Int J Med Inform - Personal digital assistant with a barcode reader--a medical decision support system for nurses in home care.

Tópicos

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

Resumo

TRODUCTION: Inappropriate medication among elderly people increases the risk of adverse drug-drug interactions, drug-related falls and hospital admissions. In order to prevent these effects it is necessary to obtain a profile of the patients' medication. A personal digital assistant (PDA) can be used as a medical decision support system (MDSS) to obtain a profile of the patients' medication and to check for inappropriate drugs and drug combinations, and to reduce medication errors.AIM: The aim of the present study was to evaluate nurses' experiences of using a MDSS in a PDA with a barcode reader, in order to obtain profiles of the patients' medication, regarding drug-drug interactions, therapeutic duplications, and warnings for drugs unsuitable for elderly in home care.METHODS: The LIFe-reader is a MDSS in a PDA with a barcode reader. By scanning the drug packages in the patients' home, the LIFe-reader obtained profiles of the patients' medication and checked for drug-drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly people. The LIFe-reader also contained, e.g. drug information and medical reference works. Nurses (n=15) used the LIFe-reader for five weeks during their nursing home care practice assignment. The nurses answered questionnaires about the content and functions of the LIFe-reader before, during and after the nursing home care practice assignment, and were interviewed in focus groups. Descriptive statistics were used and content analysis was applied for qualitative data.RESULTS: By using the LIFe-reader, the majority of the nurses found it easy to obtain profiles of the patients' medication and check for drug-drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly people. Most nurses regarded the LIFe-reader to reduce drug-related risks of falling, and some thought it could reduce the drug-related admissions to hospitals. The scanning function was described as easy and time saving, although not always possible to use. The LIFe-reader was regarded as a useful and user-friendly MDSS, but more content and functions were requested.CONCLUSIONS: We found that the LIFe-reader has the potential to be a useful and user-friendly MDSS for nurses in home care when obtaining profiles of the patients' medication regarding drug-drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly. A regular scanning of the patients' drugs in their home might support nurses and general practitioners (GPs) in reducing the inappropriate use of drugs. If the LIFe-reader should be used in a larger scale among nurses, more content and functions are necessary.

Resumo Limpo

troduct inappropri medic among elder peopl increas risk advers drugdrug interact drugrel fall hospit admiss order prevent effect necessari obtain profil patient medic person digit assist pda can use medic decis support system mdss obtain profil patient medic check inappropri drug drug combin reduc medic errorsaim aim present studi evalu nurs experi use mdss pda barcod reader order obtain profil patient medic regard drugdrug interact therapeut duplic warn drug unsuit elder home caremethod liferead mdss pda barcod reader scan drug packag patient home liferead obtain profil patient medic check drugdrug interact therapeut duplic warn drug unsuit elder peopl liferead also contain eg drug inform medic refer work nurs n use liferead five week nurs home care practic assign nurs answer questionnair content function liferead nurs home care practic assign interview focus group descript statist use content analysi appli qualit dataresult use liferead major nurs found easi obtain profil patient medic check drugdrug interact therapeut duplic warn drug unsuit elder peopl nurs regard liferead reduc drugrel risk fall thought reduc drugrel admiss hospit scan function describ easi time save although alway possibl use liferead regard use userfriend mdss content function requestedconclus found liferead potenti use userfriend mdss nurs home care obtain profil patient medic regard drugdrug interact therapeut duplic warn drug unsuit elder regular scan patient drug home might support nurs general practition gps reduc inappropri use drug liferead use larger scale among nurs content function necessari

Resumos Similares

Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,697990875520167 )
Artif Intell Med - Predicting warfarin dosage from clinical data: a supervised learning approach. ( 0,694506270549278 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,670172115710628 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,669757051147973 )
J Am Med Inform Assoc - Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downstream of CPOE alerts. ( 0,669300103798034 )
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. ( 0,657475241179649 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,64928297548527 )
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. ( 0,643564650348504 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,639725229212916 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,637599845799912 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,636883235109681 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,636550791449634 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,635775872512544 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,633767979008808 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,63250716737948 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,628102200564277 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,627022669487466 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,625529751903311 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,624738729379745 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,623987620024823 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,62253454490427 )
J Biomed Inform - Communication and team situation awareness in the OR: Implications for augmentative information display. ( 0,622081530687828 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,621950662605392 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,6217437450873 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,619935008106104 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,619482921655373 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,618943495529203 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,6187034229248 )
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. ( 0,616437011442209 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,616078058790399 )
Int J Med Inform - E-prescribing errors in community pharmacies: exploring consequences and contributing factors. ( 0,613851279419004 )
J Clin Monit Comput - Anesthetic agent vapor analyzers and propellants of pressurized meter-dose inhalers. ( 0,612436797232411 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,61041302534967 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,610267872668388 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,60755052969783 )
Comput. Biol. Med. - Smart medical environment at the point of care: auto-tracking clinical interventions at the bed side using RFID technology. ( 0,599170515103761 )
Int J Med Inform - Computerized detection of adverse drug reactions in the medical intensive care unit. ( 0,596959188849133 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,596311218959085 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,596193703993665 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,594732821665849 )
J Med Syst - EHR implementation in a new clinic: a case study of clinician perceptions. ( 0,594432039746498 )
Appl Clin Inform - An evaluation of the usability of a computerized decision support system for nursing homes. ( 0,594349615106079 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,594031616569789 )
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. ( 0,593780299240061 )
Methods Inf Med - Exploiting online discussions to discover unrecognized drug side effects. ( 0,593614140061434 )
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. ( 0,592717290120409 )
Int J Med Inform - An exploration of the impact of computerized patient documentation on clinical collaboration. ( 0,592675016406815 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,592214592440348 )
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. ( 0,590849717420208 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,59064753060863 )
J. Med. Internet Res. - Postmarket drug surveillance without trial costs: discovery of adverse drug reactions through large-scale analysis of web search queries. ( 0,588828562749242 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,586929300474071 )
J. Med. Internet Res. - Packaging and labeling of pharmaceutical products obtained from the internet. ( 0,585333163430213 )
Brief. Bioinformatics - Data mining the human gut microbiota for therapeutic targets. ( 0,585258711711518 )
J Biomed Inform - Exploring the associations between drug side-effects and therapeutic indications. ( 0,58502371262519 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,5840099465619 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,583900499478791 )
J Am Med Inform Assoc - Quantifying care coordination using natural language processing and domain-specific ontology. ( 0,583670383184679 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,58355843488477 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,58347904028968 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,583041720724389 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,581273453653579 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,57992686535531 )
Comput Biol Chem - Pharmacokinetic analysis of multi PEG-theophylline conjugates. ( 0,579793889131905 )
J Chem Inf Model - Prediction of polypharmacological profiles of drugs by the integration of chemical, side effect, and therapeutic space. ( 0,579300749142685 )
J Am Med Inform Assoc - A novel signal detection algorithm for identifying hidden drug-drug interactions in adverse event reports. ( 0,579095786655246 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,579093448379073 )
Appl Clin Inform - Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication. ( 0,577068020400475 )
Comput Methods Programs Biomed - The application of support vector regression for prediction of the antiallodynic effect of drug combinations in the mouse model of streptozocin-induced diabetic neuropathy. ( 0,576870691511768 )
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. ( 0,576361978637979 )
Int J Med Inform - Evaluating the use of a computerized clinical decision support system for asthma by pediatric pulmonologists. ( 0,57543229191177 )
AMIA Annu Symp Proc - SRCAST-Diagnosis: understanding how different members of a patient-care team interact with clinical decision support system. ( 0,575393565058907 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,573362499091037 )
J Med Syst - Advanced nurse-patient communication system. ( 0,573038945319591 )
AMIA Annu Symp Proc - A software communication tool for the tele-ICU. ( 0,572065405614718 )
AMIA Annu Symp Proc - Using TURF to understand the functions of interruptions. ( 0,571504380527017 )
J Chem Inf Model - Network-based analysis and characterization of adverse drug-drug interactions. ( 0,571438538726301 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,57122646658314 )
J Chem Inf Model - CoNTub v2.0--algorithms for constructing C3-symmetric models of three-nanotube junctions. ( 0,571119529092319 )
Int J Med Inform - Smart pump alerts: all that glitters is not gold. ( 0,57061168219012 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,570458052608976 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,570263757452747 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,569890307168458 )
BMC Med Inform Decis Mak - What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study. ( 0,569595041264612 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,569491534262462 )
J. Med. Internet Res. - Perceived barriers and facilitators of using a Web-based interactive decision aid for colorectal cancer screening in community practice settings: findings from focus groups with primary care clinicians and medical office staff. ( 0,568605898757055 )
J Telemed Telecare - The effect of PACS on the practice of orthopaedic surgeons. ( 0,567916185460142 )
Comput Methods Programs Biomed - Attitude of Iranian physicians and nurses toward a clinical decision support system for pulmonary embolism and deep vein thrombosis. ( 0,567379365623462 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,567311595405144 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,566888452860588 )
J Am Med Inform Assoc - Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units. ( 0,566746562259357 )
Telemed J E Health - Telehealth group interactions in the hospice setting: assessing technical quality across platforms. ( 0,565591423125781 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,563466131582344 )
Perspect Health Inf Manag - Incorporating patient perspectives into the personal health record: implications for care and caring. ( 0,563376497656487 )
J Biomed Inform - Proclets in healthcare. ( 0,563208676455432 )
J Biomed Inform - Combining automatic table classification and relationship extraction in extracting anticancer drug-side effect pairs from full-text articles. ( 0,562703447069925 )
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. ( 0,562662032055102 )
BMC Med Inform Decis Mak - Communicating cancer treatment information using the Web: utilizing the patient's perspective in website development. ( 0,562287912039863 )
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. ( 0,561420993183062 )
J Telemed Telecare - Mobile computing and the quality of home care nursing practice. ( 0,561364307710293 )