International Journal of Medical Informatics
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Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication.
We describe a mixed method approach to explore communication strategies used by healthcare providers for resident skin risk in NH with high IT sophistication (ITS). Sample included NH participating in the statewide survey of ITS. We incorporated rigorous observation of 8- and 12-h shifts, and focus...
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...
A sociotechnical perspective of health information technology.
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...
Evidence for building a smarter health and wellness future--key messages and collected visions from a joint OECD and NSF workshop.
Secondary use of routinely collected patient data in a clinical trial: An evaluation of the effects on patient recruitment and data acquisit...
Clinical trials are time-consuming and require constant focus on data quality. Finding sufficient time for a trial is a challenging task for involved physicians, especially when it is conducted in parallel to patient care. From the point of view of medical informatics, the growing amount of electron...