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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. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. Integrating medical data using databases from different sources by record linkage is a powerful technique increasingly used in medical research. Under many jurisdictions, unique personal identifiers needed for...

    Authors: Adrian P. Brown, Christian Borgs, Sean M. Randall and Rainer Schnell

    Citation: BMC Medical Informatics and Decision Making 2017 17:83

    Content type: Research Article

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  27. There has been indisputable growth in adoption of electronic medical record (EMR) systems in the recent years. However, physicians’ progress in using these systems has stagnated when measured with maturity sca...

    Authors: Marie-Claude Trudel, Josianne Marsan, Guy Paré, Louis Raymond, Ana Ortiz de Guinea, Éric Maillet and Thomas Micheneau

    Citation: BMC Medical Informatics and Decision Making 2017 17:46

    Content type: Research article

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  28. Information and communication sources in the healthcare sector are replaced with new eHealth technologies. This has led to problems arising from the lack of awareness of the importance of end-user involvement ...

    Authors: Anna Marie Balling Høstgaard, Pernille Bertelsen and Christian Nøhr

    Citation: BMC Medical Informatics and Decision Making 2017 17:45

    Content type: Research article

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  29. The inability of patients to accurately and completely recount their clinical status between clinic visits reduces the clinician’s ability to properly manage their patients. One way to improve this situation i...

    Authors: Cubby L. Gardner, Fang Liu, Paul Fontelo, Michael C. Flanagan, Albert Hoang and Harry B. Burke

    Citation: BMC Medical Informatics and Decision Making 2017 17:41

    Content type: Research article

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  30. The increasing burden of type 2 diabetes mellitus makes the continuous surveillance of its prevalence and incidence advisable. Electronic health records (EHRs) have great potential for research and surveillanc...

    Authors: Conchi Moreno-Iribas, Carmen Sayon-Orea, Josu Delfrade, Eva Ardanaz, Javier Gorricho, Rosana Burgui, Marian Nuin and Marcela Guevara

    Citation: BMC Medical Informatics and Decision Making 2017 17:34

    Content type: Research article

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  31. Literature indicates that one of the most important factors affecting the widespread adoption of Health Information Exchange (HIE) is patient support and endorsement. In order to reap all the expected benefits...

    Authors: Pouyan Esmaeilzadeh and Murali Sambasivan

    Citation: BMC Medical Informatics and Decision Making 2017 17:33

    Content type: Research article

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  32. Translational researchers need robust IT solutions to access a range of data types, varying from public data sets to pseudonymised patient information with restricted access, provided on a case by case basis. ...

    Authors: Marco Brandizi, Olga Melnichuk, Raffael Bild, Florian Kohlmayer, Benedicto Rodriguez-Castro, Helmut Spengler, Klaus A. Kuhn, Wolfgang Kuchinke, Christian Ohmann, Timo Mustonen, Mikael Linden, Tommi Nyrönen, Ilkka Lappalainen, Alvis Brazma and Ugis Sarkans

    Citation: BMC Medical Informatics and Decision Making 2017 17:30

    Content type: Technical advance

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  33. Data from centralised, population-based statutory cancer registries are generally considered the 'gold standard' for confirming incident cases of cancer. When these are not available, or more current informati...

    Authors: David Goldsbury, Marianne Weber, Sarsha Yap, Emily Banks, Dianne L. O’Connell and Karen Canfell

    Citation: BMC Medical Informatics and Decision Making 2017 17:23

    Content type: Research article

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  34. As the implementation of Electronic Medical Records (EMRs) in hospitals may be challenged by different responses of different user groups, this paper examines the differences between doctors and nurses in thei...

    Authors: Mattijs S. Lambooij, Hanneke W. Drewes and Ferry Koster

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

    Content type: Research article

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  35. Hospital-acquired infections are still amongst the major problems health systems are facing. Their occurrence can lead to higher morbidity and mortality rates, increased length of hospital stay, and higher cos...

    Authors: Rita Marques, João Gregório, Fernando Pinheiro, Pedro Póvoa, Miguel Mira da Silva and Luís Velez Lapão

    Citation: BMC Medical Informatics and Decision Making 2017 17:15

    Content type: Research article

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  36. Determining the most suitable anesthesia method for circumcision surgery plays a fundamental role in pediatric surgery. This study is aimed to present pediatric surgeons’ perspective on the relative importance...

    Authors: Gulsah Hancerliogullari, Kadir Oymen Hancerliogullari and Emrah Koksalmis

    Citation: BMC Medical Informatics and Decision Making 2017 17:14

    Content type: Research article

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  37. To explore the benefits, barriers and disadvantages of implementing an electronic record system (ERS). The extent that the system has become ‘normalised’ into routine practice was also explored.

    Authors: Arabella Scantlebury, Laura Sheard, Ian Watt, Paul Cairns, John Wright and Joy Adamson

    Citation: BMC Medical Informatics and Decision Making 2017 17:4

    Content type: Research article

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  38. The number of electronic health record (EHR)-based notifications continues to rise. One common method to deliver urgent and emergent notifications (alerts) is paging. Despite of wide presence of smartphones, t...

    Authors: Mikhail A. Dziadzko, Andrew M. Harrison, Ing C. Tiong, Brian W. Pickering, Pablo Moreno Franco and Vitaly Herasevich

    Citation: BMC Medical Informatics and Decision Making 2016 16:156

    Content type: Research article

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  39. To evaluate whether or not the utilization of Health Information Technologies (HITs) in Quality Improvement Methodologies (QIMs) has impacts on QIMs’ efficiency, throughput and financial outcomes at healthcare...

    Authors: Raed H. AlHazme, Syed S. Haque, Hal Wiggin and Arif M. Rana

    Citation: BMC Medical Informatics and Decision Making 2016 16:154

    Content type: Research article

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  40. The value of health information technology (IT) ultimately depends on end users accepting and appropriately using it for patient care. This study examined pediatric intensive care unit nurses’ perceptions, acc...

    Authors: Richard J. Holden, Onur Asan, Erica M. Wozniak, Kathryn E. Flynn and Matthew C. Scanlon

    Citation: BMC Medical Informatics and Decision Making 2016 16:145

    Content type: Research article

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  41. With the emergence of the electronic health records (EHRs) as a pervasive healthcare information technology, new opportunities and challenges for use of clinical data for quality measurements arise with respec...

    Authors: Marijn Scholte, Simone A. van Dulmen, Catherina W. M. Neeleman-Van der Steen, Philip J. van der Wees, Maria W. G. Nijhuis-van der Sanden and Jozé Braspenning

    Citation: BMC Medical Informatics and Decision Making 2016 16:141

    Content type: Research article

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  42. Ontario, the most populous province in Canada, has a universal healthcare system that routinely collects health administrative data on its 13 million legal residents that is used for health research. Record li...

    Authors: Maria Chiu, Michael Lebenbaum, Kelvin Lam, Nelson Chong, Mahmoud Azimaee, Karey Iron, Doug Manuel and Astrid Guttmann

    Citation: BMC Medical Informatics and Decision Making 2016 16:135

    Content type: Research article

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  43. Speech recognition software might increase productivity in clinical documentation. However, low user satisfaction with speech recognition software has been observed. In this case study, an approach for impleme...

    Authors: Christoph Ahlgrim, Oliver Maenner and Manfred W. Baumstark

    Citation: BMC Medical Informatics and Decision Making 2016 16:132

    Content type: Technical advance

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  44. Administrative records in France, especially medical and social records, have huge potential for statistical studies. The NIR (a national identifier) is widely used in medico-social administrations, and this w...

    Authors: Maxence Guesdon, Eric Benzenine, Kamel Gadouche and Catherine Quantin

    Citation: BMC Medical Informatics and Decision Making 2016 16:129

    Content type: DEBATE

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  45. The intent of this review is to discover the types of inquiry and range of objectives and outcomes addressed in studies of the impacts of Electronic Medical Record (EMR) implementations in limited resource set...

    Authors: Badeia Jawhari, Dave Ludwick, Louanne Keenan, David Zakus and Robert Hayward

    Citation: BMC Medical Informatics and Decision Making 2016 16:116

    Content type: Research article

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  46. Healthcare providers generate a huge amount of biomedical data stored in either legacy system (paper-based) format or electronic medical records (EMR) around the world, which are collectively referred to as bi...

    Authors: Ligang Luo, Liping Li, Jiajia Hu, Xiaozhe Wang, Boulin Hou, Tianze Zhang and Lue Ping Zhao

    Citation: BMC Medical Informatics and Decision Making 2016 16:114

    Content type: Technical advance

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  47. Medication reconciliation has been identified as an important intervention to minimize the incidence of unintentional medication discrepancies at transitions in care. However, there is a lack of evidence for t...

    Authors: Alemayehu B. Mekonnen, Tamrat B. Abebe, Andrew J. McLachlan and Jo-anne E. Brien

    Citation: BMC Medical Informatics and Decision Making 2016 16:112

    Content type: Research article

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  48. The adoption of the electronic medical record (EMR) is rapidly growing in China. Constantly evolving, Chinese EMRs contain vast amounts of clinical and financial data, providing tremendous potential for resear...

    Authors: Yuan Xu, Ning Li, Mingshan Lu, Robert P. Myers, Elijah Dixon, Robin Walker, Libo Sun, Xiaofei Zhao and Hude Quan

    Citation: BMC Medical Informatics and Decision Making 2016 16:110

    Content type: Research article

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