
Reliability of comorbidity scores derived from administrative data in the tertiary hospital intensive care setting: a cross-sectional study
[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 several previous reports.17–25 In contrast

Conformity of Diabetes Mobile apps with the Chronic Care Model
[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 provide necessary services to patients

Welcome to BMJ Health & Care Informatics
[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 that is good for society.

The robot will see you now?
[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 In the first issue of

Strategies to promote adoption and usage of an application to support asthma self-management: a qualitative observational study
[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 also advertised the app via

In this issue – assumptions, openness, apps, collaborative working and a new editor
[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 UK’s Brexit minister.2 Our second

Five key strategic priorities of integrating patient generated health data into United Kingdom electronic health records
[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 a PGHD Policy Framework published

The use of slack for medical residency development and recruiting
[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 with modern learners can evolve

Interoperability in health and social care: organisational issues are the biggest challenge
[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 information and use the information

Perceptions of adopters versus non-adopters of a patient portal: an application of diffusion of innovation theory
[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 and non-adopters of a patient

Understanding optimisation processes of electronic health records (EHRs) in select leading hospitals: a qualitative study
[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 of implemented EHR systems.17–20 Improvement

Learning health systems need to bridge the ‘two cultures’ of clinical informatics and data science
[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. Biomedical informatics is the interdisciplinary

The WHAAM application: a tool to support the evidence-based practice in the functional behaviour assessment
[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, the operant conditioning studies the

Towards understanding healthcare professionals’ adoption and use of technologies in clinical practice: using Q-methodology and models of technology acceptance
[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, it may fail to capture

In this issue – patient risks are ignored at organisation level
[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 computerised them. His computerised system:

Genesis of a UK Faculty of Clinical Informatics at a time of anticipation for some, and ruby, golden and diamond celebrations for others
[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 seen the launch of a

Real-world evidence to an eHealth tool: the 2017 top ten papers from Journal of Innovation in Health Informatics
[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 of our work – and

An informatics approach to inter-professional management of low back pain: a feasibility study using the Omaha System
[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 generated by documentation in an

The challenge of involving elderly patients in primary care using an electronic communication tool with their professionals: a mixed methods study
[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 innovation takes place in stages;

In this issue: innovation in design and implementation in health informatics
[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 is needed to implement computerised

Probabilistic linking to enhance deterministic algorithms and reduce linkage errors in hospital administrative data
[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 ID agreed but other identifiers

Connecting medical records: an evaluation of benefits and challenges for primary care practices
[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) Greater focus on preventative care

‘It is like texting at the dinner table’: a qualitative analysis of the impact of electronic health records on patient–physician interaction in hospitals
[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 did not answer the question,

Healthcare utopia or dystopia: empowering improved self-management may be a better role for technology
[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 alerts from trackers from all

Informatics for Health 2017: Advancing both science and practice
[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 Eisenstein, Duke University Medical Center,