Health & Care

[ad_1] Solutions to improve algorithm transparency and performance and promote health equity Starting from the premise that any complex societal problem must first be measured before it can be solved, Mayo Clinic and Duke School of Medicine entered a collaboration with Optum/Change Healthcare focused on analysis of their data consisting of >35.1 billion healthcare events […]

[ad_1] The COVID-19 pandemic has been a major disruption for the world, and countries have struggled to manage the spread of the virus and its many consequences with variable success. To control a novel infectious agent with unknown behaviour and effects, it is essential to be able to access and analyse large quantities of data

[ad_1] There is currently a strong international drive towards creating digitally-enabled health systems and settings, with governments embarking on large-scale health information technology (HIT) change initiatives to improve quality, safety and efficiency of health and care.1 2 For example, in the USA, the Health Information Technology for Economic and Clinical Health (HITECH) initiative launched in

[ad_1] Results A total of 27 articles were included3–29 of which most (16, 59%) targeted clinicians,3–18 8 (30%) focused on consumers (including patients),19–26 1 (4%) on health executives27 and 2 (7%) on industry stakeholders comprising AI vendors, researchers and regulators.28 29 Detailed study descriptions are provided in the online supplemental appendix and summary results are

[ad_1] Abstract Objectives To date, many artificial intelligence (AI) systems have been developed in healthcare, but adoption has been limited. This may be due to inappropriate or incomplete evaluation and a lack of internationally recognised AI standards on evaluation. To have confidence in the generalisability of AI systems in healthcare and to enable their integration

[ad_1] Abstract Introduction The SARS-CoV-2 (COVID-19) pandemic has exposed health disparities throughout the USA, particularly among racial and ethnic minorities. As a result, there is a need for data-driven approaches to pinpoint the unique constellation of clinical and social determinants of health (SDOH) risk factors that give rise to poor patient outcomes following infection in

[ad_1] Abstract High-quality research is essential in guiding evidence-based care, and should be reported in a way that is reproducible, transparent and where appropriate, provide sufficient detail for inclusion in future meta-analyses. Reporting guidelines for various study designs have been widely used for clinical (and preclinical) studies, consisting of checklists with a minimum set of

[ad_1] The importance of exposome in precision medicine Exposome refers to the set of external exposures that affect an individual’s health from conception to death.1 This term includes all non-genetic risk factors which, interacting with the genetic endowment (genome), produce a state of health or disease (phenome). Considering these non-genetic data in precision medicine contributes

[ad_1] While relatively novel, patient peer review has the potential to change the healthcare publishing paradigm. It can do this by helping researchers enlarge the pool of people who are welcome to read, understand and participate in healthcare research. Academic journals who are early adopters of patient peer review have already committed to placing a

[ad_1] Part 1. Conceptualisation 1. Build a collaborative science team No individual has all the skills and resources needed to make an AI healthcare project succeed so a collaborative science team (CST) is essential. The team’s composition may vary but includes HCPs, data scientists and possibly statisticians, project managers and software engineers. This is the

[ad_1] The COVID-19 pandemic has caused unprecedented morbidity and mortality, overwhelming healthcare systems around the world. To prevent the spread of the virus, hospitals have had to severely reduce in-person visits by cancelling elective procedures and delaying routine patient visits. Recent surveys have shown a 45%–70% drop in patient visits across the USA, UK and other

[ad_1] Results There has been a proliferation of studies evaluating risk factors behind COVID-19 infections and mortality.7 Many of these studies have assessed their performance based only on the AUROC. However, looking solely at the AUROC can lead to misleading inferences and weak predictive models since infection, as well as mortality, is so rare, meaning

[ad_1] Competing interests: Atul Butte is a co-founder and consultant to Personalis and NuMedii; consultant to Samsung, Mango Tree Corporation, and in the recent past, 10x Genomics, Helix, Pathway Genomics, and Verinata (Illumina); has served on paid advisory panels or boards for Geisinger Health, Regenstrief Institute, Gerson Lehman Group, AlphaSights, Covance, Novartis, Genentech, Merck, and

[ad_1] Main findings and implications The way that algorithms are embedded in medical devices shapes how clinicians interact with them, with different profiles of risk and benefit. We demonstrate how the stages of automation framework,19 can be applied to determine the stage of clinician decision making assisted by ML devices. Together with our level of

[ad_1] We follow with interest the unprecedented shift towards virtual healthcare during the COVID-19 pandemic. We echo concerns reported by colleagues of the fine balance between a need for global initiatives in cutting traditional red tape to enable rapid deployment of virtual health infrastructures versus the potential risks to quality of patient care that might

[ad_1] Methods Our study is a prospective observational study. In the absence of a standardised checklist for our study, we have adopted the Strengthening the Reporting of Observational Studies in Epidemiology statement16 to guide the study design. The statement covers the reporting of cohort, cross-sectional and case–control studies. Since most NZ primary healthcare services and

[ad_1] Discussion The findings of this study showed that mothers have a high intention to use mobile phone text message reminders for their child’s vaccination. Mother’s age, educational status, duration of mobile phone use, perceived ease of use and perceived usefulness were significantly associated with intention of mothers to use mobile phone-based text message reminders

[ad_1] Just as with a diagnostic test or a prediction rule, clinicians should be told the accuracy and reproducibility of algorithm outputs. A process of internal (or in-sample) validation should have tested and refined the algorithm on datasets resampled from the original training datasets,29 either by bootstrapping (multiple sampling in random order) or cross-validation (datasets

[ad_1] Technical and safety From a technical perspective, the primary challenges are data throughput speed, file size restrictions and data security (figure 3). Select limitations of blockchain: the 3 S’s. The speed at which transactions occur on blockchain networks—known as throughput—is finite due to technical limitations. For example, the Bitcoin network processes roughly 7 transactions/s,

[ad_1] Results The NIHR HIC Viral Hepatitis Research Database has been developed and populated with data. Figure 3 provides an overview of the data model of the database and the relationships among different entities. The data collected falls into several categories: (a) basic information (eg, demographics, hospital visits, death, discharge and study sites), (b) laboratory

[ad_1] Abstract Objective To describe the process for linking electronic medical record (EMR) and administrative data in Alberta and examine the advantages and limitations of utilising linked data for hypertension surveillance. Methods De-identified EMR data from 323 primary care providers contributing to the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) in Alberta were used. Mapping

[ad_1] Discussion Through this analysis, it is apparent that telemedicine technologies are a legitimate mechanism for screening, triaging and treating patients with COVID-19. As echoed by other reports,4 the online platform has reduced the number of in-person visits to WCH, thereby minimising face-to-face contact among patients and clinicians and decreasing the transmission of the virus.

[ad_1] Discussion In recent years, virtual consultations have gained popularity, both within the NHS and commercially. A study by GPs in 2019 found that video consultations appeared suitable for simple presentations.3 Patients were more confident using virtual methods if the consultation was a follow-up and if they had received a diagnosis previously.4 Virtual clinics in

[ad_1] Discussion This study confirms that MAEs are a frequent occurrence in hospitals, with a baseline clinical MAE rate of 30.2%. This rate is at the higher end of the range of those previously reported, with a systematic review of 52 direct observational studies finding a median error rate of 19.6% (IQR 8.6%–28.3%) of medication

[ad_1] Health systems face major challenges, including an ageing multimorbid population and the need to deliver a greater array of interventions with finite resources.1 If health systems are to continue to be able to cater for the populations they serve, they will need organisational, service and social innovation as well as product innovation. Policymakers, particularly

[ad_1] Discussion This work focused on developing the infrastructure to support optimisation of antibiotic prescribing in primary care in England using a learning health system. To date, this project has successfully developed and implemented a trustworthy system within the HSCN capable of extracting and processing patient-level deidentified data and fed back actionable results to individual

[ad_1] Results The search strategy yielded 17 included articles; these varied widely in terms of quality, type, size of study population, methods and conflicts of interest (online supplementary table S2). It was difficult to distinguish clearly between online triage and other features like e-consultation since systems like ‘eConsult’ also contain a built-in triage function where

[ad_1] Observational Health Data Sciences and Informatics (OHDSI) OHDSI (pronounced ‘Odyssey’) is a multistakeholder, interdisciplinary collaborative to bring out the value of health data through large-scale analytics.11 The OHDSI collaborative consists of researchers and data scientists across academic, industry and government organisations who seek to standardise observational health data for analysis and develop tools to

[ad_1] Discussion This large EHR database identified a relatively high overall rate of NS for the paediatric orthopaedic population, with 8.5 out of 100 patients missing their appointments. Days between scheduling and attending the visit, type of insurance payor, and the type of clinic all seem to have some predictive value in identifying potential families

[ad_1] Determining the quality of life for a person living with dementia Determining quality of life is a difficult task due to the subjectivity and individuality involved. This challenge is exacerbated as a person’s opinion of their own quality of life adapts along with cognitive diseases such as dementia,12 with changing priorities through the progression

[ad_1] Introduction Cerebral palsy (CP) refers to a complex and multidimensional group of non-progressive but stable disorders in movement and posture experienced as a result of a neural lesion in the course of brain development (during the fetal period, birth, infancy and childhood).1 These disorders can affect all aspects of children’s development throughout their life.2

[ad_1] Discussion We have developed UHSL from the original Maryland concept, with a very small, self-assembling team, with limited resources and with no prior commission or specifications. This has been a challenging, fascinating and rewarding exercise. The key lesson of our work on UHSL to date is that user need takes centre-field in the agile

[ad_1] Results The RVT service was designed to support care for patients with long-term conditions. TF3 was used to monitor diabetes, respiratory conditions, hypertension or CHF, U-Tell for INR/warfarin management. A total of 242 questionnaires were issued to patients (and carers) with the TF3 system; 81 (33.5%) patient and 48 carer questionnaires were returned. In

[ad_1] Methods The display is driven by a single query, identifying active ED visits by selecting encounters with an ED arrival date/time and a null ED departure date/time within the electronic health record (EHR) application database. The query is re-submitted approximately every 5 min using a batch scheduling process as the principal data refresh mechanism. Query

[ad_1] Abstract Objective To assess the quality and accuracy of the voice assistants (VAs), Amazon Alexa, Siri and Google Assistant, in answering consumer health questions about vaccine safety and use. Methods Responses of each VA to 54 questions related to vaccination were scored using a rubric designed to assess the accuracy of each answer provided

[ad_1] Mobile apps have become a convenient way to provide health information and communication services directly in the hands of clinicians and consumers. Apps can be used to support consumers in a variety of health tasks to manage chronic diseases, support lifestyle changes and in self-diagnosis. For clinicians, they can improve access to patient information

[ad_1] Evaluation and discussion: the PamBayesian project LHS in the context of generating the Realistic Synthetic Electronic Health Record Accessing EHR for secondary use purposes such as data research, modelling and artificial intelligence training presents with challenges, notably: Attaining ethics approval for access to collections of EHR. Difficulty when consent is required from each individual

[ad_1] Abstract Objectives To investigate the impact of electronic medical record (EMR) on improvement of healthcare parameters in a thalassaemia centre located at the Fujairah Hospital, Fujairah, UAE. Materials and methods A hospital-wide EMR system (Wareed) was implemented across the hospitals in the Ministry of Health and Prevention, UAE, including two major thalassaemia centres. We

[ad_1] Results Through 2005–2014, the USA was the leading country in the health literacy field in the world with 21 128 documents. Canada and the UK ranked second and third with 3592 and 3185 scientific outputs, respectively. The results of this study indicated that Middle Eastern countries published 839 scientific papers in the field of health

[ad_1] Discussion With improvements in cross-industry organisational cyber security hardware, software and policies, there is increasing use of targeted email communication (phishing) by potentially malicious persons. Healthcare organisations are increasingly moving to electronic patient record (EPR) systems and other digital systems,5 but healthcare professionals may have limited awareness of such threats, since most healthcare staff

[ad_1] Abstract Background The use of mobile devices in health (mobile health/mHealth) coupled with related technologies promises to transform global health delivery by creating new delivery models that can be integrated with existing health services. These delivery models could facilitate healthcare delivery into rural areas where there is limited access to high-quality access care. Mobile

[ad_1] Methods To examine the existing literature on the validity of using administrative data to identify STI cases, we conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We performed a comprehensive search of the literature using the MEDLINE and Scopus databases for peer-reviewed articles published before February

[ad_1] Evidence suggests that technologies that handle information on medications may improve patient safety, increase service efficiency and contribute to the provision of high-quality patient care in the National Health Service (NHS), depending on their design and configuration for use by health providers. However, these systems also have the potential to contribute to transformation of

[ad_1] Abstract Background Obesity is a significant health issue and key public health priority. This study explored body mass index (BMI) recording in general practice within the Kent Integrated Dataset. Methods Using a sample aged 18–100 years, resident within Kent, who were alive and currently registered to a Kent general practice as of 6 August

[ad_1] Introduction While apps can have the potential to give great benefits, they also have the potential to cause physical, mental, reputational or financial harm to patients, healthcare professionals and their organisations if they are not evaluated for clinical safety. For example, an app may miscalculate a drug dose or give incorrect medical advice to

[ad_1] Discussion We undertook a retrospective cross-sectional review of patient records (chart review) and administrative coding data for comorbidities in 100 patients admitted to an adult general intensive care ward. We found that administrative data significantly under-reported comorbidities present in the patient records in the majority of cases. Our findings are, in general, consistent with

[ad_1] Discussion This study aimed to examine the extent to which diabetes mobile apps have conformity with components of the CCM. From online supplementary table 2 it is clear that the ‘proactive follow-up’ element in ‘delivery system design’ component has been covered by different features: it might be due to a mobile app’s ability to

[ad_1] ‘Information is a form of care’, as Don Berwick famously said.1 Therefore, it is vital that informatics is done well. The mission of BCS, the Chartered Institute for IT, is ‘make IT good for society’. BMJ Health & Care Informatics is an official journal of BCS, promoting health and care information science and technology

[ad_1] Abstract Remote medical videoconferencing and teleconsultations are well-established in modern medical practice with good video and audio quality and data security. Extending this practice to ward rounds requires bringing the communication interface to the ward patient. This was found to be acceptable to patients and technically successful by Croghan et al. Back to top

[ad_1] Abstract Background Apps can potentially support asthma self-management; however, attracting downloads and encouraging on-going adherence are challenging. Objectives We observed the impact of different recruitment strategies and app features on adoption and continued use. Methods Practice nurses in five practices in Lothian/Oxford approached adults with active asthma to try out a prototype app. We

[ad_1] INTRODUCTION Things not to take for granted Prior to the UK making plans for leaving the European Union, so-called ‘Brexit’, your Editor took supply chains for granted.1 This issue includes a paper from Nigeria about the contribution that visibility and analytics network principles can apply to the supply chain. Maybe useful reading for the

[ad_1] METHODS We here aim to provide a starting point for these deliberations by distilling key strategic priorities for developing a more integrated national approach. To achieve this, we build on recent work conducted by the American Medical Informatics Association (AMIA) exploring potential policy frameworks and associated strategies for PGHD,16 and a white paper for

[ad_1] INTRODUCTION I was born into a generation where communication included flicking the wheel of a rotary phone at my grandmother’s house to order pizza. Over 20 years later, I can use an app on my phone to order one without having to utter a single word. As the technological arts evolve, medical residency programmes

[ad_1] INTRODUCTION Interoperability in health and social care is complex and the term has many definitions. This paper adopts the Institute of Electrical and Electronics Engineers (IEEE) definition as cited by the United States Office of the National Coordinator for Health Information Technology (ONC): ‘the ability of two or more systems or components to exchange

[ad_1] Abstract Background Patient portals have emerged as an important tool through which patients can access online health information and engage in their health care. However, we know little about how patients perceive portals and whether patient perceptions might influence portal adoption. Objective Apply the diffusion of innovation (DOI) theory to assess perceptions of adopters

[ad_1] DISCUSSION The main finding of this study was recognising the importance of optimisation following, and even before, implementation of EHR systems. We found there were overflowing requests largely related to increasing efficiency of EHR after implementation. This need to make EHR more efficient and usable is real, as evidenced by failing design and usability

[ad_1] Abstract Background UK health research policy and plans for population health management are predicated upon transformative knowledge discovery from operational ‘Big Data’. Learning health systems require not only data, but feedback loops of knowledge into changed practice. This depends on knowledge management and application, which in turn depends upon effective system design and implementation.

[ad_1] Theoretical background The WHAAM application is based on the concepts and methods of functional behavioural assessment (FBA). The FBA is strongly linked to the above-mentioned ABA, bearing in mind that both are founded on the principle of Skinner’s operant conditioning.5,6 Unlike the first stimulus-response (S-R) proposed by Watson7 at the beginning of behavioural analysis,

[ad_1] TAM and UTAUT in healthcare The TAM has attracted a lot of empirical and theoretical attention over the years of its existence but despite being the popular model for ICT adoption and use, it is still not seen as a healthcare specific model. Some have further argued that if used in its generic form,

[ad_1] The Editorial in this issue calls for the informatics community to think what systems could so easily have been in place that might have reduced the chance of such a tragedy occurring; we appear not to have learnt lessons known for many years.3 Laurence Weed not only developed problem-oriented medical records (POMR), but also

[ad_1] Introduction The health informatics community has had variable success over the years to establish its identity, in terms of what defines its core theory, technologies and who its practitioners are. This Editorial coincides with the launch of the UK Faculty of Clinical Informatics (FCI), which will help define clinical informatics practitioners. Simultaneously, we have

[ad_1] We celebrate the end of 2017 and the start of 2018 with a review of our top ten papers (Table 1). This is an opportunity to enjoy the papers that are accessed the most – and through them describe to our readers the scope of the journal. Please relish this end of year summary

[ad_1] Abstract Background Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology holds promise to improve care delivery by providing infrastructure for communication, clinical documentation and management of patient data. Standardised terminology is essential for interoperability and enables evaluation of clinical data

[ad_1] Discussion General findings Ultimately, almost half of the patient-systems that logged in were hardly active. At a first glance, this seems low. But, we were dealing with the implementation of a technological innovation of which it is known that the adoption starts with a relatively small group. Rogers argues that the adoption of an

[ad_1] INFORMATICS TO SUPPORT NATIONS THAT ARE LESS RESOURCE RICH In this issues provides evidence that good design can facilitate implementation. However, this issue also continues an ongoing theme that we must not make assumptions about the effectiveness of IT; as scientists, we should continually question and challenge.1 Our first paper explores how careful planning

[ad_1] DISCUSSION Our results show missed matches that are produced by an existing deterministic algorithm that is used to link together hospital records in England within HES (inpatients) and the most common scenarios that create these data linkage errors. An additional probabilistic step reduced the number of missed matches, particularly for common scenarios where local

[ad_1] Construct: Process improvement Better follow-up with patients We’re now being more diligent with following up on tests. We have new guidelines from the [regulatory body] about having a tracking system for tests. Do you know what’s been ordered, whether it’s been received, whether the patient is aware, whether it’s been acted upon? (physician 2)

[ad_1] The 2014 Rhode Island HIT Survey’s overall response rate was 68.3%, with 2,567 of 3,761 physicians completing the survey. Among the survey respondents, 2,236 (87.1%) had EHRs; and among those hospital-based physicians with EHRs (969), 265 (27.3%) responded to the open-ended question asking how EHRs affected their patient interactions. Compared to hospital-based physicians who

[ad_1] The health care system necessary to enable the story is perhaps harder to envisage than the technology. GPs are already under pressure dealing with their current workloads, which the King’s Fund4 has identified as having grown enormously not only in volume but also in complexity. How the service could be developed to manage incoming

[ad_1] Section 2: Poster Abstracts Abstract no. 7 How to teach health IT evaluation: recommendations for health IT evaluation courses Elske Ammenwerth, UMIT – Private Universität für Gesundheitswissenschaften, Med. Informatik und Technik Tirol, Hall in Tirol Nicolette de Keizer, Academic Medical Center, Amsterdam Jytte Brender, Aalborg University, Aalborg Catherine Craven, University of Missouri, Columbia Eric

[ad_1] 1. 1st PC (178) Web page: 1st Providers Choice, Solution Provider Unknown US Health Information Exchange (HIE) refers to the process of reliable and interoperable electronic health-related information sharing conducted in a manner that protects the confidentiality, privacy, and security of the information. 2. 4Med (188) Web page: Educational Resource for Healthcare Information Technology

[ad_1] INTRODUCTION The use of an electronic health record (EHR) by a provider during an office visit has been equated to ‘texting while driving’ and thus raises concerns that a provider’s observation, communication, problem solving and development of trusting relationships could be impacted.1 We agree that a person should not be texting while driving, yet

[ad_1] RESULTS Data was available for 2,059,453 patients across 110 practices in England and Wales, utilising the Read 2 classification. Mean valid ethnicity recording was 48.97% (n =1,008,667) across the sample population. Of those identified with a valid ethnicity recording, 96.14% (n = 969,740) were recorded to have a definite code. 3.71% (n = 37,443)

[ad_1] Introduction Persisting systems gaps and fragmentation of care within and between health care teams in primary and secondary care are the key issues being addressed by most national health systems, examples being the Australian primary health care (PHC) strategic framework,1 NSW State Health Plan2 and eHealth blueprint.3 The long-suffering patient has to deal with

[ad_1] Abstract Background Informatics tools have the potential to support the growing number of older adults who are aging in place. Many tools include visualizations (data visualizations and visualizations of physical representations). However, the role of visualizations in supporting aging in place remains largely unexplored. Objective To synthesize and identify gaps in the literature evaluating

[ad_1] THE UK MODEL OF PRIVACY PROTECTION AND ROLE OF THE NATIONAL DATA GUARDIAN The Data Protection Act 19986 implemented the 1995 European Data Protection Directive. It provides the legal framework for the UK’s data protection procedures. The Data Protection Act 1998 provided an exemption from the general prohibition of processing sensitive data for reasons

[ad_1] We approached 28 potential interviewees (declined, n = 1; no response or subsequently could not be contacted, n = 4), leading to 23 interviews with participants throughout the UK and in Australia (n = 1), Canada (n = 2) and the USA (n = 1). One interviewee (Scottish Government) subsequently withdrew consent, reporting new

[ad_1] INTEGRATED SYSTEMS Two of the articles in this issue describe conceptually and practically how we can work in a more integrated way. The first looks at an integrated health neighbourhood and the second at electronic prescribing and medicine administration system. This issue opens with an article about how conceptually we need to move towards

[ad_1] DISCUSSION Data management activities were implemented in the primary care organisation we studied. This implementation was associated with significantly greater increases in coding for chronic conditions studied compared to other Canadian practices. There is limited evidence on which interventions are most effective in improving data quality.56,57 Repeated assessments, feedback and training may be effective.57

[ad_1] The identification of different stakeholder experiences and needs is important to catalyse the development of an integrated data strategy to support the effective use and reuse of HEPMA data. Adding to the existing international implementation-related literature, we have identified a number of micro-, meso- and macro-factors that are important in facilitating this in the

[ad_1] Introduction This issue has papers that can be broadly grouped into two themes: (1) Realising benefits and (2) the central importance of providing public and patients usable systems. We are publishing several articles which relate to the theme of Realising benefits from health informatics. Our leading article reviews the open source paradigm1 – a

[ad_1] Methods Our qualitative study consisted of three focus groups followed by nine semi-structured interviews. These were conducted at the Jen Center for Primary Care, an academic internal medicine practice at Brigham and Women’s Hospital that provides care to 19,000 patients. One-third of its diverse population derives from the hospital’s underserved urban surroundings, a similar

[ad_1] The difficulty of drawing conclusions without a control population Burke et al.1 draw conclusions about the impact of using a computerised medical record (CMR) system. However, we recommend exercising caution about the 5-year finding as there was no comparator group. There is therefore no means of establishing what would have happened to glycated haemoglobin

[ad_1] Results The overall mean (CI) A1c values for the before-EHR, after-EHR and five-years were 7.07 (6.91 – 7.23), 7.33 (7.14 – 7.52) and 7.19 (7.06 – 7.32), respectively, labelled All in Figure 1. There was a small but significant increase in A1c values between before-EHR and after-EHR, p = .04, but there were no

[ad_1] Results Sixty-seven respondents completed the online survey. A precise estimate of the responses rate was not possible because we did not know the number of GPs who received the invitation. However, a gross estimate could be between 0.5 and 1%, based on a possible number of GPs receiving the survey of 5,000–10,000. The distribution

[ad_1] Definitions and methods ePrescribing has been defined as a prescriber’s ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point of care.29 This definition was used in this study and explicitly includes the electronic transfer of prescription (ETP) as an integral part of the ePrescribing process. A

[ad_1] Abstract Informaticians continue to rise to the challenge, set by the English Health Minister, of trying to replace doctors’ judgement with computers. This issue describes successes and where there are barriers. However, whilst there is progress this tends to be incremental and there are grand challenges to be overcome before computers can replace clinician.

[ad_1] Abstract Background Health risk assessment tools compute an individual’s risk of developing a disease. Routine use of such tools by primary care physicians (PCPs) is potentially useful in chronic disease prevention. We sought physicians’ awareness and perceptions of the usefulness, usability and feasibility of performing assessments with computer-based risk assessment tools in primary care

[ad_1] Abstract Introduction Renal function is reported using the estimates of glomerular filtration rate (eGFR). However, eGFR values are recorded without reference to the particular serum creatinine (SCr) assays used to derive them, and newer assays were introduced at different time points across the laboratories in the United Kingdom. These changes may cause systematic bias

[ad_1] Abstract The present–day health data ecosystem comprises a wide array of complex heterogeneous data sources. A wide range of clinical, health care, social and other clinically relevant information are stored in these data sources. These data exist either as structured data or as free-text. These data are generally individual personbased records, but social care

[ad_1] Results A total of 5618 surveys were mailed, and 615 were returned (11%). The majority of surveys were completed by physicians (N = 315, 51%), followed by APRNs (N = 122, 20%) and PAs (N = 97, 16%) (Table 1). The most common specialties were family medicine (N = 149, 24%) and internal medicine

[ad_1] METHODS This study was conducted at a Federally Qualified Health Center (FQHC) in New York City. The FQHC uses an EpicCare EHR system (Epic Systems, Verona, WI) with an associated patient portal called MyChart that allows patients to exchange electronic messages with their health care providers. A retrospective cross-sectional study was performed using data

[ad_1] Child safeguarding (Box 1) includes the recording of concerns and information about vulnerable children in the child’s medical record.1 There is substantial under-recording of child maltreatment and maltreatment-related concerns in primary care records,2,3 which places children at increased risk of harm.4–6 Recording of concerns underpins sharing of information between practitioners, failure of which is

[ad_1] The analysis revealed a number of factors constraining the use of information in general practice. First, the communication gap between primary and secondary care needs to be addressed. Sometimes GPs are unaware of their patients’ recent tests, scans and medication changes as their hospital colleagues often omit to include these findings in reports to

[ad_1] Abstract After 20-years as Informatics in Primary Care the journal is renamed Journal of Innovation in Health Informatics. The title was carefully selected to reflect that: informatics provides the opportunity to innovate rather than simply automates; implementing informatics solutions often results in unintended consequences, and many implementations fail and benefits and innovations may go