Appl Clin Inform - Adoption of health information exchange by emergency physicians at three urban academic medical centers.

Tópicos

{ survey(1388) particip(1329) question(1065) }
{ design(1359) user(1324) use(1319) }
{ data(3008) multipl(1320) sourc(1022) }
{ howev(809) still(633) remain(590) }
{ patient(2837) hospit(1953) medic(668) }
{ care(1570) inform(1187) nurs(1089) }
{ ehr(2073) health(1662) electron(1139) }
{ visual(1396) interact(850) tool(830) }
{ research(1218) medic(880) student(794) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ extract(1171) text(1153) clinic(932) }
{ research(1085) discuss(1038) issu(1018) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ bind(1733) structur(1185) ligand(1036) }
{ take(945) account(800) differ(722) }
{ chang(1828) time(1643) increas(1301) }
{ data(1714) softwar(1251) tool(1186) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ spatial(1525) area(1432) region(1030) }
{ data(2317) use(1299) case(1017) }
{ intervent(3218) particip(2042) group(1664) }
{ health(1844) social(1437) communiti(874) }
{ patient(2315) diseas(1263) diabet(1191) }
{ framework(1458) process(801) describ(734) }
{ general(901) number(790) one(736) }
{ case(1353) use(1143) diagnosi(1136) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ state(1844) use(1261) util(961) }
{ cost(1906) reduc(1198) effect(832) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ 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) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ 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) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVES: Emergency physicians are trained to make decisions quickly and with limited patient information. Health Information Exchange (HIE) has the potential to improve emergency care by bringing relevant patient data from non-affiliated organizations to the bedside. NYCLIX (New York CLinical Information eXchange) offers HIE functionality among multiple New York metropolitan area provider organizations and has pilot users in several member emergency departments (EDs).METHODS: We conducted semi-structured interviews at three participating EDs with emergency physicians trained to use NYCLIX. Among "users" with > 1 login, responses to questions regarding typical usage scenarios, successful retrieval of data, and areas for improving the interface were recorded. Among "non-users" with =1 login, questions about NYCLIX accessibility and utility were asked. Both groups were asked to recall items from prior training regarding data sources and availability.RESULTS: Eighteen NYCLIX pilot users, all board certified emergency physicians, were interviewed. Of the 14 physicians with more than one login ,half estimated successful retrieval of HIE data affecting patient care. Four non-users (one login or less) cited forgotten login information as a major reason for non-use. Though both groups made errors, users were more likely to recall true NYCLIX member sites and data elements than non-users. Improvements suggested as likely to facilitate usage included a single automated login to both the ED information system (EDIS) and HIE, and automatic notification of HIE data availability in the EDIS All respondents reported satisfaction with their training.CONCLUSIONS: Integrating HIE into existing ED workflows remains a challenge, though a substantial fraction of users report changes in management based on HIE data. Though interviewees believed their training was adequate, significant errors in their understanding of available NYCLIX data elements and participating sites persist.

Resumo Limpo

jectiv emerg physician train make decis quick limit patient inform health inform exchang hie potenti improv emerg care bring relev patient data nonaffili organ bedsid nyclix new york clinic inform exchang offer hie function among multipl new york metropolitan area provid organ pilot user sever member emerg depart edsmethod conduct semistructur interview three particip ed emerg physician train use nyclix among user login respons question regard typic usag scenario success retriev data area improv interfac record among nonus login question nyclix access util ask group ask recal item prior train regard data sourc availabilityresult eighteen nyclix pilot user board certifi emerg physician interview physician one login half estim success retriev hie data affect patient care four nonus one login less cite forgotten login inform major reason nonus though group made error user like recal true nyclix member site data element nonus improv suggest like facilit usag includ singl autom login ed inform system edi hie automat notif hie data avail edi respond report satisfact trainingconclus integr hie exist ed workflow remain challeng though substanti fraction user report chang manag base hie data though interviewe believ train adequ signific error understand avail nyclix data element particip site persist

Resumos Similares

Int J Med Inform - Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. ( 0,728798097771329 )
J. Med. Internet Res. - Engaging with a Wiki related to knowledge translation: a survey of WhatisKT Wiki users. ( 0,717845630539864 )
J Am Med Inform Assoc - Adoption of a wiki within a large internal medicine residency program: a 3-year experience. ( 0,714159228558998 )
BMC Med Inform Decis Mak - The usability and preliminary effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis. ( 0,699908728221694 )
J Am Med Inform Assoc - Resident physicians as human information systems: sources yet seekers. ( 0,694078834576233 )
BMC Med Inform Decis Mak - An online network tool for quality information to answer questions about occupational safety and health: usability and applicability. ( 0,685383520769164 )
AMIA Annu Symp Proc - Push and pull: physician usage of and satisfaction with health information exchange. ( 0,685015144249428 )
Perspect Health Inf Manag - Evaluation of an interactive surveillance system for monitoring acute bacterial infections in Nigeria. ( 0,684339964776387 )
J Telemed Telecare - A survey of telehealth coordinators in Canada. ( 0,673815325806016 )
Int J Med Inform - User participation in healthcare IT development: a developers' viewpoint in Finland. ( 0,667169876880646 )
Med Decis Making - Qualitative and Quantitative Analysis of Interviewer Help Answering the Time Tradeoff. ( 0,656738197545797 )
J. Med. Internet Res. - Considerations for conducting Web-based survey research with people living with human immunodeficiency virus using a community-based participatory approach. ( 0,655159282394823 )
J Am Med Inform Assoc - Evaluating the reliability, validity, acceptability, and practicality of SMS text messaging as a tool to collect research data: results from the Feeding Your Baby project. ( 0,654012166957502 )
Telemed J E Health - Management of electronic patient record systems in primary healthcare in a Finnish county. ( 0,650352534966228 )
J. Med. Internet Res. - Integrating patient reported outcomes with clinical cancer registry data: a feasibility study of the electronic Patient-Reported Outcomes From Cancer Survivors (ePOCS) system. ( 0,644101636188997 )
J. Med. Internet Res. - Evaluation of end-user satisfaction among employees participating in a web-based health risk assessment with tailored feedback. ( 0,641770469313768 )
BMC Med Inform Decis Mak - A cross-sectional survey assessing the acceptability and feasibility of self-report electronic data collection about health risks from patients attending an Aboriginal Community Controlled Health Service. ( 0,637537180492094 )
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? ( 0,635663477536234 )
J Am Med Inform Assoc - Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. ( 0,634687507306962 )
BMC Med Inform Decis Mak - The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients. ( 0,634483583068572 )
J Biomed Inform - Complementary methods of system usability evaluation: surveys and observations during software design and development cycles. ( 0,633305152550406 )
J Med Syst - Physicians' views and assessments on picture archiving and communication systems (PACS) in two Turkish public hospitals. ( 0,631991522200133 )
Int J Med Inform - The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey. ( 0,631022378498888 )
Perspect Health Inf Manag - Perceptions of health information management educational and practice experiences. ( 0,63099765642189 )
J. Med. Internet Res. - Consumer participation in quality improvements for chronic disease care: development and evaluation of an interactive patient-centered survey to identify preferred service initiatives. ( 0,630655686511071 )
Telemed J E Health - Barriers to telemedicine: survey of current users in acute care units. ( 0,627506675306751 )
Appl Clin Inform - How online crowds influence the way individual consumers answer health questions: an online prospective study. ( 0,627070470583253 )
J. Med. Internet Res. - Tablet, web-based, or paper questionnaires for measuring anxiety in patients suspected of breast cancer: patients' preferences and quality of collected data. ( 0,622755399803968 )
Int J Med Inform - Physicians' experiences of participation in healthcare IT development in Finland: willing but not able. ( 0,620687300192512 )
J. Med. Internet Res. - A field test of Web-based screening for dry eye disease to enhance awareness of eye problems among general Internet users: a latent strategy to promote health. ( 0,620433671143414 )
Int J Med Inform - Qualitative and quantitative evaluation of EHR-integrated mobile patient questionnaires regarding usability and cost-efficiency. ( 0,619363240843563 )
Healthc (Amst) - Evaluation of readiness to transfer to adult healthcare: What about the well adolescent? ( 0,618506634152359 )
J. Med. Internet Res. - Web-based versus traditional paper questionnaires: a mixed-mode survey with a Nordic perspective. ( 0,615723286838178 )
Methods Inf Med - Present situation and prospect of medical knowledge based systems in German-speaking countries: results of an online survey. ( 0,61565678234726 )
Int J Med Inform - The feasibility of using SMS as a health survey tool: an exploratory study in patients with rheumatoid arthritis. ( 0,613552777458635 )
Comput Methods Programs Biomed - Gquest: modeling patient questionnaires and administering them through a mobile platform application. ( 0,613122962422388 )
BMC Med Inform Decis Mak - Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study. ( 0,613056000956073 )
Telemed J E Health - New models for medical education: Web-based conferencing to support HIV training in Sub-Saharan Africa. ( 0,612985469716281 )
J Am Med Inform Assoc - Design and implementation of an automated email notification system for results of tests pending at discharge. ( 0,610309600423764 )
J Am Med Inform Assoc - Information needs of case managers caring for persons living with HIV. ( 0,610280037701746 )
BMC Med Inform Decis Mak - Acceptability and adoption of handheld computer data collection for public health research in China: a case study. ( 0,610174050703121 )
Inform Health Soc Care - A web-based intensive care clinical decision support system: from design to evaluation. ( 0,609611575564909 )
Med Decis Making - Information for decision making by patients with early-stage prostate cancer: a comparison across 9 countries. ( 0,609124597704008 )
Spat Spatiotemporal Epidemiol - Geographic access to healthy and unhealthy food sources for children in neighbourhoods and from elementary schools in a mid-sized Canadian city. ( 0,608409923455957 )
Telemed J E Health - Heuristic evaluation and usability testing of a computerized patient-reported outcomes survey for headache sufferers. ( 0,607166623040746 )
J. Med. Internet Res. - Comparison of US panel vendors for online surveys. ( 0,60667082766055 )
J Am Med Inform Assoc - A survey of SNOMED CT direct users, 2010: impressions and preferences regarding content and quality. ( 0,604903016256813 )
J Biomed Inform - Does the use of structured reporting improve usability? A comparative evaluation of the usability of two approaches for findings reporting in a large-scale telecardiology context. ( 0,60340254502527 )
J. Med. Internet Res. - Learning in a virtual world: experience with using second life for medical education. ( 0,602530850476381 )
AMIA Annu Symp Proc - MEDCIS: Multi-Modality Epilepsy Data Capture and Integration System. ( 0,601153781400605 )
Int J Med Robot - Teaching robotic surgery skills: comparing the methods of generalists and subspecialists. ( 0,600158695897629 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,598545685376371 )
J. Med. Internet Res. - An assessment of incentive versus survey length trade-offs in a Web survey of radiologists. ( 0,596045569093645 )
J. Med. Internet Res. - Development of a web-based survey for monitoring daily health and its application in an epidemiological survey. ( 0,595766571004825 )
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. ( 0,595517215448755 )
J. Med. Internet Res. - Active-Q: validation of the web-based physical activity questionnaire using doubly labeled water. ( 0,593680846117601 )
J. Med. Internet Res. - Using online social media for recruitment of human immunodeficiency virus-positive participants: a cross-sectional survey. ( 0,591491075467423 )
Int J Health Geogr - Evaluation of the role of location and distance in recruitment in respondent-driven sampling. ( 0,590642699590409 )
J Am Med Inform Assoc - An assessment of pharmacists' readiness for paperless labeling: a national survey. ( 0,589192572043851 )
Int J Med Inform - Electronic emergency-department whiteboards: a study of clinicians' expectations and experiences. ( 0,58437451164923 )
J Med Syst - Nurses' views on electronic medical records (EMR) in Turkey: an analysis according to use, quality and user satisfaction. ( 0,58414657310096 )
Telemed J E Health - Young women's experience with using videoconferencing for the assessment of sexual behavior and microbicide use. ( 0,584042378421463 )
BMC Med Inform Decis Mak - An online expert network for high quality information on occupational safety and health: cross-sectional study of user satisfaction and impact. ( 0,582649347699609 )
Telemed J E Health - Web-conferenced simulation sessions: a satisfaction survey of clinical simulation encounters via remote supervision. ( 0,582605490938 )
BMC Med Inform Decis Mak - Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis. ( 0,582534790203811 )
J. Med. Internet Res. - Conducting research on the Internet: medical record data integration with patient-reported outcomes. ( 0,581902134323588 )
J. Med. Internet Res. - Exploring the value of technology to stimulate interprofessional discussion and education: a needs assessment of emergency medicine professionals. ( 0,580774009325121 )
J. Med. Internet Res. - Pediatric caregiver attitudes toward email communication: survey in an urban primary care setting. ( 0,579961947503966 )
AMIA Annu Symp Proc - Can prospective usability evaluation predict data errors? ( 0,579700489756456 )
Comput Math Methods Med - Antibiotic use as a tragedy of the commons: a cross-sectional survey. ( 0,577614755130494 )
J Am Med Inform Assoc - An offline mobile nutrition monitoring intervention for varying-literacy patients receiving hemodialysis: a pilot study examining usage and usability. ( 0,574193423760643 )
J Biomed Inform - An ontology for clinical questions about the contents of patient notes. ( 0,572947245783188 )
Int J Comput Assist Radiol Surg - A cognitive engineering framework for the specification of information requirements in medical imaging: application in image-guided neurosurgery. ( 0,572009956364837 )
Telemed J E Health - E-counseling in psychosocial cancer care: a survey of practice, attitudes, and training among providers. ( 0,570822208948635 )
BMC Med Inform Decis Mak - The SAKK cancer-specific geriatric assessment (C-SGA): a pilot study of a brief tool for clinical decision-making in older cancer patients. ( 0,569525295040152 )
J Am Med Inform Assoc - A question of trust: user-centered design requirements for an informatics intervention to promote the sexual health of African-American youth. ( 0,569461683911142 )
BMC Med Inform Decis Mak - Development and evaluation of a new survey instrument to measure the quality of colorectal cancer screening decisions. ( 0,569149014649289 )
Appl Clin Inform - Crucial factors for the acceptance of a computerized national medication list: insights into findings from the evaluation of the Austrian e-Medikation pilot. ( 0,566724921882366 )
J. Med. Internet Res. - The Sexunzipped trial: young people's views of participating in an online randomized controlled trial. ( 0,566030028258885 )
J Biomed Inform - Design for risk control: the role of usability engineering in the management of use-related risks. ( 0,564381639976531 )
Telemed J E Health - Physical activity behavior, barriers to activity, and opinions about a smartphone-based physical activity intervention among rural residents. ( 0,564059855403821 )
J Telemed Telecare - Designing and remotely testing mobile diabetes video games. ( 0,563177578881164 )
J. Med. Internet Res. - Communications between volunteers and health researchers during recruitment and informed consent: qualitative content analysis of email interactions. ( 0,562937759599875 )
J. Med. Internet Res. - A comparison of a postal survey and mixed-mode survey using a questionnaire on patients' experiences with breast care. ( 0,562458565622301 )
Comput Methods Programs Biomed - Control of a 2 DoF robot using a brain-machine interface. ( 0,562423226661146 )
Appl Clin Inform - Information needs for the OR and PACU electronic medical record. ( 0,561270375156327 )
J. Med. Internet Res. - Improving diabetes management with a patient portal: a qualitative study of diabetes self-management portal. ( 0,559715349394321 )
J. Med. Internet Res. - The good, bad, and ugly of online recruitment of parents for health-related focus groups: lessons learned. ( 0,557935750985573 )
J. Med. Internet Res. - Crowdsourcing a normative natural language dataset: a comparison of Amazon Mechanical Turk and in-lab data collection. ( 0,557423393686271 )
Int J Med Inform - A pilot study on the views of elderly regional Australians of personally controlled electronic health records. ( 0,557148766052743 )
J Med Syst - Design of Web-based Fuzzy Input Expert System for the analysis of serology laboratory tests. ( 0,554790308453362 )
J Am Med Inform Assoc - User perspectives on the usability of a regional health information exchange. ( 0,554712522095284 )
Telemed J E Health - Connecting to the future: telepsychiatry in postgraduate medical education. ( 0,55468496103734 )
J Telemed Telecare - Mobile computing and the quality of home care nursing practice. ( 0,554631141086624 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective. ( 0,554381782539479 )
J. Med. Internet Res. - Emotional approach coping and the effects of online peer-led support group participation among patients with breast cancer: a longitudinal study. ( 0,553908741563664 )
Perspect Health Inf Manag - Survey of state health information exchanges regarding inclusion of Continuity of Care Documents for long-term post-acute care (LTPAC) patient assessment. ( 0,553085128196004 )
J. Med. Internet Res. - Challenges for researchers investigating contraceptive use and pregnancy intentions of young women living in urban and rural areas of Australia: face-to-face discussions to increase participation in a web-based survey. ( 0,552840525058376 )
Appl Clin Inform - Design of a medication reconciliation application: facilitating clinician-focused decision making with data from multiple sources. ( 0,549460979398637 )
Appl Clin Inform - Increasing patient engagement: patients' responses to viewing problem lists online. ( 0,546197234192731 )