J Med Syst - Evaluating the ability of hospital information systems to establish evidence-based medicine in Iran.

Tópicos

{ data(3963) clinic(1234) research(1004) }
{ patient(2837) hospit(1953) medic(668) }
{ analysi(2126) use(1163) compon(1037) }
{ inform(2794) health(2639) internet(1427) }
{ decis(3086) make(1611) patient(1517) }
{ method(1219) similar(1157) match(930) }
{ import(1318) role(1303) understand(862) }
{ studi(2440) review(1878) systemat(933) }
{ method(984) reconstruct(947) comput(926) }
{ assess(1506) score(1403) qualiti(1306) }
{ data(1714) softwar(1251) tool(1186) }
{ care(1570) inform(1187) nurs(1089) }
{ perform(1367) use(1326) method(1137) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(2830) propos(1344) filter(1198) }
{ motion(1329) object(1292) video(1091) }
{ chang(1828) time(1643) increas(1301) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ research(1085) discuss(1038) issu(1018) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ drug(1928) target(777) effect(648) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Evidence-based medicine (EBM) is the correct use of the best evidences in clinical decision making for patient care. Hospital Information Systems (HIS) can act as a bridge between medical data and medical knowledge through context-sensitive merging and filtering of patient data, individual clinical knowledge and external evidence. The aim of this study was to determine the ability of HISs to establish EBM in Iran. This descriptive cross-sectional study was carried out on HISs of 30 hospitals from March 2011 to October 2011. Data were collected using a researcher-constructed checklist including applicant's background information as well as information based on research objectives: clinical decision support system (CDSS), reference databases, contextual and case-specific information, clinical and administrative data repositories and Internet-based health information. Face and content validity of the checklist were assessed by the qualified specialists and then the data were analyzed using descriptive statistics and SPSS 16 software. The results of the study revealed that the HISs lacked the essential components to providing access to CDSS, reference databases and Internet-based health information in 19, 16 and 20 hospitals were 63.3 %, 53.3 % and 66.7, respectively. Twenty-two hospitals (70 %) had more than two-thirds of the essential components to access clinical and administrative data repositories; 23 hospitals (76.7 %) had at least one essential component to access contextual and case-specific information. It can be concluded that the ability of the HISs to establish EBM in providing access to the clinical and administrative data repositories is better than other research objectives. Furthermore, more attention should be paid to other related objectives.

Resumo Limpo

evidencebas medicin ebm correct use best evid clinic decis make patient care hospit inform system can act bridg medic data medic knowledg contextsensit merg filter patient data individu clinic knowledg extern evid aim studi determin abil hiss establish ebm iran descript crosssect studi carri hiss hospit march octob data collect use researcherconstruct checklist includ applic background inform well inform base research object clinic decis support system cdss refer databas contextu casespecif inform clinic administr data repositori internetbas health inform face content valid checklist assess qualifi specialist data analyz use descript statist spss softwar result studi reveal hiss lack essenti compon provid access cdss refer databas internetbas health inform hospit respect twentytwo hospit twothird essenti compon access clinic administr data repositori hospit least one essenti compon access contextu casespecif inform can conclud abil hiss establish ebm provid access clinic administr data repositori better research object furthermor attent paid relat object

Resumos Similares

Comput Methods Programs Biomed - QAIT: a quality assurance issue tracking tool to facilitate the improvement of clinical data quality. ( 0,815006984533349 )
AMIA Annu Symp Proc - What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support. ( 0,813283752322362 )
J Biomed Inform - The utility of general purpose versus specialty clinical databases for research: warfarin dose estimation from extracted clinical variables. ( 0,811476967554318 )
AMIA Annu Symp Proc - The NIH Office of Rare Diseases Research patient registry Standard: a report from the University of New Mexico's Oculopharyngeal Muscular Dystrophy Patient Registry. ( 0,809947687268274 )
AMIA Annu Symp Proc - Quantifying clinical data quality using relative gold standards. ( 0,809438499641303 )
J Biomed Inform - An informatics framework for the standardized collection and analysis of medication data in networked research. ( 0,806477368683381 )
Comput Methods Programs Biomed - Efficient data management in a large-scale epidemiology research project. ( 0,796429273774983 )
J Med Syst - Linkage of data from diverse data sources (LDS): a data combination model provides clinical data of corresponding specimens in biobanking information system. ( 0,790372568839027 )
AMIA Annu Symp Proc - ClinData Express--a metadata driven clinical research data management system for secondary use of clinical data. ( 0,779593196851673 )
J Biomed Inform - A multi-technique approach to bridge electronic case report form design and data standard adoption. ( 0,76996774828335 )
Methods Inf Med - Development of an open metadata schema for prospective clinical research (openPCR) in China. ( 0,765101731574997 )
J Biomed Inform - The National Institutes of Health's Biomedical Translational Research Information System (BTRIS): design, contents, functionality and experience to date. ( 0,756433365116729 )
AMIA Annu Symp Proc - Precision and negative predictive value of links between ClinicalTrials.gov and PubMed. ( 0,755965962579568 )
BMC Med Inform Decis Mak - Clinical data needs in the neonatal intensive care unit electronic medical record. ( 0,750190165401499 )
J Am Med Inform Assoc - N-CANDA data integration: anatomy of an asynchronous infrastructure for multi-site, multi-instrument longitudinal data capture. ( 0,74698614114274 )
J Biomed Inform - Integrating clinical research with the Healthcare Enterprise: from the RE-USE project to the EHR4CR platform. ( 0,745301838917167 )
J Chem Inf Model - How does the quality of phospholipidosis data influence the predictivity of structural alerts? ( 0,734588230069632 )
AMIA Annu Symp Proc - Demonstrating collect once, use many--assimilating public health secondary data use requirements into an existing Domain Analysis Model. ( 0,73438122688592 )
Int J Med Inform - Understanding data requirements of retrospective studies. ( 0,726023645348846 )
AMIA Annu Symp Proc - OPIC: Ontology-driven Patient Information Capturing system for epilepsy. ( 0,721771376119942 )
J Am Med Inform Assoc - Practices and perspectives on building integrated data repositories: results from a 2010 CTSA survey. ( 0,718124307638542 )
J Am Med Inform Assoc - Two open access, high-quality datasets from anesthetic records. ( 0,714184514247898 )
Appl Clin Inform - Multilingual Medical Data Models in ODM Format: A Novel Form-based Approach to Semantic Interoperability between Routine Healthcare and Clinical Research. ( 0,71256019018615 )
Methods Inf Med - Harmonization of detailed clinical models with clinical study data standards. ( 0,70613414652554 )
J Med Syst - Building clinical data groups for electronic medical record in China. ( 0,698828211254609 )
Int J Health Geogr - Defining socially-based spatial boundaries in the region of Peel, Ontario, Canada. ( 0,695478791419441 )
Appl Clin Inform - Comparison of manual versus automated data collection method for an evidence-based nursing practice study. ( 0,694334501915078 )
Appl Clin Inform - Concept and Implementation of a Single Source Information System in Nuclear Medicine for Myocardial Scintigraphy (SPECT-CT data). ( 0,683891632697445 )
Perspect Health Inf Manag - Integrating research data capture into the electronic health record workflow: real-world experience to advance innovation. ( 0,683719325529665 )
Int J Med Inform - Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting. ( 0,678561567022886 )
Int J Med Inform - Harmonization of health data at national level: a pilot study in China. ( 0,670591561738304 )
Appl Clin Inform - Developing a tool to assess the quality of socio-demographic data in community health centres. ( 0,66975535743755 )
BMC Med Inform Decis Mak - The Tinnitus Research Initiative (TRI) database: a new approach for delineation of tinnitus subtypes and generation of predictors for treatment outcome. ( 0,661841940794432 )
Health Informatics J - Protecting privacy in a clinical data warehouse. ( 0,658456689300595 )
BMC Med Inform Decis Mak - Web-browser encryption of personal health information. ( 0,656238001077097 )
IEEE Trans Vis Comput Graph - Interactive Visual Analysis of Heterogeneous Scientific Data across an Interface. ( 0,65492225390309 )
Perspect Health Inf Manag - Giving raw data a chance to talk: a demonstration of exploratory visual analytics with a pediatric research database using Microsoft Live Labs Pivot to promote cohort discovery, research, and quality assessment. ( 0,652676403980491 )
Int J Med Inform - Computerization and its contribution to care quality improvement: the nurses' perspective. ( 0,647967481066318 )
BMC Med Inform Decis Mak - CIS-based registration of quality of life in a single source approach. ( 0,645645456543458 )
J Med Syst - Managing repeat digital radiography images-a systematic approach and improvement. ( 0,641919996747729 )
BMC Med Inform Decis Mak - A repository based on a dynamically extensible data model supporting multidisciplinary research in neuroscience. ( 0,640870209660331 )
J Am Med Inform Assoc - The ADVANCE network: accelerating data value across a national community health center network. ( 0,640372184764081 )
Comput Methods Programs Biomed - EPILEPSIAE - a European epilepsy database. ( 0,639627350175366 )
J Chem Inf Model - Generalized workflow for generating highly predictive in silico off-target activity models. ( 0,63795385993834 )
Brief. Bioinformatics - Integrative Genomics Viewer (IGV): high-performance genomics data visualization and exploration. ( 0,635744971737843 )
J Am Med Inform Assoc - Quality evaluation of value sets from cancer study common data elements using the UMLS semantic groups. ( 0,627980163849067 )
Int J Comput Assist Radiol Surg - Medical imaging informatics simulators: a tutorial. ( 0,615078872116116 )
Int J Med Inform - A standardised graphic method for describing data privacy frameworks in primary care research using a flexible zone model. ( 0,614477308290084 )
J Am Med Inform Assoc - Informatics and data quality at collaborative multicenter Breast and Colon Cancer Family Registries. ( 0,613065267865379 )
Brief. Bioinformatics - Three-stage quality control strategies for DNA re-sequencing data. ( 0,607853514913488 )
J Med Syst - Development and application of a Chinese webpage suicide information mining system (sims). ( 0,605765913879741 )
J Am Med Inform Assoc - Validation of a common data model for active safety surveillance research. ( 0,604992857765366 )
J Biomed Inform - Integrating electronic health record information to support integrated care: practical application of ontologies to improve the accuracy of diabetes disease registers. ( 0,602450415647019 )
J. Med. Internet Res. - Computing health quality measures using Informatics for Integrating Biology and the Bedside. ( 0,600452049036396 )
Curr Protoc Bioinformatics - Using SOAPaligner for Short Reads Alignment. ( 0,600278176215128 )
Comput. Biol. Med. - LabSystem Gen, a tool for structuring and analyzing genetic data in histocompatibility laboratories. ( 0,599669559735108 )
AMIA Annu Symp Proc - An application for monitoring order set usage in a commercial electronic health record. ( 0,596843444862258 )
J Med Syst - Online treatment compliance checking for clinical pathways. ( 0,595595310869197 )
J Am Med Inform Assoc - BiobankConnect: software to rapidly connect data elements for pooled analysis across biobanks using ontological and lexical indexing. ( 0,595373725600878 )
Appl Clin Inform - HIS-Based Support of Follow-Up Documentation - Concept and Implementation for Clinical Studies. ( 0,588976365060734 )
Appl Clin Inform - Using a scripted data entry process to transfer legacy immunization data while transitioning between electronic medical record systems. ( 0,588803528657922 )
AMIA Annu Symp Proc - Clinical use of an enterprise data warehouse. ( 0,587959881736608 )
J Chem Inf Model - Managing the computational chemistry big data problem: the ioChem-BD platform. ( 0,58559383639708 )
J Am Med Inform Assoc - Multi-source development of an integrated model for family health history. ( 0,582584860357647 )
J Biomed Inform - Standardizing clinical laboratory data for secondary use. ( 0,582247863000474 )
Inform Health Soc Care - Multicentre clinical trials' data management: a hybrid solution to exploit the strengths of electronic data capture and electronic health records systems. ( 0,581703644779404 )
J Telemed Telecare - The potential of telehealth for 'business as usual' in outpatient clinics. ( 0,580412311632535 )
Comput Methods Programs Biomed - A simple versatile solution for collecting multidimensional clinical data based on the CakePHP web application framework. ( 0,577991166703026 )
BMC Med Inform Decis Mak - Extension of the primary care research object model (PCROM) as clinical research information model (CRIM) for the learning healthcare system. ( 0,57738359317637 )
J Biomed Inform - The need for harmonized structured documentation and chances of secondary use - results of a systematic analysis with automated form comparison for prostate and breast cancer. ( 0,576936854939894 )
AMIA Annu Symp Proc - Sharing my health data: a survey of data sharing preferences of healthy individuals. ( 0,574709811272133 )
J Am Med Inform Assoc - Electronic health records based phenotyping in next-generation clinical trials: a perspective from the NIH Health Care Systems Collaboratory. ( 0,57411265334196 )
J Biomed Inform - An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems. ( 0,57193830880895 )
Appl Clin Inform - Unlocking Data for Clinical Research - The German i2b2 Experience. ( 0,569991843875956 )
AMIA Annu Symp Proc - Federating clinical data from six pediatric hospitals: process and initial results for microbiology from the PHIS+ consortium. ( 0,569506822638055 )
Comput Methods Programs Biomed - SOA-based digital library services and composition in biomedical applications. ( 0,569238352185713 )
Methods Inf Med - Semi automated transformation to OWL formatted files as an approach to data integration. A feasibility study using environmental, disease register and primary care clinical data. ( 0,568889541370195 )
J Integr Bioinform - CardioVINEdb: a data warehouse approach for integration of life science data in cardiovascular diseases. ( 0,568742855588662 )
Appl Clin Inform - JADE: a tool for medical researchers to explore adverse drug events using health claims data. ( 0,56701361824431 )
J Biomed Inform - OnWARD: ontology-driven web-based framework for multi-center clinical studies. ( 0,566952567042209 )
Methods Inf Med - Reliability of in-hospital mortality as a quality indicator in clinical quality registries. A case study in an intensive care quality register. ( 0,565795978636633 )
J Biomed Inform - An ontological modeling approach to cerebrovascular disease studies: the NEUROWEB case. ( 0,56410563114475 )
Brief. Bioinformatics - Data management strategies for multinational large-scale systems biology projects. ( 0,562459279247578 )
AMIA Annu Symp Proc - A method for analyzing commonalities in clinical trial target populations. ( 0,560486658340143 )
AMIA Annu Symp Proc - Using Digital Crumbs from an Electronic Health Record to identify, study and improve health care teams. ( 0,559442790394371 )
J Am Med Inform Assoc - Building public trust in uses of Health Insurance Portability and Accountability Act de-identified data. ( 0,558976097499236 )
AMIA Annu Symp Proc - Comparison of SNOMED CT versus Medcin terminology concept coverage for mild Traumatic Brain Injury. ( 0,557016319009444 )
J Am Med Inform Assoc - Exchanging care records using HL7 V3 care provision messages. ( 0,555545784958543 )
Appl Clin Inform - Creation of a hyponatremia registry supported by an industry-derived quality control methodology. ( 0,554071283841366 )
IEEE J Biomed Health Inform - SecourHealth: a delay-tolerant security framework for mobile health data collection. ( 0,552277900776509 )
J Am Med Inform Assoc - Privacy by Design at Population Data BC: a case study describing the technical, administrative, and physical controls for privacy-sensitive secondary use of personal information for research in the public interest. ( 0,550083291239484 )
Health Info Libr J - A mapping review of the literature on UK-focused health and social care databases. ( 0,548995876058925 )
J Biomed Inform - Research-IQ: development and evaluation of an ontology-anchored integrative query tool. ( 0,548845889145272 )
Inform Health Soc Care - Construction of a linked health and social care database resource--lessons on process, content and culture. ( 0,546357292442742 )
Telemed J E Health - Users and nonusers of university-based dermatology services following a teledermatology encounter: a retrospective descriptive analysis. ( 0,546109278640456 )
J Clin Monit Comput - Predictive data mining on monitoring data from the intensive care unit. ( 0,542046561172103 )
Comput Math Methods Med - Principal component analysis of gait kinematics data in acute and chronic stroke patients. ( 0,54028161076254 )
Int J Med Inform - Secondary use of routinely collected patient data in a clinical trial: an evaluation of the effects on patient recruitment and data acquisition. ( 0,539315155429955 )
J Biomed Inform - The Ontology of Clinical Research (OCRe): an informatics foundation for the science of clinical research. ( 0,537597443881432 )
J. Med. Internet Res. - Development and testing of a multimedia internet-based system for fidelity and monitoring of multidimensional treatment foster care. ( 0,537405002814189 )