Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2013
Propensity of people with long-term conditions to use personal health records.
An exploratory study was conducted to understand patient propensity to use a Personal Health Record (PHR) linked to their primary care clinicians' Electronic Health Record (EHR). Individuals with long-term conditions rely on information exchange for effective self-care. PHRs could be helpful. The research questions were: How do we know if certain people will use PHRs for self-care? ⋯ Patient experience with a PHR linked to their EHR kept by their GP shows positive perceptions regarding the PHR usefulness. Future research could develop guidelines for clinicians to help select patients for PHR use in self-care.
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Stud Health Technol Inform · Jan 2013
Acquisition of patient information from nurses by other health professionals under electronic medical record implementation.
Most electronic medical record (EMR) systems in Japan are equipped with nursing documentation functions. Electronic nursing records (ENRs) are much more accessible to doctors and paramedical staff than paper-based record systems. Face-to-face communication might be used less often to acquire patient information collected by nurses if EMR systems were effectively used. ⋯ There were 153 responses, which showed that 51% of doctors and 16% of paramedical staff still often used face-to-face communication even though more than 70% of them often accessed the ENR. Only 35% of doctors and paramedical staff recognized that the EMR system helped reduce the time needed to acquire patient information; furthermore, 32% thought that using the EMR system to acquire patient information was bothersome. These results indicate that the operability of EMR systems is still insufficient for health professionals.
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Stud Health Technol Inform · Jan 2013
Review Meta AnalysisA review of healthcare information system usability & safety.
Healthcare information systems have been designed to increase the efficiency and safety of healthcare processes. Systems such as electronic health records and pervasive computing devices have been shown to improve the safety of healthcare. However, increasing research has indicated that the design of such systems, in particular the user interface, may be related to increased incidence of other types of error. ⋯ New technology, such as CPOE, offers improvements over traditional paper tools and it is shown to have a positive effect on patient safety. New technology also creates the opportunity for new errors to occur and lead to the coining of the term "technology-induced error". The magnitude of the usability-testing needs is larger than it may seem.
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Electronic health records (EHRs) are increasingly being used in health care systems, hospitals, and clinics throughout North America. Over the past several years emergency departments (ED) have increasingly become more computerized. ⋯ In this paper we outline the current state of the research in using mobile devices in the ED. Our findings suggest there is very little research evidence that supports the use of mobile devices in the ED and more research is needed to better understand and optimize their use.
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Stud Health Technol Inform · Jan 2013
ReviewIssues of data governance associated with data mining in medical research: experiences from an empirical study.
This chapter is a review of data mining techniques used in medical research. It will cover the existing applications of these techniques in the identification of diseases, and also present the authors' research experiences in medical disease diagnosis and analysis. A computational diagnosis approach can have a significant impact on accurate diagnosis and result in time and cost effective solutions. ⋯ Use of association learning, a well recognised data mining procedure, will also be discussed. Many of the datasets considered in existing medical data mining research are imbalanced, and the chapter focuses on this issue as well. Lastly, the chapter outlines the need of data governance in this research domain.