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11
February, 2012
Saturday

Communication

The Future of mHealth: Doctors Use Gadgets to Improve Healthcare

Forbes

“Mobile devices are proving instrumental for a growing number of healthcare professionals. Smartphones and tablets are progressing beyond ways for doctors and nurses to check in during a busy day, and becoming part of the very fabric of healthcare delivery.
[ More ]

9 February 2012 | No Comments »
Categories: News | Country: United States | Tag(s): Certification, Communication, Health Information, mHealth, Nurses, Physicians, Privacy, Workflow

Does telehealth threaten the nurse/patient relationship?

Eileen Shepherd, Nursing Times

“The Queen’s Nursing Institute has launched a new drive to encourage district nurses to make the best use of new communications technology such as telehealth systems. A report published by the institute said some district nursing teams had already made significant changes to their practice as a result of new technology but others lagged behind.
[ More ]

6 February 2012 | No Comments »
Categories: News | Country: UK | Tag(s): Communication, Nurses, Telemedicine

Designing a more user-friendly patient portal

Marla Durben Hirsch, FierceEMR

“With an increased emphasis on patient access to their own health data, electronic health system vendors are offering patient portals to their offerings, according to an article published by the Healthcare Billing Management Association (HBMA).
[ More ]

13 January 2012 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Communication, Patient, Portal

Strengths and limitations of the electronic health record for documenting clinical events

Carrington JM, Effken JA. Computers Informatics Nursing, 29(6)

The purpose of this research was to compare nurses’ perceptions of the strengths and limitations of the electronic health record with and without nursing languages for documenting and retrieving patient information regarding a clinical event. The effectiveness of the electronic health record to facilitate nurse-to-nurse communication is not well understood. Furthermore, little is known how nurse-to-nurse communication influences patient safety and failure-to-rescue events.
[ More ]

2 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Communication, Nurses

Healthcare professionals’ adoption and use of a clinical information system (CIS) in primary care: Insights from the Da Vinci study

Vedel I et al, International Journal of Medical Informatics, 2011

Given the increasing prevalence of multimorbidity in primary care (PC), interdisciplinary PC teams supported by appropriate clinical information systems (CIS) are needed in order to deal with the complexity of multimorbid patients’ care. Our team has developed such a system, called the Da Vinci system. However, despite the expected benefits, evidence suggests generally low rates of CIS adoption. To optimize adoption in PC settings, a better understanding of the implementation process of such systems is crucial.
[ More ]

23 December 2011 | No Comments »
Categories: Science | Tag(s): Adoption, Chronic Diseases, Communication, Health Information Technology, health-information-system, Patient, Physicians, Primary Care

Interoperability Remains Elusive EHR Goal

Cole Petrochko, MedPage Today

“As physicians and other health professionals become more savvy in ways of the digital universe, many of them like what they have found but want more, especially more seamless information exchange between hospital records and physician practice-based electronic health records.
[ More ]

4 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Communication, Interoperability

The association between health information exchange and measures of patient satisfaction

Vest JR, Miller TR. Applied Clinical Informatics, 2(4)

Objective:
Health information exchange (HIE) is the interorganizational sharing of patient information and is one of many health information technology initiatives expected to transform the U.S. healthcare system. Two outcomes expected to be improved by HIE are patient-provider communication and patient satisfaction . This analysis examined the relationship between the level of HIE engagement and these two factors in a sample of U.S. hospitals.
[ More ]

30 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Communication, Data Sharing, Health Information Exchange, Hospitals, Patient, Satisfaction

Should Patients Get Direct Access to Their Laboratory Test Results? An Answer With Many Questions

Davis Giardina T, Singh H. JAMA. 2011

In the outpatient setting, between 8% and 26% of abnormal test results, including those suspicious for malignancy, are not followed up in a timely manner. Despite the use of electronic health records (EHRs) to facilitate communication of test results, follow-up remains a significant safety challenge.
[ More ]

29 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Ambulatory Care, Communication, Decision Making, diagnose, lab results

UK: NHSScotland’s new eHealth strategy

ePractice EU

“The Strategy contains a foreword by the Cabinet Secretary for Health, Wellbeing and Cities Strategy, and sets out the Scottish Government’s vision for eHealth in 2017. The strategy is ambitious; it has the citizen at its centre; and seeks to build on the significant progress that was made collectively over the course of the last three years.
[ More ]

28 November 2011 | No Comments »
Categories: News | Country: UK | Tag(s): Communication, e-Health, Patient Centric, Self Management

Wie Web 2.0 die Kommunikation im Gesundheitswesen fördern kann

Heike Unverhau, Health Care meets Social Media

“Sind auch Sie ein ePatient? Wenn sie Informationen zu Gesundheitsthemen online abrufen, dann gehören auch Sie zu der immer grösser werdenden Gruppe an Menschen, die in Ergänzung zu den klassischen Informationsmedien auch im Internet nach Informationen über Krankheiten und Behandlungsmethoden suchen.
[ More ]

10 November 2011 | No Comments »
Categories: News | Tag(s): Communication, Health Information, Internet, Web 2.0

Study shows more than 30 percent of consumers are interested in sending health data to their doctors

Cory Schultz, iMedicalApps

“The number of consumers who are willing to communicate with their physicians via wireless devices is on the rise. A recent study from the Consumer Electronics Association (CEA) corroborates this.
[ More ]

8 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Communication, mHealth, Patient-clinician communication, Wireless

Website Features Which Increase The Patient Satisfaction Index

Plus91

“A large part of managing a patient over a long period of time is communicating with the patient. All old (follow up) cases in medical practices have niche requirements and expectations from their doctors. A satisfied patient is a doctor’s most powerful marketing asset. Healthcare professionals should strive to provide all old (follow up) cases with special features to improve quality of service, which in turn will increase the Patient Satisfaction Index.
[ More ]

17 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Communication, facebook, Patient, Satisfaction, Website

Future Uses for the iPad in the Operating Room: a Game Changer ?

Felasfa Wodajo, iMedicalApps

“As we discussed in the first of this two part series, mobile devices are already entering the world of the surgeon. Currently, it is mostly downloadable apps that promise to help surgeons with the informational portions of their tasks, such as tracking the cases they have done, e.g. Surgichart or helping in the consent process, e.g. Surgery Risk
While apps that are dedicated to the technical aspects of surgery, such as the excellent AO Surgery Reference, are becoming available, in the future we will see the iPad (or its brethren) actually in the operating room.
[ More ]

28 September 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Communication, mHealth, operation room, tablet PC, visualisation

Operating room coordination with the eWhiteboard: the fine line between successful and challenged technology adoption

Taneva S et al, Health and Technology, 2011

With the goal to achieve a better understanding of the challenges to communication technology adoption in the clinical setting, we conducted intensive observations of activities of clinical and administrative staff in a large teaching hospital’s surgical unit prior to and 8-months post-implementation of an electronic whiteboard communication tool (eWhiteboard). The hospital IT department developed the e-Whiteboard for the support of inter-team coordination of patient status within the surgical flow. After the system had been integrated into the work process for 8 months, we conducted another round of intensive observations. The RATE data collection platform was utilized in both studies. Data were coded and analyzed quantitatively. Qualitative observational notes complemented the statistical results. We compared the pre- and post-implementation observational data with regard to communication load, types of coordination breakdowns, triggers, and consequences. Additionally, a questionnaire on perceived usefulness of the eWhiteboard was administered.
[ More ]

26 September 2011 | No Comments »
Categories: Science | Tag(s): Adoption, Communication, Medical Informatics, Trust, Whiteboards

Technology, lack of communication hinder patient-centered care

Brita Van Fossen, Health IT Pulse

“With so much discussion surrounding the achievement of meaningful use, electronic health record (EHR) implementation and the consequent ability to produce a more patient-centered environment, it’s easy to lose sight of the reality of the situation.
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3 September 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Communication, Patient Centric, Physician-Patient Relationship

An Evaluation of the Use of Smartphones to Communicate Between Clinicians: A Mixed-Methods Study

Wu R te al, J Med Internet Res, 13(3)

Background:
Communication between clinicians is critical to providing quality patient care but is often hampered by limitations of current systems. Smartphones such as BlackBerrys may improve communication, but studies of these technologies have been limited to date.
Objective: Our objectives were to describe how smartphones were adopted for clinical communication within general internal medical wards and determine their impact on team effectiveness and communication.
[ More ]

30 August 2011 | No Comments »
Categories: Science | Country: Canada | Tag(s): Communication, e-Mail, Hospitals, Nurses, Physicians, smartphone

Use of electronic personal health record systems to encourage HIV screening: an exploratory study of patient and provider perspectives

McInnes DK et al, BMC Research Notes, 4(1)

BACKGROUND:
When detected, HIV can be effectively treated with antiretroviral therapy. Nevertheless in the U.S. approximately 25% of those who are HIV-infected do not know it. Much remains unknown about how to increase HIV testing rates. New Internet outreach methods have the potential to increase disease awareness and screening among patients, especially as electronic personal health records (PHRs) become more widely available. In the US Department of Veterans Affairs medical care system, 900,000 veterans have indicated an interest in receiving electronic health-related communications through the PHR. Therefore we sought to evaluate the optimal circumstances and conditions for outreach about HIV screening. In an exploratory, qualitative research study we examined patient and provider perceptions of Internet-based outreach to increase HIV screening among veterans who use the Veterans Health Administration (VHA) health care system.
[ More ]

17 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Communication, HIV, phr

Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting

Jordan Lanham H et al, J Am Med Inform Assoc, 2011

Objective
Despite efforts made by ambulatory care organizations to standardize the use of electronic health records (EHRs), practices often incorporate these systems into their work differently from each other. One potential factor contributing to these differences is within-practice communication patterns. The authors explore the linkage between within-practice communication patterns and practice-level EHR use patterns.
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16 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Ambulatory Care, Communication

Secure web messaging in a pediatric chronic care clinic: a slow takeoff of “kids’ airmail”

Hsiao AL et al, Pediatrics, 127(2)

BACKGROUND
Although e-mail may be an efficient clinician-patient communication tool, standard e-mail is not adequately secure to meet Health Insurance Portability and Accountability Act (HIPAA) guidelines. For this reason, firewall-secured electronic messaging systems have been developed for use in health care. Impact and usability of these secure systems have not been broadly assessed.

OBJECTIVE
To evaluate the impact of a secure electronic messaging system implemented for a pediatric subspecialty clinic.
[ More ]

28 July 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Asthma, Children, Communication, e-Mail, Physician-Patient Relationship

Survey: Docs Don’t Explain EHRs

John Pulley, NextGov

“When it comes to electronic records, health care providers have a lot of explaining to do, say consultants who analyzed results of an online poll of 2,720 U.S. adults.
[ More ]

26 July 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Communication

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