Int J Med Inform - Bedside information technology to support patient-centered care.

Tópicos

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

Resumo

RPOSE: Patients and health care providers often lack real time access to information at the bedside required to provide safe patient-centered care. Both groups identified pertinent information needed at the patient's bedside. The purpose of our research was to identify the essential data elements that will be used to define requirements for a useful bedside communication tool in the acute care hospital setting.METHODS: Descriptive research methods were used to identify bedside information requirements through group and individual interviews. Data from patients and health care providers were analyzed to identify common themes, compiled into a survey, and validated by both groups.RESULTS: Thirty-seven information requirements were identified and classified under five themes: (1) plan of care, (2) patient education, (3) communication of safety alerts, (4) diet, and (5) medications. A survey completed by 30 patients and 30 health care providers confirmed 36 specific bedside information requirements (mean = 5 on an 11-point scale). Patients and health providers each identified 24 specific information requirements that were similar in importance. When compared with nurses, significant differences were noted in the degree to which patients identified knowing the "daily routine schedule," e.g. when their doctor typically sees patients as a key requirement for the electronic bedside communication tool, t=3.52, p=.001.CONCLUSION: Patients and health care providers identified information requirements at the bedside to promote self-care management of healthcare needs and an understanding of the hospital environment. Accurate, easily accessed information at the bedside is needed for providing safe patient-centered care.

Resumo Limpo

rpose patient health care provid often lack real time access inform bedsid requir provid safe patientcent care group identifi pertin inform need patient bedsid purpos research identifi essenti data element will use defin requir use bedsid communic tool acut care hospit settingmethod descript research method use identifi bedsid inform requir group individu interview data patient health care provid analyz identifi common theme compil survey valid groupsresult thirtyseven inform requir identifi classifi five theme plan care patient educ communic safeti alert diet medic survey complet patient health care provid confirm specif bedsid inform requir mean point scale patient health provid identifi specif inform requir similar import compar nurs signific differ note degre patient identifi know daili routin schedul eg doctor typic see patient key requir electron bedsid communic tool t pconclus patient health care provid identifi inform requir bedsid promot selfcar manag healthcar need understand hospit environ accur easili access inform bedsid need provid safe patientcent care

Resumos Similares

Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,796836786962784 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,786874437583822 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,757985808967806 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,757153981324514 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,732176162219328 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,716282875932562 )
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. ( 0,710744046989361 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,706438370987401 )
Appl Clin Inform - An evaluation of the usability of a computerized decision support system for nursing homes. ( 0,702201935061195 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,702002939206653 )
Int J Med Inform - A combined disease management and process modeling approach for assessing and improving care processes: a fall management case-study. ( 0,69987660863359 )
Int J Med Inform - Characterizing information transfer by using a Joint Cognitive Systems model to improve continuity of care in the aged. ( 0,698997634910201 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,697970419083383 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,688629712160172 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,687963236476195 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,686863324509789 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,683165638138617 )
Inform Health Soc Care - Managing information and knowledge within maternity services: Privacy and consent issues. ( 0,682764343042544 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,682667604409748 )
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. ( 0,679431680216805 )
Appl Clin Inform - Clinician preferences for verbal communication compared to EHR documentation in the ICU. ( 0,679109480387877 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,678484526290814 )
Int J Med Inform - Use of a human factors approach to uncover informatics needs of nurses in documentation of care. ( 0,677539456924182 )
Int J Med Inform - Does an integrated Emergency Department Information System change the sequence of clinical work? A mixed-method cross-site study. ( 0,676899022949028 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,670281034022329 )
Appl Clin Inform - A pilot study on usability analysis of emergency department information system by nurses. ( 0,669600219104184 )
J Am Med Inform Assoc - Open source electronic health records and chronic disease management. ( 0,667474183074181 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,664968888617192 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,664791636825931 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,661557397524176 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,657791880979735 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,657121548658734 )
Int J Med Inform - Unintended adverse consequences of introducing electronic health records in residential aged care homes. ( 0,656874288198324 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,655428999647642 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,654232938124632 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,653303857198259 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,652429867558654 )
AMIA Annu Symp Proc - Support for contextual control in primary care: a qualitative analysis. ( 0,650589387357855 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,648094809206516 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,646606732576908 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,646024154560651 )
Perspect Health Inf Manag - Incorporating patient perspectives into the personal health record: implications for care and caring. ( 0,645941823491905 )
J Med Syst - Advanced nurse-patient communication system. ( 0,644989746491241 )
J. Med. Internet Res. - Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. ( 0,64264638065659 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,638421995818186 )
Int J Med Inform - Are three methods better than one? A comparative assessment of usability evaluation methods in an EHR. ( 0,638101619610638 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,637723801599036 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,636852735647758 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,636737537770732 )
J Med Syst - EHR implementation in a new clinic: a case study of clinician perceptions. ( 0,63630544063333 )
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. ( 0,634900627025689 )
Inform Health Soc Care - Developing nurse educators' computer skills towards proficiency in nursing informatics. ( 0,633607593261123 )
J Clin Monit Comput - Clinical refinement of the automatic lung parameter estimator (ALPE). ( 0,633171185405527 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,632438288972193 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,63234390395262 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,631536119311113 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,631338276550033 )
Int J Med Inform - An exploration of the impact of computerized patient documentation on clinical collaboration. ( 0,630788678818192 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,62883637074531 )
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. ( 0,62524876064787 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,625057566839172 )
Int J Med Inform - Coping with the unforeseen in surgical work. ( 0,624400847819305 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,623765784868269 )
Inform Health Soc Care - Specifying process requirements for holistic care. ( 0,621867444721213 )
AMIA Annu Symp Proc - Usage analysis of a shared care planning system. ( 0,621256616059023 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,619573820160262 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,619374322983546 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,618553743484544 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,617772570633542 )
AMIA Annu Symp Proc - A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). ( 0,61761602930772 )
J Med Syst - A password-based user authentication scheme for the integrated EPR information system. ( 0,617361728473148 )
BMC Med Inform Decis Mak - Communicating cancer treatment information using the Web: utilizing the patient's perspective in website development. ( 0,617160810004476 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,616299494319933 )
J Am Med Inform Assoc - Information needs of case managers caring for persons living with HIV. ( 0,615805174617288 )
Int J Med Inform - The fungibility of time in claims of efficiency: the case of making transmission of prescriptions electronic in English general practice. ( 0,615478178416541 )
Appl Clin Inform - Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators. ( 0,615425739277107 )
J Am Med Inform Assoc - Content and functional specifications for a standards-based multidisciplinary rounding tool to maintain continuity across acute and critical care. ( 0,613602092977194 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,613424089173298 )
Int J Med Inform - Using a sociotechnical framework to understand adaptations in health IT implementation. ( 0,61231171357804 )
Telemed J E Health - Feasibility and impact of telemonitor-based depression care management for geriatric homecare patients. ( 0,611859736531233 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,611148559584395 )
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. ( 0,610818971746922 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,610773886088829 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,610349844460355 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,610088876086563 )
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. ( 0,609541981015546 )
J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care. ( 0,6093541563317 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,608784577086476 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,608331397993263 )
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. ( 0,608145427759253 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,608029313966942 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,607983136955331 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,607878441380745 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,607768909966999 )
J Med Syst - Usability evaluation of mobile medical treatment carts: another explanation by information engineers. ( 0,607236973519096 )
Int J Med Inform - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. ( 0,607071164573837 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,606381677130566 )
J Med Syst - Emergency healthcare process automation using mobile computing and cloud services. ( 0,606321080126729 )
Int J Med Inform - E-prescribing errors in community pharmacies: exploring consequences and contributing factors. ( 0,606243172838223 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,605462626873039 )