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eTOC for ACI eJournal: 2014 Volume 5 (3), New Articles Available

New articles of ACI – Applied Clinical Informatics (2014, Volume 5 (3)) are available.cover-aci

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The Table of Contents below is online at www.aci-journal.org.

Remember, to submit your next manuscript online at http://mc.manuscriptcentral.com/acij

Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication
Research Article
Special Topic: eHealth2014
C. Rinner (1), S. K. Sauter (1), L. M. Neuhofer (1), D. Edlinger (1), W. Grossmann (2), M. Wolzt (3), G. Endel (4), W. Gall (1)
(1) Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna; (2) Research Group Scientific Computing, University of Vienna; (3) Department of Clinical Pharmacology, Medical University of Vienna; (4) Main Association of Austrian Social Security Organizations, Vienna, Austria
Appl Clin Inform 2014 5 3: 603-611 dx.doi.org/10.4338/ACI-2014-04-RA-0030
In advance of the implementation of a nationwide eMedication system in Australia, this study sought to estimate the number of severe drug-drug interactions by medical specialist groups. Their findings suggest that different medical specialist groups will require support that’s customized to their workflows and practice needs.

The impact of adherence on costs and effectiveness of telemedical patient management in heart failure  – A systematic review
Research Article
Special Topic: eHealth2014
A. S. Hameed (1, 2), S. Sauermann (3), G. Schreier (2)
(1) Faculty of Business and Economics, Mendel University, Brno, Czech Republic; (2) Assistive Healthcare Information Technology, AIT Austrian Institute of Technology GmbH, Graz, Austria; (3) Institute of Biomedical Engineering, University of Applied Sciences Technikum Vienna, Austria
Appl Clin Inform 2014 5 3: 612-620 dx.doi.org/10.4338/ACI-2014-04-RA-0037
The cost-saving promises of telehealth depend on the system working adequately at all levels, including among patients. In this systematic review, the authors attempted to understand the impacts of adherence to recommended treatment on the costs and effectiveness of telemedicine. However, their findings suggest that little research has been done in the area and more will be needed.

JADE: A tool for medical researchers to explore adverse drug events using health claims data
Research Article
Special Topic: eHealth2014
D. Edlinger (1), S. K. Sauter (1), C. Rinner (1), L. M. Neuhofer (1), M. Wolzt (2), W. Grossmann (3), G. Endel (4), W. Gall (1)
(1) Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria; (2) Department of Clinical Pharmacology, Medical University of Vienna, Austria; (3) Research Group Scientific Computing, University of Vienna, Austria; (4) Main Association of Austrian Social Security Organizations, Vienna, Austria
Appl Clin Inform 2014 5 3: 621-629 dx.doi.org/10.4338/ACI-2014-04-RA-0036
Adverse drug events cause unnecessary harm to patients and costs to the medical system. In order to improve learning about adverse drug events, the authors designed a system to use medical claims data to identify and understand adverse drug events. They recommend their tool for researchers attempting to better capture adverse events.

Information needs for the OR and PACU electronic medical record
Research Article
V. Herasevich (1, 2), M. A. Ellsworth (3), J. R. Hebl (1), M. J. Brown (1), B. W. Pickering (1, 2)
(1) Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN; (2) Multidisciplinary Epidemiology and Translation Research in Intensive Care (METRIC), Mayo Clinic College of Medicine, Rochester, MN; (3) Division of Neonatal Medicine, Mayo Clinic College of Medicine, Rochester, MN.
Appl Clin Inform 2014 5 3: 630-641 dx.doi.org/10.4338/ACI-2014-02-RA-0015
Information overload can be a substantial barrier to appropriate utilization of electronic health records. In this study, the authors sought to understand the needs anesthesia providers through surveys. Their findings suggest areas where anesthesia providers have varying requirements that will need to be met adequately by EHRs.

A Case Report in Health Information Exchange for Inter-organizational Patient Transfers
Case Report
Online Supplementary Material
J. E. Richardson (1), S. Malhotra (2), R. Kaushal (1), with the HITEC Investigators
(1) Department of Healthcare Policy and Research, Centerfor Healthcare Informatics and Policy, Weill Cornell Medical College, New York, USA Health Information Technology Evaluation Collaborative (HITEC), New York, USA; (2) Weill Cornell Physicians Organization, New York, NY
Appl Clin Inform 2014 5 3: 642-650 dx.doi.org/10.4338/ACI-2014-02-CR-0016
In this paper, the authors describe barriers and promoters to implementation of a health information exchange. Using interviews with key informants and providers, the authors identified barriers and promoters related to organizational, technical, and user-oriented issues. Their findings are instructive for others considering a similar process.

Actionable Recommendations in the Bright Futures Child Health Supervision Guidelines
Online Supplementary Material
S. M. E. Finnell (1, 2), J. L. Stanton (1), S. M. Downs (1, 2)
(1) Children’s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana; (2) Regenstrief Institute Inc., Indianapolis, Indiana
Appl Clin Inform 2014 5 3: 651-659 dx.doi.org/10.4338/ACI-2014-02-RA-0012
Recently, there has been a push to include the Bright Futures Child Health guidelines in electronic health records. However, computer implementation requires that guidelines be actionable. Therefore, in this study, the authors reviewed the Bright Futures guidelines to determine which, if any, are applicable.

Ontology Content Patterns as Bridge for the Semantic Representation of Clinical Information
Research Article
Special Topic: eHealth2014
C. Martínez-Costa (1), S. Schulz (1, 2)
(1) Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Austria; (2) Institute of Medical Biometry and Medical Informatics, Freiburg University Medical Center, Germany
Appl Clin Inform 2014 5 3: 660-669
dx.doi.org/10.4338/ACI-2014-04-RA-0031
Interoperability of electronic health records depends on common semantics based on rigorous and precise modelling of clinical information. In this study, the authors apply ontology content patterns to and example of tobacco use. They show how ontology content patterns can be helpful, and also where open questions still remain on improving system interoperability.

Comprehensive electronic medical record implementation levels not associated with 30-day all-cause readmissions within Medicare beneficiaries with heart failure.
Research Article
M. E. Patterson (1), P. Marken (1), Y. Zhong (2), S. D. Simon (3), W. Ketcherside (4)
(1) Division of Pharmacy Practice and Administration, University of Missouri-Kansas City School of Pharmacy, Kansas City, Missouri; (2) Department of Biostatistics, University of Kansas Medical Center, Kansas City, Kansas; (3) Department of Informatics Medicine and Personalized Health, University of Missouri-Kansas City, Kansas City, Missouri; (4) Ketcherside Group, L.L.C., Kansas City, Missouri
Appl Clin Inform 2014 5 3: 670-684
dx.doi.org/10.4338/ACI-2014-01-RA-0008
In this study, the authors examined whether a comprehensive EHR helped reduce 30-day hospital readmission among heart failure patients. Though the aim of an EHR is to improve care and hopefully reduce re-admissions, the authors found that there was virtually no difference in re-admission rates between hospitals with and without comprehensive EHRs. Their findings demonstrate the need to devise mechanisms other than EHRs to reduce re-admission rates.

Computerized Provider Order Entry Reduces Length of Stay in a Community Hospital
Research Article
R. Schreiber (1), K. Peters (1, 2), S. H. Shaha (3, 4)
(1) Holy Spirit Hospital, Camp Hill, PA; (2) Vibra Healthcare, Mechanicsburg, PA; (3) Center for Public Policy & Admin, Salt Lake City, UT; (4) Allscripts, Chicago, IL
Appl Clin Inform 2014 5 3: 685-698
dx.doi.org/10.4338/ACI-2014-04-RA-0029
Seeking to expand knowledge on how computerized provider order entry (CPOE) affects hospital length of stay and cost, literature for which has focused largely on university hospitals, these authors examined the effects of a CPOE system in a community hospital. Their findings suggest that a CPOE system can result in length of stay reductions and cost reductions for care.

For further information on this peer-reviewed eJournal, go to www.aci-journal.org.

You may also find interesting information in our journal Methods of Information on Medicine and in the IMIA Yearbook of Medical Informatics.

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July 31, 2014 - Posted by | ACI eJournal, journals | , , , , ,

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