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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. Content type: Research article

    The robustness of epidemiological research using routinely collected primary care electronic data to support policy and practice for common mental disorders (CMD) anxiety and depression would be greatly enhanc...

    Authors: Ann John, Joanne McGregor, David Fone, Frank Dunstan, Rosie Cornish, Ronan A. Lyons and Keith R. Lloyd

    Citation: BMC Medical Informatics and Decision Making 2016 16:35

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  2. Content type: Research article

    Electronic medical records (EMRs) used in primary care contain a breadth of data that can be used in public health research. Patient data from EMRs could be linked with other data sources, such as a postal cod...

    Authors: Suzanne Biro, Tyler Williamson, Jannet Ann Leggett, David Barber, Rachael Morkem, Kieran Moore, Paul Belanger, Brian Mosley and Ian Janssen

    Citation: BMC Medical Informatics and Decision Making 2016 16:32

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  3. Content type: Research article

    Adverse drug reactions (ADRs) are a well-recognized public health problem and a major cause of death and hospitalization in developed countries. The safety of a new drug cannot be established until it has been...

    Authors: Inês Ribeiro-Vaz, Ana-Marta Silva, Cristina Costa Santos and Ricardo Cruz-Correia

    Citation: BMC Medical Informatics and Decision Making 2016 16:27

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  4. Content type: Research article

    Implementation delays are common in health information technology (HIT) projects. In this paper, we sought to explore the reasons for delays in implementing major hospital-based HIT, through studying computeri...

    Authors: Hajar Mozaffar, Kathrin M. Cresswell, Lisa Lee, Robin Williams and Aziz Sheikh

    Citation: BMC Medical Informatics and Decision Making 2016 16:25

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  5. Content type: Study protocol

    An Early Warning Score is a clinical risk score based upon vital signs intended to aid recognition of patients in need of urgent medical attention. The use of an escalation of care policy based upon an Early W...

    Authors: Timothy Bonnici, Stephen Gerry, David Wong, Julia Knight and Peter Watkinson

    Citation: BMC Medical Informatics and Decision Making 2016 16:19

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  6. Content type: Research article

    Free-text medication prescriptions contain detailed instruction information that is key when preparing drug data for analysis. The objective of this study was to develop a novel model and automated text-mining...

    Authors: George Karystianis, Therese Sheppard, William G. Dixon and Goran Nenadic

    Citation: BMC Medical Informatics and Decision Making 2016 16:18

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  7. Content type: Research article

    Text messaging is an affordable, ubiquitous, and expanding mobile communication technology. However, safety net health systems in the United States that provide more care to uninsured and low-income patients m...

    Authors: Sachin K. Garg, Courtney R. Lyles, Sara Ackerman, Margaret A. Handley, Dean Schillinger, Gato Gourley, Veenu Aulakh and Urmimala Sarkar

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

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  8. Content type: Software

    Although MIMIC-II, a public intensive care database, has been recognized as an invaluable resource for many medical researchers worldwide, becoming a proficient MIMIC-II researcher requires knowledge of SQL pr...

    Authors: Joon Lee, Evan Ribey and James R. Wallace

    Citation: BMC Medical Informatics and Decision Making 2016 16:15

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  9. Content type: Research article

    The majority of health IT adoption research focuses on the later stages of the IT adoption process: namely on the implementation phase. The first stage, however, which is defined as the knowledge-stage, remain...

    Authors: JD. Liebe, J. Hüsers and U. Hübner

    Citation: BMC Medical Informatics and Decision Making 2016 16:10

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  10. Content type: Correspondence

    An interoperable electronic health record is a secure consolidated record of an individual’s health history and care, designed to facilitate authorized information sharing across the care continuum.  Each Cana...

    Authors: Bobby Gheorghiu and Simon Hagens

    Citation: BMC Medical Informatics and Decision Making 2016 16:8

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  11. Content type: Research article

    Although champions are commonly employed in health information technology (HIT) implementations, the state of empirical literature on HIT champions’ is unclear. The purpose of our review was to synthesize quan...

    Authors: Christopher Michael Shea and Charles M. Belden

    Citation: BMC Medical Informatics and Decision Making 2016 16:2

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  12. Content type: Research article

    An increasing number of clinical trials are conducted in primary care settings. Making better use of existing data in the electronic health records to identify eligible subjects can improve efficiency of such ...

    Authors: Mohammad B. Ateya, Brendan C. Delaney and Stuart M. Speedie

    Citation: BMC Medical Informatics and Decision Making 2016 16:1

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  13. Content type: Research article

    Today, cancer documentation is still a tedious task involving many different information systems even within a single institution and it is rarely supported by appropriate documentation workflows.

    Authors: Stefan Wagner, Matthias W. Beckmann, Bernd Wullich, Christof Seggewies, Markus Ries, Thomas Bürkle and Hans-Ulrich Prokosch

    Citation: BMC Medical Informatics and Decision Making 2015 15:107

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  14. Content type: Research article

    One of the primary obstacles to the widespread adoption of openEHR methodology is the lack of practical persistence solutions for future-proof electronic health record (EHR) systems as described by the openEHR...

    Authors: Li Wang, Lingtong Min, Rui Wang, Xudong Lu and Huilong Duan

    Citation: BMC Medical Informatics and Decision Making 2015 15:88

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    The Erratum to this article has been published in BMC Medical Informatics and Decision Making 2016 16:21

  15. Content type: Research article

    Although policy discourses frame integrated Electronic Health Records (EHRs) as essential for contemporary healthcare systems, increased information sharing often raises concerns among patients and the public....

    Authors: Chrysanthi Papoutsi, Julie E. Reed, Cicely Marston, Ruth Lewis, Azeem Majeed and Derek Bell

    Citation: BMC Medical Informatics and Decision Making 2015 15:86

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  16. Content type: Research article

    Our aim was to explore the approaches to and the challenges and benefits of implementing Electronic Patient Record systems (EPRs) into NHS acute, mental health and community care hospitals throughout England.

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

    Citation: BMC Medical Informatics and Decision Making 2015 15:85

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  17. Content type: Research article

    Important barriers for widespread use of health information exchange (HIE) are usability and interface issues. However, most HIEs are implemented without performing a needs assessment with the end users, healt...

    Authors: Alexandra T. Strauss, Diego A. Martinez, Andres Garcia-Arce, Stephanie Taylor, Candice Mateja, Peter J. Fabri and Jose L. Zayas-Castro

    Citation: BMC Medical Informatics and Decision Making 2015 15:81

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  18. Content type: Research article

    We designed and validated a rule-based expert system to identify influenza like illness (ILI) from routinely recorded general practice clinical narrative to aid a larger retrospective research study into the i...

    Authors: Jayden MacRae, Tom Love, Michael G. Baker, Anthony Dowell, Matthew Carnachan, Maria Stubbe and Lynn McBain

    Citation: BMC Medical Informatics and Decision Making 2015 15:78

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  19. Content type: Research article

    In the UK occupational therapy pre-discharge home visits are routinely carried out as a means of facilitating safe transfer from the hospital to home. Whilst they are an integral part of practice, there is lit...

    Authors: Arthur G. Money, Anita Atwal, Katherine L. Young, Yasmin Day, Lesley Wilson and Kevin G. Money

    Citation: BMC Medical Informatics and Decision Making 2015 15:73

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  20. Content type: Research article

    The increasing pervasiveness of mobile technologies has given potential to transform healthcare by facilitating clinical management using software applications. These technologies may provide valuable tools in...

    Authors: Voula Gkatzidou, Kate Hone, Lorna Sutcliffe, Jo Gibbs, Syed Tariq Sadiq, Ala Szczepura, Pam Sonnenberg and Claudia Estcourt

    Citation: BMC Medical Informatics and Decision Making 2015 15:72

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  21. Content type: Research article

    There is general consensus that appropriate development and use of information and communication technologies (ICT) are crucial in the delivery of effective primary care (PC). Several countries are defining po...

    Authors: Sabina De Rosis and Chiara Seghieri

    Citation: BMC Medical Informatics and Decision Making 2015 15:70

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  22. Content type: Research article

    Health decision-making requires evidence from high-quality data. As one example, the Discharge Abstract Database (DAD) compiles data from the majority of Canadian hospitals to form one of the most comprehensiv...

    Authors: Kelsey Lucyk, Mingshan Lu, Tolulope Sajobi and Hude Quan

    Citation: BMC Medical Informatics and Decision Making 2015 15:69

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  23. Content type: Research article

    With the increasing implementation of Electronic Medical Record Systems (EMR) in developing countries, there is a growing need to identify antecedents of EMR success to measure and predict the level of adoptio...

    Authors: Binyam Tilahun and Fleur Fritz

    Citation: BMC Medical Informatics and Decision Making 2015 15:61

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  24. Content type: Research article

    The Operating Room (OR) is a key resource of all major hospitals, but it also accounts for up 40 % of resource costs. Improving cost effectiveness, while maintaining a quality of care, is a universal objective...

    Authors: Simone Barbagallo, Luca Corradi, Jean de Ville de Goyet, Marina Iannucci, Ivan Porro, Nicola Rosso, Elena Tanfani and Angela Testi

    Citation: BMC Medical Informatics and Decision Making 2015 15:38

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  25. Content type: Research article

    Personal Health Records (PHRs) are electronic health records controlled, shared or maintained by patients to support patient centered care. The potential for PHRs to transform health care is significant; howev...

    Authors: Morgan Price, Paule Bellwood, Nicole Kitson, Iryna Davies, Jens Weber and Francis Lau

    Citation: BMC Medical Informatics and Decision Making 2015 15:32

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  26. Content type: Research article

    The widespread use of electronic health records (EHRs) has generated massive clinical data storage. Association rules mining is a feasible technique to convert this large amount of data into usable knowledge f...

    Authors: François Séverac, Erik A Sauleau, Nicolas Meyer, Hassina Lefèvre, Gabriel Nisand and Nicolas Jay

    Citation: BMC Medical Informatics and Decision Making 2015 15:29

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  27. Content type: Research article

    Numerous calls have been made for greater assimilation of information technology in healthcare organizations in general, and in primary care settings in particular. Considering the levels of IT investment and ...

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

    Citation: BMC Medical Informatics and Decision Making 2015 15:27

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  28. Content type: Research article

    Cloud computing is a recent and fast growing area of development in healthcare. Ubiquitous, on-demand access to virtually endless resources in combination with a pay-per-use model allow for new ways of develop...

    Authors: Lena Griebel, Hans-Ulrich Prokosch, Felix Köpcke, Dennis Toddenroth, Jan Christoph, Ines Leb, Igor Engel and Martin Sedlmayr

    Citation: BMC Medical Informatics and Decision Making 2015 15:17

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  29. Content type: Research article

    Adverse drug reactions are one of the most common causes of death in industrialized Western countries. Nowadays, empirical data from clinical studies for the approval and monitoring of drugs and molecular data...

    Authors: Alban Shoshi, Tobias Hoppe, Benjamin Kormeier, Venus Ogultarhan and Ralf Hofestädt

    Citation: BMC Medical Informatics and Decision Making 2015 15:15

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  30. Content type: Correspondence

    This case study over time describes five years of experience with interventions to improve laboratory test utilization at an academic medical center. The high-frequency laboratory tests showing the biggest dec...

    Authors: Matthew D Krasowski, Deborah Chudzik, Anna Dolezal, Bryan Steussy, Michael P Gailey, Benjamin Koch, Sara B Kilborn, Benjamin W Darbro, Carolyn D Rysgaard and Julia A Klesney-Tait

    Citation: BMC Medical Informatics and Decision Making 2015 15:11

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  31. Content type: Research article

    Real-world data on the benefit/risk profile of medicines is needed, particularly in patients who are ineligible for randomised controlled trials conducted for registration purposes. This paper describes the me...

    Authors: Hanaa F Elkhenini, Kourtney J Davis, Norman D Stein, John P New, Mark R Delderfield, Martin Gibson, Jorgen Vestbo, Ashley Woodcock and Nawar Diar Bakerly

    Citation: BMC Medical Informatics and Decision Making 2015 15:8

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  32. Content type: Research article

    For disease surveillance, manual data collection using paper-based questionnaires can be time consuming and prone to errors. We introduced smartphone data collection to replace paper-based data collection for ...

    Authors: Henry N Njuguna, Deborah L Caselton, Geoffrey O Arunga, Gideon O Emukule, Dennis K Kinyanjui, Rosalia M Kalani, Carl Kinkade, Phillip M Muthoka, Mark A Katz and Joshua A Mott

    Citation: BMC Medical Informatics and Decision Making 2014 14:107

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  33. Content type: Research article

    The maturity and usage of wireless technology has influenced health services, and this has raised expectations from users that healthcare services will become more affordable due to technology growth. There is...

    Authors: Raj Gururajan and Abdul Hafeez-Baig

    Citation: BMC Medical Informatics and Decision Making 2014 14:98

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  34. Content type: Research article

    Patient data from general practices is already used for many types of epidemiological research and increasingly, primary care systems to facilitate randomized clinical trials. The EU funded project TRANSFoRm a...

    Authors: Wolfgang Kuchinke, Töresin Karakoyun, Christian Ohmann, Theodoros N Arvanitis, Adel Taweel, Brendan C Delaney and Stuart M Speedie

    Citation: BMC Medical Informatics and Decision Making 2014 14:118

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  35. Content type: Research article

    Meaningful Use (MU) provides financial incentives for electronic health record (EHR) implementation. EHR implementation holds promise for improving healthcare delivery, but also requires substantial changes fo...

    Authors: Christopher M Shea, Kristin L Reiter, Mark A Weaver, Molly McIntyre, Jason Mose, Jonathan Thornhill, Robb Malone and Bryan J Weiner

    Citation: BMC Medical Informatics and Decision Making 2014 14:119

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  36. Content type: Research article

    Electronic medical record systems are being implemented in many countries to support healthcare services. However, its adoption rate remains low, especially in developing countries due to technological, financ...

    Authors: Senafekesh Biruk, Tesfahun Yilma, Mulusew Andualem and Binyam Tilahun

    Citation: BMC Medical Informatics and Decision Making 2014 14:115

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  37. Content type: Research article

    Early recognition of severe sepsis and septic shock is challenging. The aim of this study was to determine the diagnostic accuracy of an electronic alert system in detecting severe sepsis or septic shock among...

    Authors: Sami Alsolamy, Majid Al Salamah, Majed Al Thagafi, Hasan M Al-Dorzi, Abdellatif M Marini, Nawfal Aljerian, Farhan Al-Enezi, Fatimah Al-Hunaidi, Ahmed M Mahmoud, Ahmed Alamry and Yaseen M Arabi

    Citation: BMC Medical Informatics and Decision Making 2014 14:105

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  38. Content type: Research article

    Effective surgical pre-assessment will depend upon the collection of relevant medical information, good data management and communication between the members of the preoperative multi-disciplinary team. NHS Gr...

    Authors: Matt-Mouley Bouamrane and Frances S Mair

    Citation: BMC Medical Informatics and Decision Making 2014 14:93

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  39. Content type: Research article

    The amount of clinical information that providers encounter daily creates an environment for information overload and medical error. To create a more efficient EMR human-computer interface, we aimed to underst...

    Authors: Marc A Ellsworth, Tara R Lang, Brian W Pickering and Vitaly Herasevich

    Citation: BMC Medical Informatics and Decision Making 2014 14:92

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  40. Content type: Research article

    Adverse Drug Reactions are one of the leading causes of injury or death among patients undergoing medical treatments. Not all Adverse Drug Reactions are identified before a drug is made available in the market...

    Authors: Hariprasad Sampathkumar, Xue-wen Chen and Bo Luo

    Citation: BMC Medical Informatics and Decision Making 2014 14:91

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  41. Content type: Research article

    Childhood cancer relies heavily on inpatient hospital services to deliver tumor-directed therapy and manage toxicities. Hospitalizations have increased over the past decade, though not uniformly across childho...

    Authors: Heidi V Russell, M Fatih Okcu, Kala Kamdar, Mona D Shah, Eugene Kim, J Michael Swint, Wenyaw Chan, Xianglin L Du, Luisa Franzini and Vivian Ho

    Citation: BMC Medical Informatics and Decision Making 2014 14:88

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  42. Content type: Research article

    Syndromic surveillance in emergency departments (EDs) may be used to deliver early warnings of increases in disease activity, to provide situational awareness during events of public health significance, to su...

    Authors: Henning TG Liljeqvist, David Muscatello, Grant Sara, Michael Dinh and Glenda L Lawrence

    Citation: BMC Medical Informatics and Decision Making 2014 14:84

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  43. Content type: Research article

    Medication non-adherence is prevalent. We assessed the effect of electronic prescribing (e-prescribing) with formulary decision support on preferred formulary tier usage, copayment, and concomitant adherence.

    Authors: Joshua M Pevnick, Ning Li, Steven M Asch, Cynthia A Jackevicius and Douglas S Bell

    Citation: BMC Medical Informatics and Decision Making 2014 14:79

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  44. Content type: Research article

    E-health initiatives hold promise to improve shared-care models of health care. In 2008–2011 we developed and trialled web-based software to facilitate a randomised trial of a shared-care approach for childhoo...

    Authors: Kate Lycett, Gary Wittert, Jane Gunn, Cathy Hutton, Susan A Clifford and Melissa Wake

    Citation: BMC Medical Informatics and Decision Making 2014 14:61

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  45. Content type: Research article

    The development and validation of automated electronic medical record (EMR) search strategies are important for establishing the timing of mechanical ventilation initiation in the intensive care unit (ICU).

    Authors: Nathan J Smischney, Venu M Velagapudi, James A Onigkeit, Brian W Pickering, Vitaly Herasevich and Rahul Kashyap

    Citation: BMC Medical Informatics and Decision Making 2014 14:55

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  46. Content type: Research article

    Since the introduction of electronic nursing documentation systems, its implementation in recent years has increased rapidly in Germany. The objectives of such systems are to save time, to improve information ...

    Authors: Anne Meißner and Wilfried Schnepp

    Citation: BMC Medical Informatics and Decision Making 2014 14:54

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  47. Content type: Research article

    Control of blood pressure is frequently inadequate in spite of availability of several classes of well tolerated and effective antihypertensive drugs. Several factors, including the use of suboptimal doses of ...

    Authors: Palmira Bernocchi, Simonetta Scalvini, Fabio Bertacchini, Francesca Rivadossi and Maria Lorenza Muiesan

    Citation: BMC Medical Informatics and Decision Making 2014 14:52

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