3,149 results match your criteria International Journal of Medical Informatics [Journal]


Exploring mobile working in healthcare: Clinical perspectives on transitioning to a mobile first culture of work.

Int J Med Inform 2019 May 7;125:96-101. Epub 2019 Mar 7.

NIHR Imperial Patient Safety Translational Research Centre, Imperial College London, London, UK.

Objectives: This study investigated the views of healthcare professionals (HCPs) as end-users of mobile technologies to inform the requirements for a successful move towards a mobile first culture of work within secondary care. Many HCPs already used mobile devices to support their day-to-day practice and so transitioning to an organisational led mobile way of working is both needed and timely.

Materials And Methods: In-depth focus groups and interviews at a UK academic hospital were conducted with HCPs (nurses, doctors, and allied health professionals). Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.03.003DOI Listing

Effect of computer use on physician-patient communication using interviews: A patient perspective.

Int J Med Inform 2019 May 7;125:91-95. Epub 2019 Mar 7.

Department of Family Medicine, American University of Beirut, Beirut, Lebanon. Electronic address:

Background: A commonly stated barrier to adoption of electronic medical record (EMR) is fear of a negative impact on physician-patient communication. Systematic reviews have shown that there is limited literature addressing the patients' perspective as compared to the physicians' perspectives.

Aim: This study aims to understand patients' perspective on the effect of EMR on physician-patient communication in an ambulatory setting. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.03.005DOI Listing

Improving the knowledge of pregnant women using a pre-eclampsia app: A controlled before and after study.

Int J Med Inform 2019 May 4;125:86-90. Epub 2019 Mar 4.

Physiology Research Center, Department of Obstetrics and Gynecology, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.

Objective: The objective of this study was to investigate the effect of a pre-eclampsia mobile application on the knowledge of pregnant women.

Methods: Following development of a pre-eclampsia mobile application, we conducted a controlled before and after study during a three-month period in 2018. The study population consisted of pregnant women attended to obstetrician clinics and offices in Kerman, Iran of whom, 110 sample participants were divided into two intervention and control groups. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.03.001DOI Listing
May 2019
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Enhancing the performance of predictive models for Hospital mortality by adding nursing data.

Int J Med Inform 2019 May 26;125:79-85. Epub 2019 Feb 26.

Saint Camillus International University of Health Sciences, Via di Sant'Alessandro, 8, 00131 Rome, Italy. Electronic address:

Background: Mortality is the most considered outcome for assessing the quality of hospital care. However, hospital mortality depends on diverse patient characteristics; thus, complete risk stratification is crucial to correctly estimate a patient's prognosis. Electronic health records include standard medical data; however, standard nursing data, such as nursing diagnoses (which were considered essential for a complete picture of the patient condition) are seldom included. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13865056183126
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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.009DOI Listing
May 2019
5 Reads

SEWA: A framework for sociotechnical analysis of electronic health record system workarounds.

Int J Med Inform 2019 May 1;125:71-78. Epub 2019 Mar 1.

Department of Medical Informatics, Academic Medical Center, Meibergdreef 15, 1105 AZ, Amsterdam, the Netherlands.

Objective: To develop a conceptual framework, SEWA, to address challenges of studying workarounds emerging from Electronic Health Record (EHR) system usage.

Materials And Methods: SEWA is based on direct observations and follow-up interviews with physicians, nurses and clerks using their EHR at a large academic hospital. SEWA was developed by an iterative process: each new version was reviewed by experts (case study participants, hospital management, EHR developers) and refined accordingly till deemed final. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.012DOI Listing

Examining the effect of prescription sequence on developing adverse drug reactions: The case of renal failure in diabetic patients.

Int J Med Inform 2019 May 28;125:62-70. Epub 2019 Feb 28.

Oklahoma State University, Center for Health Systems Innovation (CHSI), Spears School of Business, Stillwater, 74078, OK, United States. Electronic address:

Objectives: While the effect of medications in development of Adverse Drug Reactions (ADRs) have been widely studied in the past, the literature lacks sufficient coverage in investigating whether the sequence in which [ADR-prone] drugs are prescribed (and administered) can increase the chances of ADR development. The present study investigates this potential effect by applying emergent sequential pattern mining techniques to electronic health records.

Materials And Methods: Using longitudinal medication and diagnosis records from more than 377,000 diabetic patients, in this study, we assessed the possible effect of prescription sequences in developing acute renal failure as a prevalent ADR among this group of patients. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.010DOI Listing

Predicting in-hospital mortality of patients with acute kidney injury in the ICU using random forest model.

Int J Med Inform 2019 May 12;125:55-61. Epub 2019 Feb 12.

National Institute of Health Data Science, Peking University, Beijing, China; Center for Data Science in Health and Medicine, Peking University, Beijing, China. Electronic address:

Objectives: We aimed to construct a mortality prediction model using the random forest (RF) algorithm for acute kidney injury (AKI) patients in the intensive care unit (ICU), and compared its performance with that of two other machine learning models and the customized simplified acute physiology score (SAPS) II model.

Methods: We used medical information mart for intensive care (MIMIC) III database for model development and performance comparison. The RF model uses the same predictor variable set as that of the SAPS II model. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.002DOI Listing

User-centred design for developing e-Health system for renal patients at home (AppNephro).

Int J Med Inform 2019 May 22;125:47-54. Epub 2019 Feb 22.

Grupo de Ingeniería Biomédica, Universidad de Sevilla, Sevilla, 41092, Spain; Departamento de Ingeniería Telemática, Universidad de Sevilla, Spain.

Background: Despite the promising benefits of the e-Health approaches (including provide technology-based healthcare services to anyone, anytime, and anywhere), few solutions are adopted in daily practice. User acceptance is one of the major obstacles that hinder the success of technology approaches. End-users often stress misalignments among their problems and the solutions that technology systems aim to solve. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.007DOI Listing

A systematic review of natural language processing and text mining of symptoms from electronic patient-authored text data.

Int J Med Inform 2019 May 20;125:37-46. Epub 2019 Feb 20.

Columbia University, School of Nursing, New York, NY, USA; Columbia University, Department of Biomedical Informatics, New York, NY, USA; Columbia University, Data Science Institute, New York, NY, USA. Electronic address:

Objective: In this systematic review, we aim to synthesize the literature on the use of natural language processing (NLP) and text mining as they apply to symptom extraction and processing in electronic patient-authored text (ePAT).

Materials And Methods: A comprehensive literature search of 1964 articles from PubMed and EMBASE was narrowed to 21 eligible articles. Data related to purpose, text source, number of users and/or posts, evaluation metrics, and quality indicators were recorded. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438188PMC

The effects of adverse drug reactions on patients' satisfaction: Evidence from publicly available data on Tamiflu (oseltamivir).

Int J Med Inform 2019 May 12;125:30-36. Epub 2019 Feb 12.

National Research University Higher School of Economics, Kantemirovskaya 3, Saint-Petersburg, 194100, Russia.

Background: Despite the fact that user-generated data are widely used in medical informatics in general and for revealing side-effects of various pharmaceuticals in particular, recent studies have focused merely on methods of extracting information on side effects from unstructured or semi-structured reviews of specific medications without linking side effects to any outcomes.

Objectives: In this study we demonstrate how user-generated online content on side effects experienced by patients while taking a pharmaceutical product can be used to do research after the drug has been introduced to the market, thus allowing to complement the results of official clinical studies and market research. In particular, we concentrate on revealing the contribution of various side effects to reported customer satisfaction with Tamiflu, a popular antiviral drug. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.005DOI Listing

Patient acceptance of a telemedicine service for rehabilitation care: A focus group study.

Int J Med Inform 2019 May 23;125:22-29. Epub 2019 Jan 23.

Roessingh Research and Development, Telemedicine Group, Enschede, the Netherlands; University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, the Netherlands.

Background And Purpose: Despite positive outcomes, widespread implementation of telemedicine services in rehabilitation care is lacking. This could, for a large part, be attributed to a lack of end-user acceptance. The aim of this article is to look beyond the common theoretical approaches towards end-user acceptance (like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology), and to explore the factors that contribute to or hinder the acceptance of a telemedicine service for rehabilitation care by patients with a chronic disease. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13865056183038
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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.011DOI Listing
May 2019
3 Reads

Using a smartphone app in changing cardiovascular risk factors: A randomized controlled trial (EVIDENT II study).

Int J Med Inform 2019 May 12;125:13-21. Epub 2019 Feb 12.

Institute of Biomedical Research of Salamanca (IBSAL), Primary Health Care Research Unit, La Alamedilla Health Center, Health Service of Castilla y León (SACyL), Primary Care Prevention and Health Promotion Research Network (REDIAPP), Salamanca, Spain; Department of Biomedical and Diagnostic Sciences, University of Salamanca, Salamanca, Spain.

Background And Objective: The last few years have seen the appearance many mobile applications aimed at improving health, but studies analyzing their effectiveness on cardiovascular risk factors (CVRFs) are few and far between. Our aim was to assess the effect on CVRFs such as hypertension, dyslipidemia, diabetes and global CVR, of adding the use of a smartphone app to an intervention consisting of standard counseling on physical activity and the Mediterranean diet.

Method: This is a multicenter, randomized and controlled clinical trial. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.004DOI Listing

Conversion of STOPP/START version 2 into coded algorithms for software implementation: A multidisciplinary consensus procedure.

Int J Med Inform 2019 May 31;125:110-117. Epub 2018 Dec 31.

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.

Background: The rapid digitalization of medical practice has attracted growing interest in developing software applications for clinical guidelines and explicit screening tools to detect potentially inappropriate prescribing, such as STOPP/START criteria. The aim of the current study was to develop and provide logically unambiguous algorithms of STOPP/START criteria version 2, encoded with international disease and medication classification codes, to facilitate the development of software applications for multiple purposes.

Methods: A four round multidisciplinary consensus and validation procedure was conducted to develop implementable coded algorithms for software applications of STOPP/START criteria version 2, based on ICD, ICPC, LOINC and ATC classification databases. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.010DOI Listing

Using clinical cancer registry data for estimation of quality indicators: Results from the Norwegian breast cancer registry.

Int J Med Inform 2019 May 9;125:102-109. Epub 2019 Mar 9.

Cancer Registry of Norway, Norway.

Introduction: Increased focus on quality indicators and the use of clinical registries for breast cancer for real world studies have shown higher compliance to recommended therapy and better survival. In 2010, the European Society of Breast Cancer Specialist (EUSOMA) proposed quality indicators (QI) covering diagnosis, treatment and follow-up. To become a EUSOMA certified Breast Cancer Unit, 14 specified quality indicators, in addition to other requirements, need to be met. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.03.004DOI Listing
May 2019
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Understanding the patient privacy perspective on health information exchange: A systematic review.

Int J Med Inform 2019 May 1;125:1-12. Epub 2019 Feb 1.

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada; UHN Digital, University Health Network, Toronto, Canada. Electronic address:

Background: Health information exchange (HIE), the ability for health information technology (HIT) to share patient data, can improve the efficiency and effectiveness of healthcare; however, this ability may cause patient concern about their ability to control who can access their health records (i.e., privacy). Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.014DOI Listing

Measure clinical drug-drug similarity using Electronic Medical Records.

Int J Med Inform 2019 Apr 11;124:97-103. Epub 2019 Feb 11.

The Children's Hospital, Zhejiang University School of Medicine, China; The Institute of Translational Medicine, Zhejiang University, China. Electronic address:

Objective: Quantitative measurement of clinical drug-drug similarity has many potential applications in assessing medication therapy similarity and patient similarity. Currently, most of the methods to measure drug-drug similarity were not directly obtained from clinical data and cannot cover clinical drugs. We sought to propose a computational approach to measure clinical drug-drug similarity based on the Electronic Medical Record (EMR) system. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.02.003DOI Listing
April 2019
1 Read

Bias of Inaccurate Disease Mentions in Electronic Health Record-based Phenotyping.

Int J Med Inform 2019 Apr 13;124:90-96. Epub 2018 Dec 13.

Department of Biomedical Informatics, Graduate School of Medicine, The University of Tokyo, Japan.

Objectives: Electronic health record (EHR)-based phenotyping is an automated technique for identifying patients diagnosed with a particular disease using EHR data. However, EHR-based phenotyping has difficulties in achieving satisfactorily high performance because clinical notes include disease mentions that ultimately signify something other than the patient's diagnosis (such as differential diagnosis or screening). Our objective is to quantify the influence of such disease mentions on EHR-based phenotyping performance. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.004DOI Listing

A public health perspective on using electronic health records to address social determinants of health: The potential for a national system of local community health records in the United States.

Int J Med Inform 2019 Apr 24;124:86-89. Epub 2019 Jan 24.

Center for Population Health IT, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Community health records (CHRs) are defined as "a curated set of population-level indicators that describe the health and quality of life of a geographic community". CHRs encompass clinical, social determinants of health (SDOH), and public health data aggregated at the neighborhood level. If developed and deployed across communities, CHRs provide an opportunity to track and enhance population health on a regional or national level. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.012DOI Listing
April 2019
2.004 Impact Factor

Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies.

Int J Med Inform 2019 Apr 29;124:78-85. Epub 2019 Jan 29.

Department of Medicine, University of Otago Christchurch, 8140, New Zealand; Department of Nephrology, Canterbury District Health Board, Christchurch, New Zealand.

Objectives: To describe the range of patients' beliefs, attitudes, expectations, and experiences of remote monitoring for chronic conditions across different healthcare contexts and populations.

Design: We searched MEDLINE, Embase, PsychINFO, and CINAHL, Google Scholar, and reference lists of related studies through to July 2017. Thematic synthesis was used to analyse the findings of the primary studies. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.013DOI Listing

Mobile health for older adult patients: Using an aging barriers framework to classify usability problems.

Int J Med Inform 2019 Apr 15;124:68-77. Epub 2019 Jan 15.

Amsterdam UMC, University of Amsterdam, Department of Medical Informatics, Center for Human Factors Engineering of Health Information Technology (HIT-Lab), the Netherlands; Amsterdam UMC, Department of Medical Informatics, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, the Netherlands.

Background: With populations aging, digital health tools and mobile health applications (mHealth) are becoming more common to assist older people in independent living and self-management of (chronic) illnesses. These mHealth services can be beneficial to older patients, provided that they are adjusted to their needs and characteristics, as the current mHealth landscape lacks user-friendly services for this target group. Understanding of intrinsic aging barriers, which cause and impact usability problems older patients encounter, is needed to achieve this. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.006DOI Listing

Using natural language processing to extract clinically useful information from Chinese electronic medical records.

Int J Med Inform 2019 Apr 7;124:6-12. Epub 2019 Jan 7.

Medical Genetic Institute of Henan Province, Henan Provincial People's Hospital, Henan Key Laboratory of Genetic Diseases and Functional Genomics, Henan Provincial People's Hospital of Henan University, Zhengzhou, Henan Province, PR China. Electronic address:

Aims: To develop a natural language processing (NLP)-based algorithm for extracting clinically useful information for patients with hepatocellular carcinoma (HCC) from Chinese electronic medical records (EMRs) and use these data for the assessment of HCC staging.

Materials And Methods: Clinical documents, including operation notes, radiology and pathology reports, of 92 HCC patients were collected from Chinese EMRs. We randomly grouped these patients into training (n = 60) and testing (n = 32) datasets. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.004DOI Listing

E-tools for hospital management: An overview of smartphone applications for health professionals.

Int J Med Inform 2019 Apr 19;124:58-67. Epub 2019 Jan 19.

Department of Public Health Sciences, University of Turin, Italy.

Background: Commonly, management of the main hospital activities is organized by different software packages that run on desktop computers, which may not always allow fast and practical use by health operators. This problem could be alleviated by combining these software packages with mobile health. The aim of this study is to provide an overview of smartphone and tablet applications used for hospital management and administration in order to evaluate their features and analyze them according to their content, number of downloads and field of application. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.010DOI Listing

Digitization of healthcare organizations: The digital health landscape and information theory.

Int J Med Inform 2019 Apr 11;124:49-57. Epub 2019 Jan 11.

IMD Business School, Lausanne, Switzerland.

Background: This paper builds on an integrated framework of digital opportunities, based on information theory that was initially proposed by Claude Shannon: 1) providers of infrastructure for transmitting information; 2) platforms, devices, and software to bundle, store and deliver others' content; 3) original content creator); 4) platforms enabling peer-to-peer exchange; and 5) connected intelligence embed in devices. We aimed to clarify the meaning of digitization of organisations in the healthcare landscape and answer 'how can healthcare organisations compete in a world that is rapidly digitizing?'.

Methods: To gain more insight into the views of different stakeholders, we invited 12 participants with a wide range of backgrounds to a workshop. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.007DOI Listing
April 2019
3 Reads

Melanoma lesion detection and segmentation using deep region based convolutional neural network and fuzzy C-means clustering.

Int J Med Inform 2019 Apr 18;124:37-48. Epub 2019 Jan 18.

School of Computer Science and Engineering, Korea University of Technology and Education, 1600, Chungjeol-ro, Byeongcheon-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, 31253, Republic of Korea. Electronic address:

Objective: Melanoma is a dangerous form of the skin cancer responsible for thousands of deaths every year. Early detection of melanoma is possible through visual inspection of pigmented lesions over the skin, treated with simple excision of the cancerous cells. However, due to the limited availability of dermatologists, the visual inspection alone has the limited and variable accuracy that leads the patient to undergo a series of biopsies and complicates the treatment. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.005DOI Listing
April 2019
2 Reads

Synchronous video telemedicine in lower extremities ulcers treatment: A real-world data study.

Int J Med Inform 2019 Apr 14;124:31-36. Epub 2019 Jan 14.

Maccabi Healthcare Services, HaMered 27, Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Introduction: With growing prevalence of lower extremity ulcers (LEU) and shortage of wound specialists, gaps in access to care may occur, particularly in remote areas. This gap can be mitigated with high-quality telemedicine (TM). This study aims to explore the effectiveness of synchronous video TM compared to the conventional face-to-face treatment (FTF). Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.009DOI Listing
April 2019
2.004 Impact Factor

Feasibility study of an EHR-integrated mobile shared decision making application.

Int J Med Inform 2019 Apr 11;124:24-30. Epub 2019 Jan 11.

Department of Medicine, UCLA, Los Angeles, CA, USA.

Introduction: Integrating mobile applications (apps) into users' standard electronic health record (EHR) workflows may be valuable, especially for apps that both read and write data. This report details the lessons learned during the integration of a patient decision aid - prostate specific antigen (PSA) testing for prostate cancer screening - into our users' standard EHR workflow for a small usability assessment.

Materials And Methods: This feasibility study included two steps. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.008DOI Listing

Analysis of the efficacy of an internet-based self-administered intervention ("Living Better") to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trial.

Int J Med Inform 2019 Apr 21;124:13-23. Epub 2018 Dec 21.

Universitat de València, Facultad de Psicología, Valencia, Spain; CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain. Electronic address:

Introduction: Changes in unhealthy lifestyles are key elements in the prevention and treatment of obesity and hypertension. Internet-based programs offer great potential for the implementation of evidence-based interventions focused on promoting healthy habits. We evaluate the efficacy of an Internet-based self-administered program ("Living Better") that addresses people diagnosed as being overweight or having type I obesity and hypertension. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.007DOI Listing
April 2019
1 Read

A clinical decision support system to improve adequate dosing of gentamicin and vancomycin.

Int J Med Inform 2019 Apr 2;124:1-5. Epub 2019 Jan 2.

Pharmacy Foundation of Haarlem Hospitals (SAHZ), Boerhaavelaan 24, 2035 RC, Haarlem, The Netherlands. Electronic address:

Objective: Gentamicin and vancomycin meet the criteria for measuring plasma concentrations during therapy. However, compliance with the accompanying guidelines remains low. The primary objective of this study was to determine whether the implementation of a clinical decision support system, which displays an alert if a plasma concentration should be measured and a daily reviewed patient list resulted in improved compliance. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.002DOI Listing

The emergence of new data work occupations in healthcare: The case of medical scribes.

Int J Med Inform 2019 Mar 3;123:76-83. Epub 2019 Jan 3.

Arizona State University, College of Health Solutions, Health South, Phoenix, AZ 85004, USA. Electronic address:

Purpose: Increasing demand for more and better documentation as well as digitalization of healthcare entail shifts in competencies and roles of healthcare occupations and professions. As a result of this data-centric technological development, new kinds of work and occupations emerge of which medical scribes are an example. To investigate and provide a case of an emergent occupation focused on 'data work', we describe the emergence, growth and stabilization of medical scribes, outline their history and provide a literature overview. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.001DOI Listing
March 2019
1 Read

The analysis of the effects of acute rheumatic fever in childhood on cardiac disease with data mining.

Int J Med Inform 2019 Mar 27;123:68-75. Epub 2018 Dec 27.

İstanbul University, Informatics Department, İstanbul, Turkey.

Background: Acute rheumatic fever (ARF) is an important disease that is frequently seen in Turkey, it is necessary to develop solutions to cure the disease. It is believed that new data analysis methods may be applied to this disease, and this may be useful to discover previously unrecognized patterns. Data mining of existing records and data repositories may improve knowledge on the diagnosis and management of ARF. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.009DOI Listing
March 2019
3 Reads

Combined interventions for physical activity, sleep, and diet using smartphone apps: A scoping literature review.

Int J Med Inform 2019 Mar 15;123:54-67. Epub 2018 Dec 15.

Dept. of Computer Science, COM2-02-62, School of Computing, National University of Singapore, 15 Computing Drive, 117418, Singapore. Electronic address:

Background: The use of smartphone apps to track and manage physical activity (PA), diet, and sleep is growing rapidly. Many apps aim to change individual behavior on these three key health dimensions (PA, sleep, diet) by using various interventions. Earlier reviews have examined interventions using smartphone apps for one or two of these dimensions. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.005DOI Listing
March 2019
4 Reads

The past and current state of the Czech outpatient electronic prescription (eRecept).

Authors:
Jan Bruthans

Int J Med Inform 2019 Mar 2;123:49-53. Epub 2019 Jan 2.

Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague, Czech Republic nám. Sítná 3105, CZ-272 01 Kladno, Czech Republic. Electronic address:

Introduction: Outpatient Electronic Prescription Systems (OEPSs) are widely used in some European states, such as Denmark, Sweden and the Netherlands. The Czech OEPS (known as eRecept) was introduced in 2011, but with limited functions and voluntary usage it was not much accepted until 2018, when its usage was made compulsory not only for pharmacies, but for physicians as well.

Methods: Using data from the Czech State Institute for Drug Control (Státní ústav pro kontrolu léčiv or SÚKL in Czech) and from other sources, the system was described and data about its performance since 2013 have been obtained. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2019.01.003DOI Listing
March 2019
1 Read

Quantitative analysis of manual annotation of clinical text samples.

Int J Med Inform 2019 Mar 31;123:37-48. Epub 2018 Dec 31.

Institute of Medical Informatics, Statistics and Documentation, Medical University of Graz, Austria.

Background: Semantic interoperability of eHealth services within and across countries has been the main topic in several research projects. It is a key consideration for the European Commission to overcome the complexity of making different health information systems work together. This paper describes a study within the EU-funded project ASSESS CT, which focuses on assessing the potential of SNOMED CT as core reference terminology for semantic interoperability at European level. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.011DOI Listing
March 2019
6 Reads
2.004 Impact Factor

Integration of an in-home monitoring system into home care nurses' workflow: A case study.

Int J Med Inform 2019 Mar 21;123:29-36. Epub 2018 Dec 21.

University of Jyväskylä, Kokkola University Consortium Chydenius, Talonpojankatu 2B, FI-67701, Finland.

Background: The healthcare system faces a major challenge in caring for an increasingly ageing population as this task requires more resources than are currently available. Adopting monitoring technologies could enable more efficient care practices and support ageing in place.

Objectives: To investigate how the use of an in-home motion monitoring system can be integrated into home care nurses' workflows and to uncover the factors behind system adoption. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.006DOI Listing
March 2019
10 Reads

On the reliability of measurements for a stent positioning simulation system.

Int J Med Inform 2019 Mar 30;123:23-28. Epub 2018 Dec 30.

The Department of Medical and Surgical Sciences, University of Catanzaro, Italy.

Background And Objective: Computer aided simulations are useful to support the physician in many steps of the surgical activity, but also in pre-surgical patient classification and in post-surgical diagnosis and treatment decisions. At a broader level, computerized technologies and infrastructures permeate every aspect of the medical activity, from patient management to surgery and patients' follow up with outcomes analyses. Radiography assisted surgery is often used in hemodynamic surgery to study and support cardio-circulatory stents positioning with the use of radioscopy coupled with contrast liquid injected into the vessels. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.008DOI Listing
March 2019
1 Read

Home-based technologies for stroke rehabilitation: A systematic review.

Int J Med Inform 2019 Mar 11;123:11-22. Epub 2018 Dec 11.

Department of Neurology, University of California, Irvine, United States.

Background: Many forms of home-based technology targeting stroke rehabilitation have been devised, and a number of human factors are important to their application, suggesting the need to examine this information in a comprehensive review.

Objective: The systematic review aims to synthesize the current knowledge of technologies and human factors in home-based technologies for stroke rehabilitation.

Methods: We conducted a systematic literature search in three electronic databases (IEEE, ACM, PubMed), including secondary citations from the literature search. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.001DOI Listing
March 2019
15 Reads

Clinical prediction rules: A systematic review of healthcare provider opinions and preferences.

Int J Med Inform 2019 Mar 12;123:1-10. Epub 2018 Dec 12.

Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, Sydney 2113, Australia.

Objective: The act of predicting clinical endpoints and patient trajectories based on past and current states is on the precipice of a technological revolution. This systematic review summarises the available evidence describing healthcare provider opinions and preferences with respect to the use of clinical prediction rules. The primary goal of this work is to inform the design and implementation of future systems, and secondarily to identify gaps for the development of clinician education programs. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.12.003DOI Listing
March 2019
8 Reads

ICD-10-PCS extension with ICD-9 procedure codes to support integrated access to clinical legacy data.

Int J Med Inform 2019 Feb 16;122:70-79. Epub 2018 Nov 16.

Sint-Martens-Latem, Belgium.

Since the creation of The International Classification of Diseases (ICD), new versions have been released to keep updated with the current medical knowledge. Migrations of Electronic Health Records (EHR) from ICD-9 to ICD-10-PCS as clinical procedure codification system, has been a significant challenge and involved large resources. In addition, it created new barriers for integrated access to legacy medical procedure data (frequently ICD-9 coded) with current data (frequently ICD-10-PCS coded). Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.002DOI Listing
February 2019
1 Read

Information needs for designing a home monitoring system for children with medical complexity.

Int J Med Inform 2019 Feb 26;122:7-12. Epub 2018 Nov 26.

University of Utah, Pediatric Department, SLC, Utah, United States.

Background Children with medical complexity (CMC) are a growing population of medically fragile children with unique healthcare needs, who have recurrent emergency department (ED) and hospital admissions due to frequent acute escalations of their chronic conditions. Mobile health (mHealth) tools have been suggested to support CMC home monitoring and prevent admissions. No mHealth tool has ever been developed for CMC and challenges exist. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.011DOI Listing
February 2019
12 Reads

A data-driven and practice-based approach to identify risk factors associated with hospital-acquired falls: Applying manual and semi- and fully-automated methods.

Int J Med Inform 2019 Feb 27;122:63-69. Epub 2018 Nov 27.

University of Florida, College of Public Health and Health Professions, United States; University of Florida, College of Medicine, United States.

Background And Purpose: Electronic health record (EHR) data provides opportunities for new approaches to identify risk factors associated with iatrogenic conditions, such as hospital-acquired falls. There is a critical need to validate and translate prediction models that support fall prevention clinical decision-making in hospitals. The purpose of this study was to explore a combined data-driven and practice-based approach to identify risk factors associated with falls. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.006DOI Listing
February 2019
7 Reads

A minimal set of physiomarkers in continuous high frequency data streams predict adult sepsis onset earlier.

Int J Med Inform 2019 Feb 10;122:55-62. Epub 2018 Dec 10.

Center for Biomedical Informatics, Department of Pediatrics, University of Tennessee Health, USA Science Center, Memphis, TN, USA. Electronic address:

Purpose: Sepsis is a life-threatening condition with high mortality rates and expensive treatment costs. To improve short- and long-term outcomes, it is critical to detect at-risk sepsis patients at an early stage.

Methods: A data-set consisting of high-frequency physiological data from 1161 critically ill patients was analyzed. Read More

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February 2019
1 Read
2.004 Impact Factor

Methodologies of speech analysis for neurodegenerative diseases evaluation.

Int J Med Inform 2019 Feb 26;122:45-54. Epub 2018 Nov 26.

Department of Surgical and Medical Science, Magna Graecia University, 88100 Catanzaro, Italy. Electronic address:

Background And Objective: Neurodegenerative diseases are disorders that affect neurons in the brain resulting in a debilitating condition and progressive degeneration of nerve cells. These diseases involve different aspects among which speech impairment. Vocal signal analysis is used to evaluate this impairment and to discriminate normal from pathological voices. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.008DOI Listing
February 2019
3 Reads

A Multi-step Usability Evaluation of a Self-Management App to Support Medication Adherence in Persons Living with HIV.

Int J Med Inform 2019 Feb 3;122:37-44. Epub 2018 Dec 3.

School of Nursing, Columbia University, New York, NY, 10032, United States.

Purpose: Adherence to antiretroviral therapy is essential to HIV management and sustaining viral suppression. Despite simplified regimens, adherence remains difficult for certain persons living with HIV (PLWH). There is evidence to support the use of mHealth apps for effective self-management in PLWH; however, a medication adherence app with real-time monitoring for this population has not been developed and rigorously evaluated by PLWH. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369913PMC
February 2019
1 Read

Detection of u-serrated patterns in direct immunofluorescence images of autoimmune bullous diseases by inhibition-augmented COSFIRE filters.

Int J Med Inform 2019 Feb 28;122:27-36. Epub 2018 Nov 28.

Bernoulli Institute for Mathematics, Computer Science, University of Groningen, The Netherlands.

Direct immunofluorescence (DIF) microscopy of a skin biopsy is used by physicians and pathologists to diagnose autoimmune bullous dermatoses (AIBD). This technique is the reference standard for diagnosis of AIBD, which is used worldwide in medical laboratories. For diagnosis of subepidermal AIBD (sAIBD), two different types of serrated pattern of immunodepositions can be recognized from DIF images, namely n- and u-serrated patterns. Read More

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February 2019
2 Reads

Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: A systematic review.

Int J Med Inform 2019 Feb 17;122:20-26. Epub 2018 Nov 17.

Department of Health Information Management and Technology, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Objective: To carry out a systematic review of studies assessing the effects of chemotherapy prescription clinical decision-support systems (CDSSs) on the chemotherapy process.

Methods: Articles published in English before May 1, 2017 and indexed in the PubMed and Embase databases were reviewed systematically. Studies that focused on the effects of chemotherapy prescription CDSSs on the chemotherapy process were included in this research and reviewed. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.004DOI Listing
February 2019
3 Reads

Nasal cytology with deep learning techniques.

Int J Med Inform 2019 Feb 30;122:13-19. Epub 2018 Nov 30.

Dipartimento di Scienze Mediche di Base, Neuroscienze e Organi di Senso, Università degli Studi di Bari 'Aldo Moro', Bari, Italy.

Background: In recent years, cytological observations in the Rhinology field are being increasingly utilized. This development has taken place over the last two decades and has proven to be fundamental in defining new nosological entities and in driving changes in the previous classification of rhinitis. The simplicity of the technique and its low invasiveness make nasal cytology a practical diagnostic tool for all rhino-allergology services. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.010DOI Listing
February 2019
5 Reads

Health information exchange in Finland: Usage of different access types and predictors of paper use.

Int J Med Inform 2019 Feb 23;122:1-6. Epub 2018 Nov 23.

Inflammation Center, Clinic of Infectious Diseases, University of Helsinki and Helsinki University Hospital, POB 348, FI-00029, HUS, Helsinki, Finland; Finnish Medical Association (FMA), Helsinki, Finland.

Introduction: Timely, complete and accurate patient data is needed in care decisions along the continuum of care. To access patient data from other organizations, there are three types of regional health information exchange systems (RHIS) in use In Finland. Some regions use multiple RHISs while others do not have a RHIS available. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.005DOI Listing
February 2019
19 Reads

Expanding vocabularies for complementary and alternative medicine therapies.

Int J Med Inform 2019 Jan 22;121:64-74. Epub 2018 Nov 22.

Department of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.

Objective: There is a significant consumer demand for complementary and alternative medicine (CAM) therapies as possible alternatives to drugs in the treatment and prevention of chronic diseases. Expanding controlled vocabularies to include CAM treatment relations could help meet those needs by facilitating information retrieval from the published literature. The purpose of this study is to design and evaluate two methods to semi-automatically extract CAM treatment-related semantic predications (subject-predicate-object triplets) from the biomedical literature using the Semantic Medline database (SemMedDB). Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.009DOI Listing
January 2019
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Impact on medical practice of accessing pharmaceutical records.

Int J Med Inform 2019 Jan 12;121:58-63. Epub 2018 Sep 12.

Department of Biostatistics, Rouen University Hospital, 1 rue de Germont, 76031 Rouen, France; Normandie Univ., UNIROUEN, INSERM U 1219, F76031 Rouen, France.

Introduction: The pharmaceutical record system (PRS) is a French nationwide centralized electronic database shared among all community pharmacists listing all drugs dispensed by community pharmacists in the last four months. The objective of this study, the Medication Assessment Through Real time Information eXchange - Distributed Pharmaceutical Record System (MATRIX - DPRS) study, was to assess the clinical impact of the PRS upon granting access to physicians in three hospital specialties: anesthesiology, emergency medicine and geriatrics.

Material And Methods: A multicenter prospective study was conducted in six hospital departments, two per specialty. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.09.010DOI Listing
January 2019
12 Reads

Extracting tumour prognostic factors from a diverse electronic record dataset in genito-urinary oncology.

Int J Med Inform 2019 Jan 23;121:53-57. Epub 2018 Oct 23.

Austin Health, Department of Radiation Oncology, Melbourne, Australia; Department of Cancer Medicine, Latrobe University, Melbourne, Australia.

Objectives: To implement a system for unsupervised extraction of tumor stage and prognostic data in patients with genitourinary cancers using clinicopathological and radiology text.

Methods: A corpus of 1054 electronic notes (clinician notes, radiology reports and pathology reports) was annotated for tumor stage, prostate specific antigen (PSA) and Gleason grade. Annotations from five clinicians were reconciled to form a gold standard dataset. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13865056183033
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http://dx.doi.org/10.1016/j.ijmedinf.2018.10.008DOI Listing
January 2019
16 Reads