MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Journal of Medical Informatics' source. Sat, 20 Mar 2010 14:29:46 +0100 http://www.medworm.com/index.php?rid=3344416&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000237%2Fabstract%3Frss%3Dyes This issue contains a compendium of scientifically rigorous articles addressing specific usability issues in mobile health and CPOE. The papers contained in this special issue are the output of an IMIA Working Group (WG) on Human Factors Engineering in Health Informatics Symposium held in Lille, France. This topic and the papers from this special issue are important methods necessary to create safe and usable clinical decision support systems. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344416 Fri, 19 Feb 2010 00:00:00 +0100 3344416 http://www.medworm.com/index.php?rid=3344423&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000201%2Fabstract%3Frss%3Dyes Conclusions: As a conclusion, we suggest using a query formulation that unambiguously retrieves literature from PubMed by the date of publication. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344423 Mon, 15 Feb 2010 00:00:00 +0100 3344423 http://www.medworm.com/index.php?rid=3344422&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000274%2Fabstract%3Frss%3Dyes Conclusion: We presented a methodology for associating each event in media outbreak reports with their spatial attribute at the finest level of granularity. Our goal has been to provide a means for enhancing the spatial understanding of outbreak-related events. Evaluation studies showed promising results for automatic spatial attribute annotation. In the future, we plan to explore more features, such as semantic correlation between words, that maybe useful for the spatial attribute annotation task. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344422 Mon, 15 Feb 2010 00:00:00 +0100 3344422 http://www.medworm.com/index.php?rid=3344421&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000225%2Fabstract%3Frss%3Dyes Conclusions: The methodological research described in this paper is very rarely, if ever, applied in developing security tools such as access control. Nevertheless, it can be an effective way of involving healthcare professionals in the definition and enhancement of access control policies and in making information security more grounded into their workflows and daily practices. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344421 Mon, 15 Feb 2010 00:00:00 +0100 3344421 http://www.medworm.com/index.php?rid=3344419&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000183%2Fabstract%3Frss%3Dyes Conclusions: Our test revealed widely varying functionality and appeared to be highly discriminative. Basic clinical decision support was partly absent in two CPOEs. Hospital pharmacists did not rate all test items as important and tried to accommodate the lacking functionality by performing additional checks and developing clinical rules. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344419 Wed, 10 Feb 2010 00:00:00 +0100 3344419 http://www.medworm.com/index.php?rid=3344418&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000171%2Fabstract%3Frss%3Dyes Conclusions: We found that the LIFe-reader® has the potential to be a useful and user-friendly MDSS for nurses in home care when obtaining profiles of the patients’ medication regarding drug–drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly. A regular scanning of the patients’ drugs in their home might support nurses and general practitioners (GPs) in reducing the inappropriate use of drugs. If the LIFe-reader® should be used in a larger scale among nurses, more content and functions are necessary. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344418 Mon, 08 Feb 2010 00:00:00 +0100 3344418 http://www.medworm.com/index.php?rid=3264487&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650561000016X%2Fabstract%3Frss%3Dyes Conclusions: Agent-based systems offer added values over classical software approaches (e.g., reusability, reliability, flexibility, robustness, maintainability and adaptability). Furthermore, agent technology supports the integration of legacy systems, tackling the shortcomings of centralised systems, such as performance bottlenecks, resource limitations, and different kinds of failures. During the review, we found a huge number of contributions in this area, showing a growing interest of researchers. However, most of the analysed systems are only prototypes, they are not widely deployed in real environments and they are difficult to extend to others domains. Several aspects (security, reusability, modularity, personalisation, system maintenance) should be studied carefully in the next ye... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264487 Wed, 03 Feb 2010 00:00:00 +0100 3264487 http://www.medworm.com/index.php?rid=3344417&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650561000002X%2Fabstract%3Frss%3Dyes Conclusion: Considering HIT investment from the point of view of a global portfolio and applying econometric and microeconomic tools allow the required confidence level to be attained for choosing the right amount of HIT investments. It could also allow hospitals using these tools to make substantial savings, and help them forecast their choices for the following year for better HITECH governance in the current stimulation context. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344417 Mon, 01 Feb 2010 00:00:00 +0100 3344417 http://www.medworm.com/index.php?rid=3264490&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000055%2Fabstract%3Frss%3Dyes Conclusion: Our approach can not only accommodate a wide range of fine-grained access control requirements but also enforce them in a modular and easy to adapt manner without incurring extra performance overhead due to rule interpretation. The use of aspect-oriented technology to provide adaptable access control for EMR is a promising approach. We have further enhanced our scheme with a mechanism for dynamic adjustment of access control rules. Other tools for authoring and analyzing the access control rules are the main parts of our future work. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264490 Mon, 01 Feb 2010 00:00:00 +0100 3264490 http://www.medworm.com/index.php?rid=3264488&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000043%2Fabstract%3Frss%3Dyes Abstract: Objective: To examine the effectiveness of delivering of computer-generated discharge summaries to general practice by email, fax, post and patient hand delivery.Design: Blinded, randomized controlled trial. A pre-study audit ascertaining baseline statistics and a follow-up survey were conducted with general practice to determine preferred medium for receiving discharge communication.Participants and setting: 196 geriatric patients who were admitted to the aged care ward of a 300-bed metropolitan teaching hospital. Twenty-eight patients were lost to follow-up and 52 general practices participated in the final survey. The pre-study audit followed 63 discharges from the same ward.Intervention: 168 eligible patients were randomly assigned to have their electronic discharge summary s... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264488 Mon, 25 Jan 2010 00:00:00 +0100 3264488 http://www.medworm.com/index.php?rid=3264491&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505610000031%2Fabstract%3Frss%3Dyes Conclusion: Implementing clinical decision support in resource-limited settings is challenging. Understanding and correcting root causes of problems related to reminders will facilitate successful implementation of the decision support systems in these settings. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264491 Wed, 20 Jan 2010 00:00:00 +0100 3264491 http://www.medworm.com/index.php?rid=3264492&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001907%2Fabstract%3Frss%3Dyes Conclusions: The analysis shows that similar critical areas exist in the various countries. Strategic, organizational and human challenges are usually more difficult to master than technical aspects. The measures used thus far to deal with the critical areas are selective approaches towards resolving individual problems. For the future it would be desirable to set up a comprehensive method that provides support in the complete process of implementing national electronic health record programs and hereby covers all critical areas identified within this paper. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264492 Mon, 18 Jan 2010 00:00:00 +0100 3264492 http://www.medworm.com/index.php?rid=3264489&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001920%2Fabstract%3Frss%3Dyes Conclusions: After experimental testing, BUCINATOR shows great potential to be a reliable bed-exit alarm system. In general, bed-exit alarm systems with extended features could play a major role in ambient assisted living technologies.Limitations: Besides the theoretical evaluation, it will be imperative to perform more tests and to gather more data about the effect on fall rates and resulting injuries. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3264489 Mon, 18 Jan 2010 00:00:00 +0100 3264489 http://www.medworm.com/index.php?rid=3344420&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001932%2Fabstract%3Frss%3Dyes Conclusions: The results of this exploratory study provide a foundation for future research examining how network structure and communication principles can be used to design health information technology that compliments the non-linear information gathering and dissemination behaviors of providers from multiple professions. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344420 Fri, 15 Jan 2010 00:00:00 +0100 3344420 http://www.medworm.com/index.php?rid=3183646&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001919%2Fabstract%3Frss%3Dyes Conclusion: Given the breadth and detail of elicited beliefs, numerous design and policy implications can be identified. Additionally, the findings are a first step toward developing a theory of health IT acceptance and use contextualized to the unique setting of health care. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183646 Wed, 13 Jan 2010 00:00:00 +0100 3183646 http://www.medworm.com/index.php?rid=3183651&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001798%2Fabstract%3Frss%3Dyes Conclusions: These findings may assist policymakers in promoting adoption of HIE among small-to-medium sized primary care practices, a major component of the US healthcare system. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183651 Mon, 11 Jan 2010 00:00:00 +0100 3183651 http://www.medworm.com/index.php?rid=3183649&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001774%2Fabstract%3Frss%3Dyes Conclusion: While PHRs are very important in the health care field, at the present time, USB-based PHRs currently on the market appear to have deficiencies. Tethered or web-based PHRs may be a better option for consumers at present. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183649 Wed, 06 Jan 2010 00:00:00 +0100 3183649 http://www.medworm.com/index.php?rid=3183648&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001786%2Fabstract%3Frss%3Dyes Abstract: Purpose: Getting the right information to providers can improve quality of care. We set out to provide patient-specific Electronic Medical Record (EMR)-based clinical summaries for providers taking care of HIV-positive adult patients in the resource-limited setting of Mbarara, Uganda.Methods: We evaluated the impact of implementing these clinical summaries using time-motion techniques and provider surveys.Results: After implementation of EMR-based clinical summaries, providers spent more time in direct care of patients (2.9min vs. 2.3min, p (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183648 Fri, 25 Dec 2009 00:00:00 +0100 3183648 http://www.medworm.com/index.php?rid=3183653&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001762%2Fabstract%3Frss%3Dyes In Ref. there is an error in Table 2. Below the correct table is included. Table 2 Results. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183653 Wed, 23 Dec 2009 00:00:00 +0100 3183653 http://www.medworm.com/index.php?rid=3183647&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001749%2Fabstract%3Frss%3Dyes Conclusion: The results indicate a generally positive attitude towards the EHR. However, the study shows that data protection is an issue for many citizens, and that despite strong media discussion, there are information deficits with regard to the national EHR initiatives. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183647 Wed, 23 Dec 2009 00:00:00 +0100 3183647 http://www.medworm.com/index.php?rid=3183650&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001737%2Fabstract%3Frss%3Dyes Discussion: To address these challenges, we discuss three socio-technical design requirements that designers need to pay attention to while developing inter-departmental healthcare information systems. To ensure effective inter-departmental coordination, the systems should incorporate features that can support the mediating role of integrators, the collaborative balancing of goals, and the collaborative prioritization of resources. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183650 Mon, 14 Dec 2009 00:00:00 +0100 3183650 http://www.medworm.com/index.php?rid=3183652&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001750%2Fabstract%3Frss%3Dyes Conclusion: GSVML was developed as a potential data exchanging format for genomic sequence variation data exchange focusing on human health applications. The international standardization of GSVML is necessary, and is currently underway. GSVML can be applied to enhance the utilization of genomic sequence variation data worldwide by providing a communicable platform between clinical and research applications. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3183652 Mon, 07 Dec 2009 00:00:00 +0100 3183652 http://www.medworm.com/index.php?rid=3112905&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001725%2Fabstract%3Frss%3Dyes Conclusion: This Internet weight loss community plays a prominent role in participants’ weight loss efforts. Social support within Internet weight loss communities merits further evaluation as a weight loss resource for clinicians to recommend to patients. Understanding these communities could improve how health professionals evaluate, build, harness, and manipulate social support for weight loss. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112905 Mon, 30 Nov 2009 00:00:00 +0100 3112905 http://www.medworm.com/index.php?rid=3112904&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560900152X%2Fabstract%3Frss%3Dyes Conclusions: The key to enthusiastic acceptance of electronic medical records is computing that is easy to use and helpful to doctors, nurses, and other clinicians in the care of their patients. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112904 Thu, 26 Nov 2009 00:00:00 +0100 3112904 http://www.medworm.com/index.php?rid=3112906&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001518%2Fabstract%3Frss%3Dyes Conclusions: This study achieved an initial understanding of the deep features of breakdowns from a process-oriented perspective, which allowed us to build the groundwork for a theoretical model of breakdowns in perioperative activities and to propose a design approach that tackles breakdowns during early stages of system development. The direct association between breakdowns and repairs can be exploited in both IT-system design and organizational design. The patterns of repair work can inform design so as to provide clinicians with the types of information that will prevent breakdowns from occurring or to mitigate the impact of breakdowns. The results reveal that preventing breakdown propagation should be a prime target in surgical applications design. (Source: International Journal of Me... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112906 Mon, 09 Nov 2009 00:00:00 +0100 3112906 http://www.medworm.com/index.php?rid=2952383&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001312%2Fabstract%3Frss%3Dyes Conclusions: The web-based training system can be successfully involved in the continuous distance education in cytopathology. It provides the opportunity to access learning material from any place at any time and supports the acquisition of diagnostic knowledge. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952383 Tue, 03 Nov 2009 14:25:34 +0100 2952383 http://www.medworm.com/index.php?rid=2952378&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001506%2Fabstract%3Frss%3Dyes To cope with the amounts of documentation in health care and bio-medical research, the traditional intermediaries used by practitioners include, for example, summaries, code lists, and rulebooks. The new intermediaries enabled by text and data mining may encompass, for example, code suggestions assigned by text classification tools, rankings produced by information retrieval tools, pre-completed forms filled by information extraction tools, as well as structured free-text notes generated by topic segmentation and labelling tools. Under time constraints, they can help focus on essential items in large sets of data and text. This Special Issue is about these intermediaries. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952378 Fri, 30 Oct 2009 00:00:00 +0100 2952378 http://www.medworm.com/index.php?rid=2952395&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001373%2Fabstract%3Frss%3Dyes Conclusions: The finding of this study, an important role of DD between ADHD and other psychiatric comorbidity, supports neurological findings in developmental delay of ADHD children's front cortex, as well as some epidemiology findings. This study also demonstrated the practicality of ARM in comorbidity studies using enormous clinic databases like NHIRD. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952395 Fri, 23 Oct 2009 00:00:00 +0100 2952395 http://www.medworm.com/index.php?rid=3112908&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560900135X%2Fabstract%3Frss%3Dyes Conclusions: If we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112908 Thu, 15 Oct 2009 00:00:00 +0100 3112908 http://www.medworm.com/index.php?rid=2952381&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001282%2Fabstract%3Frss%3Dyes Conclusion: EPR systems in Norwegian primary care that have been developed in accordance with the principles of user-centered design have achieved widespread adoption and highly integrated use. The quality and efficiency of the clinical work has increased in contrast to the situation of their hospital colleagues, who report more modest use and benefits of EPR systems. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952381 Thu, 15 Oct 2009 00:00:00 +0100 2952381 http://www.medworm.com/index.php?rid=3112907&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001361%2Fabstract%3Frss%3Dyes Conclusion: This paper addresses a gap in the literature concerning the social, organizational, and contextual characteristics of CDSS in general and for intensive insulin therapy specifically. Additionally, this paper identifies areas for future research to define optimal computer-based IIT process execution: the frequency and effect of manual data entry error of blood glucose values, the frequency and effect of nurse overrides of CDSS insulin dosing recommendations, and comprehensive ethnographic study of CDSS for IIT. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112907 Thu, 08 Oct 2009 00:00:00 +0100 3112907 http://www.medworm.com/index.php?rid=2860422&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001415%2Fabstract%3Frss%3Dyes (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860422 Mon, 05 Oct 2009 16:53:06 +0100 2860422 http://www.medworm.com/index.php?rid=2860421&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001397%2Fabstract%3Frss%3Dyes (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860421 Mon, 05 Oct 2009 16:53:06 +0100 2860421 http://www.medworm.com/index.php?rid=3112909&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001348%2Fabstract%3Frss%3Dyes Conclusion: Similar medication error rates in handwritten and electronic summaries may be due to the common factor of transcription, either handwritten or typed, known to be associated with medication errors. Clinical information systems evolve and often in the early stages of implementation electronic discharge summaries are integrated with existing paper-based patient record systems. Automatic transfer of medications from an electronic medication management system to the electronic discharge summary holds the potential to reduce medication errors through the elimination of the transcription process. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112909 Mon, 05 Oct 2009 00:00:00 +0100 3112909 http://www.medworm.com/index.php?rid=2952377&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001294%2Fabstract%3Frss%3Dyes The field of medical informatics is continuously expanding in scope, in depth, and in maturity. New connections to other fields are established as concepts and tools of medical informatics become essential parts of health systems and biomedicine. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952377 Mon, 05 Oct 2009 00:00:00 +0100 2952377 http://www.medworm.com/index.php?rid=3112910&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001336%2Fabstract%3Frss%3Dyes The objective of this article is to present the results of a study on the impact of appointment reminders sent as short message service text messages to patients’ cell phones on nonattendance rates at outpatient clinics in São Paulo, Brazil.Design: Data were collected on scheduled appointments in four medical clinics using Clinic Manager® or Clinic Web® systems that can send automated messages to patients. Data on appointment attendance were collected from these systems.Measurements: More than 29,000 appointments were scheduled between July 1, 2007, and May 31, 2008, and for 7890 of them a text message reminder was sent to the patient's cell phone. The rates of nonattendance were compared between those who were sent and those who were not sent a text message as an appointment reminder... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3112910 Mon, 28 Sep 2009 00:00:00 +0100 3112910 http://www.medworm.com/index.php?rid=2952382&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001300%2Fabstract%3Frss%3Dyes Conclusion: The HISSTL emerged from the analysis of study evidence. The theory embodies elements such as the fiscal, regulatory and natural hospital environments which impede P&S implementations in practice settings. These elements conflict with improved patient care outcomes. Efforts by clinicians to avoid conflict and emphasize patient care above P&S tended to manifest as security breaches. These breaches entrench factors beyond clinician control and perpetuate those within clinician control. Security breaches of health information can progress through the HISSTL. Some preliminary suggestions for addressing these issues are proposed.Study limitations: Legislative frameworks that are not related to direct patient care were excluded from this study. Other limitations included an exclusive ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952382 Mon, 28 Sep 2009 00:00:00 +0100 2952382 http://www.medworm.com/index.php?rid=2952384&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001324%2Fabstract%3Frss%3Dyes Conclusion: Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952384 Tue, 22 Sep 2009 00:00:00 +0100 2952384 http://www.medworm.com/index.php?rid=2952380&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560900118X%2Fabstract%3Frss%3Dyes Abstract: The Millennium Villages Project (MVP), based at The Earth Institute at Columbia University, is a bottom-up, community led approach to show how villages in developing countries can get out of the poverty trap that afflicts more than a billion people worldwide. With well-targeted, practical inputs can help the community invest in a path leading to self-sustaining development. There are 80 Millennium Villages clustered in 10 countries throughout sub-Saharan Africa. MVP is an important development process for empowering communities to invest in a package of integrated interventions aiming to increase food production, improve access to safe water, health care, education and infrastructure. The process benefits from synergies of the integrated approach and relies on community leadershi... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952380 Tue, 22 Sep 2009 00:00:00 +0100 2952380 http://www.medworm.com/index.php?rid=3344428&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001142%2Fabstract%3Frss%3Dyes Conclusion: The HFE approach to medication CPOE efficiently identifies and distinguishes currently unsafe or uncomfortable work situations that could obviously benefit from an IT solution from other work situations incorporating efficient work procedures that might be impaired by the implementation of the CPOE. In this context, a careful redesign of the work situation and of the entire work system is necessary to actually benefit from the installation of the product in terms of patient safety and human performances. In parallel, a usability assessment of the product to be implemented is mandatory to identify potentially dangerous usability flaws and to fix them before the installation. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344428 Thu, 10 Sep 2009 00:00:00 +0100 3344428 http://www.medworm.com/index.php?rid=2860420&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001166%2Fabstract%3Frss%3Dyes Conclusions: Three areas that were identified as highest priority for collaboration included: (1) health data security, (2) developing effective strategies to ensure healthcare professionals’ acceptance of health IT tools, and (3) interoperability. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860420 Sun, 06 Sep 2009 23:00:00 +0100 2860420 http://www.medworm.com/index.php?rid=2952379&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001178%2Fabstract%3Frss%3Dyes Conclusions: Our findings indicate that participants’ attitudes towards the idea of wireless sensor networks for health monitoring are generally positive. The exploratory findings along with the literature suggest a number of relationships which can be used in future survey design and model building. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952379 Tue, 01 Sep 2009 00:00:00 +0100 2952379 http://www.medworm.com/index.php?rid=2860419&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001154%2Fabstract%3Frss%3Dyes Conclusions: Forum answers were comparable to clinicians’ answers with respect to accuracy and completeness, but answers from both sources were unsatisfactory. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860419 Mon, 31 Aug 2009 23:00:00 +0100 2860419 http://www.medworm.com/index.php?rid=3344431&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560900104X%2Fabstract%3Frss%3Dyes Conclusion: This study demonstrates that the integration of users’ representatives in the software lifecycle is a good point for the end users. But it remains insufficient to resolve the complex usability problems of the system. Such solutions require the integration of HF expertise. Moreover, such an involvement of HF experts may generate benefits in terms of reduction of (i) the number of iterative developments and (ii) the users’ training costs. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344431 Thu, 06 Aug 2009 00:00:00 +0100 3344431 http://www.medworm.com/index.php?rid=2860418&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001051%2Fabstract%3Frss%3Dyes Abstract: The resulting regional healthcare information systems were expected to have effects and impacts on health care procedures, work practices and treatment outcomes. The aim is to find out how health information systems have been investigated, what has been investigated and what are the outcomes. A systematic review was carried out of the research on the regional health information systems or organizations. The literature search was conducted on four electronic Cinahl Medline, Medline/PubMed and Cochrane. The common type of study design was the survey research and case study, and the data collection was carried out via different methodologies. They found out different types of regional health information systems (RHIS). The systems were heterogeneous and were in different phases of t... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860418 Tue, 04 Aug 2009 23:00:00 +0100 2860418 http://www.medworm.com/index.php?rid=2721811&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000987%2Fabstract%3Frss%3Dyes Abstract: Purpose: The present study evaluated whether an intervention using a short message service (SMS) by cellular phone and Internet would improve blood pressure, weight control, and serum lipids of obese patients with hypertension during 8 weeks.Methods: This is a quasi-experimental design with pre- and follow-up tests. Participants were recruited from the family medicine outpatient department of tertiary care hospital located in an urban city of South Korea. Twenty-eight patients were assigned to an intervention group and 21 to a control group. The goal of intervention was to bring blood pressure, body weight, and serum lipids levels close to normal ranges. Patients in the intervention group were requested to record their blood pressure and body weight in a weekly web based diary th... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721811 Wed, 29 Jul 2009 23:00:00 +0100 2721811 http://www.medworm.com/index.php?rid=3344429&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001038%2Fabstract%3Frss%3Dyes Conclusion: This case study demonstrates which human, social and organizational issues relevant to CPOE implementation cumulatively led to a failure outcome of the CPOE-L pilot introduction. The experiences and considerations described in this paper show important issues for CPOE systems to be successfully introduced and to be taken into account in future CPOE implementations. Understanding and consideration of (clinical) workflow aspects by project managers and the involved clinical organization is of extreme importance from the very start of a CPOE implementation process. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344429 Wed, 29 Jul 2009 00:00:00 +0100 3344429 http://www.medworm.com/index.php?rid=2721809&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000999%2Fabstract%3Frss%3Dyes Abstract: Background: Nursing is arguably the most organizationally diverse healthcare profession. Educational backgrounds may vary, even among similarly credentialed nurses. Drug information databases used as clinical decision support tools can improve access to pharmacologic information at point-of-care when housed on personal digital assistants. They may also help address the disparity in drug information and pharmacology education between nurses.Objectives: To evaluate nursing-specific drug information database content on personal digital assistants (PDAs).Methods: Seven nursing-specific PDA databases were evaluated for scope (absence or presence of an answer) and completeness (three-point scale) via the use of 80 general category and 80 subspecialty drug information questions. Erroneo... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721809 Tue, 28 Jul 2009 23:00:00 +0100 2721809 http://www.medworm.com/index.php?rid=2860417&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001014%2Fabstract%3Frss%3Dyes Conclusions: We have developed a generic computational framework that can be used to formulate and query criteria around issues of adherence to long-term medication based on practice EMRs. Within the context of the example we have used, the observed adherence levels indicate that a substantial proportion of patients classified with hypertension and diabetes have poor adherence, associated with poorer rates of blood pressure control, that can be detected through analysis of electronic prescribing. Further work is required to identify effective interventions using the reporting information to reduce non-adherence and improve patient outcomes. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860417 Thu, 23 Jul 2009 23:00:00 +0100 2860417 http://www.medworm.com/index.php?rid=2721810&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001002%2Fabstract%3Frss%3Dyes Conclusion: In order to foster the use of e-consultation in primary care both GPs and non-users must be informed about the possibilities and consequences of e-consultation through tailored education and instruction. We must also take into account patient profiles and their specific demands regarding e-consultation. Special attention should be paid to patients who can benefit the most from e-consultation while also facing the greatest chance of being excluded from the service. As health care continues to evolve towards a more patient-centred approach, we expect that patient expectations and demands will be a major force in driving the adoption of e-consultation. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721810 Tue, 21 Jul 2009 23:00:00 +0100 2721810 http://www.medworm.com/index.php?rid=2860416&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609001026%2Fabstract%3Frss%3Dyes Conclusions: REPETE is an effective remote training tool for older adults in the telemedicine environment. Patients demonstrated significant improvements in their ability to perform tasks on their home telemedicine unit. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860416 Mon, 20 Jul 2009 23:00:00 +0100 2860416 http://www.medworm.com/index.php?rid=2721808&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000896%2Fabstract%3Frss%3Dyes Conclusion: Factors from multiple categories determine HCWs’ adoption of web-based guidelines, but the organization appeared to be a paramount reinforcer of initiation and maintenance of technology adoption among HCWs. In order eliminate resistance and create ownership among HCWs toward the website, leading to a willingness to integrate the website into routine care, it is essential to more actively involve HCWs in the early phases of the design process. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721808 Tue, 07 Jul 2009 23:00:00 +0100 2721808 http://www.medworm.com/index.php?rid=2952387&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000884%2Fabstract%3Frss%3Dyes Conclusions: Using a search engine optimized for finding clinical information in the free-text sections of the EMR can provide significant time savings while preserving clinical accuracy. The major power of this search engine is not from a more advanced and sophisticated search algorithm, but rather from a user interface designed explicitly to help users search the entire medical record in a way that protects health information. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952387 Mon, 29 Jun 2009 00:00:00 +0100 2952387 http://www.medworm.com/index.php?rid=2721805&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000744%2Fabstract%3Frss%3Dyes Conclusions: Changes in format of laboratory test order forms can change physician test ordering and may be useful together with other interventions to improve appropriateness of laboratory testing. A thoughtfully built test ordering form can reinforce clinical guidelines for the performance of some preventive testing and follow-up. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721805 Wed, 24 Jun 2009 23:00:00 +0100 2721805 http://www.medworm.com/index.php?rid=2952393&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000872%2Fabstract%3Frss%3Dyes Conclusions: Our supervised machine-learning methods that combine information from image and text are capable of achieving image annotation and retrieval accuracy acceptable for providing clinical evidence, given sufficient training data. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952393 Mon, 22 Jun 2009 00:00:00 +0100 2952393 http://www.medworm.com/index.php?rid=2607855&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000860%2Fabstract%3Frss%3Dyes In the above article Andrea Sboner name was incorrectly spelt in reference number [137]. The correct reference is now below. [137] A. Sboner, C. Eccher, E. Blanzieri, P. Bauer, M. Cristofolini, G. Zumiani, S. Forti, A multiple classifier system for early melanoma diagnosis, Artif. Intell. Med. 27 (1) (2003) 29–44. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607855 Sun, 14 Jun 2009 23:00:00 +0100 2607855 http://www.medworm.com/index.php?rid=2721806&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000756%2Fabstract%3Frss%3Dyes Conclusion: Web 2.0 use represents a profound departure from previous learning and decision processes which were normally controlled by senior medical staff or medical schools. There is widespread concern with the risk of poor quality information with Web 2.0 use, and the manner in which physicians are using it suggest effective use derives from the mitigating actions by the individual physician. Three alternative policy options are identified to manage this risk and improve efficiency in Web 2.0's use. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721806 Sun, 07 Jun 2009 23:00:00 +0100 2721806 http://www.medworm.com/index.php?rid=2952391&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000768%2Fabstract%3Frss%3Dyes Abstract: Protein–protein interaction (PPI) extraction is an important and widely researched task in the biomedical natural language processing (BioNLP) field. Kernel-based machine learning methods have been used widely to extract PPI automatically, and several kernels focusing on different parts of sentence structure have been published for the PPI task. In this paper, we propose a method to combine kernels based on several syntactic parsers, in order to retrieve the widest possible range of important information from a given sentence. We evaluate the method using a support vector machine (SVM), and we achieve better results than other state-of-the-art PPI systems on four out of five corpora. Further, we analyze the compatibility of the five corpora from the viewpoint of PPI extraction,... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952391 Fri, 05 Jun 2009 00:00:00 +0100 2952391 http://www.medworm.com/index.php?rid=2952396&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000707%2Fabstract%3Frss%3Dyes Conclusions: Data mining-based methodology proposed in this study reveals that there are undiscovered relationships (i.e. interactions of the existing variables) among the survival-related variables, which helps better predict the survival of the heart–lung transplants. It also brings a different set of variables into the scene to be evaluated by the domain-experts and be considered prior to the organ transplantation. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952396 Thu, 04 Jun 2009 00:00:00 +0100 2952396 http://www.medworm.com/index.php?rid=2721807&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560900077X%2Fabstract%3Frss%3Dyes Conclusion: The findings demonstrate that oriental nursing actions can be represented using the ISO reference terminology model for nursing actions. Further specification of the components of the model will be useful to achieve consistent mapping across different settings. The addition of component qualifiers should also be taken into consideration to describe nursing actions at a more granular level. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2721807 Sun, 31 May 2009 23:00:00 +0100 2721807 http://www.medworm.com/index.php?rid=2952398&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000720%2Fabstract%3Frss%3Dyes The objective of this application was to determine rules describing combinations of clinical parameters used for metabolic syndrome diagnosis, and to develop rules for predicting whether particular patients are likely to develop secondary complications of MS. The aggregated clinical data was retrieved from 20 separate hospital cohorts that included 12 groups of patients with present liver disease symptoms and 8 control groups of healthy subjects. The total of 152 attributes were used, most of which were measured, however, in different studies. Twenty most common attributes were selected for the rule learning process. By applying the developed rule learning methodology we arrived at several different possible rulesets that can be used to predict three considered complications of MS, namely ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952398 Mon, 25 May 2009 00:00:00 +0100 2952398 http://www.medworm.com/index.php?rid=2952388&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000690%2Fabstract%3Frss%3Dyes Conclusion: Developing gold standard sets as well as automatic systems for de-identification tasks in Swedish is feasible. However, discussions and definitions on identifiable information is needed, as well as further developments both on the tag sets and the annotation guidelines, in order to get a reliable gold standard. A completely new de-identification software needs to be developed. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952388 Mon, 25 May 2009 00:00:00 +0100 2952388 http://www.medworm.com/index.php?rid=2607854&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000732%2Fabstract%3Frss%3Dyes Conclusion: This study demonstrated that the clinical workspace is a highly interruptive environment. Multiple interruptions in the communication processes between clinicians consume time and have the potential to increase the risk of error. This workflow analysis may inform the development of communication devices to enhance inter-clinician communication by reducing interruptions or deferring interruptions to more appropriate times. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607854 Sun, 24 May 2009 23:00:00 +0100 2607854 http://www.medworm.com/index.php?rid=2607851&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000550%2Fabstract%3Frss%3Dyes Conclusions: Take-up of eHealth services may be lower than expected. To overcome patient barriers, factors that may narrow the intention–behaviour gap such as level of service promotion, GP endorsement, and usage by different patient groups, should be investigated. For clinician barriers, the eHealth evidence base needs strengthening, while for primary care practices, a learning process including staff training needs to be instituted. The differing views of patients and GPs about components of eHealth means that policymakers need to plan for a lengthy political process to obtain agreement on contentious issues if they are to achieve successful eHealth services. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607851 Sun, 24 May 2009 23:00:00 +0100 2607851 http://www.medworm.com/index.php?rid=2607853&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000689%2Fabstract%3Frss%3Dyes Conclusions: In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EHR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EHR design and implementation. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607853 Thu, 21 May 2009 23:00:00 +0100 2607853 http://www.medworm.com/index.php?rid=2952392&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000537%2Fabstract%3Frss%3Dyes Conclusion: This study has shown that for the classification of disease outbreak reports, a combination of bag-of-words, n-grams and semantic features, in conjunction with feature selection, increases classification accuracy at a statistically significant level compared to previous work in this domain. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952392 Mon, 18 May 2009 00:00:00 +0100 2952392 http://www.medworm.com/index.php?rid=2607852&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000562%2Fabstract%3Frss%3Dyes Conclusion: Using the standardised nursing wound care record improved nursing documentation meeting legal demands, which should increase the safety of patient. There was however a discrepancy between the nurses stated knowledge and how they carried out the documentation. Regular in-service training together with use of evidence based standardised nursing records, as a link to clinical reasoning about nursing care, could be ways effecting change. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607852 Sun, 17 May 2009 23:00:00 +0100 2607852 http://www.medworm.com/index.php?rid=2952394&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000719%2Fabstract%3Frss%3Dyes Abstract: Evidence-based dentistry has shown that different restorative materials have different survival times. Our primary hypothesis is that this should be revealed from normal dental records by the use of data mining technique and a practice-based dentistry approach analysed in a scientifically sound way. Dental records from 1626 patients and altogether 19,892 restorations in three Finnish age cohorts were analysed. Survival curves (Kaplan–Meier) were drawn for each of the restorative materials. Median survival times for amalgam and resin-based composites were more than 15 years in older cohorts. More than 60% of silicate cement restorations were replaced within 5 years, and more than 50% of glass ionomers within 7 years. There was a significant reduction in the longevity of amalgams... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952394 Tue, 12 May 2009 00:00:00 +0100 2952394 http://www.medworm.com/index.php?rid=2607850&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000549%2Fabstract%3Frss%3Dyes Conclusion: The DPP technology is an original approach to study data acquisition processes in unbiased conditions. The technical raw data recorded by the DPP allows building the time series of all activities on the paper, therefore letting to constructing several representations of the process. However, the technology is not able to provide information about the context of use, for example interruptions of the form filling processes due to calls or other activities. Therefore, it is necessary to complete these analyses with qualitative approaches such as observational studies and interviews. Noticeably, as a result of this study, the head physicians of ER have redesigned the triage form to enforce the use of objective measurements and ease the data acquisition process. (Source: Internation... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607850 Thu, 07 May 2009 23:00:00 +0100 2607850 http://www.medworm.com/index.php?rid=2952390&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000422%2Fabstract%3Frss%3Dyes Abstract: Introduction: Information extraction (IE) systems have been proposed in recent years to extract genic interactions from bibliographical resources. They are limited to single interaction relations, and have to face a trade-off between recall and precision, by focusing either on specific interactions (for precision), or general and unspecified interactions of biological entities (for recall). Yet, biologists need to process more complex data from literature, in order to study biological pathways. An ontology is an adequate formal representation to model this sophisticated knowledge. However, the tight integration of IE systems and ontologies is still a current research issue, a fortiori with complex ones that go beyond hierarchies.Method: We propose a rich modeling of genic interac... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952390 Mon, 27 Apr 2009 00:00:00 +0100 2952390 http://www.medworm.com/index.php?rid=2607849&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000525%2Fabstract%3Frss%3Dyes Conclusion: Electronic prescribing is a potential boon to ambulatory medical practice, although its value may be compromised by inappropriate and irrelevant medication safety alerts and by features of the e-prescribing system that prove burdensome to frontline clinicians. While alerts infrequently result in changed or aborted prescriptions, they may trigger a variety of other provider behaviors that help to ensure safe care. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2607849 Wed, 22 Apr 2009 23:00:00 +0100 2607849 http://www.medworm.com/index.php?rid=2491259&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000513%2Fabstract%3Frss%3Dyes Conclusions: LinkEHR-Ed is a useful tool for building, processing and validating archetypes based on any reference model. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491259 Tue, 21 Apr 2009 23:00:00 +0100 2491259 http://www.medworm.com/index.php?rid=2350766&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001846%2Fabstract%3Frss%3Dyes Discussion/conclusion: The current paper describes the process by which the MAMA team brainstormed proposed services and administered their survey. Survey results and the consequent changes to the MAMA system are discussed. Finally, recommendations are made for MAMA system use and a description is offered of the impact such systems might have on the future of college campus healthcare services. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350766 Tue, 21 Apr 2009 09:28:03 +0100 2350766 http://www.medworm.com/index.php?rid=2350765&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000021%2Fabstract%3Frss%3Dyes Abstract: Purpose: The purpose of this study is to compare the spatial and temporal information generated from two distinct health data sources available for the surveillance of intestinal infections associated with Escherichia coli O157:H7.Methods: Our study area is the province of Alberta, Canada. Data are from two sources: a fee-for-service administrative health data system and a notifiable disease data reporting system. The study period is between 1999 and 2005. We compare the systems by observing correlations in the infections over time, the variability in the overall distribution of cases (as measured by a geographic dissimilarity index), and the relative locations of spatial–temporal clusters of infection.Results: Our results indicate considerable variability in information genera... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350765 Tue, 21 Apr 2009 09:28:02 +0100 2350765 http://www.medworm.com/index.php?rid=2350764&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608002104%2Fabstract%3Frss%3Dyes Conclusions: Health IT is pervasive and well adopted by CHCs in Thailand. The study results have implications for both health IT developmental efforts in Thailand and health informatics research. This study validated the UTAUT model in the field context of a developing country's healthcare system and demonstrated that the PLS path modeling works well in a field study and in exploratory research with a complex model. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350764 Tue, 21 Apr 2009 09:27:59 +0100 2350764 http://www.medworm.com/index.php?rid=2350763&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608002086%2Fabstract%3Frss%3Dyes Abstract: Purpose: Advanced information technologies joined to the increasing use of continuous medical devices for monitoring and treatment, have made possible the definition of a new telemedical diabetes care scenario based on a hand-held Personal Assistant (PA). This paper describes the architecture, functionality and implementation of the PA, which communicates different medical devices in a personal wireless network.Description of the system: The PA is a mobile system for patients with diabetes connected to a telemedical center. The software design follows a modular approach to make the integration of medical devices or new functionalities independent from the rest of its components. Physicians can remotely control medical devices from the telemedicine server through the integration o... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350763 Tue, 21 Apr 2009 09:27:57 +0100 2350763 http://www.medworm.com/index.php?rid=2350762&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608002049%2Fabstract%3Frss%3Dyes In this report, we describe the implementation of CCOW for our three main clinical applications and compare this with the simultaneous development and implementation of a portal session manager for the same purpose. We found the portal session manager much easier to develop and implement than CCOW. The resulting functionality was almost equivalent as judged by our clinical end users who compared both solutions. We now have the portal session manager functional across the institution and have stopped any further work on CCOW. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350762 Tue, 21 Apr 2009 09:27:50 +0100 2350762 http://www.medworm.com/index.php?rid=2350761&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000185%2Fabstract%3Frss%3Dyes Abstract: Purpose: Although public health informatics (PHI) was defined in 1995, both then and still now it is an “emerging” profession. An emergent profession lacks a base of “technical specialized knowledge.” Therefore, we analyzed MEDLINE bibliographic citation records of the PHI literature to determine if a base of technical, specialized PHI literature exists, which could lead to the conclusion that PHI has emerged from its embryonic state.Method: A MEDLINE search for PHI literature published from 1980–2006 returned 16,942 records. Record screening by two subject matter experts netted 2493 PHI records that were analyzed by the intervals of previous PHI CBMs 96-4 and 2001-2 for 1980–1995 (I1980) and 1996–2000 (I1996), respectively, and a new, third interval of 2001–2006 ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350761 Tue, 21 Apr 2009 09:27:48 +0100 2350761 http://www.medworm.com/index.php?rid=2350760&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608002050%2Fabstract%3Frss%3Dyes Conclusions: The evidence for the impact of CPOE needs to be improved to support scientific generalizability. Several common confounds are found in this literature. Future researchers will want to address them to improve the strength of the inference between CPOE and clinical outcomes. Discussion focuses on methods to improve future CPOE research. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2350760 Tue, 21 Apr 2009 09:27:46 +0100 2350760 http://www.medworm.com/index.php?rid=2491254&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000379%2Fabstract%3Frss%3Dyes Conclusions: Based on our experience, formalizing a guideline concurrent with its development is feasible in practice and we recommend applying such a strategy as it can be beneficial to the quality of and consistency between the guideline's narrative and formalized version. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491254 Sun, 19 Apr 2009 23:00:00 +0100 2491254 http://www.medworm.com/index.php?rid=2491258&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000410%2Fabstract%3Frss%3Dyes This study attempts to determine the factors which affect the uptake of an EPR by Irish GPs.Methods and materials: Two national postal surveys of Irish General Practitioners (GPs) were carried out in 2000 and again in 2003. Response rates were 69% (n=1543) and 60% (n=1408), respectively.Results: The data collected reveal that electronic patient records are in widespread use among Irish general practitioners. Furthermore the study shows that the use of electronic patient records for common clinical and administrative tasks is increasing.Comparative analysis of the data revealed statistically significant differences between subgroups of responders. GPs were more likely to use an EPR for clinical tasks if they were young and male. GPs in group practice and GPs with mostly state-funded patient... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491258 Thu, 16 Apr 2009 23:00:00 +0100 2491258 http://www.medworm.com/index.php?rid=2491256&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000392%2Fabstract%3Frss%3Dyes Conclusion: eSTEPS offers the potential to meet the need for an effective mobile public health data collection tool for use in the field. The eSTEPS field trial proves that PDA was more efficient than paper for public health survey data collection. It also significantly reduced errors in data entry. The later benefit was derived from the software providing its users with the flexibility of building their own constraints to control the data type, range and logic of data entry. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491256 Wed, 15 Apr 2009 23:00:00 +0100 2491256 http://www.medworm.com/index.php?rid=2491255&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000380%2Fabstract%3Frss%3Dyes Conclusion: By using the five step openEHR data modelling approach, semantic interoperability, and a reduced need for repeated documentation of the same data can be realised. This is of major importance within the hospital as well as for trans-institutional data exchange. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491255 Thu, 09 Apr 2009 23:00:00 +0100 2491255 http://www.medworm.com/index.php?rid=2491257&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000409%2Fabstract%3Frss%3Dyes Conclusions: We propose 17 standard functions required for eCP embedded in electronic medical records. The functions for editing patient checklists, checking the occurrence of variance, and statistics are especially important and should be implemented as standard functions. This study will aid in the future development of eCP embedded in electronic medical records. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491257 Sun, 05 Apr 2009 23:00:00 +0100 2491257 http://www.medworm.com/index.php?rid=2491253&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000367%2Fabstract%3Frss%3Dyes Conclusion: The MIOT network seems to be a robust and scalable system in which T2* MRI-based cardiac and liver iron overload assessment is available, accessible and reachable for a significant and increasing number of thalassemia patients in Italy (about 420 per year), reducing the mean distance from the patient locations to the MRI sites from 951km to 387km. A solid, wide and homogeneous database will constitute an important scientific resource, shortening the time scale for diagnostic, prognostic and therapeutical evidence-based research on the management of thalassemia disease. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2491253 Sun, 05 Apr 2009 23:00:00 +0100 2491253 http://www.medworm.com/index.php?rid=3344425&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608002098%2Fabstract%3Frss%3Dyes Abstract: The aim of this paper is to review some work conducted in the field of user testing that aims at specifying or clarifying the test procedures and at defining and developing tools to help conduct user tests. The topics that have been selected were considered relevant for evaluating applications in the field of medical and health care informatics. These topics are: the number of participants that should take part in a user test, the test procedure, remote usability evaluation, usability testing tools, and evaluating mobile applications. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344425 Fri, 03 Apr 2009 00:00:00 +0100 3344425 http://www.medworm.com/index.php?rid=2310073&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19345608%26dopt%3DAbstract CONCLUSIONS: We propose 17 standard functions required for eCP embedded in electronic medical records. The functions for editing patient checklists, checking the occurrence of variance, and statistics are especially important and should be implemented as standard functions. This study will aid in the future development of eCP embedded in electronic medical records. PMID: 19345608 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310073 Thu, 02 Apr 2009 04:00:00 +0100 2310073 http://www.medworm.com/index.php?rid=2310044&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19345609%26dopt%3DAbstract CONCLUSION: The MIOT network seems to be a robust and scalable system in which T2* MRI-based cardiac and liver iron overload assessment is available, accessible and reachable for a significant and increasing number of thalassemia patients in Italy (about 420 per year), reducing the mean distance from the patient locations to the MRI sites from 951km to 387km. A solid, wide and homogeneous database will constitute an important scientific resource, shortening the time scale for diagnostic, prognostic and therapeutical evidence-based research on the management of thalassemia disease. PMID: 19345609 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310044 Thu, 02 Apr 2009 04:00:00 +0100 2310044 http://www.medworm.com/index.php?rid=2310214&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19345139%26dopt%3DAbstract Authors: Bastien JM The aim of this paper is to review some work conducted in the field of user testing that aims at specifying or clarifying the test procedures and at defining and developing tools to help conduct user tests. The topics that have been selected were considered relevant for evaluating applications in the field of medical and health care informatics. These topics are: the number of participants that should take part in a user test, the test procedure, remote usability evaluation, usability testing tools, and evaluating mobile applications. PMID: 19345139 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310214 Wed, 01 Apr 2009 04:00:00 +0100 2310214 http://www.medworm.com/index.php?rid=2310038&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19347986%26dopt%3DAbstract Authors: Marin HF, Safran C PMID: 19347986 [PubMed - in process] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310038 Wed, 01 Apr 2009 04:00:00 +0100 2310038 http://www.medworm.com/index.php?rid=2310041&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19345640%26dopt%3DAbstract CONCLUSIONS: Nursing home caregivers and families of nursing home patients are highly interested in telemedicine; however, they are only willing to pay a slightly higher cost of nursing care for this service. The challenge for the future in this industry is to balance peoples' demands and telemedicine's associated costs. Results of this study suggest that caregivers and families of nursing home residents favour telemedicine implementation to provide enhanced care coordination in nursing homes when economic circumstances are favourable. PMID: 19345640 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310041 Mon, 30 Mar 2009 04:00:00 +0100 2310041 http://www.medworm.com/index.php?rid=2952385&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000173%2Fabstract%3Frss%3Dyes Abstract: Motivation: Topic segmentation and labeling systems enable fine-grained information search. However, previously proposed methods require annotated data to adapt to different information needs and have limited applicability to texts with short segment length.Methods: We introduce an unsupervised method based on a combination of hidden Markov models and latent semantic analysis which allows the topics of interest to be defined freely, without the need for data annotation, and can identify short segments.Results: The method is evaluated on intensive care nursing narratives and motivated by information needs in this domain. The method is shown to considerably outperform a keyword-based heuristic baseline and to achieve a level of performance comparable to that of a related supervised... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952385 Fri, 27 Mar 2009 00:00:00 +0100 2952385 http://www.medworm.com/index.php?rid=2310217&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19328739%26dopt%3DAbstract CONCLUSION: Applying multi-perspective methodologies is an effective way to study and design user interactions with the front end of a guideline-based DSS. PMID: 19328739 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310217 Thu, 26 Mar 2009 04:00:00 +0100 2310217 http://www.medworm.com/index.php?rid=2310220&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19328036%26dopt%3DAbstract Authors: Ginter F, Suominen H, Pyysalo S, Salakoski T MOTIVATION: Topic segmentation and labeling systems enable fine-grained information search. However, previously proposed methods require annotated data to adapt to different information needs and have limited applicability to texts with short segment length. METHODS: We introduce an unsupervised method based on a combination of hidden Markov models and latent semantic analysis which allows the topics of interest to be defined freely, without the need for data annotation, and can identify short segments. RESULTS: The method is evaluated on intensive care nursing narratives and motivated by information needs in this domain. The method is shown to considerably outperform a keyword-based heuristic baseline and to achieve a level of perf... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310220 Wed, 25 Mar 2009 04:00:00 +0100 2310220 http://www.medworm.com/index.php?rid=2952389&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000197%2Fabstract%3Frss%3Dyes Abstract: Purpose: A large share of the information in electronic medical records (EMRs) consists of free-text compositions. From a computational point-of-view, the continuing prevalence of free-text entry is a major hindrance when the goal is to increase automation in EMRs. However, the efforts in developing standards for the structured representation of medical information have not proven to be a panacea. The information space of clinical medicine is very diverse and constantly evolving, making it challenging to develop standards for the domain. This paper reports a study aiming to increase automation in the EMR through the computational understanding of specific class of medical text in English, namely emergency department chief complaints.Methods: We apply domain-specific analytical mo... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952389 Tue, 24 Mar 2009 00:00:00 +0100 2952389 http://www.medworm.com/index.php?rid=2310224&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19321384%26dopt%3DAbstract CONCLUSION: We conclude that there exists an active and thriving OSS development community that is focusing on health and medical informatics. A wide range of OSS applications are in development, from bio-informatics to hospital information systems. A profile of OSS in health and medical informatics emerges that is distinct and unique to the health care field. Future research can focus on OSS acceptance and diffusion and impact on cost, efficiency and quality of health care. PMID: 19321384 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2310224 Mon, 23 Mar 2009 04:00:00 +0100 2310224 http://www.medworm.com/index.php?rid=2288914&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19307148%26dopt%3DAbstract CONCLUSIONS: The study contributes by confirming that alignment is a significant issue in health care organizations, and that such organizations make deliberate efforts to achieve it. The study further contributes by providing tables of actions and characteristics that managers might use as checklists in current and future alignment efforts as well as in generally cultivating broad support for alignment. Finally, it contributes by suggesting future study of alignment's predictors and effects in health care organizations. PMID: 19307148 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2288914 Sat, 21 Mar 2009 04:00:00 +0100 2288914 http://www.medworm.com/index.php?rid=2288913&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19307149%26dopt%3DAbstract Authors: Yli-Hietanen J, Niiranen S, Aswell M, Nathanson L PURPOSE: A large share of the information in electronic medical records (EMRs) consists of free-text compositions. From a computational point-of-view, the continuing prevalence of free-text entry is a major hindrance when the goal is to increase automation in EMRs. However, the efforts in developing standards for the structured representation of medical information have not proven to be a panacea. The information space of clinical medicine is very diverse and constantly evolving, making it challenging to develop standards for the domain. This paper reports a study aiming to increase automation in the EMR through the computational understanding of specific class of medical text in English, namely emergency department chief compl... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2288913 Sat, 21 Mar 2009 04:00:00 +0100 2288913 http://www.medworm.com/index.php?rid=2952386&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000203%2Fabstract%3Frss%3Dyes Abstract: Introduction: In this paper, we present steps taken towards more efficient automated processing of clinical Finnish, focusing on daily nursing notes in a Finnish Intensive Care Unit (ICU). First, we analyze ICU Finnish as a sublanguage, identifying its specific features facilitating, for example, the development of a specialized syntactic analyser. The identified features include frequent omission of finite verbs, limitations in allowed syntactic structures, and domain-specific vocabulary. Second, we develop a formal grammar and a parser for ICU Finnish, thus providing better tools for the development of further applications in the clinical domain.Methods: The grammar is implemented in the LKB system in a typed feature structure formalism. The lexicon is automatically generated b... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952386 Fri, 20 Mar 2009 00:00:00 +0100 2952386 http://www.medworm.com/index.php?rid=2288915&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19299195%26dopt%3DAbstract Authors: Laippala V, Ginter F, Pyysalo S, Salakoski T INTRODUCTION: In this paper, we present steps taken towards more efficient automated processing of clinical Finnish, focusing on daily nursing notes in a Finnish Intensive Care Unit (ICU). First, we analyze ICU Finnish as a sublanguage, identifying its specific features facilitating, for example, the development of a specialized syntactic analyser. The identified features include frequent omission of finite verbs, limitations in allowed syntactic structures, and domain-specific vocabulary. Second, we develop a formal grammar and a parser for ICU Finnish, thus providing better tools for the development of further applications in the clinical domain. METHODS: The grammar is implemented in the LKB system in a typed feature structure fo... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2288915 Tue, 17 Mar 2009 04:00:00 +0100 2288915 http://www.medworm.com/index.php?rid=2277924&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19297243%26dopt%3DAbstract CONCLUSION: A core set of journals, the proliferation of PHI articles in varied and numerous journals, and rapid uptake of MeSH suggest PHI is acquiring professional authority and now should not be tagged as an "emerging" profession. PMID: 19297243 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2277924 Mon, 16 Mar 2009 04:00:00 +0100 2277924 http://www.medworm.com/index.php?rid=2241364&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19261544%26dopt%3DAbstract CONCLUSIONS: Due to the discrepant findings and several key methodological issues, the impact of a CCIS on time spent charting and in direct patient care remains unclear. This review highlights the need for an increase in rigorous empirical research in this area and provides recommendations for the design and implementation of future studies. PMID: 19261544 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2241364 Mon, 02 Mar 2009 05:00:00 +0100 2241364 http://www.medworm.com/index.php?rid=2233761&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19249240%26dopt%3DAbstract Authors: Olive M, Rahmouni H, Solomonides T, Breton V, Legré Y, Blanquer I, Hernandez V The SHARE(1) project (http://www.eu-share.org) was asked to identify the key developments needed to achieve wide adoption and deployment of HealthGrids throughout Europe. The project was asked to organise these as milestones on a road map, so that all technical advances, social actions, economic investments and ethical or legal initiatives necessary for HealthGrids would be seen together in a single coherent document. The full road map includes an extensive analysis of several case studies exploring their technical requirements, full discussion of the ethical, legal, social and economic issues which may impede early deployment, and concludes with an attempt to reconcile the tensions between tec... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2233761 Wed, 25 Feb 2009 05:00:00 +0100 2233761 http://www.medworm.com/index.php?rid=2952397&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505609000033%2Fabstract%3Frss%3Dyes Conclusions: Use of HLT and SMQ groupings can improve the percentage of unlabeled supported SDRs in data mining results. The trade-off for this gain is the medically less-specific language of HLTs and SMQs compared to PTs, and the need for the added step in data mining of examining the component PTs of each HLT or SMQ that results in a signal of disproportionate reporting. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2952397 Thu, 19 Feb 2009 00:00:00 +0100 2952397 http://www.medworm.com/index.php?rid=2211306&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19230751%26dopt%3DAbstract CONCLUSIONS: Use of HLT and SMQ groupings can improve the percentage of unlabeled supported SDRs in data mining results. The trade-off for this gain is the medically less-specific language of HLTs and SMQs compared to PTs, and the need for the added step in data mining of examining the component PTs of each HLT or SMQ that results in a signal of disproportionate reporting. PMID: 19230751 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2211306 Wed, 18 Feb 2009 05:00:00 +0100 2211306 http://www.medworm.com/index.php?rid=2167950&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19195926%26dopt%3DAbstract CONCLUSIONS: Notifiable disease data may suffer from selection bias; administrative health data may be insufficiently precise without laboratory confirmation. Our results illustrate differences in the spatial and temporal information generated from these two systems of case identification. Future surveillance of gastrointestinal illness of infectious origin may benefit from case ascertainment algorithms based on both sources of data. PMID: 19195926 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2167950 Tue, 03 Feb 2009 05:00:00 +0100 2167950 http://www.medworm.com/index.php?rid=2167949&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19196548%26dopt%3DAbstract CONCLUSIONS: Health IT is pervasive and well adopted by CHCs in Thailand. The study results have implications for both health IT developmental efforts in Thailand and health informatics research. This study validated the UTAUT model in the field context of a developing country's healthcare system and demonstrated that the PLS path modeling works well in a field study and in exploratory research with a complex model. PMID: 19196548 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2167949 Mon, 02 Feb 2009 05:00:00 +0100 2167949 http://www.medworm.com/index.php?rid=3344432&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001858%2Fabstract%3Frss%3Dyes Conclusion: Based on our experiences while conducting the CPOE meta-analysis, we argue that we are still at the beginning of Evidence-Based Health Informatics. To overcome the discussed challenges, health informatics should strive for harmonized terminology, a study registry, reporting standards, financial or legal incentives for conducting studies, methods to combine evidence from quantitative and qualitative studies, and guidelines for conducting and publishing evaluation studies. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344432 Fri, 30 Jan 2009 00:00:00 +0100 3344432 http://www.medworm.com/index.php?rid=3344430&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001275%2Fabstract%3Frss%3Dyes Abstract: In this manuscript we report an evaluation of the reliability of clinical research rules creation by multiple clinicians using the Health Archetype Language (HAL-42) and user interface. HAL-42 is a language which allows real time epidemiological inquiry using automatically derived clinical encodings with any health Ontology. This evaluation used SNOMED CT as the underlying Ontology. The inquiries were performed on a population of 17,731 patients whose 50,000 clinical records have all been fully encoded in SNOMED CT. Four subject matter experts (SMEs) were asked independently to encode and run 10 rules/studies. The inter-rater agreement was 74.8% (p=0.6526) with a Kappa statistic of 0.49217 (p=0.5722). The ten rules were divided into three easy rules, four moderate and three compl... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344430 Fri, 30 Jan 2009 00:00:00 +0100 3344430 http://www.medworm.com/index.php?rid=3344427&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608000671%2Fabstract%3Frss%3Dyes Abstract: Objectives: The integration of Human Factors is still insufficient in the design and implementation phases of complex interactive systems such as Computerized Physician Order Entry (CPOE) systems. One of the problems is that human factors specialists have difficulties to communicate their data and to have them properly understood by the computer scientists in the design and implementation phases. This paper presents a solution to this problem based on the creation of common documentation supports using Software Engineering (SE) and Human–Computer Interaction (HCI) methods.Method: The integration of SE and HCI methods and models is an interesting means for modelling an organization's activities, with software applications being part of these activities. Integrating these SE and ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344427 Fri, 30 Jan 2009 00:00:00 +0100 3344427 http://www.medworm.com/index.php?rid=3344426&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS138650560800110X%2Fabstract%3Frss%3Dyes Conclusions: To be able to measure usability issues that go beyond what can be found by a traditional stationary user interface evaluation, it is necessary to conduct usability tests of mobile EPR systems in physical environments that simulate the conditions of the work situation at a high level of realism. It is further in most cases necessary to test with a number of test subjects simultaneously. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344426 Fri, 30 Jan 2009 00:00:00 +0100 3344426 http://www.medworm.com/index.php?rid=3344424&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001822%2Fabstract%3Frss%3Dyes Abstract: This paper discusses some crucial issues associated with the exploitation of data and information about health care for the improvement of patient safety. In particular, the issues of human factors and safety management are analysed in relation to exploitation of reports about non-conformity events and field observations. A methodology for integrating field observation and theoretical approaches for safety studies is described.Two sample cases are discussed in detail: the first one makes reference to the use of data collected in the aviation domain and shows how these can be utilised to define hazard and risk; the second one concerns a typical ethnographic study in a large hospital structure for the identification of most relevant areas of intervention.The results show that, if n... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=3344424 Fri, 30 Jan 2009 00:00:00 +0100 3344424 http://www.medworm.com/index.php?rid=2860415&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001779%2Fabstract%3Frss%3Dyes Conclusion: Handheld data collection is an appropriate, affordable and convenient technology for health data collection, in diverse settings. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860415 Fri, 30 Jan 2009 00:00:00 +0100 2860415 http://www.medworm.com/index.php?rid=2860414&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ijmijournal.com%2Farticle%2FPIIS1386505608001652%2Fabstract%3Frss%3Dyes Conclusions: The OpenMRS Implementers Network has contributed substantially to the growth and sustainability of OpenMRS in Africa and has become a useful way of including Africans in the development and implementation of OpenMRS in developing countries. The Network provides valuable support and enables a basic OpenMRS application to be implemented in the absence of onsite programmers. (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2860414 Fri, 30 Jan 2009 00:00:00 +0100 2860414 http://www.medworm.com/index.php?rid=2144742&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174325%26dopt%3DAbstract CONCLUSIONS: The evidence for the impact of CPOE needs to be improved to support scientific generalizability. Several common confounds are found in this literature. Future researchers will want to address them to improve the strength of the inference between CPOE and clinical outcomes. Discussion focuses on methods to improve future CPOE research. PMID: 19174325 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2144742 Sun, 25 Jan 2009 05:00:00 +0100 2144742 http://www.medworm.com/index.php?rid=2138053&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19167271%26dopt%3DAbstract CONCLUSION: The current paper describes the process by which the MAMA team brainstormed proposed services and administered their survey. Survey results and the consequent changes to the MAMA system are discussed. Finally, recommendations are made for MAMA system use and a description is offered of the impact such systems might have on the future of college campus healthcare services. PMID: 19167271 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2138053 Wed, 21 Jan 2009 05:00:00 +0100 2138053 http://www.medworm.com/index.php?rid=2131535&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19162538%26dopt%3DAbstract DISCUSSION: The PA architecture has been technically validated with commercially available medical devices during a clinical experiment for ambulatory monitoring and expert feedback through telemedicine. The clinical experiment has allowed defining patients' patterns of usage and preferred scenarios and it has proved the Personal Assistant's feasibility. The patients showed high acceptability and interest in the system as recorded in the usability and utility questionnaires. Future work will be devoted to the validation of the system with automatic control strategies from the telemedical center as well as with closed-loop control algorithms. PMID: 19162538 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2131535 Tue, 20 Jan 2009 05:00:00 +0100 2131535 http://www.medworm.com/index.php?rid=2129237&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19157966%26dopt%3DAbstract In this report, we describe the implementation of CCOW for our three main clinical applications and compare this with the simultaneous development and implementation of a portal session manager for the same purpose. We found the portal session manager much easier to develop and implement than CCOW. The resulting functionality was almost equivalent as judged by our clinical end users who compared both solutions. We now have the portal session manager functional across the institution and have stopped any further work on CCOW. PMID: 19157966 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2129237 Mon, 19 Jan 2009 05:00:00 +0100 2129237 http://www.medworm.com/index.php?rid=2129236&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19157967%26dopt%3DAbstract CONCLUSION: Handheld data collection is an appropriate, affordable and convenient technology for health data collection, in diverse settings. PMID: 19157967 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2129236 Mon, 19 Jan 2009 05:00:00 +0100 2129236 http://www.medworm.com/index.php?rid=2129235&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19157968%26dopt%3DAbstract CONCLUSIONS: The OpenMRS Implementers Network has contributed substantially to the growth and sustainability of OpenMRS in Africa and has become a useful way of including Africans in the development and implementation of OpenMRS in developing countries. The Network provides valuable support and enables a basic OpenMRS application to be implemented in the absence of onsite programmers. PMID: 19157968 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2129235 Mon, 19 Jan 2009 05:00:00 +0100 2129235 http://www.medworm.com/index.php?rid=2129234&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19157969%26dopt%3DAbstract CONCLUSION: Based on our experiences while conducting the CPOE meta-analysis, we argue that we are still at the beginning of Evidence-Based Health Informatics. To overcome the discussed challenges, health informatics should strive for harmonized terminology, a study registry, reporting standards, financial or legal incentives for conducting studies, methods to combine evidence from quantitative and qualitative studies, and guidelines for conducting and publishing evaluation studies. PMID: 19157969 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2129234 Mon, 19 Jan 2009 05:00:00 +0100 2129234 http://www.medworm.com/index.php?rid=2095024&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131270%26dopt%3DAbstract CONCLUSION: The YGRC provides a representative sample of current guideline recommendations and demonstrates considerable variability and inconsistency in the way recommendations are written and in the way the recommendation strength is currently reported. PMID: 19131270 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2095024 Tue, 06 Jan 2009 05:00:00 +0100 2095024 http://www.medworm.com/index.php?rid=2074911&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19117798%26dopt%3DAbstract CONCLUSIONS: Results suggest EKR usage in a clinical decision-making context may have negative consequences when three types of tension arise in a clinical decision-making context. Illustrated types of tension are interrelated and not mutually exclusive. Awareness of EKR-related tensions may help clinicians to integrate EKRs in practice. PMID: 19117798 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2074911 Mon, 29 Dec 2008 05:00:00 +0100 2074911 http://www.medworm.com/index.php?rid=2061510&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19101197%26dopt%3DAbstract Authors: Cacciabue PC, Vella G This paper discusses some crucial issues associated with the exploitation of data and information about health care for the improvement of patient safety. In particular, the issues of human factors and safety management are analysed in relation to exploitation of reports about non-conformity events and field observations. A methodology for integrating field observation and theoretical approaches for safety studies is described. Two sample cases are discussed in detail: the first one makes reference to the use of data collected in the aviation domain and shows how these can be utilised to define hazard and risk; the second one concerns a typical ethnographic study in a large hospital structure for the identification of most relevant areas of intervention. ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2061510 Thu, 18 Dec 2008 05:00:00 +0100 2061510 http://www.medworm.com/index.php?rid=2056281&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19095496%26dopt%3DAbstract CONCLUSIONS: Provision of point of care information using PDAs and a user-friendly, pediatric-specific medication information software package did not positively affect the attitudes of prescriber clinicians among those already favorable toward technology. However, a significant change was found among those with initially less favorable attitudes. Organizations need to understand the nature of both Early and Late Adopters and plan appropriately for managing the respective needs and expectations when potentially beneficial technologies are introduced. In order to ensure the success of an implementation, the training and supportive interventions need to be carefully designed and specifically catered to the personality-based outcome expectations of the prescriber. PMID: 19095496 [PubMed -... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2056281 Tue, 16 Dec 2008 05:00:00 +0100 2056281 http://www.medworm.com/index.php?rid=2047536&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19081295%26dopt%3DAbstract DISCUSSION: Future research on interruptions in healthcare settings should focus on the following. First, prospective memory research and distributed cognition can provide a theoretical background for understanding the impact of interruptions and so could provide guidance for future empirical research on interruptions and the planning of actions in healthcare. Second, studying how interruptions are successfully rather than unsuccessfully overcome may better help us understand their effects. Third, because interruptions almost always have positive and adverse effects, more appropriate dependent variables could be chosen. PMID: 19081295 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2047536 Mon, 08 Dec 2008 05:00:00 +0100 2047536 http://www.medworm.com/index.php?rid=2011486&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19046928%26dopt%3DAbstract CONCLUSIONS: Each of the three usability evaluation methods has shown its usefulness, has its own advantages and disadvantages; no single method has revealed any significant results indicating that it is singularly effective in all circumstances. A combination of different techniques that compliment one another should preferably be used as their collective application will be more powerful than applied in isolation. Innovative mobile and automated solutions to support end-user testing have emerged making combined approaches of laboratory, field and remote usability evaluations of new health care applications more feasible. PMID: 19046928 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=2011486 Thu, 27 Nov 2008 05:00:00 +0100 2011486 http://www.medworm.com/index.php?rid=1969251&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19010728%26dopt%3DAbstract DISCUSSION: This work contributes valuable evidence about an often-neglected dimension in the evaluation of computer systems in hospitals, namely the pre-implementation concerns of staff. These pre-conceptions can have a significant effect on how technology is implemented and utilised. Acknowledging and addressing people's concerns can contribute to the establishment of durable channels of negotiation and communication. Further research informed by the findings of this study will help advance this process. PMID: 19010728 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1969251 Fri, 14 Nov 2008 05:00:00 +0100 1969251 http://www.medworm.com/index.php?rid=1964293&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19008147%26dopt%3DAbstract CONCLUSIONS: When hospital clinical staff seek medication advice from other members of a ward it tends to be sought from those in their profession. However key individuals in the ward are relied upon for the provision of medication advice by staff from all professions. Social network analysis can be used to examine the complex medication advice-seeking interactions amongst staff in a hospital ward, providing useful quantitative baseline data against which to compare the effect of interventions, such as an electronic medication system, on interactions. PMID: 19008147 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1964293 Tue, 11 Nov 2008 05:00:00 +0100 1964293 http://www.medworm.com/index.php?rid=1952355&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18996736%26dopt%3DAbstract CONCLUSIONS: A role-based taxonomy of interruptions was derived from the recorded notes. Strategies to successfully manage interruptions must consider both the role of initiator as well as the recipient when an interruption occurs. It is suggested that the role-based taxonomy presented in this paper be used to classify interruptions in future studies. PMID: 18996736 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1952355 Fri, 07 Nov 2008 05:00:00 +0100 1952355 http://www.medworm.com/index.php?rid=1952354&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18996737%26dopt%3DAbstract CONCLUSIONS: SPIRS is automated, easily accessible, and integratable with other complementary information retrieval systems. The system supports the ability for users to intuitively query large amounts of imaging data by providing visual examples and text keywords and has beneficial implications in the areas of research, education, and patient care. PMID: 18996737 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1952354 Fri, 07 Nov 2008 05:00:00 +0100 1952354 http://www.medworm.com/index.php?rid=1915018&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18951838%26dopt%3DAbstract CONCLUSIONS: This method efficiently produces reliable and valid data. The multi-dimensional nature of the data collected provides greater insights into patterns of clinicians' work and communication than has previously been possible using other methods. PMID: 18951838 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1915018 Thu, 23 Oct 2008 04:00:00 +0100 1915018 http://www.medworm.com/index.php?rid=1895523&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18938105%26dopt%3DAbstract CONCLUSION: NLP and regular expression queries of cardiologists' ECG interpretations can more effectively identify QT prolongation than the automated QTc intervals reported by ECG machines. Future clinical decision support could employ NLP queries to detect QTc prolongation and other reported ECG abnormalities. PMID: 18938105 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1895523 Sat, 18 Oct 2008 04:00:00 +0100 1895523 http://www.medworm.com/index.php?rid=1895524&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18930696%26dopt%3DAbstract CONCLUSION: A comprehensive list of principles relevant for properly describing Health Informatics evaluations has been developed. When manuscripts submitted to Health Informatics journals and general medical journals adhere to these aspects, readers will be better positioned to place the studies in a proper context and judge their validity and generalisability. It will also be possible to judge better whether papers will fit in the scope of meta-analyses of Health Informatics interventions. STARE-HI may also be used for study planning and hence positively influence the quality of evaluation studies in Health Informatics. We believe that better publication of both quantitative and qualitative evaluation studies is an important step toward the vision of evidence-based Health Informatics. LI... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1895524 Fri, 17 Oct 2008 04:00:00 +0100 1895524 http://www.medworm.com/index.php?rid=1886591&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18922738%26dopt%3DAbstract Authors: Elkin PL, Froehling D, Wahner-Roedler D, Trusko B, Welsh G, Rosenbloom ST, Speroff T, Brown SH In this manuscript we report an evaluation of the reliability of clinical research rules creation by multiple clinicians using the Health Archetype Language (HAL-42) and user interface. HAL-42 is a language which allows real time epidemiological inquiry using automatically derived clinical encodings with any health Ontology. This evaluation used SNOMED CT as the underlying Ontology. The inquiries were performed on a population of 17,731 patients whose 50,000 clinical records have all been fully encoded in SNOMED CT. Four subject matter experts (SMEs) were asked independently to encode and run 10 rules/studies. The inter-rater agreement was 74.8% (p=0.6526) with a Kappa statistic of 0... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1886591 Mon, 13 Oct 2008 04:00:00 +0100 1886591 http://www.medworm.com/index.php?rid=1859748&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18838292%26dopt%3DAbstract CONCLUSIONS: Our design provides satisfactory performance in classifying Chinese CCs into syndromic categories for public health surveillance. The overall design of our system also points out a potentially fruitful direction for multilingual CC systems that need to handle languages beyond English and Chinese. PMID: 18838292 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1859748 Sat, 04 Oct 2008 04:00:00 +0100 1859748 http://www.medworm.com/index.php?rid=1859747&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18838293%26dopt%3DAbstract CONCLUSION: Although automated extraction may serve as the foundation for a manual review process, it is not ready to automate medication lists without human intervention. PMID: 18838293 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1859747 Sat, 04 Oct 2008 04:00:00 +0100 1859747 http://www.medworm.com/index.php?rid=1856381&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18835211%26dopt%3DAbstract DISCUSSION: The three challenges highlight the importance of designing systems from socio-technical perspective. In particular, these inter-team coordination systems must support socio-technical issues such as awareness, context, and workflow between the two teams. PMID: 18835211 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1856381 Wed, 01 Oct 2008 04:00:00 +0100 1856381 http://www.medworm.com/index.php?rid=1837468&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18819836%26dopt%3DAbstract CONCLUSION: It is clear that the diffusion of technology, within the primary care physician sector of the health care market, is subject to historical, financial, legal, cultural, and social factors. This tale of two places illustrates the issues, and different ways that they have been addressed. PMID: 18819836 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1837468 Wed, 24 Sep 2008 04:00:00 +0100 1837468 http://www.medworm.com/index.php?rid=1815687&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18805731%26dopt%3DAbstract Authors: Liaskos J, Frigas A, Antypas K, Zikos D, Diomidous M, Mantas J According to a common definition, interprofessional education (IPE) is described as "occasions when two or more professions learn from and about each other to improve collaboration and the quality of care". The Leonardo project under the name European Interprofessional Education Network (EIPEN) in health and social care, has been dealing with the challenges of interprofessional education. The EIPEN project tries to develop a transnational network of universities and employers in the six participating countries and at the same time to promote good practices in interprofessional learning and teaching in health and social care. IPE provides opportunities for students and practitioners to learn with, from and about eac... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1815687 Fri, 19 Sep 2008 04:00:00 +0100 1815687 http://www.medworm.com/index.php?rid=1815688&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18805050%26dopt%3DAbstract CONCLUSION: The proposed taxonomy describes core knowledge, data and communication needs for the characterization and assessment of AI outbreaks in the context of existing medical terminologies across different domains. We also describe areas for further work. PMID: 18805050 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1815688 Thu, 18 Sep 2008 04:00:00 +0100 1815688 http://www.medworm.com/index.php?rid=1811482&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18801700%26dopt%3DAbstract CONCLUSION: An advantage of this process is that complex linguistic analyses designed for French could be successfully transposed to the analysis of English medical neoclassical compounds, which confirmed our hypothesis of transferability. The fact that the method was successfully applied to a Germanic language such as English suggests that performances would be at least as high if experimenting with Romance languages such as Spanish. Finally, the resulting system can produce more complete analyses of English medical compounds than existing systems, including a hierarchical decomposition and semantic gloss of each word. PMID: 18801700 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1811482 Tue, 16 Sep 2008 04:00:00 +0100 1811482 http://www.medworm.com/index.php?rid=1809926&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18799352%26dopt%3DAbstract Authors: Rojas-Barahona LM, Giorgino T Spoken dialog systems have been increasingly employed to provide ubiquitous access via telephone to information and services for the non-Internet-connected public. They have been successfully applied in the health care context; however, speech technology requires a considerable development investment. The advent of VoiceXML reduced the proliferation of incompatible dialog formalisms, at the expense of adding even more complexity. This paper introduces a novel architecture for dialogue representation and interpretation, AdaRTE, which allows developers to lay out dialog interactions through a high-level formalism, offering both declarative and procedural features. AdaRTE's aim is to provide a ground for deploying complex and adaptable dialogs whilst... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1809926 Mon, 15 Sep 2008 04:00:00 +0100 1809926 http://www.medworm.com/index.php?rid=1798500&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18789876%26dopt%3DAbstract Authors: O'Connor MJ, Shankar RD, Parrish DB, Das AK Managing time-stamped data is essential to clinical research activities and often requires the use of considerable domain knowledge. Adequately representing and integrating temporal data and domain knowledge is difficult with the database technologies used in most clinical research systems. There is often a disconnect between the database representation of research data and corresponding domain knowledge of clinical research concepts. In this paper, we present a set of methodologies for undertaking ontology-based specification of temporal information, and discuss their application to the verification of protocol-specific temporal constraints among clinical trial activities. Our approach allows knowledge-level temporal constraints to ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1798500 Fri, 12 Sep 2008 04:00:00 +0100 1798500 http://www.medworm.com/index.php?rid=1798499&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18790665%26dopt%3DAbstract Authors: Bernonville S, Kolski C, Leroy N, Beuscart-Zéphir MC OBJECTIVES: The integration of Human Factors is still insufficient in the design and implementation phases of complex interactive systems such as Computerized Physician Order Entry (CPOE) systems. One of the problems is that human factors specialists have difficulties to communicate their data and to have them properly understood by the computer scientists in the design and implementation phases. This paper presents a solution to this problem based on the creation of common documentation supports using Software Engineering (SE) and Human-Computer Interaction (HCI) methods. METHOD: The integration of SE and HCI methods and models is an interesting means for modelling an organization's activities, with software applicatio... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1798499 Fri, 12 Sep 2008 04:00:00 +0100 1798499 http://www.medworm.com/index.php?rid=1798502&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18789753%26dopt%3DAbstract CONCLUSIONS: To be able to measure usability issues that go beyond what can be found by a traditional stationary user interface evaluation, it is necessary to conduct usability tests of mobile EPR systems in physical environments that simulate the conditions of the work situation at a high level of realism. It is further in most cases necessary to test with a number of test subjects simultaneously. PMID: 18789753 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1798502 Wed, 10 Sep 2008 04:00:00 +0100 1798502 http://www.medworm.com/index.php?rid=1798501&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18789754%26dopt%3DAbstract Authors: Schulz S, Suntisrivaraporn B, Baader F, Boeker M After a critical review of the present architecture of SNOMED CT, addressing both logical and ontological issues, we present a roadmap toward an overall improvement and recommend the following actions: SNOMED CT's ontology, dictionary, and information model components should be kept separate. SNOMED CT's upper level should be re-arranged according to a standard upper level ontology. SNOMED CT concepts should be assigned to the four disjoint groups: classes, instances, relations, and meta-classes. SNOMED CT's binary relations should be reduced to a set of canonical ones, following existing recommendations. Taxonomies should be cleansed and split into disjoint partitions. The number of full definitions should be increased. Finally... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1798501 Wed, 10 Sep 2008 04:00:00 +0100 1798501 http://www.medworm.com/index.php?rid=1790473&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18786852%26dopt%3DAbstract CONCLUSION: Development of a taxonomy of types of unintended adverse consequences of CPOE using qualitative methods allowed us to craft a national survey and discover how widespread these consequences are. Using mixed methods, we were able to structure an approach for addressing the skillful management of unintended consequences as well. PMID: 18786852 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1790473 Wed, 10 Sep 2008 04:00:00 +0100 1790473 http://www.medworm.com/index.php?rid=1790474&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18786851%26dopt%3DAbstract CONCLUSIONS: The success of the whiteboard is in part due to overall change management methodologies through collaborative development throughout the project development lifecycle and subsequent continuous improvement initiatives. The multidisciplinary care team embraced the tool, took ownership of it, and tailored it to meet their needs. PMID: 18786851 [PubMed - as supplied by publisher] (Source: International Journal of Medical Informatics) International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1790474 Tue, 09 Sep 2008 04:00:00 +0100 1790474 http://www.medworm.com/index.php?rid=1788869&cid=s_35663_21_f&fid=35663&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18783983%26dopt%3DAbstract CONCLUSION: This study shows that FAM works well for detecting social variables which may influence "female" acceptance (with the R square values of the FAM ranging from 54% to 68%). It presents design implications for future FHA - The direct support from HC coupled with the user-friendly personal device ensures that the technology is an effective enabler for personal well-being and self-managed healthcare. In order to encourage women to adopt and use these applications, there is a need to communicate the potential usefulness of the applications to women. To encourage the pregnant women to use FHA (in the area of prenatal care), issues such as their experience with medical devices and social status should be considered. The findings and their implications presented here were obtained from ... International Journal of Medical Informatics journals http://www.medworm.com/rss/comments.php?id=1788869 Mon, 08 Sep 2008 04:00:00 +0100 1788869