Int J Med Inform - An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting.

Tópicos

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

Resumo

RPOSE: Ethical and legal requirements for healthcare providers in the United States, stipulate that patients sign a consent form prior to undergoing medical treatment or participating in a research study. Currently, the majority of the hospitals obtain these consents using paper-based forms, which makes patient preference data cumbersome to store, search and retrieve. To address these issues, Health Sciences of South Carolina (HSSC), a collaborative of academic medical institutions and research universities in South Carolina, is developing an electronic consenting system, the Research Permissions Management System (RPMS). This article reports the findings of a study conducted to investigate the efficacy of the two proposed interfaces for this system - an iPad-based and touchscreen-based by comparing them to the paper-based and Topaz-based systems currently in use.METHODS: This study involved 50 participants: 10 hospital admission staff and 40 patients. The four systems were compared with respect to the time taken to complete the consenting process, the number of errors made by the patients, the workload experienced by the hospital staff and the subjective ratings of both patients and staff on post-test questionnaires.RESULTS: The results from the empirical study indicated no significant differences in the time taken to complete the tasks. More importantly, the participants found the new systems more usable than the conventional methods with the registration staff experiencing the least workload in the iPad and touchscreen-based conditions and the patients experiencing more privacy and control during the consenting process with the proposed electronic systems. In addition, they indicated better comprehension and awareness of what they were signing using the new interfaces.DISCUSSION: The results indicate the two methods proposed for capturing patient consents are at least as effective as the conventional methods, and superior in several important respects. While more research is needed, these findings suggest the viability of cautious adoption of electronic consenting systems, especially because these new systems appear to address the challenge of identifying the participants required for the complex research being conducted as the result of advances in the biomedical sciences.

Resumo Limpo

rpose ethic legal requir healthcar provid unit state stipul patient sign consent form prior undergo medic treatment particip research studi current major hospit obtain consent use paperbas form make patient prefer data cumbersom store search retriev address issu health scienc south carolina hssc collabor academ medic institut research univers south carolina develop electron consent system research permiss manag system rpms articl report find studi conduct investig efficaci two propos interfac system ipadbas touchscreenbas compar paperbas topazbas system current usemethod studi involv particip hospit admiss staff patient four system compar respect time taken complet consent process number error made patient workload experienc hospit staff subject rate patient staff posttest questionnairesresult result empir studi indic signific differ time taken complet task import particip found new system usabl convent method registr staff experienc least workload ipad touchscreenbas condit patient experienc privaci control consent process propos electron system addit indic better comprehens awar sign use new interfacesdiscuss result indic two method propos captur patient consent least effect convent method superior sever import respect research need find suggest viabil cautious adopt electron consent system especi new system appear address challeng identifi particip requir complex research conduct result advanc biomed scienc

Resumos Similares

Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,741124254145705 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,723363708228131 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,714765094763706 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,713242720855998 )
Int J Health Geogr - Identifying risk factors for healthcare-associated infections from electronic medical record home address data. ( 0,709287676155454 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,70642348160842 )
J Am Med Inform Assoc - Data from clinical notes: a perspective on the tension between structure and flexible documentation. ( 0,705205385853659 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,703671658736625 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,697511441763833 )
J Am Med Inform Assoc - HARVEST, a longitudinal patient record summarizer. ( 0,692190270489592 )
AMIA Annu Symp Proc - Comparing content coverage in medical curriculum to trainee-authored clinical notes. ( 0,686156495008081 )
Comput. Biol. Med. - Clinicians' evaluation of computer-assisted medication summarization of electronic medical records. ( 0,685602162333849 )
Int J Med Inform - The peace of paper: patient lists as work tools. ( 0,682356279255583 )
J Am Med Inform Assoc - Patient access to medical records and healthcare outcomes: a systematic review. ( 0,682219144368599 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,681962997098644 )
J Am Med Inform Assoc - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. ( 0,675601447743095 )
AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care. ( 0,671527379776975 )
AMIA Annu Symp Proc - Validation and enhancement of a computable medication indication resource (MEDI) using a large practice-based dataset. ( 0,668730473379165 )
J Am Med Inform Assoc - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. ( 0,66520178538287 )
AMIA Annu Symp Proc - The physical attractiveness of electronic physician notes. ( 0,664493747092406 )
J Am Med Inform Assoc - Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital. ( 0,663919092378482 )
Int J Med Inform - Improving chemotherapy processes with a protocol-based information system: a pre and post-implementation study. ( 0,662402738339542 )
Int J Med Inform - Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers. ( 0,662250399958965 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,661139473158078 )
J Med Syst - An approach to medical knowledge sharing in a hospital information system using MCLink. ( 0,661027304228666 )
J Am Med Inform Assoc - Data quality assessment in healthcare: a 365-day chart review of inpatients' health records at a Nigerian tertiary hospital. ( 0,659075235759261 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,657441173563662 )
AMIA Annu Symp Proc - An integrated billing application to streamline clinician workflow. ( 0,655594380927714 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,654120647345915 )
AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,653339743526715 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,653094947314576 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,652494197560038 )
Perspect Health Inf Manag - Lessons learned from implementation of voice recognition for documentation in the military electronic health record system. ( 0,650878033830605 )
BMC Med Inform Decis Mak - Clinical decision support improves quality of telephone triage documentation--an analysis of triage documentation before and after computerized clinical decision support. ( 0,647040543528263 )
Comput. Biol. Med. - A closer look at nursing documentation on paper forms: preparation for computerizing a nursing documentation system. ( 0,643009284483147 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,642741717655244 )
BMC Med Inform Decis Mak - Determinants of frequency and longevity of hospital encounters' data use. ( 0,641930294923728 )
AMIA Annu Symp Proc - Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers. ( 0,641733360069707 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,63845996697628 )
Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,63646107773567 )
J Biomed Inform - Development of a clinician reputation metric to identify appropriate problem-medication pairs in a crowdsourced knowledge base. ( 0,635518639881126 )
J Med Syst - Evaluation of the medical records system in an upcoming teaching hospital-a project for improvisation. ( 0,634652939154851 )
AMIA Annu Symp Proc - Evaluation of HL7 v2.5.1 electronic case reports transmitted from a healthcare enterprise to public health. ( 0,633588162996752 )
Int J Med Inform - How physicians document outpatient visit notes in an electronic health record. ( 0,633496053802916 )
AMIA Annu Symp Proc - Use of topic modeling for recommending relevant education material to diabetic patients. ( 0,632158090379725 )
Int J Med Inform - Multi-disciplinary collaboration during ward rounds: embodied aspects of electronic medical record usage. ( 0,631674097058132 )
J Am Med Inform Assoc - Method of electronic health record documentation and quality of primary care. ( 0,629012261645017 )
Int J Med Inform - National questionnaire study on clinical ICT systems proofs: physicians suffer from poor usability. ( 0,628300940888857 )
J. Med. Internet Res. - Use of an electronic patient portal among the chronically ill: an observational study. ( 0,627008214977825 )
Int J Med Inform - The effects of an electronic medical record on the completeness of documentation in the anesthesia record. ( 0,626292170145163 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,625579279643694 )
J Med Syst - Use and satisfaction with electronic health record by primary care physicians in a health district in Brazil. ( 0,624583411397402 )
AMIA Annu Symp Proc - qDIET: toward an automated, self-sustaining knowledge base to facilitate linking point-of-sale grocery items to nutritional content. ( 0,623648349233678 )
J Am Med Inform Assoc - Use of electronic clinical documentation: time spent and team interactions. ( 0,622534660942952 )
Int J Med Inform - Socio-technical considerations in epilepsy electronic patient record implementation. ( 0,622293795521615 )
J Am Med Inform Assoc - Implementation of the Department of Veterans Affairs' first point-of-care clinical trial. ( 0,62069146318051 )
AMIA Annu Symp Proc - Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists. ( 0,620358532980745 )
J Am Med Inform Assoc - Internet portal use in an academic multiple sclerosis center. ( 0,618848272502226 )
J Am Med Inform Assoc - Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. ( 0,618215701191623 )
Telemed J E Health - Telephotography in trauma: a 2-year clinical experience. ( 0,618185665941074 )
Appl Clin Inform - What do physicians read (and ignore) in electronic progress notes? ( 0,617484620387352 )
J Am Med Inform Assoc - Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study. ( 0,614831682856433 )
AMIA Annu Symp Proc - Extending the HL7/LOINC Document Ontology Settings of Care. ( 0,613368666665549 )
Int J Med Inform - Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff? ( 0,612506037738884 )
Comput. Biol. Med. - Informatics can identify systemic sclerosis (SSc) patients at risk for scleroderma renal crisis. ( 0,612039305232936 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,611616353778155 )
J Biomed Inform - Summarization of clinical information: a conceptual model. ( 0,609290573125486 )
AMIA Annu Symp Proc - A qualitative analysis of EHR clinical document synthesis by clinicians. ( 0,608329097427167 )
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. ( 0,608195745308957 )
AMIA Annu Symp Proc - Who said it? Establishing professional attribution among authors of Veterans' Electronic Health Records. ( 0,606995984844815 )
J Med Syst - Electronic hand-drafting and picture management system. ( 0,60668041084753 )
J Biomed Inform - Effects of time constraints on clinician-computer interaction: a study on information synthesis from EHR clinical notes. ( 0,604654787416969 )
J Am Med Inform Assoc - Implementing an interface terminology for structured clinical documentation. ( 0,603797041621288 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,601220696301033 )
J Am Med Inform Assoc - Electronic medical records and physician stress in primary care: results from the MEMO Study. ( 0,600696010443072 )
J Am Med Inform Assoc - A framework for assessing patient crossover and health information exchange value. ( 0,599374945034886 )
Int J Med Inform - Medical documentation: part of the solution, or part of the problem? A narrative review of the literature on the time spent on and value of medical documentation. ( 0,597380898413422 )
J Med Syst - A secure integrated medical information system. ( 0,594712230054708 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,594458892374265 )
AMIA Annu Symp Proc - Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data. ( 0,594031331145792 )
BMC Med Inform Decis Mak - Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes project. ( 0,591996531280487 )
BMC Med Inform Decis Mak - Assessing accuracy of an electronic provincial medication repository. ( 0,59139374810086 )
Perspect Health Inf Manag - Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. ( 0,591181282582795 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,590792049003732 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,588966133486848 )
J Med Syst - Architecture of portable electronic medical records system integrated with streaming media. ( 0,586258844524662 )
J Biomed Inform - Visual grids for managing data completeness in clinical research datasets. ( 0,586080977635918 )
Int J Med Inform - Using electronic medical records to determine the diagnosis of clinical depression. ( 0,585833694783189 )
J Am Med Inform Assoc - Predicting biomedical document access as a function of past use. ( 0,585565948291963 )
J Med Syst - Operational problems of Haniwa net as a form of social capital: interdependence between human networks of physicians and information networks. ( 0,585561383858555 )
J Am Med Inform Assoc - Electronic health records improve clinical note quality. ( 0,58547225788484 )
Appl Clin Inform - A pilot trial of a computerized renal template note to improve resident knowledge and documentation of kidney disease. ( 0,585154105065486 )
AMIA Annu Symp Proc - Using natural language processing on the free text of clinical documents to screen for evidence of homelessness among US veterans. ( 0,584395291855485 )
BMC Med Inform Decis Mak - Feasibility test of a UK-scalable electronic system for regular collection of patient-reported outcome measures and linkage with clinical cancer registry data: the electronic Patient-reported Outcomes from Cancer Survivors (ePOCS) system. ( 0,583991540026104 )
Artif Intell Med - Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology. ( 0,581632798448431 )
AMIA Annu Symp Proc - Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record. ( 0,581331672481493 )
Int J Med Inform - Supporting medical communication for older patients with a shared touch-screen computer. ( 0,577780192802117 )
J Med Syst - A novel system architecture for the national integration of electronic health records: a semi-centralized approach. ( 0,575909369790531 )
J Med Syst - An assessment of patient safety in acupuncture process under EMR support. ( 0,575877034000115 )
J Am Med Inform Assoc - Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. ( 0,57476797890422 )