al, JRSM Short Reports, 1(4)

To describe the plans of English NHS hospitals to implement ePrescribing systems. DESIGN AND SETTING Questionnaire-based survey of attendees of the National ePrescribing Forum.

A piloted questionnaire was distributed to all NHS and non-NHS hospital-based attendees. The questionnaire enquired about any completed or planned implementation of ePrescribing systems, the specific systems of interest, and functionality they offered.
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19 August 2011 | No Comments »
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National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability

Viitanen J et al, International Journal of Medical Informatics, 2011

In the health informatics field, usability studies typically focus on evaluating a single information system and involve a rather small group of end-users. However, little is known about the usability of clinical information and communication technology (ICT) environment in which healthcare professionals work daily. This paper aims at contributing to usability research and user-oriented development of healthcare technologies with three objectives: inform researchers and practitioners about the current state of usability of clinical ICT systems, increase the understanding of usability aspects specific for clinical context, and encourage a more holistic approach on studying usability issues in health informatics field.
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24 July 2011 | 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

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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Evaluation Of Knowledge And Perception Of Malaysian Health Professionals About Telemedicine

Ibrahim MIM et al, Journal of Clinical and Diagnostic Research, 4(1)

Incorporation of Information Technology (IT) advancements in healthcare has been growing in the recent past. There is convincing evidence that developing countries can also benefit from telemedicine and other IT applications in healthcare. The Malaysian government, in mid-1996, launched the multimedia supercorridor (MSC) project. As a new medical technology in the country, it takes a huge effort to make professionals understand this new concept.
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4 October 2010 | No Comments »
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Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: The referring clinician and patient perspective

Breen P et al, BMC Medical Informatics and Decision Making, 10(1)

Feedback from service users will provide insight into opportunities for improvement so that performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction with a teleneurophysiology service was examined during a 20 week pilot period.
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19 September 2010 | No Comments »
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Access to sexual health advice using an automated, internet-based risk assessment service

Lee DM et al, Sexual Health, 6(1)

The present study aimed to determine the sexual risk profile of people using an automated, internet-based service that allows internet users to receive recommendations on sexually transmissible infection screening (’Check your risk’ (CYR), http://www.checkyourrisk.org.au/), and to compare this with that of patients attending the Melbourne Sexual Health Centre (MSHC) for the first time over the same 6-month period: January-June 2006.
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7 September 2010 | No Comments »
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Physicians and electronic health records: a statewide survey

Simon SR et al, Archives of Internal Medicine, 167(5)

Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians’ actual use of these functions.

We surveyed a random sample of 1884 physicians in Massachusetts by mail and assessed availability and use of EHR functions, predictors of use, and the relationships between EHR use and physicians’ perceptions of medical practice.
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9 July 2010 | No Comments »
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Introducing telemonitoring for diabetic patients: Development of a telemonitoring ‘Health Effect and Readiness’ Questionnaire

Buysse HE et al, International Journal of Medical Informatics, 2010

Till now no validated instrument exists to measure the readiness and attitude of diabetic patients towards the use of telemonitoring. The purpose of the described study was to develop a Telemonitoring Attitude and Readiness Questionnaire and to check its validity and reliability.
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20 June 2010 | No Comments »
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Electronic patient self-assessment and management (SAM): a novel framework for cancer survivorship

Vickers AJ et al, BMC Medical Informatics and Decision Making, 10(1)

We propose a novel framework for management of cancer survivorship: electronic patient Self-Assessment and Management (SAM). SAM is a framework for transfer of information to and from patients in such a way as to increase both the patient’s and the health care provider’s understanding of the patient’s progress, and to help ensure that patient care follows best practice.
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18 June 2010 | No Comments »
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Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

Tham E et al, Applied Clinical Informatics, 1(1)

Assess the interest in and preferences of ambulatory practitioners in HIE.

Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.
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10 February 2010 | No Comments »
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Attitudes of nursing staff towards electronic patient records: A questionnaire survey

de Veer, Anke J.E., and Anneke L. Francke, International Journal of Nursing Studies, 2009

A growing number of health care organizations are implementing a system of electronic patient records (EPR). This implies a change in work routines for nursing staff, but it could also be regarded as an opportunity to improve the quality of care.
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20 December 2009 | No Comments »
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A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea, Cristina, and Roger Watson, International Journal of Medical Informatics, 78(12)

To explore nurses’ perceptions of the impact on clinical practice of the use of a computerised hospital information system.
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25 September 2009 | No Comments »
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Evaluation of an Internet-Based Hearing Test—Comparison with Established Methods for Detection of Hearing Loss

Bexelius, Christin et al, J Med Internet Res, 10(4)

Hearing impairment is most accurately measured by a clinical pure-tone audiogram. This method is not suitable for large-scale, population-based epidemiological studies as it requires that study participants visit a clinic with trained personnel. An alternative approach to measuring hearing ability is self-estimation through questionnaires, but the correlation to clinical audiometric tests varies.
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24 October 2008 | No Comments »
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The use of information and communications technology for health service delivery in Namibia: perspectives of the health service providers

Shivute, Meke I. et al, J Telemed Telecare, 14(6)

We surveyed health service providers in Namibia to find out how they used information and communication technologies (ICTs) to deliver health services to their patients. A structured questionnaire was administered to 21 health service providers in two regions of the country (one urban, one rural). There was overwhelming consensus among the health service providers that ICTs were very important, especially for medical services (100%). Ninety-one percent of health service providers viewed ICT as helping them to interact with other providers in other health institutions.
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8 September 2008 | No Comments »
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Electronic health records in outpatient clinics: perspectives of third year medical students

Rouf, Emran et al, BMC Medical Education, 8

United States academic medical centers are increasingly incorporating electronic health records (EHR) into teaching settings. We report third year medical students’ attitudes towards clinical learning using the electronic health record in ambulatory primary care clinics.
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1 April 2008 | No Comments »
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