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the international council on medical & care compunetics

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22
February, 2012
Wednesday

Knowledge Management

Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study

Ash JS et al, BMC Medical Informatics and Decision Making, 12(1)

Background
The purpose of this study was to identify recommended practices for computerized clinical decision support (CDS) development and implementation and for knowledge management (KM) processes in ambulatory clinics and community hospitals using commercial or locally developed systems in the U.S.
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15 February 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Decision Support, Knowledge Management

The adoption of electronic medical records and decision support systems in Korea

Chae YM et al, Healthcare Informatics Research, 17(3)

OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
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28 November 2011 | No Comments »
Categories: Science | Country: Korea | EHR: EHR, EHR Korea | Tag(s): Decision Support, emr, HIS, Information Management, Knowledge Management

Medical Database Linked To Better Hospital Care

Ken Terry, InformationWeek

“Hospitals that subscribe to widely used clinical knowledge support system UpToDate show modestly improved length of stay, mortality rates, and quality of care. A recent study suggests that hospitals that use the service do better on all these measures than those that don’t provide UpToDate to their physicians.
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26 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Hospitals, Knowledge Management

Use of UpToDate and outcomes in US hospitals

Isaac T et al, Journal of Hospital Medicine, 2011

BACKGROUND:
Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known.

OBJECTIVE:
To examine the impact of UpToDate on outcomes of care.
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26 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Benefits, Hospitals, Knowledge Management

Knowledge Management and E-Health

Knowledge management (KM) has made a significant impact on the global healthcare sector. However, it is important to address the link between knowledge, information and engineering. This paper discusses how concepts from the established KM field can be applied to the area of e-Health.
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4 September 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Knowledge Management, lifetime record, Urban

Legal implications of EHR use still difficult to define

Jean DerGurahian, SearchHealthIT

“As electronic health record (EHR) use climbs, and even more health care information is stored in electronic systems, the legal implications of how that data is accessed and used continue to grow — and provider organizations increasingly wonder how their liability is affected.
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29 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Decision Support, Knowledge Management, Legal

Getting the foot out of the pelvis: modeling problems affecting use of SNOMED CT hierarchies in practical applications

Rector AL et al, J Am Med Inform Assoc, 18(4)

Objectives
(a) To determine the extent and range of errors and issues in the Systematised Nomenclature of Medicine – Clinical Terms (SNOMED CT) hierarchies as they affect two practical projects. (b) To determine the origin of issues raised and propose methods to address them.

Methods
The hierarchies for concepts in the Core Problem List Subset published by the Unified Medical Language System were examined for their appropriateness in two applications. Anomalies were traced to their source to determine whether they were simple local errors, systematic inferences propagated by SNOMED’s classification process, or the result of problems with SNOMED’s schemas. Conclusions were confirmed by showing that altering the root cause and reclassifying had the intended effects, and not others.
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11 July 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Knowledge Management, modelling, Ontology, SNOMED, Terminology

Clinical content model quality

Heather Leslie, Archetypical

“Up until recently clinical content models, such as archetypes, have been regarded as a novelty; watched from the sidelines with interest from many but not regarded as mainstream. However now that they are increasingly being adopted by jurisdictions and used in real systems, modellers need to change their approach to include processes, methodologies and quality criteria that ensure that the models are robust, credible and fit for purpose.
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29 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Knowledge, Clinical Models, Knowledge Management, openEHR, Quality

Biomedical Ontologies: Toward Scientific Debate

Maojo V et al, Methods of Information in Medicine, 50(3)

Objectives:
Biomedical ontologies have been very successful in structuring knowledge for many different applications, receiving widespread praise for their utility and potential. Yet, the role of computational ontologies in scientific research, as opposed to knowledge management applications, has not been extensively discussed. We aim to stimulate further discussion on the advantages and challenges presented by biomedical ontologies from a scientific perspective.
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16 May 2011 | No Comments »
Categories: Science | Tag(s): Biomedicine, Knowledge Management, Ontology, Research

Personal Health Ontology: towards the interoperation of e-health tools

Puustjarvi J, Puustjarvi L. International Journal of Electronic Healthcare, 6(1)

Patient-centred healthcare subscribes to the belief that the patient has strengths, values and experiences that are important in the healthcare experience and relationship between those providing care and the patient. It requires patients to have the ability to obtain and understand health information, and make appropriate health decisions. The main problem here is that though the e-health applications provide patients and consumer with access to health information, each application is still individually used and the used and produced information remains within each system.
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19 March 2011 | No Comments »
Categories: Science | Country: Finland | Tag(s): information-therapy, Interoperability, Knowledge Management, Ontology, Personal Health, phr, Semantic

Biomedical informatics is essential part of medical education

imran, biomedme.com

“In an article published in the Sept. 15 edition of the Journal of the American Medical Association, (JAMA), author Edward H. Shortliffe, MD, PhD, points out that although information underlies all clinical work, and despite the growing role that information management and access play in healthcare delivery and clinical support, there is a dearth of informatics competency being developed in America’s future corps of physicians.
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16 September 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Biomedical Informatics, Education, Health Informatics, Knowledge Management

Biomedical Informatics in the Education of Physicians

Shortliffe EH. JAMA, 304(11)

When I first meet with preclinical medical students, I make a point of asking them what they believe will receive the greatest focus of their attention once they are in clinical practice. The most common response, not surprisingly, is patients, and yet it is clear to experienced practitioners that the correct answer is information—in the service of their patients.
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16 September 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Biomedical Informatics, Education, Health Informatics, Knowledge Management

Time for a Paradigm Shift: Managing Smarter by Moving from Data and Information to Knowledge and Wisdom in Healthcare Decision-Making

Hollander MJ et al, Healthcare Quarterly, 13(2)

Senior decision-makers in the Canadian healthcare system have to continuously make significant, and complex, policy and program decisions. However, it appears that, often, the evidence they have available is fairly simple descriptive information, collected for operational purposes. Trying to solve complex problems with fairly simple data may lead to suboptimal decisions. This article presents a new knowledge development system (KDS) that should allow senior decision-makers and others to manage smarter and take their decision-making to the next level.
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7 September 2010 | No Comments »
Categories: Science | Country: Canada | Tag(s): Decision Making, Knowledge Management

The Role of the Internet on Patient Knowledge Management, Education, and Decision-Making

Ilic D. Telemedicine and e-Health, 16(6)

E-health encompasses a broad range of health disciplines that use the Internet and associated technologies to deliver information and health services. Traditionally, patients have relied on the healthcare professional to provide relevant medical information to inform decision making on diagnosis and therapy. Patient education in the past has consisted of independently collated health information, disseminated predominantly in written and video formats.
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8 August 2010 | No Comments »
Categories: Science | Tag(s): Decision Making, Education, Health Information, Internet, Knowledge Management, Patient, Physician-Patient Relationship

Exploring the link between Populomics and Knowledge Management: patient-oriented case exemplars

Bali RK and Gibbons MC, Medical and Care Compunetics 6, 2010

The challenge of population-level health problems, such as healthcare disparities, encompasses socio-behavioural, community and biologic factors and advances in information and communication technologies (ICTs). These elements are reflected in the key ethos of contemporary knowledge management (KM), as knowledge emerges from the confluence of people, process and technology.
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20 June 2010 | No Comments »
Categories: Science | Tag(s): ICT, Knowledge Management, Populomics

Management of Knowledge Gaps: Concept representation of things we don’t know

Bleuer JP et al, Medical and Care Compunetics 6, 2010

Suva (Swiss National Accident Insurance Fund) is the most important carrier of obligatory accident insurance in Switzerland. Its medical division supports doctors working in inpatient and outpatient care with comprehensive case management and with conciliar advice. The Suva hospitals provide inpatient rehabilitation. In 2002, Suva started the InWiM project. InWiM is an acronym and stands for “Integrierte Wissensbasen der Medizin”, which can be translated as “Integrated Knowledge Bases in Medicine”.
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20 June 2010 | No Comments »
Categories: Science | Tag(s): Knowledge Management

openEHR and Clinical Knowledge Manager

John, EMR (EHR) and HIPAA

“A reader recently commented about something called openEHR. Maybe I was a little swayed by anything that says open since open source has used the term open so much. The idea of an open EHR sounded really interesting to me.
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25 April 2009 | No Comments »
Categories: News | EHR: EHR | Tag(s): Interoperability, Knowledge Management, openEHR

Quotes from ICMCC Presentations

Lodewijk Bos, ICMCC Blog

“Find here some quotes from the ICMCC 2008 Event.
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22 June 2008 | No Comments »
Categories: 2008, Conferences, News | Tag(s): Empowerment, Identification, Knowledge Management, phr, Physician-Patient Relationship

The Power of Knowledge: Healthcare, learning and collaboration

Dr. Raj Bali, University of Coventry, UK

Annual Swamy Laxminarayan Lecture
Dr. Raj Bali, University of Coventry, UK

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10 June 2008 | No Comments »
Categories: 2008, Conferences, Video | Tag(s): Knowledge Management

ICMCC Event Preview 2

The Monday afternoon has 2 sessions, each having 2 parallel tracks.


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20 May 2008 | No Comments »
Categories: Blog, News | Tag(s): Broadband, Elderly, Knowledge Management, Telemedicine, Wearable

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