Appl Clin Inform - Insight into the sharing of medical images: physician, other health care providers, and staff experience in a variety of medical settings.

Tópicos

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

CKGROUND: Scant knowledge exists describing health care providers' and staffs' experiences sharing imaging studies. Additional research is needed to determine the extent to which imaging studies are shared in diverse health care settings, and the extent to which provider or practice characteristics are associated with barriers to viewing external imaging studies on portable media.OBJECTIVE: This analysis uses qualitative data to 1) examine how providers and their staff accessed outside medical imaging studies, 2) examine whether use or the desire to use imaging studies conducted at outside facilities varied by provider specialty or location (urban, suburban, and small town) and 3) delineate difficulties experienced by providers or staff as they attempted to view and use imaging studies available on portable media.METHODS: Semi-structured interviews were conducted with 85 health care providers and medical facility staff from urban, suburban, and small town medical practices in North Carolina and Virginia. The interviews were audio recorded, transcribed, then systematically analyzed using ATLAS.ti.RESULTS: Physicians at family and pediatric medicine practices rely primarily on written reports for medical studies other than X-rays; and thus do not report difficulties accessing outside imaging studies. Subspecialists in urban, suburban, and small towns view imaging studies through internal communication systems, internet portals, or portable media. Many subspecialists and their staff report experiencing difficulty and time delays in accessing and using imaging studies on portable media.CONCLUSION: Subspecialists have distinct needs for viewing imaging studies that are not shared by typical primary care providers. As development and implementation of technical strategies to share medical records continue, this variation in need and use should be noted. The sharing and viewing of medical imaging studies on portable media is often inefficient and fails to meet the needs of many subspeciality physicians, and can lead to repeated imaging studies.

Resumo Limpo

ckground scant knowledg exist describ health care provid staff experi share imag studi addit research need determin extent imag studi share divers health care set extent provid practic characterist associ barrier view extern imag studi portabl mediaobject analysi use qualit data examin provid staff access outsid medic imag studi examin whether use desir use imag studi conduct outsid facil vari provid specialti locat urban suburban small town delin difficulti experienc provid staff attempt view use imag studi avail portabl mediamethod semistructur interview conduct health care provid medic facil staff urban suburban small town medic practic north carolina virginia interview audio record transcrib systemat analyz use atlastiresult physician famili pediatr medicin practic reli primarili written report medic studi xray thus report difficulti access outsid imag studi subspecialist urban suburban small town view imag studi intern communic system internet portal portabl media mani subspecialist staff report experienc difficulti time delay access use imag studi portabl mediaconclus subspecialist distinct need view imag studi share typic primari care provid develop implement technic strategi share medic record continu variat need use note share view medic imag studi portabl media often ineffici fail meet need mani subspeci physician can lead repeat imag studi

Resumos Similares

Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,729782201668545 )
Inform Health Soc Care - 'The web is not enough, it's a base'--an explorative study of what needs a web-based support system for young carers must meet. ( 0,727254317170947 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,726405872410772 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,722918336675524 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,722648087956933 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,720954056218999 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,718937348316573 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,71866990437805 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,717716283437812 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,716827351756871 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,709383017879077 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,709066168741323 )
Inform Health Soc Care - Specifying process requirements for holistic care. ( 0,708214059347027 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,707663514428598 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,702415104081955 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,70191330190142 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,701881845317508 )
Int J Med Inform - Effects of clinical communication interventions in hospitals: a systematic review of information and communication technology adoptions for improved communication between clinicians. ( 0,697917940739683 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,695652173913043 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,693770411235031 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,692372514201546 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,689997713954122 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,68961281872008 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,688419183446412 )
J. Med. Internet Res. - Wikis and collaborative writing applications in health care: a scoping review. ( 0,687737005334894 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,685990338164251 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,684844048945292 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,684500718913104 )
BMC Med Inform Decis Mak - Improving the effectiveness of electronic health record-based referral processes. ( 0,684168433073155 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,6822675881773 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,678462702889002 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,675255370202814 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,672993922226333 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,671204312763667 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,669934481724693 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,669252929454511 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,667933798712561 )
BMC Med Inform Decis Mak - Communicating cancer treatment information using the Web: utilizing the patient's perspective in website development. ( 0,667221155789393 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,666931370301684 )
J. Med. Internet Res. - Evidence of effectiveness of health care professionals using handheld computers: a scoping review of systematic reviews. ( 0,666474775910995 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,666410096681632 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,665896638358047 )
J. Med. Internet Res. - Exploring the value of technology to stimulate interprofessional discussion and education: a needs assessment of emergency medicine professionals. ( 0,664498656573941 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,664071818866935 )
Int J Med Inform - Processes and outcomes of developing a continuity of care document for use as a personal health record by people living with HIV/AIDS in New York City. ( 0,657595381581391 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,652954316172762 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,649926336181113 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,649686067533131 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,648977198686328 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,646357372610862 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,646260200129398 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,645537897139713 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,644521464740426 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,641236935506561 )
Int J Med Inform - Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. ( 0,638437445219088 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,637282994763182 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,636666873492076 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,636592002102741 )
Int J Med Inform - Organisational influences on nurses' use of clinical decision support systems. ( 0,634933460398694 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,633892564314751 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,633421662919194 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,633383664138686 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,632080759968145 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,631498705829794 )
J Biomed Inform - Proclets in healthcare. ( 0,630166124302175 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,626696243203472 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,626695532397408 )
Int J Med Inform - How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. ( 0,626342460750332 )
J. Med. Internet Res. - Researchers' needs for resource discovery and collaboration tools: a qualitative investigation of translational scientists. ( 0,62568135386911 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,625194079256275 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,624926731086731 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,624367698715959 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,623933250210745 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,623360074691902 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,623222819511285 )
Comput Methods Programs Biomed - LabPush: a pilot study of providing remote clinics with laboratory results via short message service (SMS) in Swaziland, Africa - a qualitative study. ( 0,622808152620535 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,622650698856519 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,622076189595803 )
BMC Med Inform Decis Mak - Validation of the Work Observation Method By Activity Timing (WOMBAT) method of conducting time-motion observations in critical care settings: an observational study. ( 0,621574998602231 )
J Am Med Inform Assoc - Content and functional specifications for a standards-based multidisciplinary rounding tool to maintain continuity across acute and critical care. ( 0,621012744170986 )
Int J Med Inform - Using a sociotechnical framework to understand adaptations in health IT implementation. ( 0,619277546350325 )
J Am Med Inform Assoc - Social but safe? Quality and safety of diabetes-related online social networks. ( 0,617917075022568 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,617384658437483 )
J Med Syst - Advanced nurse-patient communication system. ( 0,617274019982337 )
J. Med. Internet Res. - Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. ( 0,617225646201208 )
Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,61673239619748 )
Comput. Biol. Med. - Development of an advanced database for clinical trials integrated with an electronic patient record system. ( 0,616338051728493 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,615819858412206 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,614000518801916 )
BMC Med Inform Decis Mak - A systematic review of speech recognition technology in health care. ( 0,612042001395518 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,611588616028981 )
J. Med. Internet Res. - The personal health record paradox: health care professionals' perspectives and the information ecology of personal health record systems in organizational and clinical settings. ( 0,606589498484874 )
Int J Med Inform - The integration of Information and Communication Technology into nursing. ( 0,606471538424182 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,606373112353812 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,605988488317945 )
Res Synth Methods - Information retrieval for ecological syntheses. ( 0,605917734118687 )
J Biomed Inform - Understanding infusion administration in the ICU through Distributed Cognition. ( 0,60540198238309 )
Int J Med Inform - Bedside information technology to support patient-centered care. ( 0,60526419572852 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,603230778799448 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,602730534739977 )