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Retraction: Estimation of progression of multi-state chronic disease using the Markov model and prevalence pool conceptEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article [1] has been retracted because the Editors are unable to ensure the scientific veracity of the findings or the ethical conduct of the authors despite an extensive investigation.References1. Shih, HC, Chou P, Liu CM, Tung, TH: Estimation of progression of multi-state chronic disease using the Markov model and prevalence pool concept. BMC Medical Informatics and Decision Making 2007,7:34 (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - October 19, 2009 Category: Information Technology Authors: Hui-Chuan ShihPesus ChouChi-Ming LiuTao-Hsin Tung Source Type: journals

Information management to enable personalized medicine: stakeholder roles in building clinical decision supportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionApproaches to shaping future health information needs for personalized medicine were undertaken by a work group of the American Health Information Community. A needs assessment for clinical decision support in electronic health record systems to support personalized medical practices was conducted to guide health future development activities. Further, a suggested action plan was developed for government, researchers and research institutions, developers of electronic information tools (including clinical guidelines, and quality measures), and standards development organizations to meet the needs for personalized...
Source: BMC Medical Informatics and Decision Making - Latest articles - October 7, 2009 Category: Information Technology Authors: Gregory DowningScott BoyleKristin BrinnerJerome Osheroff Source Type: journals

An interdisciplinary team communication framework and its application to healthcare 'e-teams' systems designEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The structures, processes and outcomes that describe interdisciplinary teams are complex and often occur in a non-linear fashion. Electronic data support, process facilitation and team video conferencing are three HIS tools that can enhance team function. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - September 14, 2009 Category: Information Technology Authors: Craig KuziemskyElizabeth BoryckiMary Ellen PurkisFraser BlackMichael BoyleDenise Cloutier-FisherLee Ann FoxPatricia MacKenzieAnn SymeCoby TschanzWendy WainwrightHelen Wong Source Type: journals

A global approach to the management of EMR (Electronic Medical Records) of patients with HIV/AIDS in Sub-Saharan Africa: the experience of DREAM SoftwareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Sub-Saharan Africa is the region hardest hit by HIV and AIDS in the world. However, the resources and responses adopted so far, to confront the epidemic, have at times been rather minimalist. The DREAM project has faced the battle against the epidemic by equipping itself with qualitative standards comparable to Western ones. The experience of DREAM has revealed that it is indeed possible to guarantee levels of excellence in developing countries, also in the sphere of ICT (Information and Communication Technology), thus making the intervention even more effective and contributing to bridging the digital divide....
Source: BMC Medical Informatics and Decision Making - Latest articles - September 10, 2009 Category: Information Technology Authors: Andrea NucitaGiuseppe BernavaMichelangelo BartoloFabio Di Pane MasiPietro GiglioMarco PeroniGiovanni PizzimentiLeonardo Palombi Source Type: journals

Privacy-preserving record linkage using Bloom filtersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We proposed a protocol for privacy-preserving record linkage with encrypted identifiers allowing for errors in identifiers. Since the protocol can be easily enhanced and has a low computational burden, the protocol might be useful for many applications requiring privacy-preserving record linkage. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - August 24, 2009 Category: Information Technology Authors: Rainer SchnellTobias BachtelerJoerg Reiher Source Type: journals

Improving healthcare consumer effectiveness: An Animated, Self-serve, Web-based Research Tool (ANSWER) for people with early rheumatoid arthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this project are: 1) to develop ANSWER for people with early RA; and 2) to assess the extent to which ANSWER reduces people's decisional conflict about the use of methotrexate, improves their knowledge about RA, and improves their skills of being 'effective healthcare consumers'. Methods: Consistent with the International Patient Decision Aid Standards, the development process of ANSWER will involve: 1.) creating a storyline and scripts based on the best evidence on the use of methotrexate and other management options in RA, and the contextual factors that affect a patient's decision to use a treatment as...
Source: BMC Medical Informatics and Decision Making - Latest articles - August 19, 2009 Category: Information Technology Authors: Linda LiPaul AdamAnne TownsendDawn StaceyDiane LacailleSusan CoxJessie McGowanPeter TugwellGerri SinclairKendall HoCatherine Backman Source Type: journals

Disease surveillance using a hidden Markov modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our findings suggest that the HMM provides an effective method for the surveillance of sparse small area notifiable disease data at low false alarm rates. Further investigations are required to evaluation algorithm performance across other diseases and surveillance contexts. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - August 9, 2009 Category: Information Technology Authors: Rochelle WatkinsSerryn EaglesonBert VeenendaalGraeme WrightAileen Plant Source Type: journals

Access to electronic health records by care setting and provider type: perceptions of cancer care providers in Ontario, CanadaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The use of electronic health records (EHRs) to support the organization and delivery of healthcare is evolving rapidly. However, little is known regarding potential variation in access to EHRs by provider type or care setting. This paper reports on observed variation in the perceptions of access to EHRs by a wide range of cancer care providers covering diverse cancer care settings in Ontario, Canada. Methods: Perspectives were sought regarding EHR access and health record completeness for cancer patients as part of an internet survey of 5663 cancer care providers and administrators in Ontario. Data were analyze...
Source: BMC Medical Informatics and Decision Making - Latest articles - August 9, 2009 Category: Information Technology Authors: Margo OrchardMark DobrowLawrence PaszatHedy JiangPatrick Brown Source Type: journals

Physicians' attitudes towards ePrescribing - evaluation of a Swedish full-scale implementationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The Swedish physicians in the group studied were generally satisfied with their specific EHR-system and with ePrescribing as such. However, identified weaknesses warrant improvements of the EHR-systems as well as of their implementation in the individual health care organisation. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - August 6, 2009 Category: Information Technology Authors: Lina HellstromKarolina WaernEmelie MonteliusBengt AstrandTony RydbergGoran Petersson Source Type: journals

FluDetWeb: an interactive web-based system for the early detection of the onset of influenza epidemicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The ease of use of FluDetWeb and its on-line availability can make it a valuable tool for publichealth practitioners who want to obtain information about the probability that their system is in an epidemicphase. Moreover, the architecture described can also be useful for developers of systems based oncomputationally intensive methods. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - July 28, 2009 Category: Information Technology Authors: David ConesaAntonio Lopez-QuilezMiguel-Angel Martinez-BeneitoMaria-Teresa MirallesFrancisco Verdejo Source Type: journals

Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: A natural experiment in an integrated delivery systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Use of HIT systems is associated with dramatic increases in the timely availability of diagnostic information, though the effects may vary by sophistication of HIT system. Timely clinical data are critical for real-time population surveillance, and valuable for routine clinical care. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - July 16, 2009 Category: Information Technology Authors: Naomi BardachJie HuangRichard BrandJohn Hsu Source Type: journals

Analysis of clinical uncertainties by health professionals and patients: an example from mental healthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: People do not spontaneously ask well structured clinical questions. Other taxonomies may better capture the nature of questions. However, access to EBM resources is greatly facilitated by framing enquiries in the language of EBM, such as posing queries in PICO format. People do not naturally do this. It may be preferable to identify a way of searching the literature that more closely matches the way people naturally ask questions if access to information about treatments are to be made more broadly available. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - July 9, 2009 Category: Information Technology Authors: Keith LloydMatteo CellaMichael TanenblattAnni Coden Source Type: journals

Archetype-based conversion of EHR content models: pilot experience with a regional EHR systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The openEHR RM and AM are expressive enough to represent the existing clinical content models from the template based EHR system tested and legacy content models can automatically be converted to archetype format for sharing of knowledge. With some limitations, internationally available archetypes could be converted to the legacy EHR models. Archetype support can be added to legacy EHR systems in an incremental way allowing a migration path to interoperability based on standards. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - June 30, 2009 Category: Information Technology Authors: Rong ChenGunnar KleinErik SundvallDaniel KarlssonHans Ahlfeldt Source Type: journals

A case for using grid architecture in state public health informatics: the Utah perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper presents the rationale for designing and implementing the next-generation of public health information systems using grid computing concepts and tools. Our attempt is to evaluate all grid types including data grids for sharing information and computational grids for accessing computational resources on demand. Public health is a broad domain that requires coordinated uses of disparate and heterogeneous information systems. System interoperability in public health is limited. The next-generation public health information systems must overcome barriers to integration and interoperability, leverage advances in info...
Source: BMC Medical Informatics and Decision Making - Latest articles - June 21, 2009 Category: Information Technology Authors: Catherine StaesWu XuSamuel LeFevreRonald PriceScott NarusAdi GundlapalliRobert RolfsBarry NangleMatthew SamoreJulio Facelli Source Type: journals

Security and privacy requirements for a multi-institutional cancer research data grid: an interview-based studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The findings suggest that with additional work, large scale federated sharing of data within a regulated environment is possible. A key challenge is developing suitable models for authentication and authorization practices within a federated environment. Authentication - the recognition and validation of a person's identity - is in fact a global property of such systems, while authorization - the permission to access data or resources - mimics data sharing agreements in being best served at a local level. Nine specific recommendations result from the work and are discussed in detail. These include: (1) the nec...
Source: BMC Medical Informatics and Decision Making - Latest articles - June 15, 2009 Category: Information Technology Authors: Frank ManionRobert RobbinsWilliam WeemsRebecca Crowley Source Type: journals

Beyond the EPR: Complementary roles of the hospital-wide Electronic health record and Clinical department systemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Clinical departmental systems are vital to the activities of a clinical hospital department. The development, implementation and clinical use of such systems can be seen as bottom-up, user-driven innovations. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - June 12, 2009 Category: Information Technology Authors: Eivind VedvikAksel TjoraArild Faxvaag Source Type: journals

Substantial reduction of inappropriate tablet splitting with computerised decision support: a prospective intervention study assessing potential benefit and harmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study revealed that computerised decision support can immediately reduce the frequency of inappropriate splitting without introducing new safety hazards. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - June 12, 2009 Category: Information Technology Authors: Renate QuinzlerSimon SchmittMaria PritschJens KaltschmidtWalter Haefeli Source Type: journals

Using data mining techniques to explore physicians' therapeutic decisions when clinical guidelines do not provide recommendations: methods and example for type 2 diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our method showed its usefulness for completing guidelines recommendations with rules learnt automatically from physicians' prescriptions. It could be used during the development of guidelines as a complementary source from practice-based knowledge. It can also be used as an evaluation tool for comparing a physician's therapeutic decisions with those recommended by a given set of clinical guidelines. The example we described showed that physician practice was in some ways ahead of the guideline. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - June 10, 2009 Category: Information Technology Authors: Massoud ToussiJean-Baptiste LamyPhilippe Le ToumelinAlain Venot Source Type: journals

Data correction pre-processing for electronically stored blood culture results: Implications on microbial spectrum and empiric antibiotic therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: For possible skin contaminants, the proportion of microorganisms in terms of number of episodes is most influenced by the CFM, followed by the DFM. However, with exception of fusidic acid for gram positive organisms, none of the evaluated correction methods would have changed advice for empiric therapy on the selected ICUs. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - June 7, 2009 Category: Information Technology Authors: Ojan AssadianMagda Diab-ElschahawiAthanasios MakristathisAlexander BlackyWalter KollerKlaus-Peter Adlassnig Source Type: journals

How should risk be communicated to children: a cross-sectional study comparing different formats of probability information.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to explore which presentation format is most effective in conveying probabilistic information to children. Methods: A probabilistic task based on the cup game was used to measure which of five different formats was associated with greatest understanding in children aged 7-11 years old (n=106). Formats used were verbal labels (e.g. rarely, sometimes), percentages, proportion-word (eg 1 in X), proportion-notation (eg 1:X) and pie charts. There was also an additional mixed format condition. In each trial a picture was presented of three cups, each with a different probability depicted beneath it, and the chil...
Source: BMC Medical Informatics and Decision Making - Latest articles - June 5, 2009 Category: Information Technology Authors: Fiona UlphEllen TownsendCris Glazebrook Source Type: journals

Different patient case mix by applying the 2003 SCCM/ESICM/ACCP/ATS/SIS sepsis definitions instead of the 1992 ACCP/SCCM sepsis definitions in surgical patients: a retrospective observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Revised consensus sepsis definitions have been published in 2003. The present study was performed to compare the prevalence of different stages of sepsis and ICU mortality rates and find out the case mix within the same collective of postoperative/posttraumatic patients applying either the original 1992 ACCP/SCCM or the revised 2003 SCCM/ESICM/ACCP/ATS/SIS sepsis definitions. Methods: Retrospective observational single-centre study in surgical critically ill patients admitted to an University adult ICU. From 01/2007 to 12/2007, 742 patients were surveyed daily computer-assisted with respect to different stages...
Source: BMC Medical Informatics and Decision Making - Latest articles - May 18, 2009 Category: Information Technology Authors: Manfred Weiss, Markus Huber-Lang, Michael Taenzer, Karl Traeger, Juergen Altherr, Martina Kron, Birgit Hay and Marion Schneider Source Type: journals

A stimulus to define informatics and health information technologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe paper, presented as a Debate to encourage further discussion and disagreement, provides definitions of the major terminology used in biomedical and health informatics and health information technology. For informatics, it focuses on the words that modify the term as well as individuals who practice the discipline. Other categories of related terms are covered as well, from the associated disciplines of computer science, information technology, health information management to the major application categories of applications used. The discussion closes with a classification of individuals who work in the large...
Source: BMC Medical Informatics and Decision Making - Latest articles - May 15, 2009 Category: Information Technology Authors: William R Hersh Source Type: journals

Empowerment of disability benefit claimants through an interactive website: design of a randomized controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study evaluates the effectiveness of an interactive website aimed at empowerment of disability claimants. It is hypothesized that by increasing empowerment, the physician-patient relationship may be enhanced and claimants' satisfaction and perceived justice can be improved. Results are expected in 2010. Trial registration: NTR-1414 (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - May 10, 2009 Category: Information Technology Authors: David Samoocha, David J Bruinvels, Johannes R Anema, Romy Steenbeek and Allard J van der Beek Source Type: journals

Application of biomedical informatics to chronic pediatric diseases: A systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Published studies suggested positive impacts of informatics predominantly in pediatric asthma. As electronic tools become more widely adopted, there will be opportunities to improve patient care in a wide range of chronic illnesses through informatics solutions. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - May 5, 2009 Category: Information Technology Authors: Fatemeh Moeinedin, Rahim Moineddin, Alejandro R Jadad, Jemila S Hamid, Teresa To and Joseph Beyene Source Type: journals

Syndromic surveillance: STL for modeling, visualizing, and monitoring disease countsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The STL decomposition method for chief complaint counts leads to a rapid and accurate detection method for disease outbreaks, and requires only 90 days of historical data to be put into operation. The visualization tools that accompany the decomposition and outbreak methods provide much insight into patterns in the data that is useful for surveillance operations. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - April 21, 2009 Category: Information Technology Authors: Ryan P Hafen, David E Anderson, William S Cleveland, Ross Maciejewski, David S Ebert, Ahmad Abusalah, Mohamed Yakout, Mourad Ouzzani and Shaun J Grannis Source Type: journals

What is the point: will screening mammography save my life?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The life-saving absolute benefit of screening mammography increases with age as the absolute death risk increases. The number of events needed to save one life varies depending on the prospective screening subset or reference class. Less than 5% of women with screen-detectable cancers have their lives saved. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - April 2, 2009 Category: Information Technology Authors: John D Keen and James E Keen Source Type: journals

What is the point: will screening mammography save my life?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The life-saving absolute benefit of screening mammography increases with age as the absolute death risk increases. The number of events needed to save one life varies depending on the prospective screening subset or reference class. Less than 5% of women with screen-detectable cancers have their lives saved. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - April 2, 2009 Category: Information Technology Authors: John D Keen and James E Keen Source Type: journals

Commentary on 'What is the point: will screening mammography save my life?' by Keen and KeenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Commentary on Keen and Keen 'What is the point: will screening mammography save my life?' BMC Medical Informatics and Decision Making, 2009 The paper by Keen and Keen presents estimates of the absolute reduction in mortality from breast cancer screening,derived by combining information froma variety of sources. These estimates are at variance with empirical results from randomised trials and service screening. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - April 2, 2009 Category: Information Technology Authors: Stephen W Duffy Source Type: journals

Comments on John D. Keen and James E. Keen, What is the point: will screening mammography save my life? BMC Medical Informatics and Decision Making, 2009.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper by John D. Keen and James E. Keen addresses a thorny subject. The numerical findings and commentaries in their paper will be disturbing to some readers and seem to defy logic and well established viewpoints. It may well generate angry letters to the editor. However such numerical analysis and reporting including civil discussion should be welcomed and are the basis for informed decision making - something that is highly needed in this field. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - April 2, 2009 Category: Information Technology Authors: Michael W Retsky Source Type: journals

A national clinical decision support infrastructure to enable the widespread and consistent practice of genomic and personalized medicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionCritical to the achievement of more efficient and effective healthcare enabled by genomics is the establishment of a robust, nationwide clinical decision support infrastructure that assists clinicians in their use of genomic assays to guide disease prevention, diagnosis, and therapy. Requisite components of this infrastructure include the standardized representation of genomic and non-genomic patient data across health information systems; centrally managed repositories of computer-processable medical knowledge; and standardized approaches for applying these knowledge resources against patient data to generate an...
Source: BMC Medical Informatics and Decision Making - Latest articles - March 23, 2009 Category: Information Technology Authors: Kensaku Kawamoto, David F Lobach, Huntington F Willard and Geoffrey S Ginsburg Source Type: journals

Impact of two interventions on timeliness and data quality of an electronic disease surveillance system in a resource limited setting (Peru): a prospective evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: A timely detection of outbreaks through surveillance is needed in order to prevent future pandemics. However, current surveillance systems may not be prepared to accomplish this goal, especially in resource limited settings. As data quality and timeliness are attributes that improve outbreak detection capacity, we assessed the effect of two interventions on such attributes in Alerta, an electronic disease surveillance system in the Peruvian Navy. Methods: 40 Alerta reporting units (18 clinics and 22 ships) were included in a 12-week prospective evaluation project. After a short refresher course on the notificat...
Source: BMC Medical Informatics and Decision Making - Latest articles - March 10, 2009 Category: Information Technology Authors: Moises A Huaman, Roger V Araujo-Castillo, Giselle Soto, Joan M Neyra, Jose A Quispe, Miguel F Fernandez, Carmen C Mundaca and David L Blazes Source Type: journals

How to successfully select and implement electronic health records (EHR) in small ambulatory practice settingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe benefits of EHRs in ambulatory practices include improved patient care and office efficiency, and potential financial benefits. Barriers to EHRs include costs; lack of standardization of EHR products and the design of vendor systems for large practice environments; resistance to change; initial difficulty of system use leading to productivity reduction; and perceived accrual of benefits to society and payers rather than providers. The authors stress the need for developing a flexible change management strategy when introducing EHRs that is relevant to the small practice environment; the strategy should acknow...
Source: BMC Medical Informatics and Decision Making - Latest articles - February 23, 2009 Category: Information Technology Authors: Nancy M Lorenzi, Angelina Kouroubali, Don E Detmer and Meryl Bloomrosen Source Type: journals

Syndromic surveillance and heat wave morbidity: a pilot study based on emergency departments in FranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was designed to determine relevant indicators related to health effects of heat waves and to evaluate the ability of a syndromic surveillance system to monitor variations in the activity of emergency departments over time. The study uses data collected during the summer 2006 when a new heat wave occurred in France. Methods: Data recorded from 49 emergency departments since July 2004, were transmitted daily via the Internet to the French Institute for Public Health Surveillance. Items collected on patients included diagnosis (ICD10 codes), outcome, and age. Statistical t-tests were used to compare, for several he...
Source: BMC Medical Informatics and Decision Making - Latest articles - February 20, 2009 Category: Information Technology Authors: Loic Josseran, Nadege Caillere, Dominique Brun-Ney, Jean Rottner, Laurent Filleul, Gilles Brucker and Pascal Astagneau Source Type: journals

Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: While RxCDSSs have the potential to change health care provider behaviour, very few high quality studies show improvement in patient outcomes. Furthermore, the features of the RxCDSS associated with success (or failure) are poorly described, thus making it difficult for system design and implementation to improve. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - February 11, 2009 Category: Information Technology Authors: Brent Mollon, Jaron JR Chong, Anne M Holbrook, Melani Sung, Lehana Thabane and Gary Foster Source Type: journals

Sentence retrieval for abstracts of randomized controlled trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Methods are tested on several corpora of RCT abstracts. First structured abstracts with headings specifically indicating Intervention, Participant and Outcome Measures are used. Also a manually annotated corpus of structured and unstructured abstracts is prepared for testing a classifier that identifies sentences belonging to each category. Results: Using CRFs, sentences can be labeled for the four rhetorical roles with F-scores from 0.93-0.98. This outperforms the use of Support Vector Machines. Furthermore, sentences can be automatically labeled for Intervention, Participant and Outcome Measures, in unstructu...
Source: BMC Medical Informatics and Decision Making - Latest articles - February 10, 2009 Category: Information Technology Authors: Grace Y Chung Source Type: journals

HIS-based electronic documentation can significantly reduce the time from biopsy to final report for prostate tumours and supports quality management as well as clinical researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Timely and accurate information is important to guide the medical treatment process. We developed, implemented and assessed an order-entry system to support documentation of prostate histologies involving urologists, pathologists and physicians in private practice. Methods: We designed electronic forms for histological prostate biopsy reports in our hospital information system (HIS). These forms are created by urologists and sent electronically to pathologists. Pathological findings are entered into the system and sent back to the urologists. We assessed time from biopsy to final report (TBF) and compared pre-...
Source: BMC Medical Informatics and Decision Making - Latest articles - January 20, 2009 Category: Information Technology Authors: Bernhard Breil, Axel Semjonow and Martin Dugas Source Type: journals

Accuracy of drug advertisements in medical journals under new law regulating the marketing of pharmaceutical products in SwitzerlandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Following the introduction of new regulations for drug advertisement in Switzerland, 53% of all assessed pharmaceutical claims published in major medical journals are not supported by the cited referenced studies or based on potentially biased study information. In light of the discrepancy between the new legislation and the endorsement of these regulations, physicians should not trust drug advertisement claims even when they seem to refer to scientific studies. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - December 31, 2008 Category: Information Technology Authors: Macarena Gonzalez Santiago, Heiner C Bucher and Alain J Nordmann Source Type: journals

Challenges in multidisciplinary cancer care among general surgeons in CanadaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: General surgeons appear to use a wide range of information resources but they may not address the complex needs of many cancer patients. Decision-making is challenged by informational and logistical issues related to the coordination of multidisciplinary care. This suggests that limitations in system capacity may, in part, contribute to variable guideline compliance. Further research is required to evaluate the appropriateness of information seeking, and both concurrent and consecutive mechanisms by which to achieve multidisciplinary care. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - December 22, 2008 Category: Information Technology Authors: Anna R Gagliardi, Frances C Wright, Dave Davis, Robin S McLeod and David R Urbach Source Type: journals

A novel method for measuring patients' adherence to insulin dosing guidelines : introducing indicators of adherenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our method allowed the measurement of patients' adherence to their insulin adjustment guidelines. The indicators that we introduced were capable of providing quantitative data on the quality of patients' decision-making for the studied population as a whole, for each individual patient, for all injections, and for each time of injection separately. They can be implemented in monitoring systems to detect non-adherent patients. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - December 5, 2008 Category: Information Technology Authors: Massoud Toussi, Carine Choleau, Gerard Reach, Michel Cahane, Avner Bar-Hen and Alain Venot Source Type: journals

Support vector machine versus logistic regression modeling for prediction of hospital mortality in critically ill patients with haematological malignanciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The discriminative power of both the MLR and SVM models was good. No statistically significant differences were found in discriminative power between MLR and SVM for prediction of hospital mortality in critically ill patients with haematological malignancies. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - December 5, 2008 Category: Information Technology Authors: T Verplancke, S Van Looy, D Benoit, S Vansteelandt, P Depuydt, F De Turck and J Decruyenaere Source Type: journals

The experience of linking Victorian emergency medical service trauma dataEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study has demonstrated that EMS data can be successfully linked to other health related datasets using deterministic and probabilistic matching with varying levels of success. The quality of EMS data needs to be improved to ensure better linkage success rates with other health related datasets. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - November 17, 2008 Category: Information Technology Authors: Malcolm J Boyle Source Type: journals

Decision Theory Applied to Image Quality Control in Radiology.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The model is a formal quantitative approach to make a decision related to the medical imaging quality, providing an instrument to discriminate what is really necessary to accept or reject a film or a film lot. The method presented herein can help to access the risk level of an incorrect radiological diagnosis decision. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - November 13, 2008 Category: Information Technology Authors: Patricia S Lessa, Cristofer A Caous, Paula R Arantes, Edson Amaro and Fernando M Campello de Souza Source Type: journals

A new scoring system in Cystic Fibrosis: statistical tools for database analysis – a preliminary reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our preliminary data show that using CAP for detection of selection features and Linear DA to derive the actual model in a CF database might be helpful in developing a scoring system. However, there are several limitations, particularly more data entry points are needed to finalize a score and the statistical tools have further to be refined and validated, with re-running the statistical methods in the larger dataset. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - October 5, 2008 Category: Information Technology Authors: GM Hafen, C Hurst, J Yearwood, J Smith, Z Dzalilov and PJ Robinson Source Type: journals

Sample size determination for bibliographic retrieval studiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The approach of randomly sampling a small subset of journals that includes sufficient high-quality articles is an efficient way to update or create search strategies for high-quality articles on therapy in MEDLINE. The concentrations of diagnosis and prognosis articles are too low for this approach. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - September 29, 2008 Category: Information Technology Authors: Xiaomei Yao, Nancy L Wilczynski, Stephen D Walter and R. Brian Haynes Source Type: journals

Analysis of queries sent to Pubmed at the point of care: observation of search behaviour in a medical teaching hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Queries sent to PubMed by physicians at our hospital during daily medical care contain fewer than three terms. Queries using four to five terms, retrieving less than 161 article titles, are most likely to result in abstract viewing. PubMed search tools are used infrequently by our population and are less effective than the use of four or five terms. Methods to facilitate the formulation of precise queries, using more relevant terms, should be the focus of education and research. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - September 24, 2008 Category: Information Technology Authors: Arjen Hoogendam, Anton FH Stalenhoef, Pieter F de Vries Robbe and John APM Overbeke Source Type: journals

Hospital characteristics associated with highly automated and usable clinical information systems in Texas, United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined whether specific hospital characteristics are associated with highly automated and usable clinical information systems. Methods: This was a cross-sectional survey of 125 urban hospitals in Texas, United States using the Clinical Information Technology Assessment Tool (CITAT), which measures a hospital's level of automation based on physician interactions with the information system. Physician responses were used to calculate a series of CITAT scores: automation and usability scores, four automation sub-domain scores, and an overall clinical information technology (CIT) score. A multivariable regression analysis...
Source: BMC Medical Informatics and Decision Making - Latest articles - September 15, 2008 Category: Information Technology Authors: Ruben Amarasingham, Marie Diener-West, Laura Plantinga, Aaron C Cunningham, Darrell J Gaskin and Neil R Powe Source Type: journals

Improving antibiotic prescribing for adults with community acquired pneumonia: Does a computerised decision support system achieve more than academic detailing alone? – a time series analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Deployment of a computerised decision support system was associated with an early improvement in antibiotic prescribing practices which was greater than the changes seen with academic detailing. The sustainability of this intervention requires further evaluation. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - July 31, 2008 Category: Information Technology Authors: Kirsty L Buising, Karin A Thursky, James F Black, Lachlan MacGregor, Alan C Street, Marcus P Kennedy and Graham V Brown Source Type: journals

Automated De-Identification of Free-Text Medical RecordsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We have developed a pattern-matching de-identification system based on dictionary look-ups, regular expressions, and heuristics. Evaluation based on two different sets of nursing notes collected from a U.S. hospital suggests that, in terms of recall, the software out-performs a single human de-identifier (0.81) and performs at least as well as a consensus of two human de-identifiers (0.94). The system is currently tuned to de-identify PHI in nursing notes and discharge summaries but is sufficiently generalized and can be customized to handle text files of any format. Although the accuracy of the algorithm is ...
Source: BMC Medical Informatics and Decision Making - Latest articles - July 24, 2008 Category: Information Technology Authors: Ishna Neamatullah, Margaret M. Douglass, Li-wei H. Lehman, Andrew Reisner, Mauricio Villarroel, William J. Long, Peter Szolovits, George B. Moody, Roger G. Mark and Gari D. Clifford Source Type: journals

Is Canada ready for patient accessible electronic health records? A national scan.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: As the use of EHRs becomes more commonplace, organizations should explore the possibility of responding to patient needs for clinical information by providing access to their EHR. The best way to achieve this is still being debated. (Source: BMC Medical Informatics and Decision Making - Latest articles)
Source: BMC Medical Informatics and Decision Making - Latest articles - July 24, 2008 Category: Information Technology Authors: Sara Urowitz, David Wiljer, Emma Apatu, Gunther Eysenbach, Claudette DeLenardo, Tamara Harth, Howard Pai and Kevin J Leonard Source Type: journals

Towards pervasive computing in health care – A literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Both an overview and an analysis of the literature on a broad and heterogeneous range of systems are provided. Most systems are described in their prototype stages. Deployment issues, such as implications on organization or personnel, privacy concerns, or financial issues are mentioned rarely, though their solution is regarded as decisive in transferring promising systems to a stage of regular operation. There is a need for further research on the deployment of pervasive computing systems, including clinical studies, economic and social analyses, user studies, etc. (Source: BMC Medical Informatics and Decision ...
Source: BMC Medical Informatics and Decision Making - Latest articles - June 19, 2008 Category: Information Technology Authors: Carsten Orwat, Andreas Graefe and Timm Faulwasser Source Type: journals