Int J Med Inform - Usability testing of Avoiding Diabetes Thru Action Plan Targeting (ADAPT) decision support for integrating care-based counseling of pre-diabetes in an electronic health record.


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


RPOSE: Usability testing can be used to evaluate human-computer interaction (HCI) and communication in shared decision making (SDM) for patient-provider behavioral change and behavioral contracting. Traditional evaluations of usability using scripted or mock patient scenarios with think-aloud protocol analysis provide a way to identify HCI issues. In this paper we describe the application of these methods in the evaluation of the Avoiding Diabetes Thru Action Plan Targeting (ADAPT) tool, and test the usability of the tool to support the ADAPT framework for integrated care counseling of pre-diabetes. The think-aloud protocol analysis typically does not provide an assessment of how patient-provider interactions are effected in "live" clinical workflow or whether a tool is successful. Therefore, "Near-live" clinical simulations involving applied simulation methods were used to compliment the think-aloud results. This complementary usability technique was used to test the end-user HCI and tool performance by more closely mimicking the clinical workflow and capturing interaction sequences along with assessing the functionality of computer module prototypes on clinician workflow. We expected this method to further complement and provide different usability findings as compared to think-aloud analysis. Together, this mixed method evaluation provided comprehensive and realistic feedback for iterative refinement of the ADAPT system prior to implementation.METHODS: The study employed two phases of testing of a new interactive ADAPT tool that embedded an evidence-based shared goal setting component into primary care workflow for dealing with pre-diabetes counseling within a commercial physician office electronic health record (EHR). Phase I applied usability testing that involved "think-aloud" protocol analysis of eight primary care providers interacting with several scripted clinical scenarios. Phase II used "near-live" clinical simulations of five providers interacting with standardized trained patient actors enacting the clinical scenario of counseling for pre-diabetes, each of whom had a pedometer that recorded the number of steps taken over a week. In both phases, all sessions were audio-taped and motion screen-capture software was activated for onscreen recordings. Transcripts were coded using iterative qualitative content analysis methods.RESULTS: In Phase I, the impact of the components and layout of ADAPT on user's Navigation, Understandability, and Workflow were associated with the largest volume of negative comments (i.e. approximately 80% of end-user commentary), while Usability and Content of ADAPT were representative of more positive than negative user commentary. The heuristic category of Usability had a positive-to-negative comment ratio of 2.1, reflecting positive perception of the usability of the tool, its functionality, and overall co-productive utilization of ADAPT. However, there were mixed perceptions about content (i.e., how the information was displayed, organized and described in the tool). In Phase II, the duration of patient encounters was approximately 10 min with all of the Patient Instructions (prescriptions) and behavioral contracting being activated at the end of each visit. Upon activation, providers accepted the pathway prescribed by the tool 100% of the time and completed all the fields in the tool in the simulation cases. Only 14% of encounter time was spent using the functionality of the ADAPT tool in terms of keystrokes and entering relevant data. The rest of the time was spent on communication and dialog to populate the patient instructions. In all cases, the interaction sequence of reviewing and discussing exercise and diet of the patient was linked to the functionality of the ADAPT tool in terms of monitoring, response-efficacy, self-efficacy, and negotiation in the patient-provider dialog. There was a change from one-way dialog to two-way dialog and negotiation that ended in a behavioral contract. This change demonstrated the tool's sequence, which supported recording current exercise and diet followed by a diet and exercise goal setting procedure to reduce the risk of diabetes onset.CONCLUSIONS: This study demonstrated that "think-aloud" protocol analysis with "near-live" clinical simulations provided a successful usability evaluation of a new primary care pre-diabetes shared goal setting tool. Each phase of the study provided complementary observations on problems with the new onscreen tool and was used to show the influence of the ADAPT framework on the usability, workflow integration, and communication between the patient and provider. The think-aloud tests with the provider showed the tool can be used according to the ADAPT framework (exercise-to-diet behavior change and tool utilization), while the clinical simulations revealed the ADAPT framework to realistically support patient-provider communication to obtain behavioral change contract. SDM interactions and mechanisms affecting protocol-based care can be more completely captured by combining "near-live" clinical simulations with traditional "think-aloud analysis" which augments clinician utilization. More analysis is required to verify if the rich communication actions found in Phase II compliment clinical workflows.

Resumo Limpo

rpose usabl test can use evalu humancomput interact hci communic share decis make sdm patientprovid behavior chang behavior contract tradit evalu usabl use script mock patient scenario thinkaloud protocol analysi provid way identifi hci issu paper describ applic method evalu avoid diabet thru action plan target adapt tool test usabl tool support adapt framework integr care counsel prediabet thinkaloud protocol analysi typic provid assess patientprovid interact effect live clinic workflow whether tool success therefor nearliv clinic simul involv appli simul method use compliment thinkaloud result complementari usabl techniqu use test endus hci tool perform close mimick clinic workflow captur interact sequenc along assess function comput modul prototyp clinician workflow expect method complement provid differ usabl find compar thinkaloud analysi togeth mix method evalu provid comprehens realist feedback iter refin adapt system prior implementationmethod studi employ two phase test new interact adapt tool embed evidencebas share goal set compon primari care workflow deal prediabet counsel within commerci physician offic electron health record ehr phase appli usabl test involv thinkaloud protocol analysi eight primari care provid interact sever script clinic scenario phase ii use nearliv clinic simul five provid interact standard train patient actor enact clinic scenario counsel prediabet pedomet record number step taken week phase session audiotap motion screencaptur softwar activ onscreen record transcript code use iter qualit content analysi methodsresult phase impact compon layout adapt user navig understand workflow associ largest volum negat comment ie approxim endus commentari usabl content adapt repres posit negat user commentari heurist categori usabl positivetoneg comment ratio reflect posit percept usabl tool function overal coproduct util adapt howev mix percept content ie inform display organ describ tool phase ii durat patient encount approxim min patient instruct prescript behavior contract activ end visit upon activ provid accept pathway prescrib tool time complet field tool simul case encount time spent use function adapt tool term keystrok enter relev data rest time spent communic dialog popul patient instruct case interact sequenc review discuss exercis diet patient link function adapt tool term monitor responseefficaci selfefficaci negoti patientprovid dialog chang oneway dialog twoway dialog negoti end behavior contract chang demonstr tool sequenc support record current exercis diet follow diet exercis goal set procedur reduc risk diabet onsetconclus studi demonstr thinkaloud protocol analysi nearliv clinic simul provid success usabl evalu new primari care prediabet share goal set tool phase studi provid complementari observ problem new onscreen tool use show influenc adapt framework usabl workflow integr communic patient provid thinkaloud test provid show tool can use accord adapt framework exercisetodiet behavior chang tool util clinic simul reveal adapt framework realist support patientprovid communic obtain behavior chang contract sdm interact mechan affect protocolbas care can complet captur combin nearliv clinic simul tradit thinkaloud analysi augment clinician util analysi requir verifi rich communic action found phase ii compliment clinic workflow

Resumos Similares

Int J Comput Assist Radiol Surg - Design and evaluation of a multimedia electronic patient record oncoflow with clinical workflow assistance for head and neck tumor therapy. ( 0,801656117131948 )
Int J Med Inform - Icon and user interface design for emergency medical information systems: a case study. ( 0,778104225196309 )
AMIA Annu Symp Proc - Using a unified usability framework to dramatically improve the usability of an EMR Module. ( 0,72552118999903 )
Health Informatics J - Fitness for purpose when there are many different purposes: who are electronic patient records for? ( 0,724238735029788 )
Telemed J E Health - User-friendly cognitive training for the elderly: a technical report. ( 0,70376574451899 )
J Biomed Inform - Scenarios, personas and user stories: user-centered evidence-based design representations of communicable disease investigations. ( 0,698741423674424 )
Artif Intell Med - User-centered design in brain-computer interfaces-a case study. ( 0,695720857979783 )
Artif Intell Med - Brain Painting: usability testing according to the user-centered design in end users with severe motor paralysis. ( 0,695149519086576 )
Int J Med Inform - Integrating usability testing and think-aloud protocol analysis with near-live clinical simulations in evaluating clinical decision support. ( 0,694498000343436 )
Inform Health Soc Care - Young carers as co-designers of a web-based support system: the views of two publics. ( 0,692983533547988 )
J Biomed Inform - From expert-derived user needs to user-perceived ease of use and usefulness: a two-phase mixed-methods evaluation framework. ( 0,689415248495598 )
Appl Clin Inform - Developing software to track and catch missed follow-up of abnormal test results in a complex sociotechnical environment. ( 0,681818386348867 )
Comput. Biol. Med. - A user interface for VR-ready 3D medical imaging by off-the-shelf input devices. ( 0,676209422181849 )
Int J Comput Assist Radiol Surg - Surgical model-view-controller simulation software framework for local and collaborative applications. ( 0,673097232173359 )
AMIA Annu Symp Proc - Usability evaluation of a personal health record. ( 0,671752841476573 )
Int J Med Inform - Detection and characterization of usability problems in structured data entry interfaces in dentistry. ( 0,669285007753585 )
J Biomed Inform - Usability standards meet scenario-based design: challenges and opportunities. ( 0,66922818086649 )
J Biomed Inform - Conceptualization and application of an approach for designing healthcare software interfaces. ( 0,668615498684179 )
Comput Methods Programs Biomed - Control of a 2 DoF robot using a brain-machine interface. ( 0,664871848282693 )
Int J Med Inform - Addressing critical issues in the development of an Oncology Information System. ( 0,664535280681936 )
BMC Med Inform Decis Mak - Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language. ( 0,658874374356906 )
Methods Inf Med - TADAA: Towards Automated Detection of Anaesthetic Activity. ( 0,658824305102954 )
AMIA Annu Symp Proc - A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). ( 0,653392008997377 )
Int J Comput Assist Radiol Surg - The LiverSurgeryTrainer: training of computer-based planning in liver resection surgery. ( 0,651526877963619 )
Int J Med Inform - User participation in healthcare IT development: a developers' viewpoint in Finland. ( 0,649707637419731 )
AMIA Annu Symp Proc - Ensuring patient safety in care transitions: an empirical evaluation of a Handoff Intervention Tool. ( 0,646904465355666 )
Int J Med Inform - Assessing performance of an Electronic Health Record (EHR) using Cognitive Task Analysis. ( 0,645968476860168 )
Int J Med Inform - National questionnaire study on clinical ICT systems proofs: physicians suffer from poor usability. ( 0,645235641192197 )
J Biomed Inform - The clinician in the Driver's Seat: part 1 - a drag/drop user-composable electronic health record platform. ( 0,64352396003662 )
Int J Neural Syst - A single-switch BCI based on passive and imagined movements: toward restoring communication in minimally conscious patients. ( 0,641653014581532 )
Int J Med Inform - Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV. ( 0,63971646271727 )
J. Med. Internet Res. - Purple: a modular system for developing and deploying behavioral intervention technologies. ( 0,638789897931856 )
Telemed J E Health - The tele-intensive care unit during a disaster: seamless transition from routine operations to disaster mode. ( 0,638015834076207 )
J Am Med Inform Assoc - Using a medical simulation center as an electronic health record usability laboratory. ( 0,635947116814642 )
Appl Clin Inform - Debunking health IT usability myths. ( 0,63562906379816 )
Inform Health Soc Care - Usability of a web-based personal nutrition management tool. ( 0,633231678870864 )
Int J Med Inform - A study of user requests regarding the fully electronic health record system at Seoul National University Bundang Hospital: challenges for future electronic health record systems. ( 0,632448332619298 )
J Med Syst - A mobile Nursing Information System based on human-computer interaction design for improving quality of nursing. ( 0,631290160621639 )
Comput. Biol. Med. - An automatic tool to facilitate the statistical group analysis of DTI. ( 0,630128144810173 )
J Biomed Inform - The use of fault reporting of medical equipment to identify latent design flaws. ( 0,627647759729161 )
J Med Syst - Design of Web-based Fuzzy Input Expert System for the analysis of serology laboratory tests. ( 0,623956750200713 )
J. Med. Internet Res. - Usability testing of an online self-management program for adolescents with juvenile idiopathic arthritis. ( 0,618837852083511 )
J Biomed Inform - TURF: toward a unified framework of EHR usability. ( 0,616812126101562 )
Appl Clin Inform - Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medication-related decision support system: the I-MeDeSA. ( 0,614263315845463 )
J. Med. Internet Res. - Evaluating a web-based health risk assessment with tailored feedback: what does an expert focus group yield compared to a web-based end-user survey? ( 0,613537073129644 )
J Am Med Inform Assoc - Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics. ( 0,61232562350041 )
Int J Med Inform - Socio-technical considerations in epilepsy electronic patient record implementation. ( 0,60904595136862 )
BMC Med Inform Decis Mak - Quality of human-computer interaction--results of a national usability survey of hospital-IT in Germany. ( 0,607747825868952 )
Int J Comput Assist Radiol Surg - Hybrid simulation using mixed reality for interventional ultrasound imaging training. ( 0,606199563977592 )
Int J Med Inform - Promoting public awareness of the links between lifestyle and cancer: a controlled study of the usability of health information leaflets. ( 0,604787822820691 )
Appl Clin Inform - An evaluation of the usability of a computerized decision support system for nursing homes. ( 0,603560726893905 )
J. Med. Internet Res. - Patient-centered design of an information management module for a personally controlled health record. ( 0,603011756196748 )
Comput Methods Programs Biomed - Development of a system based on 3D vision, interactive virtual environments, ergonometric signals and a humanoid for stroke rehabilitation. ( 0,602413293733329 )
AMIA Annu Symp Proc - Systematic refinement of a health information technology time and motion workflow instrument for inpatient nursing care using a standardized interface terminology. ( 0,599738820038052 )
Telemed J E Health - Heuristic evaluation of online COPD respiratory therapy and education video resource center. ( 0,599688823217022 )
BMC Med Inform Decis Mak - How do medical doctors use a web-based oncology protocol system? A comparison of Australian doctors at different levels of medical training using logfile analysis and an online survey. ( 0,599107773384367 )
AMIA Annu Symp Proc - Workflow Driven Cognitive Decision Support Systems for Clinicians:: A Case of Intra-Operative Visualization System for RFA. ( 0,59838646653048 )
J Med Syst - Comparing four softwares based on ISO 9241 part 10. ( 0,596072077223383 )
Appl Clin Inform - User-centered design and usability testing of an innovative health-related quality of life module. ( 0,592839735244459 )
J Biomed Inform - Usability study of clinical exome analysis software: top lessons learned and recommendations. ( 0,592539548559225 )
BMC Med Inform Decis Mak - The development of a web- and a print-based decision aid for prostate cancer screening. ( 0,589257677021607 )
AMIA Annu Symp Proc - Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype. ( 0,587517396877842 )
J. Med. Internet Res. - Mobile applications for diabetics: a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age 50 years or older. ( 0,587152502178663 )
AMIA Annu Symp Proc - A qualitative analysis of EHR clinical document synthesis by clinicians. ( 0,586881339518834 )
AMIA Annu Symp Proc - Medication Reconciliation: Work Domain Ontology, prototype development, and a predictive model. ( 0,585846414425909 )
Artif Intell Med - Wheelchair collaborative control for disabled users navigating indoors. ( 0,584851977150362 )
Comput. Biol. Med. - Usability testing of a respiratory interface using computer screen and facial expressions videos. ( 0,583875014705774 )
Int J Med Inform - A usability evaluation of a SNOMED CT based compositional interface terminology for intensive care. ( 0,58198503607952 )
Neural Comput - Machine-learning-based coadaptive calibration for brain-computer interfaces. ( 0,577644234776208 )
J Biomed Inform - Digital video analysis of health professionals' interactions with an electronic whiteboard: a longitudinal, naturalistic study of changes to user interactions. ( 0,577451559231056 )
Int J Med Inform - Merits of usability testing for PACS selection. ( 0,57403431148994 )
BMC Med Inform Decis Mak - Web-based information for pregnant women and new mothers with type 1 diabetes--a description of the development process. ( 0,572989101091878 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,572160154006602 )
J Am Med Inform Assoc - Adoption of a wiki within a large internal medicine residency program: a 3-year experience. ( 0,569979885649531 )
Appl Clin Inform - Identifying consumer's needs of health information technology through an innovative participatory design approach among English- and Spanish-speaking urban older adults. ( 0,569613903157915 )
Artif Intell Med - Case-based reasoning emulation of persons for wheelchair navigation. ( 0,569510939300158 )
Comput. Biol. Med. - RIBS@UA: interface to collect and store respiratory data, a preliminary study. ( 0,569078514811966 )
Appl Clin Inform - Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application. ( 0,568222761288625 )
Neural Comput - Design and analysis of closed-loop decoder adaptation algorithms for brain-machine interfaces. ( 0,567636823954564 )
Perspect Health Inf Manag - Impact and user satisfaction of a clinical information portal embedded in an electronic health record. ( 0,567197167775994 )
Appl Clin Inform - A pilot study on usability analysis of emergency department information system by nurses. ( 0,564305805012324 )
Telemed J E Health - Heuristic evaluation and usability testing of a computerized patient-reported outcomes survey for headache sufferers. ( 0,562802739410974 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,562211891368462 )
J Am Med Inform Assoc - An offline mobile nutrition monitoring intervention for varying-literacy patients receiving hemodialysis: a pilot study examining usage and usability. ( 0,558515257301465 )
Artif Intell Med - From an expert-driven paper guideline to a user-centred decision support system: a usability comparison study. ( 0,557567181059025 )
Int J Med Inform - Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. ( 0,557272699542005 )
J Med Syst - A secure 2G-RFID-Sys mechanism for applying to the medical emergency system. ( 0,556980704221524 )
Int J Med Inform - The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home. ( 0,556671735843942 )
IEEE J Biomed Health Inform - Evaluation of healthy EEG responses for spelling through listener-assisted scanning. ( 0,553904858590206 )
J Med Syst - An approach to medical knowledge sharing in a hospital information system using MCLink. ( 0,552329761177091 )
AMIA Annu Symp Proc - Optimization of an EHR mobile application using the UFuRT conceptual framework. ( 0,551513914574704 )
Comput. Biol. Med. - Functional performance of aCGH design for clinical cytogenetics. ( 0,547254226158273 )
J Am Med Inform Assoc - The dangerous decade. ( 0,546602748718016 )
Telemed J E Health - A health insurance portability and accountability act-compliant ocular telehealth network for the remote diagnosis and management of diabetic retinopathy. ( 0,546481737751402 )
Perspect Health Inf Manag - Evaluation of an interactive surveillance system for monitoring acute bacterial infections in Nigeria. ( 0,545191769272334 )
Comput Methods Programs Biomed - Development of blood glucose control for extremely premature infants. ( 0,544453456548721 )
J Clin Monit Comput - A technical description of a novel pharmacological anesthesia robot. ( 0,544224896770166 )
J Am Med Inform Assoc - Content and functional specifications for a standards-based multidisciplinary rounding tool to maintain continuity across acute and critical care. ( 0,543064381261031 )
J Am Med Inform Assoc - Information needs of case managers caring for persons living with HIV. ( 0,538602271953384 )
Comput Methods Programs Biomed - A preliminary study on the use of clinical care classification in nursing documentation data sets. ( 0,538352738290326 )