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Journal Int J Med Inform

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Adverse events targeted by drug-drug interaction alerts in hospitalized patients.

James Gatenby, Magnus Blomqvist, Rosemary Burke, Angus Ritchie, Kathy Gibson, Asad E Patanwala,

OBJECTIVE:To identify the types of adverse drug events (ADEs) that drug-drug interaction (DDI) alerts are trying to prevent in hospitalized patients. METHODS:This was a retrospective cross-sectional study conducted in a tertiary referral hospital in Australia. All DDI alerts encountered by prescribers during a 1-month period were evaluated for potential ADEs ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104266]

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Which risk predictors are more likely to indicate severe AKI in hospitalized patients?

Lijuan Wu, Yong Hu, Borong Yuan, Xiangzhou Zhang, Weiqi Chen, Kang Liu, Mei Liu,

OBJECTIVES:Acute kidney injury (AKI) is a sudden episode of kidney failure or damage and the risk of AKI is determined by the complex interactions of patient factors. In this study, we aimed to find out which risk factors in hospitalized patients are more likely to indicate severe AKI. METHODS:We constructed ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104270]

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A systematic literature review on unnecessary diagnostic testing: The role of ICT use.

Lu Bai, Shijia Gao, Frada Burstein, Donald Kerr, Paul Buntine, Nicholas Law,

BACKGROUND:The negative impact of unnecessary diagnostic tests on healthcare systems and patients has been widely recognized. Medical researchers in various countries have been devoting effort to reduce unnecessary diagnostic tests by using different types of interventions, including information and communications technology-based (ICT-based) intervention, educational intervention, audit and feedback, the introduction ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104269]

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Electronic consenting for conducting research remotely: A review of current practice and key recommendations for using e-consenting

Emily Skelton, Nicholas Drey, Mary Rutherford, Susan Ayers, Christina Malamateniou,

Highlights • E-consent may support research to be conducted remotely.• E-consent may enhance the consent process for participants and researchers.• E-consent approaches could facilitate diversity in research participation.• E-consent is a feasible alternative to traditional informed consent processes.• Successful implementation is dependent on key practice and ethical considerations. Background Electronic ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, :]

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The effect of remote patient monitoring on the primary care clinic visit frequency among adults with type 2 diabetes.

Morgan Hampton Randall, Zachary Merle Haulsee, Jingwen Zhang, Justin Marsden, William Patrick Moran, Elizabeth Barnhardt Kirkland,

AIMS:Healthcare organizations are increasingly using technology to assist in diabetes management based on telemedicine's proven ability to improve glycemic regulation, decrease cost, and overcome barriers to effective healthcare. Nevertheless, it remains unclear how telemedicine intersects with primary care. We aim to measure the impact of a remote monitoring program for ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104267]

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Coverage of IMIA-recommended Competencies by Masters in Health Informatics Degree Programs in East Africa.

Martin C Were, Wu Gong, Priscillah Balirwa, Bonny Enock Balugaba, Ada Yeung, Leslie Pierce, Donna Ingles, Young Kim, Bryan E Shepherd,

OBJECTIVE:The International Medical Informatics Association (IMIA) has provided recommendations on Education in Biomedical and Health Informatics (BMHI) as guidance on competencies relevant to education of BMHI specialists. However, it remains unclear how well these competencies have been adopted to guide emerging degree programs in low- and middle-income countries (LMICs). We ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104265]

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Use and performance of machine learning models for type 2 diabetes prediction in community settings: A systematic review and meta-analysis.

Kushan De Silva, Wai Kit Lee, Andrew Forbes, Ryan T Demmer, Christopher Barton, Joanne Enticott,

OBJECTIVE:We aimed to identify machine learning (ML) models for type 2 diabetes (T2DM) prediction in community settings and determine their predictive performance. METHOD:Systematic review of ML predictive modelling studies in 13 databases since 2009 was conducted. Primary outcomes included metrics of discrimination, calibration, and classification. Secondary outcomes included important variables, ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104268]

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The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study.

Meredith Makeham, Lisa Pont, Carlijn Verdult, Rae-Anne Hardie, Magdalena Z Raban, Rebecca Mitchell, Helen Purdy, Martina Teichert, Andrew Ingersoll, Johanna I Westbrook,

BACKGROUND:The lack of interoperable IT systems between residential aged care facilities (RACF) and general practitioners (GP) in primary care settings in Australia introduces the potential for medication discrepancies and other medication errors. The aim of the GRACEMED study is to determine the extent and potential severity of medication discrepancies between ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104264]

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Digital health competencies for primary healthcare professionals: A scoping review.

Geronimo Jimenez, Pier Spinazze, David Matchar, Gerald Koh Choon Huat, Rianne M J J van der Kleij, Niels H Chavannes, Josip Car,

BACKGROUND:Despite digital health providing opportunities to enhance the quality, efficiency and safety of primary healthcare, the adoption of digital tools and technologies has been slow, partly because of poor digital health literacy. For primary healthcare systems to take full advantage of these technologies, a capable, digitally literate workforce is necessary. ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104260]

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Rate of change in investigational treatment options: An analysis of reports from a large precision oncology decision support effort.

Alejandro Araya, Jia Zeng, Amber Johnson, Md Abu Shufean, Jordi Rodon, Funda Meric-Bernstam, Elmer V Bernstam,

PURPOSE:Genomic analysis of individual patients is now affordable, and therapies targeting specific molecular aberrations are being tested in clinical trials. Genomically-informed therapy is relevant to many clinical domains, but is particularly applicable to cancer treatment. However, even specialized clinicians need help to interpret genomic data, to navigate the complicated space ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104261]

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Personalized predictive models for symptomatic COVID-19 patients using basic preconditions: Hospitalizations, mortality, and the need for an ICU or ventilator

Salomón Wollenstein-Betech, Christos G. Cassandras, Ioannis Ch. Paschalidis,

Background The rapid global spread of the SARS-CoV-2 virus has provoked a spike in demand for hospital care. Hospital systems across the world have been over-extended, including in Northern Italy, Ecuador, and New York City, and many other systems face similar challenges. As a result, decisions on how to best ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104258-104258]

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Prioritizing COVID-19 tests based on participatory surveillance and spatial scanning.

O B Leal-Neto, F A S Santos, J Y Lee, J O Albuquerque, W V Souza,

OBJECTIVES:This study aimed to identify, describe and analyze priority areas for COVID-19 testing combining participatory surveillance and traditional surveillance. DESIGN:It was carried out a descriptive transversal study in the city of Caruaru, Pernambuco state, Brazil, within the period of 20/02/2020 to 05/05/2020. Data included all official reports for influenza-like illness ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104263]

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mHealth for Integrated People-Centred Health Services in the Western Pacific: A Systematic Review.

Myron Anthony Godinho, Jitendra Jonnagaddala, Nachiket Gudi, Rubana Islam, Padmanesan Narasimhan, Siaw-Teng Liaw,

OBJECTIVE:This review aimed to examine how mobile health (mHealth) to support integrated people-centred health services has been implemented and evaluated in the World Health Organization (WHO) Western Pacific Region (WPR). METHODS:Eight scientific databases were searched. Two independent reviewers screened the literature in title and abstract stages, followed by full-text appraisal, ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104259]

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Predictive model with analysis of the initial spread of COVID-19 in India.

Shinjini Ghosh,

OBJECTIVE:The Coronavirus Disease 2019 (COVID-19) has currently ravaged through the world, resulting in over thirteen million confirmed cases and over five hundred thousand deaths, a complete change in daily life as we know it, worldwide lockdowns, travel restrictions, as well as heightened hygiene measures and physical distancing. Being able to ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104262]

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Predictive model with analysis of the initial spread of COVID-19 in India

Shinjini Ghosh,

Objective The Coronavirus Disease 2019 (COVID-19) has currently ravaged through the world, resulting in over thirteen million confirmed cases and over five hundred thousand deaths, a complete change in daily life as we know it, worldwide lockdowns, travel restrictions, as well as heightened hygiene measures and physical distancing. Being able ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104262-104262]

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Personalized predictive models for symptomatic COVID-19 patients using basic preconditions: Hospitalizations, mortality, and the need for an ICU or ventilator.

Salomón Wollenstein-Betech, Christos G Cassandras, Ioannis Ch Paschalidis,

BACKGROUND:The rapid global spread of the SARS-CoV-2 virus has provoked a spike in demand for hospital care. Hospital systems across the world have been over-extended, including in Northern Italy, Ecuador, and New York City, and many other systems face similar challenges. As a result, decisions on how to best allocate ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104258]

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Policy recommendations on nurses' use of smartphones in the Philippines.

John Robert Bautista,

BACKGROUND:One key technology that has a significant implication on how nurses communicate and share information is the mobile phone, particularly the smartphone. However, its use for clinical work should be regulated by policies to minimize risks and maximize benefits. OBJECTIVE:To present policy recommendations on nurses' use of smartphones that are ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104250]

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Evaluating health information technologies: A systematic review of framework recommendations.

Matthew T Neame, Gerri Sefton, Matthew Roberts, David Harkness, Ian P Sinha, Daniel B Hawcutt,

OBJECTIVE:Evaluating Health Information Technologies (HITs) can be challenging, but studies are necessary so that the most beneficial interventions can be identified. Our objective was to systematically review the available recommendations for improving the methods used in HIT evaluations. METHODS:HIT evaluation frameworks were identified from database (MEDLINE, EMBASE, CINAHL) and grey ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104247]

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The benefits and threats of blockchain technology in healthcare: A scoping review.

Israa Abu-Elezz, Asma Hassan, Anjanarani Nazeemudeen, Mowafa Househ, Alaa Abd-Alrazaq,

BACKGROUND:The application of blockchain technology is being explored to improve the interoperability of patient health information between healthcare organisations while maintaining the privacy and security of data. OBJECTIVES:The objective of this scoping review is to explore and categorise the benefits and threats of blockchain technology application in a healthcare system. ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104246]

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Education and Training on Electronic Medical Records (EMRs) for health care professionals and students: A Scoping Review.

Mahnaz Samadbeik, Farhad Fatehi, Mark Braunstein, Ben Barry, Marzieh Saremian, Fatemeh Kalhor, Sisira Edirippulige,

BACKGROUND AND OBJECTIVES:The ability of health care providers and students to use EMRs efficiently can lead to achieving improved clinical outcomes. Training policies and strategies play a major role in successful technology implementation and ongoing use of the EMR systems. To provide evidence-based guidance for developing and implementing educational interventions ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104238]

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Optimizing the correct timing of vancomycin level collection utilizing a vancomycin medication administration record (MAR) level order.

Sunish Shah, Ginger E Rouse, Dayna McManus, Eric M Tichy, Laura DeVaux, Leslie Hutchins, Jeffrey E Topal,

OBJECTIVE:Vancomycin, a commonly used antimicrobial, has a narrow therapeutic index; therefore, Therapeutic Drug Monitoring (TDM) is required. Although the Electronic Medical Record (EMR) may improve patient care, without appropriate optimization, it can contribute to incorrectly drawn vancomycin levels. For medication administration, nurses utilize the Medication Administration Record (MAR) for medication ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104249]

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Using sexual orientation and gender identity data in electronic health records to assess for disparities in preventive health screening services.

Chris Grasso, Hilary Goldhammer, Russell J Brown, B W Furness,

BACKGROUND:Lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations have an increased risk of multiple adverse health outcomes. Capturing patient data on sexual orientation and gender identity (SOGI) in the electronic health record (EHR) can enable healthcare organizations to identify inequities in the provision of preventive health screenings and other quality ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104245]

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Barriers and facilitators to implementation of nationwide electronic health records in the Russian Far East: A qualitative analysis

Se Young Jung, Keehyuck Lee, Ho-Young Lee, Hee Hwang,

Background Electronic health records (EHRs) are transforming and revolutionizing the healthcare industry. However, whereas developed countries have a high EHR penetration rate, adoption of EHRs in developing countries is lagging behind. Recently, the Korean and Russian governments have been pursuing economic cooperation in the Russian Far East. Thus, since 2009, ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104244-104244]

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The detection of hospitalized patients at risk of testing positive to multi-drug resistant bacteria using MOCA-I, a rule-based "white-box" classification algorithm for medical data.

Julie Jacques, Hélène Martin-Huyghe, Justine Lemtiri-Florek, Julien Taillard, Laetitia Jourdan, Clarisse Dhaenens, David Delerue, Arnaud Hansske, Valérie Leclercq,

BACKGROUND:Multi-drug resistant (MDR) bacteria are a major health concern. In this retrospective study, a rule-based classification algorithm, MOCA-I (Multi-Objective Classification Algorithm for Imbalanced data) is used to identify hospitalized patients at risk of testing positive for multidrug-resistant (MDR) bacteria, including Methicillin-resistant Staphylococcus aureus (MRSA), before or during their stay. METHODS:Applied ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 142:104242]

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An analysis on self-management and treatment-related functionality and characteristics of highly rated anxiety apps.

Nidal Drissi, Sofia Ouhbi, Mohammed Abdou Janati Idrissi, Mounir Ghogho,

BACKGROUND AND OBJECTIVE:Anxiety is a common emotion that people often feel in certain situations. But when the feeling of anxiety is persistent and interferes with a person's day to day life then this may likely be an anxiety disorder. Anxiety disorders are a common issue worldwide and can fall under ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 141:104243]

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