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New articles of ACI (Applied Clinical Informatics) now available

Monday, 30 November 2015   (0 Comments)
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The Table of Contents below is online at www.aci-journal.org. To order content, please follow this link. If you have any questions please contact claudia.boehm@schattauer.de

Please view manuscript examples below:

A Method to Evaluate Critical Factors for Successful Implementation of Clinical Pathways
Research Article
W. Dong (1), Z. Huang (2)
(1) Cardiology Department, Chinese PLA General Hospital, Beijing, China; (2) College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China
Appl Clin Inform 2015 6 4: 650-668
dx.doi.org/10.4338/ACI-2015-05-RA-0054 

In this paper, the authors develop a method for identifying specific clinical success factors related to the implementation of Clinical Pathways to improve coordination and care quality. The authors suggest that the findings can be used to improve clinical pathways update and adherence, addressing some of the most common barriers to full implementation.

Does an Electronic Health Record Improve Completeness of Prenatal Studies?
Research Article
T. A. McLean (1), A. K. Lewkowitz (2), E. Test (2), M. G. Zlatnik (2)
(1) Kaiser Permanente, Obstetrics and Gynecology, Livermore, CA, United States; (2) UCSF, Obstetrics, Gynecology, & Reproductive Sciences, San Francisco, CA, United States
Appl Clin Inform 2015 6 4: 669-676
dx.doi.org/10.4338/ACI-2015-05-RA-0062
Prenatal screening for HIV and tuberculosis is standard practice. With the onset of an electronic health record system, the authors in this study sought to determine changes in compliance with HIV and TB testing, especially in light of the fact that HIV test results can be automatically uploaded, but TV screening results must be manually entered. Their findings suggest that TB screening compliance dropped and HIV screening improved with the onset of the EHR system. The findings suggest areas for improved training, but also necessary improvements in systems for screening.

A Mobile, Collaborative, Real Time Task List for Inpatient Environments
Case Report
K. A. Michelson (1), T. Ho (1), A. Pelletier (2), S. Al Ayubi (2), F. Bourgeois (1)
(1) Boston Children's Hospital, Boston, MA, United States; (2) Boston Children's Hospital, Innovation Acceleration Program, Boston, MA, United States
Appl Clin Inform 2015 6 4: 677-683
dx.doi.org/10.4338/ACI-2015-05-CR-0050
In this study, the authors develop and piloted an electronic tasklist that would allow a team of caregivers to identify patient-related tasks, note when they were completed, and share completion information with the whole team. However, the authors found little uptake among caregivers, who reportedly preferred paper-based notes, regardless of their inefficiency in communication. Their findings are useful for others considering how to improve team communication among caregivers.

Uncovering Hospitalists’ Information Needs from Outside Healthcare Facilities in the Context of Health Information Exchange Using Association Rule Learning
Research Article
D. A. Martinez (1), E. Mora (2), M. Gemmani (2), J. Zayas-Castro (3)
(1) Johns Hopkins University, Emergency Medicine, Baltimore, MD, United States; (2) Politecnico di Milano, Dipartimento di Ingegneria Gestionale, Milan, Italy; (3) University of South Florida, Industrial and Management Systems Engineering, Tampa, FL, United States
Appl Clin Inform 2015 6 4: 684-697
dx.doi.org/10.4338/ACI-2015-06-RA-0068
Uptake of Health Information Exchange technology is frequently made more difficult by disruptions in physician workflow and the absence of usable content. In this study, the authors examined requests for patients information sent by hospitalists to outside physicians to determine the types of information frequently required by the hospitalists in patient care. Their findings identified some common themes for types of information that should be included in HIE to improve responsiveness to physician needs and, by extension, uptake of the technology.

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

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


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