Appl Clin Inform - Transforming user needs into functional requirements for an antibiotic clinical decision support system: explicating content analysis for system design.

Tópicos

{ data(3963) clinic(1234) research(1004) }
{ research(1218) medic(880) student(794) }
{ can(981) present(881) function(850) }
{ system(1976) rule(880) can(841) }
{ care(1570) inform(1187) nurs(1089) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ design(1359) user(1324) use(1319) }
{ ehr(2073) health(1662) electron(1139) }
{ group(2977) signific(1463) compar(1072) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ network(2748) neural(1063) input(814) }
{ framework(1458) process(801) describ(734) }
{ data(2317) use(1299) case(1017) }
{ first(2504) two(1366) second(1323) }
{ concept(1167) ontolog(924) domain(897) }
{ method(984) reconstruct(947) comput(926) }
{ medic(1828) order(1363) alert(1069) }
{ intervent(3218) particip(2042) group(1664) }
{ use(976) code(926) identifi(902) }
{ survey(1388) particip(1329) question(1065) }
{ patient(2315) diseas(1263) diabet(1191) }
{ error(1145) method(1030) estim(1020) }
{ featur(1941) imag(1645) propos(1176) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ model(2220) cell(1177) simul(1124) }
{ howev(809) still(633) remain(590) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ health(3367) inform(1360) care(1135) }
{ cost(1906) reduc(1198) effect(832) }
{ time(1939) patient(1703) rate(768) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ method(1969) cluster(1462) data(1082) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ 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) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ 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) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Many informatics studies use content analysis to generate functional requirements for system development. Explication of this translational process from qualitative data to functional requirements can strengthen the understanding and scientific rigor when applying content analysis in informatics studies.OBJECTIVE: To describe a user-centered approach transforming emergent themes derived from focus group data into functional requirements for informatics solutions and to illustrate these methods to the development of an antibiotic clinical decision support system (CDS).METHODS: THE APPROACH CONSISTED OF FIVE STEPS: 1) identify unmet therapeutic planning information needs via Focus Group Study-I, 2) develop a coding framework of therapeutic planning themes to refine the domain scope to antibiotic therapeutic planning, 3) identify functional requirements of an antibiotic CDS system via Focus Group Study-II, 4) discover informatics solutions and functional requirements from coded data, and 5) determine the types of information needed to support the antibiotic CDS system and link with the identified informatics solutions and functional requirements.RESULTS: The coding framework for Focus Group Study-I revealed unmet therapeutic planning needs. Twelve subthemes emerged and were clustered into four themes; analysis indicated a need for an antibiotic CDS intervention. Focus Group Study-II included five types of information needs. Comments from the Barrier/Challenge to information access and Function/Feature themes produced three informatics solutions and 13 functional requirements of an antibiotic CDS system. Comments from the Patient, Institution, and Domain themes generated required data elements for each informatics solution.CONCLUSION: This study presents one example explicating content analysis of focus group data and the analysis process to functional requirements from narrative data. Illustration of this 5-step method was used to develop an antibiotic CDS system, resolving unmet antibiotic prescribing needs. As a reusable approach, these techniques can be refined and applied to resolve unmet information needs with informatics interventions in additional domains.

Resumo Limpo

ckground mani informat studi use content analysi generat function requir system develop explic translat process qualit data function requir can strengthen understand scientif rigor appli content analysi informat studiesobject describ usercent approach transform emerg theme deriv focus group data function requir informat solut illustr method develop antibiot clinic decis support system cdsmethod approach consist five step identifi unmet therapeut plan inform need via focus group studyi develop code framework therapeut plan theme refin domain scope antibiot therapeut plan identifi function requir antibiot cds system via focus group studyii discov informat solut function requir code data determin type inform need support antibiot cds system link identifi informat solut function requirementsresult code framework focus group studyi reveal unmet therapeut plan need twelv subthem emerg cluster four theme analysi indic need antibiot cds intervent focus group studyii includ five type inform need comment barrierchalleng inform access functionfeatur theme produc three informat solut function requir antibiot cds system comment patient institut domain theme generat requir data element informat solutionconclus studi present one exampl explic content analysi focus group data analysi process function requir narrat data illustr step method use develop antibiot cds system resolv unmet antibiot prescrib need reusabl approach techniqu can refin appli resolv unmet inform need informat intervent addit domain

Resumos Similares

J Biomed Inform - DW4TR: A Data Warehouse for Translational Research. ( 0,6967717574833 )
J Biomed Inform - A partnership approach for Electronic Data Capture in small-scale clinical trials. ( 0,672911482108405 )
AMIA Annu Symp Proc - The NIH Office of Rare Diseases Research patient registry Standard: a report from the University of New Mexico's Oculopharyngeal Muscular Dystrophy Patient Registry. ( 0,660306604166246 )
J Biomed Inform - The National Institutes of Health's Biomedical Translational Research Information System (BTRIS): design, contents, functionality and experience to date. ( 0,658306569573903 )
Int J Med Inform - Cooperation and communication challenges in small-scale eHealth development projects. ( 0,652984964943426 )
J Am Med Inform Assoc - Informatics and data quality at collaborative multicenter Breast and Colon Cancer Family Registries. ( 0,645075284672653 )
Methods Inf Med - Development of an open metadata schema for prospective clinical research (openPCR) in China. ( 0,644014710282138 )
Int J Med Inform - Providing traceability for neuroimaging analyses. ( 0,631463425573197 )
Comput Methods Programs Biomed - Efficient data management in a large-scale epidemiology research project. ( 0,630463098408463 )
Health Info Libr J - Information professionals' participation in interdisciplinary research: a preliminary study of factors affecting successful collaborations. ( 0,629748756636987 )
J Am Med Inform Assoc - PEDSnet: a National Pediatric Learning Health System. ( 0,629527854641338 )
J Biomed Inform - The Ontology of Clinical Research (OCRe): an informatics foundation for the science of clinical research. ( 0,627294713363867 )
J Am Med Inform Assoc - Launching PCORnet, a national patient-centered clinical research network. ( 0,620969889123903 )
Comput Methods Programs Biomed - Check your biosignals here: a new dataset for off-the-person ECG biometrics. ( 0,61648007354455 )
AMIA Annu Symp Proc - Demonstrating collect once, use many--assimilating public health secondary data use requirements into an existing Domain Analysis Model. ( 0,609635694116314 )
J Med Syst - Laptops on trolleys: lessons from a mobile-wireless hospital ward. ( 0,607891653090047 )
Brief. Bioinformatics - Data management strategies for multinational large-scale systems biology projects. ( 0,604897478565338 )
Appl Clin Inform - Lessons learned for collaborative clinical content development. ( 0,604801049799103 )
AMIA Annu Symp Proc - OPIC: Ontology-driven Patient Information Capturing system for epilepsy. ( 0,602446392333693 )
Telemed J E Health - Review of American Indian veteran telemental health. ( 0,595818064446732 )
Methods Inf Med - Training health professionals in bioinformatics. Experiences and lessons learned. ( 0,593520984488773 )
J Am Med Inform Assoc - PaTH: towards a learning health system in the Mid-Atlantic region. ( 0,592439316633887 )
AMIA Annu Symp Proc - What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support. ( 0,591430156001956 )
AMIA Annu Symp Proc - ClinData Express--a metadata driven clinical research data management system for secondary use of clinical data. ( 0,590736999854663 )
Comput Methods Programs Biomed - QAIT: a quality assurance issue tracking tool to facilitate the improvement of clinical data quality. ( 0,589645588140058 )
Comput. Biol. Med. - GammaKey system for improved diagnostics with gamma cameras. ( 0,588773120138638 )
Comput Methods Programs Biomed - SOA-based digital library services and composition in biomedical applications. ( 0,578949370131356 )
Telemed J E Health - Beyond Initiate-Build-Operate-Transfer strategy for creating sustainable telemedicine programs: lesson from the first decade. ( 0,576556305912445 )
J Biomed Inform - Integrating clinical research with the Healthcare Enterprise: from the RE-USE project to the EHR4CR platform. ( 0,575685680761033 )
Health Info Libr J - The Library's role and challenges in implementing an e-learning strategy: a case study from northern Australia. ( 0,575123773198407 )
J Am Med Inform Assoc - Direct2Experts: a pilot national network to demonstrate interoperability among research-networking platforms. ( 0,575111942332969 )
J Integr Bioinform - MEMOPS: data modelling and automatic code generation. ( 0,571907196589795 )
J Med Syst - Building clinical data groups for electronic medical record in China. ( 0,571033652732754 )
Methods Inf Med - Harmonization of detailed clinical models with clinical study data standards. ( 0,570428384270644 )
Appl Clin Inform - Dealing with the archetypes development process for a regional EHR system. ( 0,569759956184577 )
J Am Med Inform Assoc - CAPriCORN: Chicago Area Patient-Centered Outcomes Research Network. ( 0,567383699519306 )
J Am Med Inform Assoc - Practices and perspectives on building integrated data repositories: results from a 2010 CTSA survey. ( 0,563823173379973 )
Int J Med Inform - Overcoming challenges integrating patient-generated data into the clinical EHR: lessons from the CONtrolling Disease Using Inexpensive IT--Hypertension in Diabetes (CONDUIT-HID) Project. ( 0,562296267168814 )
Int J Med Inform - Infrastructures in healthcare: the interplay between generativity and standardization. ( 0,562022639872939 )
Appl Clin Inform - Concept and Implementation of a Single Source Information System in Nuclear Medicine for Myocardial Scintigraphy (SPECT-CT data). ( 0,561283990687598 )
Perspect Health Inf Manag - Integrating research data capture into the electronic health record workflow: real-world experience to advance innovation. ( 0,560615680199227 )
Int J Med Inform - Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting. ( 0,557916423915561 )
BMC Med Inform Decis Mak - Why technology matters as much as science in improving healthcare. ( 0,557770084104708 )
Int J Med Inform - Operational rules for the implementation of INN prescribing. ( 0,557283834521397 )
Health Info Libr J - Website creation and resource management: developing collaborative strategies for asynchronous interaction with library users. ( 0,556582098862133 )
J Biomed Inform - Social network analysis of biomedical research collaboration networks in a CTSA institution. ( 0,556352869367684 )
Perspect Health Inf Manag - ICD-10-CM/PCS: transferring knowledge from ICD-9-CM. ( 0,556115681139095 )
Telemed J E Health - Evaluating a speech-language pathology technology. ( 0,55469879053913 )
Brief. Bioinformatics - A model for Bioinformatics training: the marine biological laboratory. ( 0,552752720683927 )
Methods Inf Med - Biomedical informatics publications: a global perspective: part I: conferences. ( 0,552423120632569 )
J Biomed Inform - A multi-technique approach to bridge electronic case report form design and data standard adoption. ( 0,551214456979615 )
J Am Med Inform Assoc - Electronic health records based phenotyping in next-generation clinical trials: a perspective from the NIH Health Care Systems Collaboratory. ( 0,551155641143861 )
Health Info Libr J - Leisure reading collections in academic health sciences and science libraries: results of visits to seven libraries. ( 0,549320840313091 )
Appl Clin Inform - Multilingual Medical Data Models in ODM Format: A Novel Form-based Approach to Semantic Interoperability between Routine Healthcare and Clinical Research. ( 0,549060074189622 )
J Chem Inf Model - Generalized workflow for generating highly predictive in silico off-target activity models. ( 0,548863644361795 )
BMC Med Inform Decis Mak - Ancillary study management systems: a review of needs. ( 0,547501776303957 )
Appl Clin Inform - Comparison of manual versus automated data collection method for an evidence-based nursing practice study. ( 0,546348449347677 )
J. Med. Internet Res. - Interactive algorithms for teaching and learning acute medicine in the network of medical faculties MEFANET. ( 0,545060804148885 )
J Am Med Inform Assoc - N-CANDA data integration: anatomy of an asynchronous infrastructure for multi-site, multi-instrument longitudinal data capture. ( 0,54362465041021 )
Artif Intell Med - Describing disease processes using a probabilistic logic of qualitative time. ( 0,543485533865542 )
Comput Methods Programs Biomed - An HL7-CDA wrapper for facilitating semantic interoperability to rule-based Clinical Decision Support Systems. ( 0,543252203412587 )
Brief. Bioinformatics - Best practices in bioinformatics training for life scientists. ( 0,542156069325002 )
J Am Med Inform Assoc - Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts. ( 0,541058945748477 )
J Biomed Inform - OnWARD: ontology-driven web-based framework for multi-center clinical studies. ( 0,538558900528375 )
AMIA Annu Symp Proc - The Knowledge Program: an innovative, comprehensive electronic data capture system and warehouse. ( 0,537583276278137 )
J Biomed Inform - Research-IQ: development and evaluation of an ontology-anchored integrative query tool. ( 0,535538776962949 )
Int J Med Inform - Harmonization of health data at national level: a pilot study in China. ( 0,535377865083961 )
J Med Syst - Linkage of data from diverse data sources (LDS): a data combination model provides clinical data of corresponding specimens in biobanking information system. ( 0,53521456655908 )
J. Med. Internet Res. - Promoting business and entrepreneurial awareness in health care professionals: lessons from venture capital panels at medicine 2.0 conferences. ( 0,535189126488033 )
AMIA Annu Symp Proc - Finding hidden sources of new work from BCMA implementation: the value of an organizational routines perspective. ( 0,534699899625451 )
Methods Inf Med - From bench to bed: bridging from informatics theory to practice. An exploratory analysis. ( 0,533627457027009 )
J Integr Bioinform - An harmonised vocabulary for communicating and interchanging biofilms experimental results. ( 0,533298147662569 )
J Am Med Inform Assoc - AMIA Board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. ( 0,532242291010015 )
AMIA Annu Symp Proc - Trends in publication of nursing informatics research. ( 0,531616364902164 )
J. Med. Internet Res. - Finding collaborators: toward interactive discovery tools for research network systems. ( 0,528845862000769 )
Telemed J E Health - Building the capacity to build capacity in e-health in sub-Saharan Africa: the KwaZulu-Natal experience. ( 0,526893524082295 )
Int J Med Inform - Understanding data requirements of retrospective studies. ( 0,526620184764212 )
Methods Inf Med - Possible combinations of electronic data capture and randomization systems. principles and the realization with RANDI2 and OpenClinica. ( 0,526161212337297 )
J Am Med Inform Assoc - Translational informatics: an industry perspective. ( 0,525853732401661 )
BMC Med Inform Decis Mak - Extension of the primary care research object model (PCROM) as clinical research information model (CRIM) for the learning healthcare system. ( 0,525729471676755 )
BMC Med Inform Decis Mak - RMS: a platform for managing cross-disciplinary and multi-institutional research project collaboration. ( 0,525558089709374 )
Health Info Libr J - Integrating information literacy in health sciences curricula: a case study from Qu?bec. ( 0,524070186583504 )
AMIA Annu Symp Proc - Precision and negative predictive value of links between ClinicalTrials.gov and PubMed. ( 0,522702266537821 )
J Biomed Inform - The utility of general purpose versus specialty clinical databases for research: warfarin dose estimation from extracted clinical variables. ( 0,522398375415106 )
Comput Methods Programs Biomed - A simple versatile solution for collecting multidimensional clinical data based on the CakePHP web application framework. ( 0,52225425162836 )
J Am Med Inform Assoc - Governance for clinical decision support: case studies and recommended practices from leading institutions. ( 0,521181086107694 )
J Am Med Inform Assoc - Privacy by Design at Population Data BC: a case study describing the technical, administrative, and physical controls for privacy-sensitive secondary use of personal information for research in the public interest. ( 0,520870794226924 )
Perspect Health Inf Manag - Developing a capstone course within a health informatics program. ( 0,52072740010678 )
Health Info Libr J - An investigation into the move towards electronic journals: a case study of NHS libraries in Kent, Surrey and Sussex. ( 0,520548817923092 )
AMIA Annu Symp Proc - Developing an online and in-person HIT workforce training program using a team-based learning approach. ( 0,519755610680021 )
Comput Methods Programs Biomed - Evaluating an online pharmaceutical education system for pharmacy interns in critical care settings. ( 0,5195544544212 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,518777583754705 )
J Med Syst - Characteristics of successful technological interventions in mental resilience training. ( 0,518225498879125 )
Appl Clin Inform - From bed to bench: bridging from informatics practice to theory: an exploratory analysis. ( 0,517052937777291 )
J. Med. Internet Res. - Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning. ( 0,516564658167676 )
J Chem Inf Model - How does the quality of phospholipidosis data influence the predictivity of structural alerts? ( 0,516014757680393 )
J Biomed Inform - Federated Aggregate Cohort Estimator (FACE): an easy to deploy, vendor neutral, multi-institutional cohort query architecture. ( 0,515498956315153 )
Health Info Libr J - The Clinical Relevance of Information Index (CRII): assessing the relevance of health information to the clinical practice. ( 0,515436380104981 )
BMC Med Inform Decis Mak - Clinical data needs in the neonatal intensive care unit electronic medical record. ( 0,513935587889288 )
AMIA Annu Symp Proc - Developing a formal representation for medication appropriateness criteria. ( 0,512873698624732 )