Knowledge Management & E-Learning-An International Journal最新文献_第7页

Effects of medical scribes on patients, physicians, and safety: A scoping review 医疗抄写员对病人、医生和安全的影响:范围综述

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.030

L. M. Shah, E. Borycki

{"title":"Effects of medical scribes on patients, physicians, and safety: A scoping review","authors":"L. M. Shah, E. Borycki","doi":"10.34105/j.kmel.2021.13.030","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.030","url":null,"abstract":"A scoping review was conducted to investigate the effects of medical scribes on physician and patient satisfaction, physician burnout, the educational experience of medical students and residents, risk, and safety. The databases PubMed, EMBASE, and CINAHL were searched for the years 2000-2020. Relevant studies were analyzed qualitatively. Literature analysis found that medical scribes increase physician satisfaction and decrease physician burnout, while having minimal impact on patient satisfaction. Patient impressions of scribes tend to be neutral to positive. The effects of scribes on medical student and resident education appear positive in preliminary results. Scribe-generated notes seem to be of equal or greater quality compared to physician-generated notes, though few studies have examined this issue. The impact of scribes on risk and safety has not been fully studied. Few studies of medical scribes have been conducted in Canada, and only one has been published in a peer-reviewed journal. Medical scribes are a promising solution to the growing challenge of physician documentation-related burden fueled by electronic health records and electronic medical records. Studies on the impact of scribes in countries other than the United States are needed. Administrative hurdles to the implementation of scribes in Canadian hospitals could be a barrier to pilot studies in Canada.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"28 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87359213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utility of electronic decision-support tools for patients with head and neck cancer: A scoping review 电子决策支持工具在头颈癌患者中的应用:范围综述

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.026

{"title":"Utility of electronic decision-support tools for patients with head and neck cancer: A scoping review","authors":"","doi":"10.34105/j.kmel.2021.13.026","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.026","url":null,"abstract":"The objective of this scoping review is to evaluate the range and nature of electronic decision-support tools that have been researched and/or trialled for patients with head and neck cancer (HNC), and to explore the implication on patient safety through improving risk communication. A scoping review was conducted by: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) collecting data and data items; (5) and reporting on results. Six databases, reference lists and grey literature from Google and Google Scholar were searched, including articles in English from January 2010 to January 2021. Articles discussing electronic decision aids (DAs) for oncology patients were searched then sorted by specificity for HNC. This returned 4217 articles for oncology but only 167 for HNC. Twelve articles met the inclusion criteria and were incorporated in the analysis. Five DAs have been created with varying design characteristics but four consistent themes: appreciation for DAs, usefulness of visuals, impact on reducing decisional conflict and anxiety while increasing knowledge, satisfaction, and shared decision-making, and the variability of patient information needs. Findings demonstrate the paucity of developed and/or trialled electronic DAs for patients with HNC and confirms their value and need for further research and development in this area.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"33 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76802324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Automated thematic analysis of health information technology (HIT) related incident reports 卫生信息技术(HIT)相关事件报告的自动专题分析

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.022

{"title":"Automated thematic analysis of health information technology (HIT) related incident reports","authors":"","doi":"10.34105/j.kmel.2021.13.022","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.022","url":null,"abstract":"In this paper, the authors describe a method for exploring the feasibility of using Natural Language Processing (NLP) and Machine Learning (ML) techniques to analyze patient safety incident database reports for themes. We developed a novel thematic analysis strategy to automatically detect keywords and latent themes that describe HIT-related patient safety incidents. The strategy was applied to patient safety reports to test the approach. The efforts by the automated strategy were compared to the efforts by analysts who manually reviewed and identified key words, topics, and themes for the same reports. The computer-based error themes were also compared to the human-determined themes for crosschecking. The manual thematic analysis took about 150 hours to complete on the patient safety reports. The semi-automated approach took only 10% of that time. 95% of the themes extracted from the automated method were aligned with the themes from the manual process. The findings underscore the utility of NLP and ML in identifying thematic patterns embedded in large numbers of unstructured data. The NLP-ML method therefore represents a valuable addition to the tools of detecting and understanding HIT-related errors.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"28 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88004582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A description of rapid design and implementation of new features in an electronic health record in the United States Department of Veterans Affairs, Veterans Health Administration response to the Covid-19 pandemic 描述了美国退伍军人事务部退伍军人健康管理局应对Covid-19大流行的电子健康记录新功能的快速设计和实施

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.024

K. Adams, M. McClure, H. J. Fuller

{"title":"A description of rapid design and implementation of new features in an electronic health record in the United States Department of Veterans Affairs, Veterans Health Administration response to the Covid-19 pandemic","authors":"K. Adams, M. McClure, H. J. Fuller","doi":"10.34105/j.kmel.2021.13.024","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.024","url":null,"abstract":"The onset of the COVID-19 global pandemic called for the implementation of new functionality to the Electronic Health Record (EHR) system for the United States Department of Veterans Affairs (VA), and VA responded rapidly. VA’s EHR-related COVID-19 response can be grouped into two categories: 1) a new banner to provide a rapid way to view a patient’s COVID-19 status and 2) EHR templates for addressing COVID-19 screening and patient care during the COVID-19 pandemic. COVID-19 clinical reminder dialog templates were rapidly implemented to meet provider and patient needs for scenarios involving the care of patients suspected of COVID-19 infection and for treating and monitoring patients who tested positive. Semi-structured interviews were conducted with solution developers and users to elicit feedback on the design process as well as overall usability and utility. The new functionality in the EHR was developed, evaluated, and delivered at record speed in real time as the pandemic unfolded. This paper presents the process used for the rapid delivery of the new functionality and describes how VA was able to maintain a high standard of usability while creating this enhanced functionality in the face of an unprecedented challenge.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"69 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89413581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Patient safety and health information technology conceptual framework 患者安全和健康信息技术概念框架

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.021

Ernest Opoku-Agyemang, Dzifa Dordunoo

引用次数: 1

Pharmacist’s perception of the impact of electronic prescribing on medication errors and productivity in community pharmacies 药剂师对电子处方对社区药房用药错误和生产力影响的看法

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.029

{"title":"Pharmacist’s perception of the impact of electronic prescribing on medication errors and productivity in community pharmacies","authors":"","doi":"10.34105/j.kmel.2021.13.029","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.029","url":null,"abstract":"Paper-based prescriptions have been used for several decades by many healthcare practitioners. The literature suggests that several challenges are associated with handwritten prescriptions that might impact patients’ safety and medication errors. Electronic prescribing (e-prescribing) has been developed to phase out handwritten and computer-generated prescriptions that are printed on paper or faxed directly to a dispensing pharmacy. This research aimed to examine pharmacists’ thoughts about the e-prescribing impact on their practice. We also evaluated the adoption rate of e-prescribing by assessing the proportion of electronic prescriptions (e-Rx) received in community pharmacies across the Canadian provinces. This research was conducted as a secondary analysis of the 2016 National Survey of Community-Based Pharmacists: Use of Digital Health Technology in Practice by Nielson. The survey was conducted in collaboration between Canada Health Infoway and the Canadian Pharmacy Association. The target population of the survey was Canadian pharmacists who were in community practice. The provinces included in this research were Ontario, Quebec, Saskatchewan, Alberta, and British Columbia (n = 450). The findings of this study suggest that community pharmacists in Canada were willing to embrace e-prescribing to support their practice. Most of pharmacists thought that e-prescribing was a useful tool to reduce medication errors and improve efficiency in pharmacies. However, the largest proportion of prescriptions issued by prescribers continue to be in paper form, whether handwritten or computer-generated. Further research is needed to investigate the barriers to the adoption of e-prescribing systems among primary care practitioners in Canada.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"15 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79929923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Process mining leveraging the analysis of patient journey and outcomes: Stroke assistance during the Covid-19 pandemic 利用患者旅程和结果分析进行流程挖掘:Covid-19大流行期间的卒中援助

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-12-30 DOI: 10.34105/j.kmel.2021.13.023

G. Leandro, C. Moro, D. Y. Miura, R. M. Borges, J. Safanelli, C. Moro, E. A. P. Santos

{"title":"Process mining leveraging the analysis of patient journey and outcomes: Stroke assistance during the Covid-19 pandemic","authors":"G. Leandro, C. Moro, D. Y. Miura, R. M. Borges, J. Safanelli, C. Moro, E. A. P. Santos","doi":"10.34105/j.kmel.2021.13.023","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.023","url":null,"abstract":"The patient journey had to be modified because of the Covid-19 pandemic, causing insecurity, especially in health conditions in a time-sensitive treatment. Identifying these changes and their consequences is essential to improving the healthcare process and guaranteeing patient safety. Process mining (PM) helps evaluate the patient journey discovering care delays, bottlenecks, and non-conformities. This paper aims to apply PM to discover and analyze the patient pathway during stroke care in two different contexts, before and after the Covid-19 outbreak, and to correlate these pathways to patient outcomes. It was a retrospective cross-sectional study including 509 analyzed event logs, employing the most relevant population-based stroke registry of Latin America. Two process models were uncovered to illustrate the patient journey before and during the pandemic. The main findings were the worsening of the patient's health status at their hospital admission, the reduction of hospitalization time, the increased delay for receiving reperfusion therapies after hospital admission, and the preference for the referral hospital instead of emergency services. PM assisted in identifying time-sensitive events and allowed the improvement of patient safety. This methodology can be replicated in other healthcare studies.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":"62 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77104042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Predictors of online search performance: A uses and gratification perspective 在线搜索性能的预测因素：一个使用和满足的视角

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-09-28 DOI: 10.34105/j.kmel.2021.13.019

Mathupayas Thongmak

{"title":"Predictors of online search performance: A uses and gratification perspective","authors":"Mathupayas Thongmak","doi":"10.34105/j.kmel.2021.13.019","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.019","url":null,"abstract":"A study of online search, especially search performance, is vital because people heavily rely on the Internet nowadays. The purposes of this study are thus to examine the gratification needs affecting Internet users’ intention to search information online, to explore the antecedents of online search performance, and to investigate online information-seeking behavior according to each search purpose. A survey of Internet users in Thailand is carried out. Data are collected extensively both from students and workers. Four hundred fifty-three questionnaires are collected online. Individuals use the Internet to search for information differently, for academic/ working achievement, problem-solving, and personal information needs. The main gratifications are information seeking and Internet ambiance. Internet search intention is a strong determinant of a user’s online search performance and corresponding behavior. The theoretical implication is that researchers could apply the research framework to other contexts such as the specific information search. Information source providers could use the findings to modify online resources and their presentations for users effectively. Teachers/ managers could guide their students/ workers to search effectively. This study combines the U&G and the TPB theories. The novel aspects of gratifications i.e., anti-traditional media sentiment and Internet ambiance are also explored.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45041117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The impact of flipped learning in surgical education: A mixed-method study 翻转学习在外科教育中的影响：一项混合方法研究

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-09-28 DOI: 10.34105/j.kmel.2021.13.015

Hossein Akbarialiabad

{"title":"The impact of flipped learning in surgical education: A mixed-method study","authors":"Hossein Akbarialiabad","doi":"10.34105/j.kmel.2021.13.015","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.015","url":null,"abstract":"This study aims to investigate the effectiveness of flipped learning in surgical education in trauma. The participants were 15 first-year general surgery residents in Shiraz medical school. After completing a pre-test, the participants received the learning content in interactive multimedia, podcasts, movies, and books. One month later, they had a face-to-face class based on case-based discussions. An early post-test was performed immediately after the class, and a late post-test was performed one month later. In these tests, the residents' problem-solving abilities were assessed using multiple-choice questions. A semi-structured phone interview was used to measure their attitude towards the learning program. The results showed a significant difference between pre-test and early post-test scores and between pre-test and late post-test scores. However, there was no significant difference between early and late post-test scores. The residents were satisfied with the program's overall usefulness for junior residents. The participants tended to use podcasts more than other materials. They mentioned that the videos and books helped more to foster theoretical knowledge. The case-based discussion makes them more confident in dealing with patients in daily encounters.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44759205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

A review of vocabulary learning applications: From the aspects of cognitive approaches, multimedia input, learning materials, and game elements 词汇学习应用综述:从认知方法、多媒体输入、学习材料和游戏元素等方面

IF 2.4 4区教育学

Knowledge Management & E-Learning-An International Journal Pub Date : 2021-09-28 DOI: 10.34105/j.kmel.2021.13.014

Fu Lee Wang

{"title":"A review of vocabulary learning applications: From the aspects of cognitive approaches, multimedia input, learning materials, and game elements","authors":"Fu Lee Wang","doi":"10.34105/j.kmel.2021.13.014","DOIUrl":"https://doi.org/10.34105/j.kmel.2021.13.014","url":null,"abstract":"In recent years, mobile applications (apps) have been increasingly used and investigated as a vocabulary learning approach. Despite the extensive use of commercial English as a Foreign Language (EFL) vocabulary learning apps in China, there is a lack of a review of these apps for a systematic understanding of the components and usefulness of app-assisted vocabulary learning. To fill this knowledge gap, this study presents a systematic review of 15 EFL vocabulary learning apps that were most downloaded in China, focusing on how these apps help students develop word knowledge. The results of this study showed that most apps enabled students to access word knowledge through translating words into their native language. Notably, word knowledge was usually presented through text-plus-image and text-plus-image-plus-audio. Most of these mobile apps provided sentence examples as vocabulary learning materials. Many of these apps were integrated with game elements, especially in interactivity or feedback systems and reward systems. Based on the review results, we have provided three recommendations to vocabulary learning app developers concerning the use of video for the input of word knowledge, the efficiency of vocabulary learning, and the integration of more game elements.","PeriodicalId":45327,"journal":{"name":"Knowledge Management & E-Learning-An International Journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42913353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5