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11
February, 2012
Saturday

Alert/Reminder

Seasonal Influenza Vaccination Reminders for Children with High-Risk Conditions

Dombkowski KJ et al, American Journal of Preventive Medicine, 42(1)

Background
Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates.

Purpose
To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departments (LHDs) targeting children with high-risk conditions.
[ More ]

8 February 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Children, Chronic Diseases, Immunization, Risks

Caring for individual patients and beyond: Enhancing care through secondary use of data in a general practice setting

Tolar M, Balka E. International Journal of Medical Informatics, 2012

It is argued that with the introduction of electronic medical record (EMR) systems into the primary care sector, data collected can be used for secondary purposes which extend beyond individual patient care (e.g., for chronic disease management, prevention and clinical performance evaluation). However, EMR systems are primarily designed to support clinical tasks, and data entry practices of clinicians focus on the treatment of individual patients. Hence data collected through EMRs is not always useful in meeting these ends.
[ More ]

6 February 2012 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Alert/Reminder, Primary Care, Secondary Data Use

Effects of a short text message reminder system on emergency department length of stay

Kim MJ et al, International Journal of Medical Informatics, 2012

Purpose
Specialty consultations and waiting for admission to a hospital bed are major contributors to increased length of stay and overcrowding in the emergency department. We implemented a computerized short messaging service to inform care providers of patient delay in order to reduce length of stay. The purpose of this study was to evaluate the effects of this strategy on length of stay in the emergency department.
[ More ]

1 February 2012 | No Comments »
Categories: Science | Country: Korea | Tag(s): Alert/Reminder, emergency, SMS

Electronic alerting system improves documentation of patient problems

Marla Durben Hirsch, FierceEMR

“Using an automatic alert system in providers’ EHR systems “significantly” increases the documentation of previously unknown patient problems, which could potentially facilitate quality improvement.
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20 January 2012 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Documentation

Improving completeness of electronic problem lists through clinical decision support: a randomized, controlled trial

Wright A et al, J Am Med Inform Assoc, 2012

Background
Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date.
[ More ]

20 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Decision Support, Documentation

New ’smart’ pill tells patients when drugs dose due

Andrew Hough, The Telegraph

“The tiny edible microchip records precise details of medication programmes through a monitoring “receiver” patch attached to patients’ shoulder or arm.
[ More ]

17 January 2012 | No Comments »
Categories: News | Country: UK, United States | Tag(s): Adherence, Alert/Reminder, Drugs, Smart Pill

The chips that are good for your health

Steve Connor, The Independent

“An American biomedical company has signed up with a British healthcare firm to sell digestible sensors, each smaller than a grain of sand, that can trigger the transmission of medical information from a patient’s body to the mobile phone of a relative or carer.
[ More ]

17 January 2012 | No Comments »
Categories: News | Country: UK, United States | Tag(s): Adherence, Alert/Reminder, Chip, Drugs, mHealth, Smart Pill

Randomized Controlled Trial of Health Maintenance Reminders Provided Directly to Patients Through an Electronic PHR

Wright A et al, Journal of General Internal Medicine, 27(1)

BACKGROUND
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied.

OBJECTIVE
To determine whether providing reminders directly to patients via an electronic Personal Health Record (PHR) improved adherence to care recommendations.
[ More ]

16 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Decision Support, phr, Preventive Care, trials

Clinical Decision Support Systems Could Be Modified To Reduce ‘Alert Fatigue’ While Still Minimizing The Risk Of Litigation

Kesselheim AS et al, Health Affairs, 30(12)

Clinical decision support systems—interactive computer systems that help doctors make clinical choices—can reduce errors in drug prescribing by offering real-time alerts about possible adverse reactions. But physicians and other users often suffer “alert fatigue” caused by excessive numbers of warnings about items such as potentially dangerous drug interactions. As a result, they may pay less attention to or even ignore some vital alerts, thus limiting these systems’ effectiveness.
[ More ]

7 December 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Alert/Reminder, Decision Support, Health Information Technology, Liability

How Effective Are Short Message Service Reminders at Increasing Clinic Attendance? A Meta‐Analysis and Systematic Review

Guy R et al, Health Services Research. 2011

Background and Objectives
In the last few years there has been a steady uptake of mobile phone short message service (SMS) reminders to increase medical attendance rates. We undertook a review of studies that assessed the effectiveness of SMS reminders at increasing the uptake of appointments in health care settings.

Methods
We reviewed studies which involved a comparison of appointment attendance rates between patients who did and did not receive SMS reminders published prior to June 2010. We used meta-analysis methods to calculate the overall effect on attendance rates, stratified by study design and clinic type.
[ More ]

11 November 2011 | No Comments »
Categories: Science | Country: Australia | Tag(s): Alert/Reminder, Appointments, SMS

Pages, text messages both fall short for medical alerts

Chris Gullo, mobihealthnews

“Once doctors began adopting smartphones (now adoption has reached some 80 percent of MDs in the US), they quickly started using SMS as a way of communicating with other doctors and staff because of its speed and ease of use compared to older methods.
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6 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Alert/Reminder, mHealth, SMS

Electronic Records May Increase Malpractice Lawsuit Risk

Neil Versel, InformationWeek

“The rapid movement toward electronic health records (EHRs) may unwittingly raise physician risk for malpractice lawsuits and push liability insurers to raise their premiums, a new report suggests.
[ More ]

26 October 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Insurer, Legal, Liability, vendors

Data in Action: Applying Analytics to Healthcare

Amanda Buie, Healthcare IT Solutions

“Data in and of itself has no value. To add value data must be “crunched” or analyzed to examine changes, predict impacts and determine what is working and what isn’t working. There are some “formulas” at work here:
Date + Meaning = Information (data crunching)
Information + Experience + Context = Knowledge (someone using the information)
[ More ]

24 October 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Dashboard, Quality

Bienvenido al futuro de las alertas de salud

chiscosayans, doctordoctor

“Detectar el nivel de azúcar en el aliento, un sistema que avisa a tu médico si no te tomas las pastillas, detectores de caídas… Aún son prototipos, pero avanzan el futuro de las alertas de salud en enfermos y personas dependientes.
[ More ]

19 October 2011 | No Comments »
Categories: News | Country: Spain | Tag(s): Alert/Reminder, Diabetes, Fall Detection, Medication

St. Jude adds mobile alerts to implantable device monitor

Chris Gullo, mobihealthnews

“St. Jude Medical announced new features for its Merlin.net remote patient monitoring offering, Patient Care Network (PCN), including mobile alerts for physicians and improved data export to EHRs.
[ More ]

13 October 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Implants, mHealth, Telemonitoring

‘Minding our Meds’ initiative to aid seniors via text message

Molly Merrill, Healthcare IT News

“A project that aims to increase medication adherence in seniors via text message reminders has been awarded a $77,150 mobile health grant.
[ More ]

12 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Adherence, Alert/Reminder, Elderly, Medication, SMS

AIM: EHR reminders, panel management power elderly primary care

CMIO

“EMR reminders accounted for improvement in vaccination rates and when augmented by panel management, proved effective in vaccination rates and the rates of healthcare proxy designation and bone density screening, according to an article published Sept. 26 in the Archives of Internal Medicine.
[ More ]

28 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Elderly, Primary Care

Electronic Medical Record Reminders and Panel Management to Improve Primary Care of Elderly Patients

Loo TS et al, Arch Intern Med, 171(17)

Background
Most elderly patients do not receive recommended preventive care, acute care, and care for chronic conditions.

Methods
We conducted a controlled trial to assess the effectiveness of electronic medical record (EMR) reminders, with or without panel management, on health care proxy designation, osteoporosis screening, and influenza and pneumococcal vaccinations in patients older than 65 years. Physicians were assigned to 1 of the following 3 arms: EMR reminder, EMR reminder plus panel manager, or control. We assessed completion of recommended practices during a 1-year period.
[ More ]

28 September 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Elderly, emr, Primary Care

Phoning or texting patients cuts missed appointments by a third

Gill Hitchcock, Guardian Professional

“The number of patients failing to turn up for hospital appointments can be reduced by 34% using SMS text message or phone reminders, according to review carried out by telemedicine specialists at the university hospital of North Norway.
[ More ]

28 September 2011 | No Comments »
Categories: News | Tag(s): Alert/Reminder, Appointments, SMS

Use of telephone and SMS reminders to improve attendance at hospital appointments: a systematic review

Hasvold PE, Wootton R. Journal of Telemedicine and Telecare, 2011

Patients failing to attend hospital appointments contribute to inefficient use of resources. We conducted a systematic review of studies providing a reminder to patients by phone, short message service (SMS) or automated phone calls. A PubMed search was conducted to identify articles published after 1999, describing studies of non-attendance at hospital appointments. In addition, we searched the references in the included papers. In total, 29 studies were included in the review. Four had two intervention arms which were treated as independent studies, giving a total of 33 estimates. The papers were analysed by two observers independently. A study quality score was developed and used to weight the data. Weighted means of the absolute and the relative changes in non-attendance were calculated. All studies except one reported a benefit from sending reminders to patients prior to their appointment.
[ More ]

28 September 2011 | No Comments »
Categories: Science | Tag(s): Alert/Reminder, Appointments, SMS

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