eTOC for ACI eJournal: 2014 Volume 5 (4), More New Articles Available
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The Table of Contents below is online at www.aci-journal.org.
Identifying Consumer’s Needs of Health Information Technology through an Innovative Participatory Design Approach among English- and Spanish-speaking Urban Older Adults
R. Lucero (1), B. Sheehan (1), P. Yen (2), O. Velez (3), D. Nobile-Hernandez (4), V. Tiase (5)
(1) Columbia University, School of Nursing, New York, NY; (2) The Ohio State University, College of Medicine, Biomedical Informatics, Columbus, OH; (3) IFC International, Rockville, MD; (4) ARC XVI Fort Washington, New York, NY; (5) NewYork-Presbyterian Hospital, Department of Information Technology, New York, NY 10032
Appl Clin Inform 2014 5 4: 943-957 dx.doi.org/10.4338/ACI-2014-07-RA-0058
In this paper, the authors describe a process of eliciting the perspectives of older adults on their needs for health information technology services. The findings supported the development of a fall prevention system that was responsive to patients needs.
User-Centered Design and Usability Testing of an Innovative Health-Related Quality of Life Module
Z. J. Nagykaldi (1), M. Jordan (2), J. Quitoriano (2), C. A. Ciro (3), J. W. Mold (1)
(1) University of Oklahoma Health Sciences Center, Department of Family and Preventive Medicine; (2) University of Oklahoma Health Sciences Center, School of Medicine; (3) University of Oklahoma Health Sciences Center, Department of Rehabilitation Sciences
Appl Clin Inform 2014 5 4: 958-970 dx.doi.org/10.4338/ACI-2014-08-RA-0067
Capturing health-related quality of life related to patient goals and needs will help providers tailor care to patient needs. However, systems for doing this are rare. In this paper, the authors describe the development and testing of a HRQoL module that is patient goal oriented and highlighted areas for improvement, such as action-oriented recommendations for clinicians to facilitate shared decision-making.
Design Challenges for Electronic Medication Administration Record Systems in Residential Aged Care Facilities – A Formative Evaluation
A. Tariq (1), E. Lehnbom (1), K. Oliver (1), A. Georgiou (1), C. Rowe (2), T. Osmond (2), J. Westbrook (1)
(1) Centre of Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, New South Wales, Australia; (2) UnitingCare Ageing, Sydney, New South Wales, Australia
Appl Clin Inform 2014 5 4: 971-987 dx.doi.org/10.4338/ACI-2014-08-RA-0062
Electronic medication administration records (eMAR) have been promoted as a way to improve medication safety in residential care facilities. This study evaluated an eMAR system being piloted in a residential care facility to identify areas for improvement. Their findings demonstrate that system interactivity, resolving inconsistencies in data entry, and dedicated organization support to minimize connectivity issues would provide immediate system improvements, while decision support and interoperability between stakeholder groups would have longer-term benefits.
Assessment of Readiness for Clinical Decision Support to Aid Laboratory Monitoring of Immunosuppressive Care at U.S. Liver Transplant Centers
J. Jacobs (1), C. Weir (1), R. S. Evans (1, 2), C. Staes (1)
(1) Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA; (2) Medical Informatics, Intermountain Healthcare, Salt Lake City, Utah, USA
Appl Clin Inform 2014 5 4: 988-1004 dx.doi.org/10.4338/ACI-2014-08-RA-0060
Liver-transplant recipients require life-long immunosuppressive cafre that can benefit from clinical decision support systems. However, it is unknown how ready liver transplant information systems are to implement CDS systems. This study examined current practices and identified barriers to CDS uptake. The findings demonstrate that though EHRs are widely used, the majority of sites still depend on paper-based manual monitoring of immunosuppression for patients.
Case Report: Patient Portal versus Telephone Recruitment for a Surgical Research Study
R. B. Baucom (1), J. Ousley (2), B. K. Poulose (1), S. T. Rosenbloom (3, 4, 5), G. P. Jackson (1, 3, 5)
(1) Vanderbilt University Medical Center, Department of Surgery; (2) Meharry Medical College, School of Medicine; (3) Vanderbilt University Medical Center, Department of Biomedical Informatics; (4) Vanderbilt University Medical Center, Department of Internal Medicine; (5) Vanderbilt University Medical Center, Department of Pediatrics
Appl Clin Inform 2014 5 4: 1005-1014 dx.doi.org/10.4338/ACI-2014-07-CR-0059
Use of patient portals is increasing and research has demonstrated its value in primary care practice. However, little has been done to test the usability of a patient portal in a surgical or research recruitment setting. In this case study, the authors describe their experience using a patient portal to recruit surgical patients compared to a telephone-based recruitment process. Their findings demonstrate that patient portal recruitment is feasible and relatively effective compared to telephone-based recruitment.
User Centered Clinical Decision Support Tools – Adoption across Clinician Training Level
L. J. McCullagh (1), A. Sofianou (2), J. Kannry (2), D. M. Mann (3), T. G. McGinn (1)
(1) Department of Medicine, Division of Internal Medicine, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; (2) Department of Medicine, Division of General Internal Medicine, Mount Sinai School of Medicine, NYC, NY; (3) Department of Medicine, Section of Preventive Medicine & Epidemiology, Boston University School of Medicine, Boston, MA
Appl Clin Inform 2014 5 4: 1015-1025 dx.doi.org/10.4338/ACI-2014-05-RA-0048
Clinical decision support tools are an important part of meaningful use, but it is not clear how accepted they are across different clinician training levels. In this paper, the authors examined CDS tool use and ordering practices in an academic medical center. Their findings suggest that first year residents were more likely to use the CDS tool and to follow recommended medication ordering as a result.
For further information on this peer-reviewed eJournal, go to www.aci-journal.org.
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