Article
Computer Science, Information Systems
Ari H. Pollack, Sonali R. Mishra, Calvin Apodaca, Maher Khelifi, Shefali Haldar, Wanda Pratt
Summary: Team situational awareness is crucial in ensuring high-quality care in hospitals, and involving patients and caregivers in this process can help improve communication, support patient values, and enhance clinical outcomes. Barriers such as communication challenges exist, but hospitals should work towards incorporating patients and caregivers as key team members for effective situational awareness. Elevating patients and caregivers from passive recipients to equal contributors will lead to better outcomes in healthcare settings.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Computer Science, Information Systems
Genevieve B. Melton, James J. Cimino, Christoph U. Lehman, Patricia R. Sengstack, Joshua C. Smith, William M. Tierney, Randolph A. Miller
Summary: A panel sponsored by ACMI discussed the negative impact of electronic health records on clinicians, including reduced efficiency, reasoning abilities, and knowledge. Addressing these issues will require engagement from various stakeholders, and future EHR systems should be more user-focused and scalable.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Public, Environmental & Occupational Health
S. Elangovan, X. J. Xie, C. McBrearty, D. J. Caplan
Summary: This study demonstrates the utility of electronic dental records (EDRs) in mining meaningful public health information by assessing disease prevalence among unique patients in a U.S. dental college. The prevalence of various non-communicable medical conditions increased with age, and many conditions matched published national estimates, highlighting the potential of EDRs for disease surveillance and research.
Article
Computer Science, Information Systems
Bradley E. Iott, Matthew S. Pantell, Julia Adler-Milstein, Laura M. Gottlieb
Summary: Healthcare organizations are increasingly screening and documenting social determinants of health (SDH) in the electronic health record (EHR) to support medical decision-making and referrals to social care resources. Physicians practicing in community health centers, participating in payment models with social care initiatives, and aware of other advanced EHR functionalities demonstrate higher levels of awareness of social needs documentation.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Education & Educational Research
Julianna Caon, Kevin W. Eva
Summary: The implementation of electronic health records (EHRs) may have negative impacts on clinician-learner interactions and educational priorities in medical education. However, it also has potential benefits such as utilizing students' technological aptitude and creating new ways for student involvement in patient care.
BMC MEDICAL EDUCATION
(2023)
Review
Health Care Sciences & Services
Fatimah Alobayli, Siobhan O'Connor, Aisha Holloway, Kathrin Cresswell
Summary: This systematic review revealed that the use of EHRs is associated with clinicians' stress and burnout in hospital settings, primarily due to poor usability and excessive time spent on EHRs.
Article
Computer Science, Information Systems
Svetlana Herasevich, Yuliya Pinevich, Heidi L. Lindroth, Vitaly Herasevich, Brian W. Pickering, Amelia K. Barwise
Summary: This study aimed to understand ICU clinicians' information and process requirements for prioritizing care among populations of acutely ill patients, using the Acute care multi-patient viewer (AMP) dashboard. The results demonstrated that severity of illness and trajectory of patient clinical status were the main determinants for prioritization. Important sources of information included communication with colleagues, bedside nurses, patients, electronic medical records, and AMP. Timely recognition of patients needing priority attention and intervention contributes to improvement of critical care and prevention of catastrophic events in the ICU.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Pharmacology & Pharmacy
Lauren K. Lemke, Emily J. Cicali, Roy Williams, Khoa A. Nguyen, Larisa H. Cavallari, Kristin Wiisanen
Summary: This study aimed to characterize clinician response to standardized pharmacogenetic clinical decision support alerts at the University of Florida (UF) Health. The analysis revealed variations in alert acceptance rates based on gene-drug pairs, clinician specialties, and care settings. However, the congruence between alert response and clinical response was low.
CLINICAL PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Cardiac & Cardiovascular Systems
Lama Ghazi, Yu Yamamoto, Michael Fuery, Kyle O'Connor, Sounok Sen, Marc Samsky, Ralph J. Riello, Ravi Dhar, Joanna Huang, Temitope Olufade, James Mcdermott, Silvio E. Inzucchi, Eric J. Velazquez, Francis Perry Wilson, Nihar R. Desai, Tariq Ahmad
Summary: This study aimed to examine whether a tailored electronic health record (EHR) alert increased rates of guideline-directed medical therapies (GDMT) prescription at discharge in patients hospitalized for acute heart failure. The results showed that the alert system did not significantly increase the overall GDMT prescription rate. Therefore, further refinement and improvement of such alerts are needed to overcome barriers to the implementation of GDMT during hospitalizations for acute heart failure.
EUROPEAN HEART JOURNAL
(2023)
Article
Chemistry, Analytical
Hyunjae Park, Young-June Choi
Summary: Although the application of various sensors has become common, dealing with a large number of alerts generated through data analysis and monitoring remains a challenge. To address this issue, we propose using frequency-based indicators to handle massive alerts and leverage machine learning to detect threats. The advantage of using indicators is the ability to determine the situation over a period without analyzing individual alerts.
Article
Public, Environmental & Occupational Health
Martina McMenamin, Jessica Kolmer, Irena Djordjevic, Finlay Campbell, Henry Laurenson-Schafer, Jessica Lee Abbate, Basma Mostafa Abdelgawad, Amarnath Babu, Thierno Balde, Neale Batra, Victoria D. Belorgeot, Hannah Brindle, Tshewang Dorji, Marjam Esmail, Ingrid Hammermeister Nezu, Lucia Hernandez-Garcia, Mahmoud Hassan, Friday Idoko, Sarah Karmin, Zyleen A. Kassamali, Masaya Kato, Tamano Matsui, Mengjuan Duan, Villyen Motaze, Opeayo Ogundiran, Boris Pavlin, Ana Riviere-Cinnamond, Kathleen Ryan, Tanja Schmidt, Tika Sedai, Maria D. Van Kerkhove, Teresa Zakaria, Michael Hoehle, Abdi R. Mahamud, Olivier le Polain de Waroux, WHO Global Situational Alert Syst Grp
Summary: WHO developed an evidence-based alert system to assess public health risk in 237 countries and territories. The system predicted future deaths, adjusted alert levels based on contextual indicators, and provided timely assistance. It has supported various COVID-19 response actions.
Article
Public, Environmental & Occupational Health
Kaymarlin Govender, Patrick Nyamaruze, Neil McKerrow, Anna Meyer-Weitz, Richard G. Cowden
Summary: The COVID-19 pandemic has had a significant impact on the African continent, with challenges in vaccine supply and inadequate health infrastructure contributing to low vaccination rates. Accelerating adult vaccination and prioritizing vulnerable children and adolescents is crucial in mitigating the social, economic, and health impacts of this crisis.
Article
Health Care Sciences & Services
Yingzhi Li, Laiyuan Xiao
Summary: This study applies situational awareness technology to public health emergency services. By constructing ontology, situational data and residents' health data are integrated, and through key technologies, real-time perception of environmental conditions and the construction of an information reasoning model are achieved.
TECHNOLOGY AND HEALTH CARE
(2022)
Article
Computer Science, Information Systems
Martin Zadnik, Jan Wrona, Karel Hynek, Tomas Cejka, Martin Husak
Summary: Network-based monitoring and intrusion detection systems generate a high number of alerts, but most of them are dropped. This study proposes a novel method to discover groups of coordinated IP addresses with temporal correlation, and the results show that the method can effectively discover truly coordinated IP address groups.
Article
Public, Environmental & Occupational Health
Cliff Lindeman, Richard Golonka, Doug Klein, Michael K. Stickland, John C. Spence
Summary: This study compared the characteristics of patients with and without physical activity documented in primary care electronic medical records using pan-Canadian data. The results showed that physical activity was rarely documented in the records, with male patients, younger age groups, no comorbidities, higher blood pressure risk categories, better socioeconomic status, and normal body mass index having the most mentions of physical activity. Female physicians and those practicing in academic sites were more likely to document physical activity. Logistic regression analysis identified several significant covariates, including patient and physician age, comorbidities, and the use of electronic medical record systems.
PREVENTIVE MEDICINE
(2023)
