Health IT

Advances in information technology, including electronic health records, that improve on the way that health care is delivered and coordinated.

Variation in the Utilization of Robotic Surgical Operations

Sep. 27, 2019

Jennifer H. Fieber, Lindsay E. Kuo, Chris Wirtalla, Rachel R. Kelz

Abstract [from journal]

The appropriate use of the robot in surgery continues to evolve. Robotic operations (RO) are particularly advantageous for deep pelvic and retroperitoneal procedures, but the implementation of RO is unknown. We aimed to examine regional variation for the most commonly performed RO in general, gynecologic, and urologic surgery. A three-state inpatient database from 2008 to 2011 was used. Nine common robotic inpatient general, gynecologic and urologic surgery procedures were analyzed. States were divided into hospital service areas (HSAs). The percentage of...

Capturing Real-Time Emergency Department Sentiment: A Feasibility Study Using Touch-Button Terminals

Aug. 29, 2019

Anish K. Agarwal, Lauren Hahn, Arthur Pelullo, Roy Rosin, Raina M. Merchant

Abstract [from journal]

Study Objective: Providing care in emergency departments (EDs) affects patients and providers. Providers experience high rates of work-related stress. Little is known about the feasibility of measuring real-time sentiment within busy clinical environments. We test the feasibility of measuring sentiment with touch-button terminals in an academic, urban ED.

Methods: Terminals offered a choice of 4 sentiment buttons (very positive, positive, negative, and very negative). They were placed central to physician

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Physicians' Gender and Their Use of Electronic Health Records: Findings from a Mixed-Methods Usability Study

Ross Koppel, PhD
Aug. 28, 2019

Saif Khairat, Cameron Coleman, Paige Ottmar, Thomas Bice, Ross Koppel, Shannon S Carson

Abstract [from journal]

Objective: Physician burnout associated with EHRs is a major concern in health care. A comprehensive assessment of differences among physicians in the areas of EHR performance, efficiency, and satisfaction has not been conducted. The study sought to study relationships among physicians' performance, efficiency, perceived workload, satisfaction, and usability in using the electronic health record (EHR) with comparisons by age, gender, professional role, and years of experience with the EHR.

Materials and Methods

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Towards Automating Location-Specific Opioid Toxicosurveillance from Twitter via Data Science Methods

Aug. 21, 2019

Abeed Sarker, Graciela Gonzalez-Hernandez, Jeanmarie Perrone

Abstract [from journal]

Social media may serve as an important platform for the monitoring of population-level opioid abuse in near real-time. Our objectives for this study were to (i) manually characterize a sample of opioid-mentioning Twitter posts, (ii) compare the rates of abuse/misuse related posts between prescription and illicit opiods, and (iii) to implement and evaluate the performances ofsupervised machine learning algorithms for the characterization of opioid-related chatter, which can potentially automate social media based monitoring in the future.. We annotated

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Usability Across Health Information Technology Systems: Searching for Commonalities and Consistency

Ross Koppel, PhD
Aug. 21, 2019

Ross Koppel, Craig Kuziemsky

Abstract [from journal] 

Usability of health information technology (HIT) remains a predominant concern - one often exacerbated by clinicians' need to access information created by many different professionals in different settings, often using very dissimilar EHRs or even different configurations of the same EHR. Because of these variations, we argue that we must no longer think of usability as anchored in one setting, one EHR, one data standard, or one type of clinician. Rather, usability must be understood as a collective and constantly evolving process. This paper seeks

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Difference Between Users and Nonusers of a Patient Portal in Health Behaviors and Outcomes: Retrospective Cohort Study

Jul. 10, 2019

Jing Huang, Yong Chen, J. Richard Landis, Kevin B. Mahoney

Abstract [from journal]

Background: Patient portals are frequently used in modern health care systems as an engagement and communication tool. An increased focus on the potential value of these communication channels to improve health outcomes is warranted.

Objective: This paper aimed to quantify the impact of portal use on patients’ preventive health behavior and chronic health outcomes.

Methods: We conducted a retrospective, observational cohort study of 10,000 patients aged 50 years...

Innovative Tools to Support Family Caregivers of Persons with Cancer: The Role of Information Technology

Connie M. Ulrich, PhD, RN, FAAN
Jun. 19, 2019

George Demiris, Karla Washington, Connie M. Ulrich, Mihail Popescu, Debra Parker Oliver

Abstract [from journal]

Objectives: To describe the current evidence of studies examining the use of information technology for family caregivers of persons with cancer. We highlight emerging technologies and trends and discuss ethical and practical implications.

Data Sources: Review scientific studies and systematic reviews of technology use to support caregivers of persons with cancer.

Conclusion: The evidence base is growing; however, more studies are needed to test the effectiveness of technology.

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The Effect of Predictive Analytics-Driven Interventions on Healthcare Utilization

Research Brief
Apr. 3, 2019

Among high-risk Medicare Advantage members with congestive heart failure, a proactive outreach program driven by a claims-based predictive algorithm reduced the likelihood of an emergency department (ED) or specialist visit in one year by 20% and 21%, respectively. The average number of visits dropped as well, with a 40% reduction in the volume of ED visits and a 27% reduction in the volume of cardiology visits after the first year.

Rise of the Machines in Health Care?

Feb. 22, 2019

Artificial intelligence (AI) is moving fast and breaking things everywhere. It is built into multinational supply chains, web-based services, cars, and, slowly, health care. Although the adoption of AI in health care has been bumpy, it continues unabated. Last year, the U.S.

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