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12
February, 2012
Sunday

health-information-system

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

L’ASIP Santé publie l’étude sur les systèmes d’Information des maisons, pôles et centres de santé polyvalents

Esante.gouv.fr

“A la demande de la Direction de la Sécurité Sociale (DSS) et de la Direction Générale de l’Offre de Soins (DGOS), l’ASIP Santé a mené une étude visant à caractériser le système d’information des maisons et pôles de santé ainsi que des centres de santé polyvalents.
[ More ]

22 December 2011 | No Comments »
Categories: News | Country: France | Tag(s): health-information-system

Interoperability in health care information systems: it’s about patient care

Dennis Giokas, Infoway Connects

“Interoperability. It’s a term we use a lot when we talk about electronic health records (EHRs), but what does it really mean?
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15 December 2011 | No Comments »
Categories: News | Country: Canada | Tag(s): health-information-system, Interoperability, Semantic

Closing information gaps with shared electronic patient summaries––How much will it matter?

Remen VM, Grimsmo A. International Journal of Medical Informatics, 80(11)

Background
Information deficits contribute to medical errors. Hence several efforts to develop electronic communication systems to facilitate a flow of information between health care providers have been attempted, including initiatives to develop regional or national electronic patient summaries.

Objectives
To study information access and information needs in inpatient emergency departments, and how clinicians in these departments handle deficits in available information.
[ More ]

21 October 2011 | No Comments »
Categories: Science | Country: Norway | Tag(s): Electronic patient summaries, emergency, health-information-system, Information Sharing, Medical Errors, Medication Errors

Tracking Observations of Everyday Living with Smart Phones

Reports of health information systems failures identified the guilty parties laying with issues around social, technical, and organizational factors. The reason so many systems fail may lie in the socio-cultural fit of e-Health systems. We do not understand how to deliver information to providers when they need it, in a usable format, and in a way that fits transparently into their workflow and into the daily lives of patients.
[ More ]

5 July 2011 | No Comments »
Categories: Science | Tag(s): health-information-system, human-computer interaction, ICT, smartphone, Usability

Tele-ICU: Experience To Date

Lilly CM, Thomas EJ. Journal of Intensive Care Medicine, 25(1)

Tele-intensive care unit (ICU) is a care provided to critically ill patients by off-site clinicians using audio, video, and electronic links to leverage technical, informational, and clinical resources. Providing care includes the ability to detect patient’s instability or laboratory abnormalities in real-time, collect additional clinical information from or about the patient, order diagnostic testing, make diagnoses, implement treatment, render other forms of intensive care such as managing life-support devices, and communicate with patients and bedside providers.
[ More ]

8 June 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Critical Care, health-information-system, Monitoring, Tele-ICU, Telemedicine

Upper-level Ontologies for Health Information Systems

Raghupathi W, Umar A. Methods of Information in Medicine, 50(3)

Objectives:
We examine the potential of archetype patterns for upper-level ontology development in health information systems (HISs).

Methods:
Archetype patterns, based on the integration of archetype concepts and design patterns, are conceptualized and developed for ontology in the HIS domain. The UML provides the underlying modeling support.
[ More ]

16 May 2011 | No Comments »
Categories: Science | Tag(s): Archetypes, health-information-system, Interoperability, Ontology

Going paperless at the emergency department: A socio-technical study of an information system for patient tracking

Vezyridis P et al, International Journal of Medical Informatics, 80(7)

Purpose
The purpose of this study was to examine nurses’ attitudes and reflection on the transformation of their workpractices after the implementation of an Emergency Department Information System (EDIS).

Methods
A qualitative study using interviews, mainly with nurses, conducted four years after the implementation of an EDIS at the emergency department (ED) of a large university hospital in Midlands, UK.
[ More ]

15 May 2011 | No Comments »
Categories: Science, UK EHR | Country: UK | EHR: EHR, EHR UK | Tag(s): emergency, health-information-system, Nurses, Patient, terminal, Tracking

[Improving maternal health information systems: validation of electronic medical records in Callao, Peru]

Curioso WH et al, Revista Peruana De Medicina Experimental Y Salud Pública, 27(3)

La experiencia creciente en sistemas de información en salud, como las historias clínicas electrónicas (HCE), ha demostrado beneficios luego de una adecuada implementación en muchos países del mundo. La mayoría de estudios provienen de países desarrollados donde se ha reportado que en hospitales donde se ha implementado HCE registraron menos complicaciones, menos tasas de mortalidad y menores costos luego de su implementación.
[ More ]

10 April 2011 | No Comments »
Categories: Science | Country: Peru | EHR: EHR | Tag(s): health-information-system

Can information technology improve the performance of remote monitoring systems?

Bas M et al, Telemedicine and e-Health, 16(9)

Despite some clinical, economic, and other qualitative advantages associated with remote cardiac device monitoring systems, one of the main challenges concerns the management of the out-of-hospital data. Manual updating of hospital databases with the data stored in the manufacturers’ servers increases time requirements and may introduce mistakes in the entries. The use of communication standards such as Health Level 7 for data interchange could provide a safe and easy way to access patient and device information. The present study of 38 patients was carried out with the Carelink® remote monitoring technology. A formal process for remote cardiac device monitoring was established, including some features in the Arrhythmias Information System: mobile phone and e-mail were included for communication between patients and hospital, with a new gateway for automatic message sending.
[ More ]

27 March 2011 | No Comments »
Categories: Science | Country: Spain | Tag(s): Cardiology, Communication, health-information-system, SMS, Telemedicine, Telemonitoring

Open Source, Open Standards, and Health Care Information Systems

Reynolds CJ, Wyatt JC. J Med Internet Res, 13(1)

Recognition of the improvements in patient safety, quality of patient care, and efficiency that health care information systems have the potential to bring has led to significant investment. Globally the sale of health care information systems now represents a multibillion dollar industry. As policy makers, health care professionals, and patients, we have a responsibility to maximize the return on this investment. To this end we analyze alternative licensing and software development models, as well as the role of standards.
[ More ]

6 March 2011 | No Comments »
Categories: Science | Tag(s): health-information-system, Open Source, open standards, Standards

El médico se rebela contra el sistema informático de primaria

Francisco Goiri, Diario Médico

“Siete meses después de la implantación oficial del sistema informático Selene en la atención primaria del Servicio Riojano de Salud (Seris) un elevado porcentaje de los médicos que lo usan a diario arremeten contra un programa que, según ellos, lejos de facilitar su trabajo, lo ha ralentizado considerablemente. La lentitud, la tardía visualización en la pantalla de radiografías o analíticas, la pérdida de información clínica o los problemas para rellenar las recetas ya no se pueden achacar, según los médicos afectados, al lógico reajuste o al consabido periodo de adaptación y transición entre un programa informático y otro.
[ More ]

3 February 2011 | No Comments »
Categories: News | Country: Spain | Tag(s): Failure, Health Information Technology, health-information-system, Primary Care

Integrated card system planned to enhance quality of healthcare

Noimot Olayiwola, Gulf Times

“By April, an integrated card system, which is a combined Qatar Identification card (QID) and health card may be available to all — both Qataris and expatriates, a senior official of the Supreme Council of Health has said.
[ More ]

3 February 2011 | No Comments »
Categories: News | Country: Qatar | EHR: EHR | Tag(s): health-information-system, Portal, Quality

A Vision for Patient-Centered Health Information Systems

Krist AH, Woolf SH. JAMA, 305(3)

The health information technology movement focuses much of its energy on the use of electronic medical records by clinicians, but the use of information technology by patients carries equal promise. Outside of health care, the public routinely uses computers and smart phones to access information and perform tasks with a click of a button.
[ More ]

19 January 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Education, emr, health-information-system, Patient Centric

E-Health Systems: Opportunities and Obstacles

Gienna Shaw, HealthLeaders Media

“With respondents representing organizations ranging from small hospitals and midsize health systems to physician organizations, this survey shows significant diversity and disparity in attitudes. For example, while more than half of the healthcare leaders are satisfied with their health information systems’ functionality, less than half are satisfied with their systems’ cost and value.
[ More ]

19 January 2011 | No Comments »
Categories: News, Report | Country: United States | Tag(s): Costs, Efficiency, health-information-system, Interoperability, Satisfaction, Usability

Seeing is Belizing

Paul Christopher Webster, CMAJ News

“On a quiet Sunday morning in the emergency unit at the Belmopan Hospital, an electronic message on the Belize Health Information System (BHIS) flashed an alert to the doctor and nurses on duty: A patient with severe stab wounds was on his way by ambulance from the San Ignacio polyclinic near the border with Guatemala, about 50 kilometres to the west.
[ More ]

15 January 2011 | No Comments »
Categories: News | Country: Belize | Tag(s): Health Information Technology, health-information-system

MEDWISE: An Innovative Public Health Information System Infrastructure

Sahin YG, Celikkan U. Journal of Medical Systems, 2010

In this paper, we present MedWise, a high level design of a medical information infrastructure, and its architecture. The proposed system offers a comprehensive, modular, robust and extensible infrastructure to be used in public health care systems. The system gathers reliable and evidence based health data, which it then classifies, interprets and stores into a particular database. It creates a healthcare ecosystem that aids the medical community by providing for less error prone diagnoses and treatment of diseases. This system will be standards-compliant; therefore it would be complementary to the existing healthcare and clinical information systems.
[ More ]

29 November 2010 | No Comments »
Categories: Science | Country: Turkey | Tag(s): health-information-system, Infrastructure, Public Health

Sistemas de información compartida: asignatura pendiente en la Sanidad española

Apiscam

“España adolece de sistemas de información sanitaria “fiables y consultables en tiempo seguro” y que, además, sean capaces de combinar los diferentes modelos, arquetipos y términos de uso común en el vocabulario clínico
[ More ]

29 November 2010 | No Comments »
Categories: News | Country: Spain | EHR: EHR, EHR Spain | Tag(s): Archetypes, health-information-system, Standards, Terminology

The Enhancement of Security in Healthcare Information Systems

Liu C et al, Journal of Medical Systems, 2010

With the progress and the development of information technology, the internal data in medical organizations have become computerized and are further established the medical information system. Moreover, the use of the Internet enhances the information communication as well as affects the development of the medical information system that a lot of medical information is transmitted with the Internet. Since there is a network within another network, when all networks are connected together, they will form the “Internet”. For this reason, the Internet is considered as a high-risk and public environment which is easily destroyed and invaded so that a relevant protection is acquired. Besides, the data in the medical network system are confidential that it is necessary to protect the personal privacy, such as electronic patient records, medical confidential information, and authorization-controlled data in the hospital.
[ More ]

25 November 2010 | No Comments »
Categories: Science | Tag(s): health-information-system, Security

Nurses rate cellphone info a smart idea

Khanyisa Sunduzwayo, WeekendPost

“Government nurses across the country could find their work a little easier if a new mobile health information system (MHIS) being tried by the Health Department in various Nelson Mandela Bay hospitals is rolled out nationally.
[ More ]

23 November 2010 | No Comments »
Categories: News | Country: South-Africa | Tag(s): Cellphone, health-information-system, mHealth, Nurses

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