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Healthcare Information Systems

Section edited by Philip Payne

This section considers manuscripts on the development, use and evaluation of health information technology, health information exchange and electronic health records, as well as studies on barriers to technology acceptance in the healthcare setting

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  1. The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication...

    Authors: Moninne M. Howlett, Brian J. Cleary and Cormac V. Breatnach

    Citation: BMC Medical Informatics and Decision Making 2018 18:130

    Content type: Research article

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  2. With advancements in information technology, computerized physician order entry (CPOE) and electronic Medical Records (eMR), have become widely utilized in medical settings. The predominant mode of CPOE in Tai...

    Authors: George Linn, Yung-Hsiang Ying and Koyin Chang

    Citation: BMC Medical Informatics and Decision Making 2018 18:109

    Content type: Research article

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  3. The decreasing cost of obtaining high-quality calls of genomic variants and the increasing availability of clinically relevant data on such variants are important drivers for personalized oncology. To allow ra...

    Authors: Johannes Starlinger, Steffen Pallarz, Jurica Ševa, Damian Rieke, Christine Sers, Ulrich Keilholz and Ulf Leser

    Citation: BMC Medical Informatics and Decision Making 2018 18:107

    Content type: Research article

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  4. Researchers paid little attention to understanding the association of organizational and human factors with patients’ perceived security in the context of health organizations. This study aims to address numer...

    Authors: Hamid Reza Peikari, Ramayah T., Mahmood Hussain Shah and May Chiun Lo

    Citation: BMC Medical Informatics and Decision Making 2018 18:102

    Content type: Research article

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  5. Recent decades have seen rapid growth in the implementation of Electronic Medical Records (EMRs) in healthcare settings in both developed regions as well as low and middle income countries. Yet despite substan...

    Authors: Amy O’Donnell, Eileen Kaner, Caroline Shaw and Catherine Haighton

    Citation: BMC Medical Informatics and Decision Making 2018 18:101

    Content type: Research article

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  6. Technology can potentially enable the implementation of a value-based healthcare system, where the impact of quality of care is offered at optimised cost for maximised patient benefit. Technology can deliver v...

    Authors: Edward Meinert, Abrar Alturkistani, David Brindley, Peter Knight, Glenn Wells and Nick de Pennington

    Citation: BMC Medical Informatics and Decision Making 2018 18:100

    Content type: Debate

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  7. Mandates abound to share publicly-funded research data for reuse, while data platforms continue to emerge to facilitate such reuse. Birth cohorts (BC) involve longitudinal designs, significant sample sizes and...

    Authors: Kiran Pohar Manhas, Shawn X. Dodd, Stacey Page, Nicole Letourneau, Carol E. Adair, Xinjie Cui and Suzanne C. Tough

    Citation: BMC Medical Informatics and Decision Making 2018 18:97

    Content type: Research article

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  8. In recent years, inter-municipal cooperation in healthcare services has been an important measure implemented to meet future demographic changes in western countries. This entails an increased focus on communi...

    Authors: Elisabeth Holen-Rabbersvik, Elin Thygesen, Tom Roar Eikebrokk, Rune Werner Fensli and Åshild Slettebø

    Citation: BMC Medical Informatics and Decision Making 2018 18:92

    Content type: Research article

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  9. Pharmacovigilance consists in monitoring and preventing the occurrence of adverse drug reactions (ADR). This activity requires the collection and analysis of data from the patient record or any other sources t...

    Authors: Thibault Ledieu, Guillaume Bouzillé, Frantz Thiessard, Karine Berquet, Pascal Van Hille, Eric Renault, Elisabeth Polard and Marc Cuggia

    Citation: BMC Medical Informatics and Decision Making 2018 18:86

    Content type: Software

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  10. Increased digitalization of healthcare comes along with the cost of cybercrime proliferation. This results to patients’ and healthcare providers' skepticism to adopt Health Information Technologies (HIT). In E...

    Authors: Pantelis Natsiavas, Janne Rasmussen, Maja Voss-Knude, Κostas Votis, Luigi Coppolino, Paolo Campegiani, Isaac Cano, David Marí, Giuliana Faiella, Fabrizio Clemente, Marco Nalin, Evangelos Grivas, Oana Stan, Erol Gelenbe, Jos Dumortier, Jan Petersen…

    Citation: BMC Medical Informatics and Decision Making 2018 18:85

    Content type: Research article

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  11. The objective of this study was to investigate the impact of patient portal adoption on patients’ primary care utilization and appointment adherence.

    Authors: Xiang Zhong, Muxuan Liang, Reynerio Sanchez, Menggang Yu, Pamela R. Budd, Julie L. Sprague and Marvin A. Dewar

    Citation: BMC Medical Informatics and Decision Making 2018 18:84

    Content type: Research article

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  12. Recently, attention has shifted to improving the design of computerized alerts via the incorporation of human factors design principles. The Instrument for Evaluating Human Factors Principles in Medication-Rel...

    Authors: Melissa T Baysari, David Lowenstein, Wu Yi Zheng and Richard O Day

    Citation: BMC Medical Informatics and Decision Making 2018 18:83

    Content type: Research article

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  13. With connected medical devices fast becoming ubiquitous in healthcare monitoring there is a deluge of data coming from multiple body-attached sensors. Transforming this flood of data into effective and efficie...

    Authors: Rahul Krishnan Pathinarupothi, P. Durga and Ekanath Srihari Rangan

    Citation: BMC Medical Informatics and Decision Making 2018 18:78

    Content type: Research article

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  14. The openEHR approach can improve the interoperability of electronic health record (EHR) through two-level modeling. Developing archetypes for the complete EHR dataset is essential for implementing a large-scal...

    Authors: Lingtong Min, Qi Tian, Xudong Lu and Huilong Duan

    Citation: BMC Medical Informatics and Decision Making 2018 18:75

    Content type: Research article

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  15. Portal use has been studied among outpatients, but its utility and impact on inpatients is unclear. This study describes portal adoption and use among hospitalized cancer patients and investigates associations...

    Authors: Duaa Aljabri, Adrian Dumitrascu, M. Caroline Burton, Launia White, Mahmud Khan, Sudha Xirasagar, Ronnie Horner and James Naessens

    Citation: BMC Medical Informatics and Decision Making 2018 18:70

    Content type: Research article

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  16. Informatics for Integrating Biology and the Bedside (i2b2) is an open source clinical data analytics platform used at over 200 healthcare institutions for querying patient data. The i2b2 platform has several c...

    Authors: Kavishwar B. Wagholikar, Pralav Dessai, Javier Sanz, Michael E. Mendis, Douglas S. Bell and Shawn N. Murphy

    Citation: BMC Medical Informatics and Decision Making 2018 18:66

    Content type: Software

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  17. Recent scientific achievements and technological advances have brought forward a massive display of new or updated medical devices, enabled with highly-developed embedded-control functions and interactivity. F...

    Authors: Ignacio Ghersi, Mario Mariño and Mónica Teresita Miralles

    Citation: BMC Medical Informatics and Decision Making 2018 18:63

    Content type: Research article

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  18. Healthcare professionals provide care to patients and during that process, record large quantities of data in patient records. Data in an Electronic Health Record should ideally be recorded once and be reusabl...

    Authors: Erik Joukes, Ronald Cornet, Martine C. de Bruijne, Nicolette F. de Keizer and Ameen Abu-Hanna

    Citation: BMC Medical Informatics and Decision Making 2018 18:54

    Content type: Research article

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  19. Traditional health information systems are generally devised to support clinical data collection at the point of care. However, as the significance of the modern information economy expands in scope and permea...

    Authors: Richard Jackson, Ismail Kartoglu, Clive Stringer, Genevieve Gorrell, Angus Roberts, Xingyi Song, Honghan Wu, Asha Agrawal, Kenneth Lui, Tudor Groza, Damian Lewsley, Doug Northwood, Amos Folarin, Robert Stewart and Richard Dobson

    Citation: BMC Medical Informatics and Decision Making 2018 18:47

    Content type: Software

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  20. Alcohol misuse is an important cause of premature disability and death. While clinicians are recommended to ask patients about alcohol use and provide brief interventions and specialist referral, this is poorl...

    Authors: Shamil Haroon, Darren Wooldridge, Jan Hoogewerf, Krishnarajah Nirantharakumar, John Williams, Lina Martino and Neeraj Bhala

    Citation: BMC Medical Informatics and Decision Making 2018 18:36

    Content type: Research article

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  21. Genomic medicine is emerging into clinical care. Communication of genetic laboratory results to patients and providers is hampered by the complex technical nature of the laboratory reports. This can lead to co...

    Authors: Marc S. Williams, Melissa S. Kern, Virginia R. Lerch, Jonathan Billet, Janet L. Williams and Gregory J. Moore

    Citation: BMC Medical Informatics and Decision Making 2018 18:32

    Content type: Technical advance

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  22. We examined the comparative performance of structured, diagnostic codes vs. natural language processing (NLP) of unstructured text for screening suicidal behavior among pregnant women in electronic medical rec...

    Authors: Qiu-Yue Zhong, Elizabeth W. Karlson, Bizu Gelaye, Sean Finan, Paul Avillach, Jordan W. Smoller, Tianxi Cai and Michelle A. Williams

    Citation: BMC Medical Informatics and Decision Making 2018 18:30

    Content type: Research article

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  23. Health Information Organizations (HIOs) are third party organizations that facilitate electronic health information exchange (HIE) between providers in a geographic area. Despite benefits from HIE, HIOs have s...

    Authors: Sunny C. Lin and Julia Adler-Milstein

    Citation: BMC Medical Informatics and Decision Making 2018 18:28

    Content type: Research article

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  24. There is potential for medical research on the basis of routine data used from general practice electronic health records (GP eHRs), even in areas where there is no common GP research platform. We present a ca...

    Authors: Šefket Šabanović, Majnarić Trtica Ljiljana, František Babič, Michal Vadovský, Ján Paralič, Aleksandar Včev and Andreas Holzinger

    Citation: BMC Medical Informatics and Decision Making 2018 18:24

    Content type: Research article

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  25. Large healthcare databases, with their ability to collect many variables from daily medical practice, greatly enable health services research. These longitudinal databases provide large cohorts and longitudina...

    Authors: Daniel I. Rhon, Derek Clewley, Jodi L. Young, Charles D. Sissel and Chad E. Cook

    Citation: BMC Medical Informatics and Decision Making 2018 18:10

    Content type: Database

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  26. Healthcare work is, to a considerable extent, cognitive. Subsequently, the analysis and the design of supporting technology must be sensitive to the cognitive and adaptive demands of the work and to the cognit...

    Authors: Gavan Lintern and Al Motavalli

    Citation: BMC Medical Informatics and Decision Making 2018 18:3

    Content type: Debate

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  27. The use of health information technology (IT) has been shown to promote patient safety in Labor and Delivery (L&D) units. The use of health IT to apply safety science principles (e.g., standardization) to L&D ...

    Authors: Jennifer Webb, Asta Sorensen, Samantha Sommerness, Beth Lasater, Kamila Mistry and Leila Kahwati

    Citation: BMC Medical Informatics and Decision Making 2017 17:176

    Content type: Research article

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  28. Intensive care information systems (ICIS) are continuously evolving to meet the ever changing information needs of intensive care units (ICUs), providing the backbone for a safe, intelligent and efficient pati...

    Authors: Yanhong Qin, Ranyun Zhou, Qiong Wu, Xiaodi Huang, Xinli Chen, Weiwei Wang, Xun Wang, Hua Xu, Jing Zheng, Siyu Qian, Changqing Bai and Ping Yu

    Citation: BMC Medical Informatics and Decision Making 2017 17:165

    Content type: Research article

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  29. Adequate record keeping of medication adverse events in electronic health records systems is important for patient safety. Events that remain unrecorded cannot be communicated from one health professional to a...

    Authors: Sabine E. M. de Hoon, Karin Hek, Liset van Dijk and Robert A. Verheij

    Citation: BMC Medical Informatics and Decision Making 2017 17:163

    Content type: Research article

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  30. Even small variations of serum sodium concentration may be associated with mortality. Our objective was to confirm the impact of borderline dysnatremia for patients admitted to hospital on in-hospital mortalit...

    Authors: Yannick Girardeau, Anne-Sophie Jannot, Gilles Chatellier and Olivier Saint-Jean

    Citation: BMC Medical Informatics and Decision Making 2017 17:152

    Content type: Research article

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  31. To test the application of Business Process Management technology to manage clinical pathways, using a pediatric kidney transplantation as case study, and to identify the benefits obtained from using this tech...

    Authors: Martina Andellini, Sandra Fernandez Riesgo, Federica Morolli, Matteo Ritrovato, Piero Cosoli, Silverio Petruzzellis and Nicola Rosso

    Citation: BMC Medical Informatics and Decision Making 2017 17:151

    Content type: Research article

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  32. Long-term data collection is a challenging task in the domain of medical research. Many effects in medicine require long periods of time to become traceable e.g. the development of secondary malignancies based...

    Authors: S. Oberbichler, W. O. Hackl and A. Hörbst

    Citation: BMC Medical Informatics and Decision Making 2017 17:148

    Content type: Research article

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  33. Poorly functioning, time-consuming, and inadequate information systems are among the most important work-related psychosocial factors causing stress in physicians. The present study examined the trend in the p...

    Authors: Tarja Heponiemi, Hannele Hyppönen, Tuulikki Vehko, Sari Kujala, Anna-Mari Aalto, Jukka Vänskä and Marko Elovainio

    Citation: BMC Medical Informatics and Decision Making 2017 17:147

    Content type: Research article

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  34. Search filters aid clinicians and academics to accurately locate literature. Despite this, there is no search filter or Medical Subject Headings (MeSH) term pertaining to paramedics. Therefore, the aim of this...

    Authors: Alexander Olaussen, William Semple, Alaa Oteir, Paula Todd and Brett Williams

    Citation: BMC Medical Informatics and Decision Making 2017 17:146

    Content type: Research article

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  35. Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiologi...

    Authors: Amelia Barwise, Sean Caples, Jeffrey Jensen, Brian Pickering and Vitaly Herasevich

    Citation: BMC Medical Informatics and Decision Making 2017 17:142

    Content type: Research article

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  36. Data collected in EHRs have been widely used to identifying specific conditions; however there is still a need for methods to define comorbidities and sources to identify comorbidities burden. We propose an ap...

    Authors: Jean-Baptiste Escudié, Bastien Rance, Georgia Malamut, Sherine Khater, Anita Burgun, Christophe Cellier and Anne-Sophie Jannot

    Citation: BMC Medical Informatics and Decision Making 2017 17:140

    Content type: Research article

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  37. Primary care data gathered from Electronic Health Records are of the utmost interest considering the essential role of general practitioners (GPs) as coordinators of patient care. These data represent the synt...

    Authors: Marie-Line Gentil, Marc Cuggia, Laure Fiquet, Camille Hagenbourger, Thomas Le Berre, Agnès Banâtre, Eric Renault, Guillaume Bouzille and Anthony Chapron

    Citation: BMC Medical Informatics and Decision Making 2017 17:139

    Content type: Research article

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  38. The purpose of this study was to assess the impact of accessing primary care records on unscheduled care. Unscheduled care is typically delivered in hospital Emergency Departments. Studies published to Decembe...

    Authors: Tom Bowden and Enrico Coiera

    Citation: BMC Medical Informatics and Decision Making 2017 17:138

    Content type: Research article

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  39. Korian is a private group specializing in medical accommodations for elderly and dependent people. A professional data warehouse (DWH) established in 2010 hosts all of the residents’ data. Inside this informat...

    Authors: T. Delespierre, P. Denormandie, A. Bar-Hen and L. Josseran

    Citation: BMC Medical Informatics and Decision Making 2017 17:127

    Content type: Research article

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  40. The objective of this research is to compare the relational and non-relational (NoSQL) database systems approaches in order to store, recover, query and persist standardized medical information in the form of ...

    Authors: Ricardo Sánchez-de-Madariaga, Adolfo Muñoz, Raimundo Lozano-Rubí, Pablo Serrano-Balazote, Antonio L. Castro, Oscar Moreno and Mario Pascual

    Citation: BMC Medical Informatics and Decision Making 2017 17:123

    Content type: Research article

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  41. Although data from electronic health records (EHR) are often used for research purposes, systematic validation of these data prior to their use is not standard practice. Existing validation frameworks discuss ...

    Authors: Loan R. van Hoeven, Martine C. de Bruijne, Peter F. Kemper, Maria M.W. Koopman, Jan M.M. Rondeel, Anja Leyte, Hendrik Koffijberg, Mart P. Janssen and Kit C.B. Roes

    Citation: BMC Medical Informatics and Decision Making 2017 17:107

    Content type: Research article

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  42. Advancements in technology are enabling patients to participate in their health care through self-monitoring and self-management of diet, exercise and chronic disease. Technologies allowing patients to partici...

    Authors: Shelley Roberts, Andrea Marshall and Wendy Chaboyer

    Citation: BMC Medical Informatics and Decision Making 2017 17:105

    Content type: Research article

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  43. With the goal of realizing genome-based personalized healthcare, we have developed a biobank that integrates personal health, genome, and omics data along with biospecimens donated by volunteers of 150,000. Su...

    Authors: Takako Takai-Igarashi, Kengo Kinoshita, Masao Nagasaki, Soichi Ogishima, Naoki Nakamura, Sachiko Nagase, Satoshi Nagaie, Tomo Saito, Fuji Nagami, Naoko Minegishi, Yoichi Suzuki, Kichiya Suzuki, Hiroaki Hashizume, Shinichi Kuriyama, Atsushi Hozawa, Nobuo Yaegashi…

    Citation: BMC Medical Informatics and Decision Making 2017 17:100

    Content type: Technical advance

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  44. This study’s goal is to understand the factors that drive individuals to adopt Electronic Health Record (EHR) portals and to estimate if there are differences between countries with different healthcare models.

    Authors: Jorge Tavares and Tiago Oliveira

    Citation: BMC Medical Informatics and Decision Making 2017 17:97

    Content type: Research article

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  45. With high-quality community-based primary care, hospitalizations for ambulatory care sensitive conditions (ACSC) are considered avoidable. The purpose of this study was to test the inter-physician reliability ...

    Authors: Robin L. Walker, William A. Ghali, Guanmin Chen, Tej K. Khalsa, Birinder K. Mangat, Norm R. C. Campbell, Elijah Dixon, Doreen Rabi, Nathalie Jette, Robyn Dhanoa and Hude Quan

    Citation: BMC Medical Informatics and Decision Making 2017 17:90

    Content type: Research article

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  46. Infectious disease burden is commonly assessed using notification data. Using retrospective record linkage in Western Australia, we described how well notification data captures laboratory detections of influe...

    Authors: Faye J. Lim, Christopher C. Blyth, Avram Levy, Parveen Fathima, Nicholas de Klerk, Carolien Giele and Hannah C. Moore

    Citation: BMC Medical Informatics and Decision Making 2017 17:86

    Content type: Research article

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  47. To explore the current situation, existing problems and possible causes of said problems with regards to physician-nurse communication under an environment of increasingly widespread usage of Hospital Informat...

    Authors: Dong Wen, Xingting Zhang, Jie Wan, Jing Fu and Jianbo Lei

    Citation: BMC Medical Informatics and Decision Making 2017 17:85

    Content type: Research article

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