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August 2008

11 post(s).

A cross-case analysis of technology-in-use practices: EPR-adaptation in Canada and Norway

Boulus, Nina, and Pernille Bjorn, International Journal of Medical Informatics, Article in Press, Corrected Proof

Purpose
To identify and characterize enabling factors that support a continuous adaptation of technology and work practices in the health care sector.

Methods
Cross-case analysis of two longitudinal ethnographic studies of managing the gradual adaptation of electronic patient records, one in Canada and one Norway.
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1 August 2008 | No Comments » Categories: Science | Country: , | EHR: , , | Tags: ,

A Second Life for eHealth: Prospects for the Use of 3-D Virtual Worlds in Clinical Psychology

Gorini, Alessandra et al, J Med Internet Res, 10(3)

The aim of the present paper is to describe the role played by three-dimensional (3-D) virtual worlds in eHealth applications, addressing some potential advantages and issues related to the use of this emerging medium in clinical practice. Due to the enormous diffusion of the World Wide Web (WWW), telepsychology, and telehealth in general, have become accepted and validated methods for the treatment of many different health care concerns. The introduction of the Web 2.0 has facilitated the development of new forms of collaborative interaction between multiple users based on 3-D virtual worlds.
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6 August 2008 | No Comments » Categories: Science | Tags: , , ,

The Effect of Electronic Prescribing on Medication Errors and Adverse Drug Events: A Systematic Review

Ammenwerth E et al, J Am Med Inform Assoc, 15(5)

The objective of this systematic review is to analyse the relative risk reduction on medication error and adverse drug events (ADE) by computerized physician order entry systems (CPOE). We included controlled field studies and pretest-posttest studies, evaluating all types of CPOE systems, drugs and clinical settings. We present the results in evidence tables, calculate the risk ratio with 95% confidence interval and perform subgroup analyses for categorical factors, such as the level of care, patient group, type of drug, type of system, functionality of the system, comparison group type, study design, and the method for detecting errors. Of the 25 studies that analysed the effects on the medication error rate, 23 showed a significant relative risk reduction of 13% to 99%. Six of the nine studies that analysed the effects on potential ADEs showed a significant relative risk reduction of 35% to 98%. Four of the seven studies that analysed the effect on ADEs showed a significant relative risk reduction of 30% to 84%. Reporting quality and study quality was often insufficient to exclude major sources of bias. Studies on home-grown systems, studies comparing electronic prescribing to handwriting prescribing, and studies using manual chart review to detect errors seem to show a higher relative risk reduction than other studies.
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6 August 2008 | No Comments » Categories: Science | Tags: ,

EHR safety: the way forward to safe and effective systems

Walker, James M. et al, J Am Med Inform Assoc, 15(3)

Diverse stakeholders–clinicians, researchers, business leaders, policy makers, and the public–have good reason to believe that the effective use of electronic health care records (EHRs) is essential to meaningful advances in health care quality and patient safety. However, several reports have documented the potential of EHRs to contribute to health care system flaws and patient harm.
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6 August 2008 | No Comments » Categories: Science | EHR: , | Tags: ,

Health and the mobile phone

Patrick K et al, American Journal of Preventive Medicine, 35(2)

Within the next 8 years, annual U.S. expenditure on health care is projected to reach $4 trillion/year, or 20% of the gross domestic product. Whether resource consumption of this order of magnitude is sustainable is an open question, but at the very least it suggests the need for population-level solutions for everything from the primary prevention of disease to improving end-of-life care.
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8 August 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , , , ,

Health 2.0 and Medicine 2.0: tensions and controversies in the field

Hughes, Benjamin et al, J Med Internet Res, 10(3)

Background:
The term Web 2.0 became popular following the O’Reilly Media Web 2.0 conference in 2004; however, there are difficulties in its application to health and medicine. Principally, the definition published by O’Reilly is criticized for being too amorphous, where other authors claim that Web 2.0 does not really exist. Despite this skepticism, the online community using Web 2.0 tools for health continues to grow, and the term Medicine 2.0 has entered popular nomenclature.
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13 August 2008 | No Comments » Categories: Record Access, Science | Tags: , ,

Value of the electronic patient record: an analysis of the literature

Uslu, Aykut M., and J├╝rgen Stausberg, Journal of Biomedical Informatics, 41(4)

We undertook a systematic review of the literature on the basis of published studies on the benefit and costs of Electronic Patient Records (EPRs) to clarify the issue of whether and to what extent the use of an EPR is worthwhile. We carried out a systematic electronic search for articles published between 1966 and early 2004 using MEDLINE, following up cross-references from the articles found.
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15 August 2008 | No Comments » Categories: Science | EHR: | Tags:

Patients’ use of the Internet for health related matters: a study of Internet usage in 2000 and 2006

Trotter MI, Morgan DW. Health Informatics Journal, 14(3)

This prospective questionnaire study investigated access to the Internet and use of the Internet for health related information. Patients attending the senior author’s ENT clinic (204 in 2000; 209 in 2006) were asked two questions: do you have access to the Internet? Have you used the Internet to find health related information?
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21 August 2008 | No Comments » Categories: Science | Country: | Tags: , , , ,

Organizational effects of information and communication technology (ICT) in elderly homecare: a case study

Vimarlund V et al, Health Informatics Journal, 14(3)

The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming more established. In particular, ICT can enable information exchange, knowledge sharing and documentation at the point-of-care (POC). The aim of this study was to explore these effects using the Old@Home prototype. Old@Home was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency.
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21 August 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , ,

Blog-based applications and health information: Two case studies that illustrate important questions for Consumer Health Informatics (CHI) research

Adams SA. International Journal of Medical Informatics, 79(6)

Weblogs (blogs), together with podcasts and wikis are part of the larger body of next-generation communication applications dubbed “web 2.0.” Within the specific area of health care, little attention has been devoted to understanding what applications are available to the lay public and how these are being used.
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21 August 2008 | No Comments » Categories: Science | Tags: , ,

Medicine 2.0: social networking, collaboration, participation, apomediation, and openness

Eysenbach, Gunther, J Med Internet Res, 10(3)

In a very significant development for eHealth, broad adoption of Web 2.0 technologies and approaches coincides with the more recent emergence of Personal Health Application Platforms and Personally Controlled Health Records such as Google Health, Microsoft HealthVault, and Dossia.
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26 August 2008 | No Comments » Categories: Science | Tags: , ,

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