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Journal articles on the topic 'Standardized care information utility'

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1

Schumacher, Connie, Margaret Saari, Fabrice Mowbray, et al. "Comprehensive Standardized Assessment for Information Continuity: What Does the Workforce Need." International Journal of Integrated Care 23, S1 (2023): 771. http://dx.doi.org/10.5334/ijic.icic23634.

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Introduction: Older adults living with frailty and multimorbidity interact with multiple care providers across different health settings increasing the risk for fragmented care and information discontinuity. Information discontinuity results in workforce inefficiencies and adverse health events, including duplication of assessment and diagnostics, medication errors and increased health service use. Standardized assessments potentiate integrated care by communicating consistent measures of health information between health care sectors and providers. InterRAI assessments facilitate integration
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Moghaddamjou, Ali, Caroline Speers, and Winson Y. Cheung. "Utility of standardized letters in assisting primary care providers (PCPs) with the care of cancer survivors (CS)." Journal of Clinical Oncology 31, no. 15_suppl (2013): 9593. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.9593.

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9593 Background: Survivorship care plans have strong face validity, but individualizing plans to each patient’s needs can be resource intensive. At our institution, a 1-page standardized letter that outlines the essential components of follow-up care is mailed to PCPs at the time of a patient’s discharge. This letter highlights the recommended frequency and interval of tests and physician visits. Our study aims were to 1) characterize PCPs’ attitudes regarding these letters and 2) identify potential strategies to improve this channel of communication with PCPs. Methods: Self-administered surve
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Kumar, Dinesh, Avi Kumar Bansal, Sanjay Mankotia, Srikant Prasad Tripathy, and Ashok Kumar Bhardwaj. "Spatio-temporal analysis of secondary data for usefulness and utility of Health Management Information System." Journal of Comprehensive Health 4, no. 2 (2020): 20–34. http://dx.doi.org/10.53553/jch.v04i02.004.

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Introduction: Health Management Information System (HMIS) is a coordinated effort to improve the decision making for reorienting health care services to a large populace. Since its adoption and its revitalization its use in primary health care was assessed for usefulness and utility. Methods: Study was carried out at Community Health Centre (CHC), Haroli, Una, Himachal Pradesh. Standardized reporting formats for every month was collated and analyzed at Primary Health Centre (PHC) Level for year 2011, 2012, and 2013. Results: In year 2003 with an average pregnancy registration of 20/1000 popula
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McConnell, Eleanor S., Sijia Wei, Bada Kang, Samantha Woog, Kayla Wright-Freeman, and Kirsten N. Corazzini. "MEASURING NETWORK WELL-BEING AND HEALTH AMONG PEOPLE LIVING WITH DEMENTIA: A MIXED-METHODS STUDY." Innovation in Aging 3, Supplement_1 (2019): S71—S72. http://dx.doi.org/10.1093/geroni/igz038.278.

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Abstract The feasibility and utility of measuring social networks of people living with mild to moderate stage dementia to improve care quality was examined by comparing information obtained using Antonucci’s social network mapping approach and through information elicited through a series of open-ended questions regarding life story and well-being. Data were obtained from 24 interviews with 12 people belonging to one or more networks of people living with dementia receiving care in adult day programs. Concurrently we obtained measures of health and well-being using validated symptom checklist
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Varnell, Charles D., David K. Hooper, Constance A. Mara, Avani C. Modi, and Kristin L. Rich. "The Barriers Assessment Tool—A Patient-Centered Measure of Adherence Barriers in Pediatric Kidney Transplantation." Children 10, no. 9 (2023): 1435. http://dx.doi.org/10.3390/children10091435.

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Objective: Assessing barriers to adherence provides helpful information to clinicians. The objective of this study was to describe the clinical utility of the Barriers Assessment Tool (BAT) using clinical data for a large, midwestern U.S. pediatric kidney transplant program. Methods: Focus group and clinical data were obtained during post-transplant medical visits. Qualitative and quantitative assessment methods were utilized to describe patient and caregiver feedback on the BAT, clinical utility, concordance between reporters, and the effect of interventions on subsequent assessment and elect
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Beohon, Blancheneige, Joshua Lewis, Philong Nguyen, et al. "605 Evaluating ChatGPT’s Utility in Addressing Socioeconomic Disparities in Burn Patients: A Comparative Study with Google." Journal of Burn Care & Research 46, Supplement_1 (2025): S181—S182. https://doi.org/10.1093/jbcr/iraf019.234.

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Abstract Introduction Patients from low socioeconomic status (SES) backgrounds often face significant barriers to quality burn care, including limited healthcare access, follow-up, and health literacy. Many rely on online resources like Google for medical information, which can be overwhelming and lack relevance to their specific needs. This study compares the quality, accessibility, and SES-relevance of burn care information provided by ChatGPT and Google to address information disparities for low SES patients. Methods A standardized set of commonly asked questions on immediate burn care, med
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Sun, Lynn W., Andrea L. Stahulak, and Deborah M. Costakos. "Utilizing Electronic Medical Records to Standardize Handoffs in Academic Ophthalmology." Journal of Academic Ophthalmology 12, no. 02 (2020): e205-e213. http://dx.doi.org/10.1055/s-0040-1718566.

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Abstract Purpose Formalized handoff procedures have been shown to increase patient safety and quality of care across multiple medical and surgical specialties,1–4 but literature regarding handoffs in ophthalmology remains sparse. We instituted a standardized handoff utilizing an electronic medical record (EMR) system to improve care for patients shared by multiple resident physicians across weekday, weeknight, and weekend duty shifts. We measured efficiency, efficacy, and resident satisfaction before and after the standardized handoff was implemented. Methods Resident physicians surveyed were
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Åhsberg, Elizabeth, Gunilla Fahlström, Eva Rönnbäck, Ann-Kristin Granberg, and Ann-Helene Almborg. "Development of an Instrument for Assessing Elder Care Needs." Research on Social Work Practice 27, no. 3 (2017): 291–306. http://dx.doi.org/10.1177/1049731515572913.

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Objective: To construct a needs assessment instrument for older people using a standardized terminology (International classification of functioning, disability, and health [ICF]) and assess its psychometrical properties. Method: An instrument was developed comprising questions to older people regarding their perceived care needs. The instrument’s reliability, validity, and utility were tested. Forty-one social workers and 251 older people participated. Results: The questions were sufficiently unambiguous (inter-rater reliability, intraclass correlation = .60–.80); measured a person’s care and
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Falck, Leandra, Marco Zoller, Thomas Rosemann, Nahara Anani Martínez-González, and Corinne Chmiel. "Toward Standardized Monitoring of Patients With Chronic Diseases in Primary Care Using Electronic Medical Records: Development of a Tool by Adapted Delphi Procedure." JMIR Medical Informatics 8, no. 3 (2020): e14483. http://dx.doi.org/10.2196/14483.

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Background Long-term care for patients with chronic diseases poses a huge challenge in primary care. There are deficits in care, especially regarding monitoring and creating structured follow-ups. Appropriate electronic medical records (EMR) could support this, but so far, no generic evidence-based template exists. Objective The aim of this study is to develop an evidence-based standardized, generic template that improves the monitoring of patients with chronic conditions in primary care by means of an EMR. Methods We used an adapted Delphi procedure to evaluate a structured set of evidence-ba
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Gallagher, Kelly, Jane-Frances C. Aruma, Christiana N. Oji-Mmuo, et al. "Placental pathology reports: A qualitative study in a US university hospital setting on perceived clinical utility and areas for improvement." PLOS ONE 18, no. 6 (2023): e0286294. http://dx.doi.org/10.1371/journal.pone.0286294.

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Objective To explore how placental pathology is currently used by clinicians and what placental information would be most useful in the immediate hours after delivery. Study design We used a qualitative study design to conduct in-depth, semi-structured interviews with obstetric and neonatal clinicians who provide delivery or postpartum care at an academic medical center in the US (n = 19). Interviews were transcribed and analyzed using descriptive content analysis. Results Clinicians valued placental pathology information yet cited multiple barriers that prevent the consistent use of pathology
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Szamreta, Elizabeth A., Allysen Kaminski, Ruchit Shah, et al. "Survey study of barriers to evidence-based decision-making in oncology care using next-generation sequencing." Journal of Clinical Oncology 39, no. 15_suppl (2021): e18757-e18757. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18757.

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e18757 Background: Next-generation sequencing (NGS) has the potential to accelerate precision medicine in oncology by informing efficient and improved clinical treatment decision-making. However, discussions on the utility of NGS in clinical practice are ongoing. This survey study examined clinical utility barriers to adoption of NGS into oncologic care. Methods: A cross-sectional online survey was sent to a nationally representative sample of oncologists/hematologists, surgeons, and pathologists (N=201). The survey gathered information on physician demographics, practice characteristics, perc
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Brackett, Julienne, Ernest Frugé, and Martin Lorin. "Using standardized patients to improve delivery of bad news by pediatric hematology-oncology fellows." Journal of Clinical Oncology 33, no. 29_suppl (2015): 29. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.29.

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29 Background: First-year pediatric hematology-oncology fellows frequently must deliver difficult news to patients and families, possibly with little prior experience. Training in this area is often via didactic lectures and by “trial and error”. This can lead to significant discomfort on the part of fellows and potentially increased distress on the part of families if information is poorly communicated. Standardized patient (SP) encounters provide a safe environment for fellows to practice effective and compassionate communication skills. SPs can provide feedback to the fellows that may not o
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Davis, Matthew T., Adam Dukelow, Shelley McLeod, Severo Rodriguez, and Michael Lewell. "The utility of the prehospital electrocardiogram." CJEM 13, no. 06 (2011): 372–77. http://dx.doi.org/10.2310/8000.2011.110390.

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ABSTRACTObjectives:The 12-lead electrocardiogram (ECG) can capture valuable information in the prehospital setting. By the time patients are assessed by an emergency department (ED) physician, their symptoms and any ECG changes may have resolved. We sought to determine whether the prehospital electrocardiogram (pECG) could influence ED management and how often the pECG was available to and reviewed by the ED physician.Methods:A retrospective medical record review was conducted on a random sample of patients ≥ 18 years who had a prehospital 12-lead ECG and were transported to one of two tertiar
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Patel, Smit, Jennifer C. Goldsack, Douglas E. Mirsky, Stephen Konya, and William Allen Wood. "CancerX Data Sprint: Advancing national oncology data standards through a unique public-private partnership." Journal of Clinical Oncology 42, no. 16_suppl (2024): e23283-e23283. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e23283.

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e23283 Background: In a concerted effort to enhance the quality, accessibility, and effectiveness of comprehensive real-world cancer datasets, CancerX, a public-private partnership announced by the White House recently conducted a demonstration project, the CancerX Data Sprint. CancerX Data Sprint attempted a novel approach to quickly inform collective efforts of the Center for Medicare and Medicaid Innovation (CMMI), the National Cancer Institute (NCI), the US Food and Drug Administration (FDA), and the Office of the National Coordinator for Health Information Technology (ONC) to advance canc
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Wallace, Cara, and Lauren Hunt. "LIVE DISCHARGE FROM HOSPICE AS A CRITICAL CARE TRANSITION: MEASUREMENT, EXPERIENCES, AND SOLUTIONS." Innovation in Aging 8, Supplement_1 (2024): 549. https://doi.org/10.1093/geroni/igae098.1795.

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Abstract Hospice care has been shown to improve end-of-life outcomes for adults with chronic illness, yet with eligibility limited to a six-month prognosis, the hospice system is not structured to meet longer-term needs. Many adult patients stabilize, or have a change in terminal prognosis, leading to a ‘live discharge.’ In 2021, 17.2% of all Medicare discharges were patients discharged alive, with 6.3% of these due to decertification (patient stabilization). This symposium examines live discharge as a critical care transition, including potential measures of quality and continuity, how hospic
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Akman, O., J. C. Gregor, and H. Singh. "A109 PATIENTS’ DESCRIPTIONS OF THEIR LAST BOWEL MOVEMENT BEFORE COLONOSCOPY CORRELATES STRONGLY WITH THEIR BOSTON BOWEL PREPARATION SCALE (BBPS) SCORE WHEN ASSESSED USING A STANDARDIZED METHOD." Journal of the Canadian Association of Gastroenterology 5, Supplement_1 (2022): 126–27. http://dx.doi.org/10.1093/jcag/gwab049.108.

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Abstract Background Predicting bowel prep quality prior to colonoscopy may help improve colonoscopy prep quality by instituting adjunct measures before colonoscopy. This will in turn reduce repeat procedures, complications, and costs. Aims We determined the utility of a standardized method to obtain information from patients on the characteristics of their last bowel movement before colonoscopy by correlating the obtained information to BBPS. We compared this approach to informal/usual descriptions attained by nurses. Methods This is a cross-sectional study with data collected at two tertiary
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Kovacs, Eva, Xiaoting Wang, Ralf Strobl, and Eva Grill. "Economic evaluation of guideline implementation in primary care: a systematic review." International Journal for Quality in Health Care 32, no. 1 (2019): 1–11. http://dx.doi.org/10.1093/intqhc/mzz059.

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Abstract Purpose To review the economic evaluation of the guideline implementation in primary care. Data sources Medline and Embase. Study selection Electronic search was conducted on April 1, 2019, focusing on studies published in the previous ten years in developed countries about guidelines of non-communicable diseases of adult (≥18 years) population, the interventions targeting the primary care provider. Data extraction was performed by two independent researchers using a Microsoft Access based form. Results of data synthesis Among the 1338 studies assessed by title or abstract, 212 qualif
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Krupnova, A. "Legal regulation of information security in Ukraine." Analytical and Comparative Jurisprudence, no. 5 (November 17, 2023): 348–54. http://dx.doi.org/10.24144/2788-6018.2023.05.62.

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The article is devoted to the study of the system of legal regulation of information security in Ukraine. It has been established that the Constitution is the foundation of the system of legal acts, which is the basis of legal regulation of information security in Ukraine. It is followed by the Laws of Ukraine: On Information, On Protection of Information in Information and Communication Systems, On Protection of Personal Data, On State Secrets, On National Security of Ukraine, On Basic Principles of Ensuring Cyber Security of Ukraine, On Electronic Communications, On Media, On Copyright and r
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Dharmaraj, Blossom, Madison Beatty, Sherri Adams, et al. "36 Feasibility Testing of Online Health Symptom Trackers for Children with Medical Complexity at Home." Paediatrics & Child Health 27, Supplement_3 (2022): e18-e18. http://dx.doi.org/10.1093/pch/pxac100.035.

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Abstract Background Children with medical complexity (CMC) are a highly medicalized population of children due to the complexity of their clinical presentations, various diagnoses, and multiple care providers. Real-time health information can inform clinicians to make better recommendations and improve clinical outcomes. In other populations, such as children with Type 1 diabetes, online health symptom trackers (HST) were used to facilitate clinic visits and track symptoms longitudinally. To-date, HSTs have not yet been examined in a clinical setting with CMC and their families. Objectives The
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Bombard, Yvonne, Linda Rozmovits, Maureen E. Trudeau, Natasha B. Leighl, Ken Deal, and Deborah Marshall. "Access to personalized medicine: Factors influencing the use and value of gene expression profiling in treatment decision making." Journal of Clinical Oncology 31, no. 31_suppl (2013): 10. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.10.

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10 Background: Genomic information is increasingly used to personalize health care. One example is gene-expression profiling (GEP) tests that estimate recurrence risk to inform chemotherapy decisions in breast cancer treatment. Recently, GEP tests were publicly funded in Ontario. We assessed the clinical utility of GEP tests, exploring the factors facilitating their use and value in treatment decision-making. Methods: As part of a mixed-methods clinical utility study, we conducted interviews with oncologists (n=14), and focus groups and interviews with breast cancer patients (n=28) who underwe
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Pawlowski, Jason Mark, Tammy Wotring, and Andrew S. Kennedy. "The radiation oncology EMR as a quality and outcomes-based informatics platform: A multicenter pilot study." Journal of Clinical Oncology 34, no. 7_suppl (2016): 168. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.168.

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168 Background: Radiation oncology specific oncology information systems (OIS) are highly specialized and capture large amounts of rich data related to patient care. There is great potential to expand the utility of these systems from data collection and point-of-care documentation to platforms for radiation oncology informatics. To this end, we have begun an effort to consolidate and standardize the OIS within a large network of radiation oncology clinics. We report initial findings from a multi-center OIS standardization pilot involving five clinics. Methods: Five radiation oncology clinics
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Li, Yuchen, M. Catherine Brown, Kathryn Estey, et al. "Feasibility of collecting routine information for clinical and research purposes via electronic format questionnaire." Journal of Clinical Oncology 35, no. 8_suppl (2017): 167. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.167.

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167 Background: Patient demographics, lifestyle factors, and past medical history enable clinicians to optimize care plans, and be useful for health services research. Unfortunately, these data are often recorded inconsistently in the medical chart. In 2015, we tested a paper-form questionnaire to collect such data systematically in the outpatient setting. This current study assessed the feasibility (applicability, acceptability, practicality) of administering the questionnaire via electronic format (iPad). Objectives: To examine whether the electronic format of the questionnaire was (1) appli
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McKay, Douglas R., Paul Nguyen, Ami Wang, and Timothy P. Hanna. "A population-based study of administrative data linkage to measure melanoma surgical and pathology quality." PLOS ONE 17, no. 2 (2022): e0263713. http://dx.doi.org/10.1371/journal.pone.0263713.

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Background Continuous quality improvement is important for cancer systems. However, collecting and compiling quality indicator data can be time-consuming and resource-intensive. Here we explore the utility and feasibility of linked routinely collected health data to capture key elements of quality of care for melanoma in a single-payer, universal health care setting. Method This pilot study utilized a retrospective population-based cohort from a previously developed linked administrative data set, with a 65% random sample of all invasive cutaneous melanoma cases diagnosed 2007–2012 in the prov
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Gilmore-Bykovskyi, Andrea L., Laura M. Block, Lily Walljasper, Nikki Hill, Carey Gleason, and Manish N. Shah. "Unstructured clinical documentation reflecting cognitive and behavioral dysfunction: toward an EHR-based phenotype for cognitive impairment." Journal of the American Medical Informatics Association 25, no. 9 (2018): 1206–12. http://dx.doi.org/10.1093/jamia/ocy070.

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Abstract Despite increased risk for negative outcomes, cognitive impairment (CI) is greatly under-detected during hospitalization. While automated EHR-based phenotypes have potential to improve recognition of CI, they are hindered by widespread under-diagnosis of underlying etiologies such as dementia—limiting the utility of more precise structured data elements. This study examined unstructured data on symptoms of CI in the acute-care EHRs of hip and stroke fracture patients with dementia from two hospitals. Clinician reviewers identified and classified unstructured EHR data using standardize
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Sigler, Rachel, Ryan Kubat, Angie Lopez, and Jessica R. Newman. "Implementation of a standardised sign-up process to increase MyChart enrolment among HIV-positive patients." BMJ Open Quality 8, no. 3 (2019): e000602. http://dx.doi.org/10.1136/bmjoq-2018-000602.

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Interactive patient portals are a valuable tool for engaging patients in their healthcare, with various functionalities including viewing laboratory results, refilling prescriptions and communicating directly with nurses, physicians and other healthcare providers via electronic messaging. The utility of patient portals is limited primarily from lack of patient uptake and enrolment due to a variety of factors including lack of awareness, low health literacy, poor technology mastery, lack of availability of a smartphone or computer and distrust of the security of their personal health informatio
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King, Katherine, Melissa Joblon, Kerry McNally, et al. "Assessing North Atlantic Right Whale (Eubalaena glacialis) Welfare." Journal of Zoological and Botanical Gardens 2, no. 4 (2021): 728–39. http://dx.doi.org/10.3390/jzbg2040052.

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Welfare assessments have been largely successful in improving management and quality of life for animals in human care. This has prompted an increased interest in their use for free-ranging wild animals to assess health, environment, and human-induced impacts that influence policy decisions. The North Atlantic Right Whale (NARW, Eubalaena glacialis) is one of the most endangered whale species. NARWs constantly face serious injuries and mortalities due to human activities, which poses both a species conservation and an individual welfare concern. Establishing a standardized welfare assessment f
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Gaudet, L. A., L. D. Krebs, S. Couperthwaite, et al. "P052: Utility of data captured by transition referral forms for program evaluation and research." CJEM 20, S1 (2018): S75. http://dx.doi.org/10.1017/cem.2018.250.

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Introduction: Increase in functional decline of older adults after discharge from the emergency department (ED) has been reported; however, evaluations of interventions to mitigate this problem are infrequent. Data collected in the ED on older adults may document functional status, yet their utility for research is unknown. This study aimed to assess the usability of data collected by ED Transition Coordinators (EDTC) during routine assessments for functional decline research. Methods: EDTCs assess all patients 75 years old presenting to the ED and complete a standardized Transitional Assessme
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Rogers, Linda J., and David M. Luesley. "Stage IA2 Cervical Carcinoma: How Much Treatment Is Enough?" International Journal of Gynecologic Cancer 19, no. 9 (2009): 1620–24. http://dx.doi.org/10.1111/igc.0b013e3181a446b3.

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Objective:The current guidance for the management of women with stage IA2 cervical carcinoma is that whatever the primary surgical intervention, pelvic lymphadenectomy should be included. The role of lymphadenectomy in the management of cervical carcinoma remains somewhat confused, as the procedure has not been proven to be therapeutic, although it is claimed that the information gained is valuable in determining the need for adjuvant therapy.For lymphadenectomy to have clinical utility in the care of women with stage IA2 cervical carcinoma, a sufficiently high incidence of node positivity wou
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Zhang, T., K. Dolhan, C. Maschke, M. Han, R. Lavoie, and S. Blain-Moraes. "P.091 Parameterized short-segment EEG improves neurological recovery prediction in patients with severe brain injury." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 52, s1 (2025): S36. https://doi.org/10.1017/cjn.2025.10251.

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Background: Predicting neurological recovery in patients with severe brain injury remains challenging. Continuous EEG monitoring can detect malignant patterns but is resource-intensive, and its role in long-term functional outcome prediction is unclear. This study evaluates the utility of parameterized short-segment EEG, acquired via EEG cap, in predicting neurological recovery. Methods: We analyzed short-segment high-density EEGs from 42 patients in the NET-ICU cohort with acute neurological injury. EEGs were pre-processed into standard clinical formats and parameterized using five visual EEG
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Sanders, Sheri, Wendy Schroeder, Alan Wright, and Jeff Field. "The Caris registry: Building a biomarker-focused database to advance patient care." Journal of Clinical Oncology 30, no. 15_suppl (2012): e21152-e21152. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e21152.

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e21152 Background: The medical community is continually searching for the best way to treat cancer. The value and utility of biomarkers in guiding treatment decisions is widely accepted but remains a challenge for the bedside clinician and requires ongoing validation and correlation to clinical outcomes. Caris Life Sciences has a dedicated team of scientists who study volumes of scientific literature, synthesize biomarker research and by way of an evidence-based electronic rules engine, translates the application of the literature to biomarker analysis of tumor tissue (The Target Now Report) i
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Pollard, Chad A., Erin R. Saito, Jeffrey M. Burns, Jonathon T. Hill, and Timothy G. Jenkins. "Considering Biomarkers of Neurodegeneration in Alzheimer’s Disease: The Potential of Circulating Cell-Free DNA in Precision Neurology." Journal of Personalized Medicine 14, no. 11 (2024): 1104. http://dx.doi.org/10.3390/jpm14111104.

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Neurodegenerative diseases, such as Alzheimer’s disease (AD), are a growing public health crisis, exacerbated by an aging global population and the lack of effective early disease-modifying therapies. Early detection of neurodegenerative disorders is critical to delaying symptom onset and mitigating disease progression, but current diagnostic tools often rely on detecting pathology once clinical symptoms have emerged and significant neuronal damage has already occurred. While disease-specific biomarkers, such as amyloid-beta and tau in AD, offer precise insights, they are too limited in scope
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Guisado-Fernandez, Estefania, Brian Caulfield, Paula Alexandra Silva, et al. "Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study." JMIR Research Protocols 8, no. 8 (2019): 13280. http://dx.doi.org/10.2196/13280.

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Background Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays that PwDs and their informal caregivers can have a better life when provided with the appropriate services and support. Connected Health (CH) is a new technology-enabled model of chronic care delivery where the stakeholders are connected through a health portal, ensuring continuity and efficient flow of information. CH has demonstrated promising results regardin
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de Lusignan, S. "An Educational Intervention, Involving Feedback of Routinely Collected Computer Data, to Improve Cardiovascular Disease Management in UK Primary Care." Methods of Information in Medicine 46, no. 01 (2007): 57–62. http://dx.doi.org/10.1055/s-0038-1628133.

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Summary Objectives: To report the lessons learned from eight years of feeding back routinely collected cardiovascular data in an educational context Methods: There are distinct educational and technical components. The educational component provides peer-led learning opportunities based on comparative analysis of quality of care, as represented in computer records. The technical part ensures that relevant evidence-based audit criteria are identified; an appropriate dataset is extracted and processed to facilitate quality improvement. Anonymised data are used to provide inter-practice compariso
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Cobb, P. W., M. Kofstad, and C. Bealer. "Effects of implementing an electronic system for the collection of patient reported symptoms on clinic note transcription length." Journal of Clinical Oncology 25, no. 18_suppl (2007): 17035. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.17035.

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17035 Background: Recent advances in information technology have made the goal of incorporating patient-reported symptoms possible. Initial studies have examined the validity of these systems but no systematic work has been done to examine the impact on overall practice efficiency. The PACE (Patient Assessment, Care, and Education) System captures patient-reported symptoms, quality of life, social and family history changes, and other clinical data at every office visit. The PACE System includes the Patient Care Monitor (PCM), a standardized, comprehensive assessment of a patient's condition t
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Jensen-Battaglia, Marielle, Lianlian Lei, Huiwen Xu, et al. "The effects of geriatric assessment on oncologist-patient communication regarding functional status and physical performance in older adults with cancer: A secondary analysis of a 541-subject nationwide URCC NCORP (NCI Community Oncology Research Program) cluster randomized trial." Journal of Clinical Oncology 39, no. 15_suppl (2021): 12010. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.12010.

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12010 Background: Despite high prevalence of functional status (FS) and physical performance (PP) impairments among older adults with cancer, standardized assessments and interventions are not routinely used in oncology care. This study characterized how oncologist knowledge of Geriatric Assessment (GA) results influenced conversations and GA-guided recommendations addressing FS and PP concerns. Methods: Data were from a NCORP funded (UG1CA189961) nationwide cluster randomized controlled trial (ClinicalTrials.gov: NCT02107443; PI: Mohile), with inclusion criteria: age ≥70, stage III/IV solid t
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Amadi, David, Sylvia Kiwuwa-Muyingo, Tathagata Bhattacharjee, et al. "Making Metadata Machine-Readable as the First Step to Providing Findable, Accessible, Interoperable, and Reusable Population Health Data: Framework Development and Implementation Study." Online Journal of Public Health Informatics 16 (August 1, 2024): e56237. http://dx.doi.org/10.2196/56237.

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Background Metadata describe and provide context for other data, playing a pivotal role in enabling findability, accessibility, interoperability, and reusability (FAIR) data principles. By providing comprehensive and machine-readable descriptions of digital resources, metadata empower both machines and human users to seamlessly discover, access, integrate, and reuse data or content across diverse platforms and applications. However, the limited accessibility and machine-interpretability of existing metadata for population health data hinder effective data discovery and reuse. Objective To addr
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Alderman, Bryony, Katherine Webber, and Andrew Davies. "An audit of end-of-life symptom control in patients with corona virus disease 2019 (COVID-19) dying in a hospital in the United Kingdom." Palliative Medicine 34, no. 9 (2020): 1249–55. http://dx.doi.org/10.1177/0269216320947312.

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Background: The literature contains limited information on the problems faced by dying patients with COVID-19 and the effectiveness of interventions to manage these. Aim: The aim of this audit was to assess the utility of our end-of-life care plan, and specifically the effectiveness of our standardised end-of-life care treatment algorithms, in dying patients with COVID-19. Design: The audit primarily involved data extraction from the end-of-life care plan, which includes four hourly nursing (ward nurses) assessments of specific problems: patients with problems were managed according to standar
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Chakravarty, Debyani, Jianjiong Gao, Sarah Phillips, et al. "OncoKB: A Precision Oncology Knowledge Base." JCO Precision Oncology, no. 1 (November 2017): 1–16. http://dx.doi.org/10.1200/po.17.00011.

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Purpose With prospective clinical sequencing of tumors emerging as a mainstay in cancer care, an urgent need exists for a clinical support tool that distills the clinical implications associated with specific mutation events into a standardized and easily interpretable format. To this end, we developed OncoKB, an expert-guided precision oncology knowledge base. Methods OncoKB annotates the biologic and oncogenic effects and prognostic and predictive significance of somatic molecular alterations. Potential treatment implications are stratified by the level of evidence that a specific molecular
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Kontogiannis, Vasileios, Diarmuid Coughlan, Mehdi Javanbakht, et al. "Optimal Surveillance Strategies for Early-Stage Cutaneous Melanoma Post Primary Tumor Excision: An Economic Evaluation." MDM Policy & Practice 7, no. 1 (2022): 238146832110699. http://dx.doi.org/10.1177/23814683211069988.

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Background. Consensus on standardized active surveillance or follow-up care by clinicians is lacking leading to considerable variation in practice across countries. An important structural modelling consideration is that self-examination by patients and their partners can detect melanoma recurrence outside of active surveillance regimes. Objectives. To identify candidate melanoma surveillance strategies for American Joint Committee on Cancer (AJCC) stage I disease and compare them with the current recommended practice in a cost-utility analysis framework. Methods. In consultation with UK clini
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Kimpton, Miriam, Srishti Kumar, Philip S. Wells, Marc Carrier, and Kednapa Thavorn. "Cost-Utility Analysis of Apixaban Compared to Usual Care for the Primary Thromboprophylaxis of Ambulatory Cancer Patients Initiating Chemotherapy." Blood 134, Supplement_1 (2019): 329. http://dx.doi.org/10.1182/blood-2019-127286.

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Introduction: Apixaban 2.5mg twice daily has been shown to significantly reduce the risk of venous thromboembolism (VTE) compared to placebo for the primary thromboprophylaxis of VTE in ambulatory cancer patients initiating chemotherapy, who are at intermediate-high risk of VTE, with a Khorana score of ≥2 (hazard ratio, 0.41; 95% confidence interval, 0.26 to 0.65; P<0.001). In this study, we estimated whether the health benefit gained from apixaban justified its costs. Method: We conducted a cost-utility analysis of apixaban (2.5mg twice daily) compared to usual care, whereby no apixaba
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Tsuji, S., N. Iwamoto, H. Yoshiro, K. Fujikawa, K. Takashi, and A. Kawakami. "SAT0542 UTILITY OF QUANTITATIVE ANALYSIS OF 18FDG-PET/CT in IgG4-RELATED DISEASE." Annals of the Rheumatic Diseases 79, Suppl 1 (2020): 1228.1–1228. http://dx.doi.org/10.1136/annrheumdis-2020-eular.4941.

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Background:In IgG4-related diseases (IgG4-RD), usefulness of18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) imaging for detecting the organ involvement of IgG4-RD have been shown and,18FDG PET/CT was more accurate and appeared to be more sensitive as compared to other imaging technics1,2. However, until now, the studies regarding about quantitative analysis of PET/CT imaging in IgG4-RD were few. To avoid unnecessary biopsy and select suitable lesion for biopsy on multi-organ involvement disease such as IgG4-RD, the information which lesion is suspected as
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Khan, Mohibullah, Fatima Daud, Najma Attaullah, et al. "The Frequency and Diagnostic Value of Deeper Sections in Histopathology of Non-Cutaneous Small Biopsy Specimens Obtained from a Tertiary Care Hospital." Pakistan Journal of Medical and Health Sciences 16, no. 9 (2022): 640–42. http://dx.doi.org/10.53350/pjmhs22169640.

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Objective: The purpose of this research is to ascertain the frequency of deeper sections and the diagnostic utility of these sections in non-cutaneous tiny biopsies obtained from a hospital setting. Study Design: Cross-sectional study Place and Duration: This study was carried out at Shaukat Khanum Memorial Hospital Peshawar, Jan 2022 to April 2022 Methods: In this study, there were a total of 100 patients, ranging in age from 16 to 50 years old. Patients who were hospitalized to the oral and maxillofacial department and who had deeper section procedures were considered for inclusion. Followin
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Bergerot, Cristiane Decat, Paulo Gustavo Bergerot, Joann Hsu, Nazli Dizman, Stacy W. Gray, and Sumanta K. Pal. "Differences in comprehension of somatic genomic profiling between younger and older adults with advanced genitourinary cancer." Journal of Clinical Oncology 36, no. 30_suppl (2018): 228. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.228.

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228 Background: Genomic profiling (GP) plays an important role in the care of patients diagnosed with advanced cancer, and has been used to guide clinical decision making. As age has been associated with low health literacy, we sought to determine comprehension of the goals and objectives of GP between younger (age < 65) and older (age ≥65) with genitourinary cancers. Methods: Eligible patients had agreed to receive somatic GP as a part of routine clinical care through a CLIA-certified commercially available platform. Participating physicians conducted a standardized dialogue with patients
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Hanna, Matthew G., Victor E. Reuter, Jennifer Samboy, et al. "Implementation of Digital Pathology Offers Clinical and Operational Increase in Efficiency and Cost Savings." Archives of Pathology & Laboratory Medicine 143, no. 12 (2019): 1545–55. http://dx.doi.org/10.5858/arpa.2018-0514-oa.

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Context.— Digital pathology (DP) implementations vary in scale, based on aims of intended operation. Few laboratories have completed a full-scale DP implementation, which may be due to high overhead costs that disrupt the traditional pathology workflow. Neither standardized criteria nor benchmark data have yet been published showing practical return on investment after implementing a DP platform. Objective.— To provide benchmark data and practical metrics to support operational efficiency and cost savings in a large academic center. Design.— Metrics reviewed include archived pathology asset re
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Mumtaz, S., Z. Y. Li, J. Yoon, and C. Yuvienco. "AB1121 IMPLEMENTING HIGH VALUE CARE IN INPATIENT ANTINUCLEAR ANTIBODY TESTING." Annals of the Rheumatic Diseases 79, Suppl 1 (2020): 1849.1–1850. http://dx.doi.org/10.1136/annrheumdis-2020-eular.1921.

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Background:Antinuclear Antibody (ANA) testing forms the basis on which many rheumatological diseases are subsequently diagnosed. ANA testing quantifies the dilution of plasma to produce the titer and staining pattern and this can be a part of an ANA order set that reflexively cascades to sub-serology if positive. Studies have shown that a low titer ANA may potentially translate into an erroneous diagnosis: if one estimates a 1 percent prevalence of ANA associated disease in the general population then 30% of those individuals would have a false positive result of ANA detected at 1:40 titer [1]
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Simmonds-Buckley, Melanie, Matthew Russell Bennion, Stephen Kellett, Abigail Millings, Gillian E. Hardy, and Roger K. Moore. "Acceptability and Effectiveness of NHS-Recommended e-Therapies for Depression, Anxiety, and Stress: Meta-Analysis." Journal of Medical Internet Research 22, no. 10 (2020): e17049. http://dx.doi.org/10.2196/17049.

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Background There is a disconnect between the ability to swiftly develop e-therapies for the treatment of depression, anxiety, and stress, and the scrupulous evaluation of their clinical utility. This creates a risk that the e-therapies routinely provided within publicly funded psychological health care have evaded appropriate rigorous evaluation in their development. Objective This study aims to conduct a meta-analytic review of the gold standard evidence of the acceptability and clinical effectiveness of e-therapies recommended for use in the National Health Service (NHS) in the United Kingdo
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Devlin, Samantha A., Amy K. Johnson, Kimberly A. Stanford, Sadia Haider, and Jessica P. Ridgway. "“There hasn’t been a push to identify patients in the emergency department”—Staff perspectives on automated identification of candidates for pre-exposure prophylaxis (PrEP): A qualitative study." PLOS ONE 19, no. 3 (2024): e0300540. http://dx.doi.org/10.1371/journal.pone.0300540.

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Automated algorithms for identifying potential pre-exposure prophylaxis (PrEP) candidates are effective among men, yet often fail to detect cisgender women (hereafter referred to as “women”) who would most benefit from PrEP. The emergency department (ED) is an opportune setting for implementing automated identification of PrEP candidates, but there are logistical and practical challenges at the individual, provider, and system level. In this study, we aimed to understand existing processes for identifying PrEP candidates and to explore determinants for incorporating automated identification of
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Mwanri, Lillian, Hailay Gesesew, Vanessa Lee, et al. "Health Literacy Environment of Breast and Cervical Cancer among Black African Women Globally: A Systematic Review Protocol of Mixed Methods." International Journal of Environmental Research and Public Health 17, no. 9 (2020): 3158. http://dx.doi.org/10.3390/ijerph17093158.

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Adequate health literacy is a necessity to enable effective decision making to seek, access and utilise appropriate health care service. Evidence exists indicating a low level of general health literacy among Black African women, especially those with a refugee background. Breast and cervical are the most common cancers, with Black African women or women with African ethnicity being disproportionately overrepresented. The level of health literacy specific to breast and cervical cancer among Black African women, especially those with a refugee background, has not been reviewed systematically. T
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Isabey, E. Paige, and Christy L. Pylypjuk. "The Relationship between Fetal Abdominal Wall Thickness and Intrapartum Complications amongst Mothers with Pregestational Type 2 Diabetes." Journal of Diabetes Research 2021 (May 31, 2021): 1–9. http://dx.doi.org/10.1155/2021/5544599.

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Objectives. To evaluate the utility of fetal abdominal wall thickness (AWT) for predicting intrapartum complications amongst mothers with pregestational type 2 diabetes. Methods. This was a historical cohort study of pregnant mothers with pregestational type 2 diabetes delivering at a Canadian tertiary-care center between January 1, 2014, and December 31, 2018. Delivery records were reviewed to collect information about demographics and peripartum complications. Stored fetal ultrasound images from 36 weeks’ gestation were reviewed to collect fetal biometry and postprocessing measurement of AWT
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Anderson, Lori, Patricia Goede, Jacob Koskimaki, Sirisha Kakamada, and Wendy S. Rubinstein. "Laboratory and clinical data integration: Toward an evidence development framework." Journal of Clinical Oncology 37, no. 15_suppl (2019): e18318-e18318. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18318.

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e18318 Background: Decision making in precision oncology relies on the timeliness of diagnostic testing. Uncertainty surrounding the clinical utility of laboratory developed molecular and next generation sequencing (NGS) tests (LDTs) has engendered a predominantly manual claims review process. Denials and delays may create hurdles for optimally treating patients, and denials may contribute to financial toxicity. ASCO’s CancerLinQ aggregates clinical data from EHRs of participating oncology practices to improve the quality of care for patients. We hypothesized that standardized clinical data co
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