International Journal of Medical Informatics
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A systematic review of predictive modeling for bronchiolitis.
We identify several limitations and open problems in predictive modeling for bronchiolitis, and provide some preliminary thoughts on how to address them, with the hope to stimulate future research in this domain. Many problems remain open in predictive modeling for bronchiolitis. Future studies will...
Implementing a bar-code assisted medication administration system: effects on the dispensing process and user perceptions.
We assessed the effects of a bar-code assisted medication administration system used without the support of computerised prescribing (stand-alone BCMA), on the dispensing process and its users. The stand-alone BCMA system was implemented in one ward of a teaching hospital. The number of dispensing s...
Are three methods better than one? A comparative assessment of usability evaluation methods in an EHR.
To comparatively evaluate the effectiveness of three different methods involving end-users for detecting usability problems in an EHR: user testing, semi-structured interviews and surveys. Data were collected at two major urban dental schools from faculty, residents and dental students to assess the...
What, if all alerts were specific - estimating the potential impact on drug interaction alert burden.
We developed and summarized optimizing strategies to guarantee the specificity of alerts and applied them to a set of 100 critical and frequent drug interaction (DDI) alerts. Hence, DDI alerts were classified as dynamic, i.e. potentially sensitive to prescription-, co-medication-, or patient-related...
A sociotechnical perspective of health information technology.
Open data in public health surveillance systems: A case study using the French Sentinelles network.
We compared two approaches to expose data from the French Sentinelles network, an information system focusing on communicable diseases surveillance in the general population. We implemented SDMX-HD (Statistical Data and Metadata Exchange-Health Domain), a standard supported by government agencies to...
Sensor technologies aiming at fall prevention in institutionalized old adults: a synthesis of current knowledge.
We conducted a systematic search for studies that used sensor technologies with the aim to prevent falls in institutionalized geriatric patients. A total of 12 studies met the search criteria. Three randomized clinical trials reported no reductions in fall rate but three before-after studies reporte...
Which barriers affect morbidity registration performance of GP trainees and trainers?
Diagnosis coding percentages in the specialty training of general practitioners (GPs) are generally high, but not perfect, indicating barriers against coding still exist, possibly influencing the validity of data based on electronic patient records (EPRs). To study the relationship between barriers...
Medication errors in residential aged care facilities: A distributed cognition analysis of the information exchange process.
Medication safety is a pressing concern for residential aged care facilities (RACFs). Retrospective studies in RACF settings identify inadequate communication between RACFs, doctors, hospitals and community pharmacies as the major cause of medication errors. Existing literature offers limited insigh...
The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units.
We adapted an existing questionnaire developed by Shortell et al. to examine the impact of CPOE implementation on communication in a repeated cross-sectional design (6 months before implementation, 3 months after implementation and one-year after implementation). Results show overall that CPOE did n...