What informatics is and isn't

The term informatics is currently enveloped in chaos. One way to clarify the meaning of informatics is to identify the competencies associated with training in the field..... More

Computerized Provider Order Entry Reduces Medication Errors in Hospitals

Processing a prescription through an electronic ordering system can reduce the likelihood of a drug error by half and potentially avoid more than 17 million such incidents in U.S. hospitals in one year alone, according to a new study supported by the Agency for Healthcare Research and Quality. The authors evaluated published evidence on the impact of computerized provider order entry (CPOE) on hospital drug errors and combined this information with data on the adoption of CPOE and the volume of medication orders processed annually. The results estimated the reduction in drug errors for one year, finding that widespread adoption of CPOE could substantially reduce drug errors. 

“Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems” appears online in the Journal of the American Medical Informatics Association.


Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems: pragmatic randomised controlled trial. BMJ

PhysioDirect services invited patients to telephone a physiotherapist for initial assessment and advice, followed by face-to-face physiotherapy if necessary. Usual care involved patients joining a waiting list for face-to-face treatment.

Physiotherapy as a field is making remarkable effort to develop evidence for practice, with well-designed studies, alone and in combination with other modes of therapy as often applies in real-world clinical practice. This is a particularly well-written original research report of a well-designed study. Click here for more

Top 10 Health Technology Hazards for 2013

Patient care research firm ECRI Institute recently published its sixth annual list of the Top 10 health care technology hazards, including several related to information technology. The comprehensive report explains the hazards and gives multiple recommendations for each, as well as links to additional resources. More

Walmart, Sam's Club To Deploy 2,500 Self-Service Health Kiosks

Next month, Walmart and Sam's Club are scheduled to debut 2,500 self-service kiosks that provide a variety of no-cost health care screenings and advise consumers on several health topics. However, some consumer advocates warn that the devices could pose significant privacy risks. Kaiser Health News. More

Health IT Could Help Reduce Disparities in Care

A report released at a White House summit today states that health IT could help reduce disparities in care among ethnic and racial minorities. According to the report, health IT systems could help facilitate the collection and analysis of demographic data, and electronic enrollment portals could help improve participation in public health programs. Healthcare IT News, Consumers Union release. More

Cybercitizen Health US survey

For its Cybercitizen Health US survey the research firm polled almost 9,000 US adults via landlines, mobiles, and the internet during the third quarter. “Growing ownership of connected devices and the access to digital health tools and information they provide is helping to drive the broader shift from intermittent to continuous care,” Monique Levy, Vice President of Research at Manhattan Research, stated. “This trend shows vast potential for changing key dynamics of healthcare delivery, including patient engagement, provider involvement, and how preventive care is incentivized.” More on the survey over at Manhattan’s website here.

iPad-equipped medical school class scores 23 percent higher on exams

104 medical students in the class of 2014 received an iPad from the school when they started in 2010. Now the evidence is starting to come in that tablets as an educational tool really make a difference in the medical setting. UC Irvine reported this week that the first class to receive the iPads scored an average of 23 percent higher on national exams than previous classes, even though their incoming GPA and MCAT scores were comparable. Read more

eHealth Initiative Offers Guide on How Health IT Can Aid in Cancer Care

The eHealth Initiative has published an overview of 76 health IT tools that are available to help cancer patients, their families and caregivers. The tools focus on decisionmaking, education, lifestyle management and other areas. Health Data Management, Healthcare IT News. 
The guide lists 76 different health IT tools -- such as mobile applications, websites and social networks -- and organizes them into five categories:

Health IT Can Facilitate Patient-Centered Care

A report by the Agency for Healthcare Research and Quality finds that health IT can help promote patient-centered care in ambulatory settings. The report is based on findings from 16 projects that looked at how health IT could improve patient-doctor communication, shared decisionmaking and other elements of patient-centered care. Clinical Innovation & Technology, FierceHealthIT.

Spanish-language Consumer Summaries

Resumen para el consumidor en español 

Las guías sumarias son resúmenes cortos, completos de las revisiones de investigación. Para consequir notificado cuando una nueva guía sumaria está disponible, subscriben a nuestra lista del correo electrónico.

Problems With Health IT Can Threaten Patient Safety

A report by the ECRI Institute Patient Safety Organization identified health IT-related problems that can jeopardize patient safety. Such issues include inadequate transfer of data and systems not functioning as intended. FierceHealthIT, Healthcare IT News.

New EHR Format for Pediatric Care

The Agency for Healthcare Research and Quality and CMS have released a new electronic health record format to help health IT developers create EHR modules that are tailored to children's health needs. The new EHR format recommends several types of data elements and functionalities, such as growth data plotting and immunization decision support tools. Health Data Management et al.

Minimal barriers, patience necessary for successful telehealth adoption

A new brief states that the successful adoption of telehealth technology requires reducing barriers to patient participation. The brief includes case studies of three organizations that have implemented telehealth projects successfully. FierceHealthIT, Commonwealth Fund brief. 
Commonwealth Fund brief analyzes successful case studies from the VHA, Partners HealthCare, Centura Health at Home Read More


Launch of Open Access Journal on Electronic Clinical Data

The Agency for Healthcare Research and Quality and the Electronic Data Methods Forum are pleased to announce the official launch of eGEMs (Generating Evidence and Methods to improve patient outcomes). eGEMs is an open access journal focused on using electronic clinical data to advance research and quality improvement, with the overall goal of improving patient and community outcomes. Authors are welcome to submit papers, images, or other media focused on data methods, informatics, governance, and the learning health system.

DHHS Announces HIPAA Changes

The Department of Health and Human Services (HHS) has JUST announced new rules (modifications) to the Health Insurance Portability and Accountability Act (HIPAA) privacy and security regulations. The final omnibus rule greatly enhances a patient’s privacy protections, provides individuals new rights to their health information, and strengthens the government’s ability to enforce the law.   For the DHHS Press Release see: http://www.hhs.gov/news/press/2013pres/01/20130117b.html   The Rulemaking announced today may be viewed at https://www.federalregister.gov/public-inspection.  The rules are expected to be published in the Federal Register on January 25, 2013.   
 

10 Key Milestones for DARPA in 2012

For 50-plus years, the Defense Advanced Research Projects Agency (DARPA) has been turning out technology that can support military systems and lead to innovations in the mainstream IT and consumer spaces. And the agency didn't disappoint last year. Here we look at key milestones out of DARPA in 2012, including four-legged robots, virtual reality contact lenses and hypersonic technologies.
READ MORE »

U.S. Doctors Lead European Counterparts in Smartphone Usage

U.S. doctors have benefited from the speed and ease of smartphone support, compared with doctors in Europe, according to EPG Health Media, which performed the survey.
READ MORE »

HHS Rolls Out Mobile-based Data Protection Initiative

icon The U.S. Department of Health and Human Services (HHS) recently launched an education initiative and set of online tools that aim to provide healthcare organizations various tips on how to protect patients' protected health information (PHI) when using mobile devices such as laptops, tablets, and smartphones. The initiative offers videos, easy-to-download fact sheets, and posters to promote best ways to safeguard patient health information.  More

Exploring the Impact of Patient Portal Usage

icon A recent study conducted by researchers at the Oakland, Calif.-based integrated healthcare organization, Kaiser Permanente, found that users of Kaiser's personal health record (PHR), My Health Manager, visited their doctor's office 16 percent than those who weren't users of it. One of the study's authors explains why this result shocked him and what it might mean.  More

Teamwork Key to Long Term Sustainability of Health IT Systems

Effective Teamwork and Sustainability in Health IT Implementation, reviews grantee experiences related to planning, long-term use, partnerships, vendor relationships, and end-user perceptions a few years after the end of the project period. 
The majority of grantees reported that health IT upgrades were beneficial to the organization and that ongoing investments in health IT infrastructure were warranted. The report includes an organizational readiness checklist to help health professionals identify and mediate obstacles to successful health IT implementation. For more information, please visit: http://healthit.ahrq.gov/THQIT.

10 Ways to Fight Cyber-Threats in Health Care

Because data breaches pose serious threats to not only hospital networks but patients' privacy and lives, cyber-security is a major concern for health care organizations. Fortunately, there are steps that can be taken to make networks more secure. READ MORE »

App Helps Hemophilia Patients Track Bleeding Incidents

Pharmaceutical manufacturer Novo Nordisk has developed HemaGo, an iPhone app that allows patients with bleeding disorders to track their condition and treatment. READ MORE »

Using Information Systems To Promote Prevention

AHRQ Healthcare Innovation Exchange: 


Susannah Fox of Pew Research Center Talks About New Findings on Mobile Health Usage


Special Report Susannah Fox, associate director at the Pew Research Center's Internet & American Life Project, spoke with iHealthBeat about Pew's latest study on Internet use among U.S. residents and new findings about the use of mobile phones to look up health-related information.More

EHR vendor announces free software for charity-driven care

A major EHR vendor has announced plans to give away $1 million worth of software to doctors who provide unreimbursed care to low-income patients. More…

Studies find pros and cons for online health tools, electronic visits

As health IT adoption increases, providers are using technology to reach more patients through the web and give them greater access to online health tools. And while there are many benefits, organizations have seen mixed results so far. More…

A Nurse Navigates Her Husband's Care Transitions

Health Affairs:
Following her husband's stroke, it fell to Beth Ann Swan, a registered nurse and nursing school dean, to coordinate her recovering husband's care and manage his transitions among several hospitals and home. Swan writes about her experience in the Narrative Matters section of the November Health Affairs.

Phone help for the hard-of-hearing

Voice carryover relay service (VCO) can be done over a landline with a VCO phone that displays text, or with a smartphone or computer and an IP (Internet) relay service to place or make the call.
Either way, the deaf person can speak to the other party and read the person's response as text. The text is provided by a communications assistant.

Relay services are provided free by the FCC, telephone companies and other providers. Costs are covered by surcharges on local phone bills.

Sprint offers an IP relay service with VCO capability and a mobile app for iPhones and select Android phones. Purple's IP-Relay for iPhone and Android works like an instant messaging chat.
Deaf persons who are proficient at sign language opt for video relay services. VRS allows a person to sign with a communications assistant, who then speaks to the other caller. Conversation flows faster and more naturally than with text-based relay services.

With Purple VRS for iOS and Android, you can make VRS, voice-to-video and point-to-point calls over 3G, 4G and Wi-Fi.

Other Nursing Informatics & HIT Blogs of Interest

Nursing Informatics & Technology: A Blog for All Levels of Users

News from healthcareitnews.com

mobihealthnews

iHealthBeat

Health information technology improves care and saves lives

AHRQ Research about: * Telemedicine * School Health * Health Maintenance

Ethics and HIT

Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

e-Behaviorial Health


Benefit from new technologies... enable people to have remote access to CBT

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