José Fidencio López Luna, Eddie Nahúm Armendáriz Mireles, Marco Aurelio Nuño Maganda, Hiram Herrera Rivas, Rubén Machucho Cadena, Jorge Arturo Hernández Almazán
{"title":"Design and validation of a preliminary instrument to contextualize interactions through information technologies of health professionals.","authors":"José Fidencio López Luna, Eddie Nahúm Armendáriz Mireles, Marco Aurelio Nuño Maganda, Hiram Herrera Rivas, Rubén Machucho Cadena, Jorge Arturo Hernández Almazán","doi":"10.1177/14604582241259323","DOIUrl":"10.1177/14604582241259323","url":null,"abstract":"<p><p>The communication of e-Health has been transformed with the advancement of information technologies, therefore it is feasible to carry out studies in the context of health professionals' interactions. <b>Objective:</b> This study aimed to design and validate a preliminary questionnaire to investigate the context of the communications of health professionals through information technologies considering three significant dimensions. <b>Method:</b> The stages provided by Hernández Sampieri guided the building, validation through Cronbach's alpha and factorial analysis. The questionnaire was applied to 43 participants who simulated health professionals. <b>Results:</b> We obtained an instrument that includes a demographic data section and 20 items distributed into three factors. Internal consistency reliability with Cronbach's alpha values generally of 0.848 and higher than 0.811 was obtained in each dimension. Kaiser-Meyer-Olkin's measure of sampling adequacy was regular, with 0.781, and Bartlett's test of sphericity was significant (<i>p</i> < 0.001). <b>Conclusion:</b> It is necessary to apply in real-world environments to reaffirm the results obtained.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241259323"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"User acceptance of neuroanatomy virtual reality course: Contrasting views between undergraduate and postgraduate students.","authors":"Dimas Septian Eko Wahyu Sumunar, Natalia Stathakarou, Nadia Davoody","doi":"10.1177/14604582241260601","DOIUrl":"10.1177/14604582241260601","url":null,"abstract":"<p><p>Virtual Reality (VR) offers cost-efficient and effective tools for spatial 3-dimensional neuroanatomy learning. Enhancing users-system relationship is necessary for successful adoption of the system. The current study aimed to evaluate students' acceptance of VR for neuroanatomy. An exploratory qualitative case study based on Unified Theory of Acceptance and Use of Technology (UTAUT) framework carried out at [details omitted for double-anonymized peer review]. Participants in this study were students participating in a VR session, followed by a semi-structured interview. Deductive framework analysis employed to retrieve students' perspective and experience. A total of six undergraduate and 13 postgraduate students participated in this study. The following UTAUT constructs validated to be significant: Performance Expectancy, Effort Expectancy and Facilitating Conditions. System usability, depth of lesson and hardware optimizations are among concern for further improvements. In conclusion, students are accepting VR as a neuroanatomy learning resource. The findings of this research highlight the importance of system performance and user-centred approach in technology development for educational purposes.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241260601"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identification of mycoplasma pneumonia in children based on fusion of multi-modal clinical free-text description and structured test data.","authors":"Jingna Xie, Yingshuo Wang, Qiuyang Sheng, Xiaoqing Liu, Jing Li, Fenglei Sun, Yuqi Wang, Shuxian Li, Yiming Li, Yizhou Yu, Gang Yu","doi":"10.1177/14604582241255818","DOIUrl":"10.1177/14604582241255818","url":null,"abstract":"<p><p>Mycoplasma pneumonia may lead to hospitalizations and pose life-threatening risks in children. The automated identification of mycoplasma pneumonia from electronic medical records holds significant potential for improving the efficiency of hospital resource allocation. In this study, we proposed a novel method for identifying mycoplasma pneumonia by integrating multi-modal features derived from both free-text descriptions and structured test data in electronic medical records. Our approach begins with the extraction of free-text and structured data from clinical records through a systematic preprocessing pipeline. Subsequently, we employ a pre-trained transformer language model to extract features from the free-text, while multiple additive regression trees are used to transform features from the structured data. An attention-based fusion mechanism is then applied to integrate these multi-modal features for effective classification. We validated our method using clinic records of 7157 patients, retrospectively collected for training and testing purposes. The experimental results demonstrate that our proposed multi-modal fusion approach achieves significant improvements over other methods across four key performance metrics.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241255818"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating health information systems-related errors using the human, organization, process, technology-fit (HOPT-fit) framework.","authors":"Maryati Mohd Yusof, Toshihiro Takeda, Yoshie Shimai, Naoki Mihara, Yasuhsi Matsumura","doi":"10.1177/14604582241252763","DOIUrl":"10.1177/14604582241252763","url":null,"abstract":"<p><p>Complex socio-technical health information systems (HIS) issues can create new error risks. Therefore, we evaluated the management of HIS-related errors using the proposed human, organization, process, and technology-fit framework to identify the lessons learned. Qualitative case study methodology through observation, interview, and document analysis was conducted at a 1000-bed Japanese specialist teaching hospital. Effective management of HIS-related errors was attributable to many socio-technical factors including continuous improvement, safety culture, strong management and leadership, effective communication, preventive and corrective mechanisms, an incident reporting system, and closed feedback loops. Enablers of medication errors include system sophistication and process factors like workarounds, variance, clinical workload, slips and mistakes, and miscommunication. The case management effectiveness in handling the HIS-related errors can guide other clinical settings. The potential of HIS to minimize errors can be achieved through continual, systematic, and structured evaluation. The case study validated the applicability of the proposed evaluation framework that can be applied flexibly according to study contexts to inform HIS stakeholders in decision-making. The comprehensive and specific measures of the proposed framework and approach can be a useful guide for evaluating complex HIS-related errors. Leaner and fitter socio-technical components of HIS can yield safer system use.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241252763"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scholarly communication between health informatics and information systems: A bibliometric study.","authors":"Angela Lin, Nigel Ford, Peter Willett","doi":"10.1177/14604582241259331","DOIUrl":"10.1177/14604582241259331","url":null,"abstract":"<p><p>The challenges of IT adoption in the healthcare sector have generated much interest across a range of research communities, including Information Systems (IS) and Health Informatics (HI). Given their long-standing interest in IT design, development, implementation, and adoption to improve productivity and support organisational transformation, the IS and HI fields are highly correlated in their research interests. Nevertheless, the two fields serve different academic audiences, have different research foci, and theorise IT artifacts differently. We investigate the dyadic relationship between health information systems (HIS) research in IS and HI through the communication patterns between the two fields. We present the citation analysis results of HIS research published in IS and HI journals between 2000 and 2020. The results revealed that despite the two fields sharing a common interest, communication between them is limited and only about specific topics. Potentially relevant ideas and theories generated in IS have not yet been sufficiently recognised by HI scholars and incorporated into the HI literature. However, the upward trend of HIS publications in IS indicates that IS has the potential to contribute more to HI.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241259331"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marty Crawford, Nicole Jones, Jonathan Babbage, Morgan Edwards, Casey Bryson, Mona Hanna-Attisha
{"title":"REDCap to Epic interfaces create an efficient hybrid software solution for a public health registry.","authors":"Marty Crawford, Nicole Jones, Jonathan Babbage, Morgan Edwards, Casey Bryson, Mona Hanna-Attisha","doi":"10.1177/14604582241249927","DOIUrl":"10.1177/14604582241249927","url":null,"abstract":"<p><p>A public health registry and intervention was created in response to the Flint water crisis to identify and refer exposed individuals to public health services to ameliorate the deleterious impact of lead exposure. Traditional technology architecture domains, funded scope of work, as well as community input were considered when defining the requirements of the selected solutions. A hybrid software solution was created using Research Electronic Data Capture (REDCap) to deploy an open participant survey and bypass requirements to create user accounts, and Epic to manage deduplication and participant communication and tracking. To bridge the two software systems, REDCap to Epic unidirectional ADT and Documentation Flowsheet interfaces were built to automate creation of subject records in Epic identical to those created in REDCap and to copy key protocol-driving variables from REDCap to Epic. The interfaces were critical to deliver a successful hybrid solution in which the desired features of each software could be leveraged to satisfy specific protocol requirements and community input. Data from the start of survey administration (December 2018) through 31 December 2020 are reported to demonstrate the usefulness of the interfaces.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241249927"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel M Hartung, Steven Z Kassakian, Michelle A Hendricks
{"title":"Effect of integration of prescription drug monitoring program data in the electronic health record on queries by primary care providers.","authors":"Daniel M Hartung, Steven Z Kassakian, Michelle A Hendricks","doi":"10.1177/14604582241259337","DOIUrl":"10.1177/14604582241259337","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the impact of PDMP integration in the EHR on provider query rates within twelve primary care clinics in one academic medical center. <b>Methods:</b> Using linked data from the EHR and state PDMP program, we evaluated changes in PDMP query rates using a stepped-wedge observational design where integration was implemented in three waves (four clinics per wave) over a five-month period (May, July, September 2019). Multivariable negative binomial general estimating equations (GEE) models assessed changes in PDMP query rates, overall and across several provider and clinic-level subgroups. <b>Results:</b> Among 206 providers in PDMP integrated clinics, the average number of queries per provider per month increased significantly from 1.43 (95% CI 1.07 - 1.91) pre-integration to 3.94 (95% CI 2.96 - 5.24) post-integration, a 2.74-fold increase (95% CI 2.11 to 3.59; <i>p</i> < .0001). Those in the lowest quartile of PDMP use pre-integration increased 36.8-fold (95% CI 16.91 - 79.95) after integration, significantly more than other pre-integration PDMP use quartiles. <b>Conclusions:</b> Integration of the PDMP in the EHR significantly increased the use of the PDMP overall and across all studied subgroups. PDMP use increased to a greater degree among providers with lower PDMP use pre-integration.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241259337"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Litong Zheng, J Christopher Beck, Sebastian Mafeld, Matteo Parotto, Amanda Matthews, Sheryl Alexandre, Aaron Conway
{"title":"Determining pre-procedure fasting alert time using procedural and scheduling data.","authors":"Litong Zheng, J Christopher Beck, Sebastian Mafeld, Matteo Parotto, Amanda Matthews, Sheryl Alexandre, Aaron Conway","doi":"10.1177/14604582241252791","DOIUrl":"10.1177/14604582241252791","url":null,"abstract":"<p><p>Before a medical procedure requiring anesthesia, patients are required to not eat or drink non-clear fluids for 6 h and not drink clear fluids for 2 h. Fasting durations in standard practice far exceed these minimum thresholds due to uncertainties in procedure start time. The aim of this retrospective, observational study was to compare fasting durations arising from standard practice with different approaches for calculating the timepoint at which patients are instructed to stop eating and drinking. Scheduling data for procedures performed in the cardiac catheterization laboratory of an academic hospital in Canada (January 2020 to April 2022) were used. Four approaches utilizing machine learning (ML) and simulation were used to predict procedure start times and calculate when patients should be instructed to start fasting. Median fasting duration for standard practice was 10.08 h (IQR 3.5) for both food and clear fluids intake. The best performing alternative approach, using tree-based ML models to predict procedure start time, reduced median fasting from food/non-clear fluids to 7.7 h (IQR 2) and clear liquids fasting to 3.7 h (IQR 2.4). 97.3% met the minimum fasting duration requirements (95% CI 96.9% to 97.6%). Further studies are required to determine the effectiveness of operationalizing this approach as an automated fasting alert system.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241252791"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariano Felisberto, Geovana Dos Santos Lima, Ianka Cristina Celuppi, Miliane Dos Santos Fantonelli, Wagner Luiz Zanotto, Júlia Meller Dias de Oliveira, Eduarda Talita Bramorski Mohr, Ranieri Alves Dos Santos, Daniel Henrique Scandolara, Célio Luiz Cunha, Jades Fernando Hammes, Júlia Salvan da Rosa, Izabel Galhardo Demarchi, Raul Sidnei Wazlawick, Eduardo Monguilhott Dalmarco
{"title":"Override rate of drug-drug interaction alerts in clinical decision support systems: A brief systematic review and meta-analysis.","authors":"Mariano Felisberto, Geovana Dos Santos Lima, Ianka Cristina Celuppi, Miliane Dos Santos Fantonelli, Wagner Luiz Zanotto, Júlia Meller Dias de Oliveira, Eduarda Talita Bramorski Mohr, Ranieri Alves Dos Santos, Daniel Henrique Scandolara, Célio Luiz Cunha, Jades Fernando Hammes, Júlia Salvan da Rosa, Izabel Galhardo Demarchi, Raul Sidnei Wazlawick, Eduardo Monguilhott Dalmarco","doi":"10.1177/14604582241263242","DOIUrl":"10.1177/14604582241263242","url":null,"abstract":"<p><p>Primary studies have demonstrated that despite being useful, most of the drug-drug interaction (DDI) alerts generated by clinical decision support systems are overridden by prescribers. To provide more information about this issue, we conducted a systematic review and meta-analysis on the prevalence of DDI alerts generated by CDSS and alert overrides by physicians. The search strategy was implemented by applying the terms and MeSH headings and conducted in the MEDLINE/PubMed, EMBASE, Web of Science, Scopus, LILACS, and Google Scholar databases. Blinded reviewers screened 1873 records and 86 full studies, and 16 articles were included for analysis. The overall prevalence of alert generated by CDSS was 13% (CI95% 5-24%, <i>p</i>-value <0.0001, I^2 = 100%), and the overall prevalence of alert override by physicians was 90% (CI95% 85-95%, <i>p</i>-value <0.0001, I^2 = 100%). This systematic review and meta-analysis presents a high rate of alert overrides, even after CDSS adjustments that significantly reduced the number of alerts. After analyzing the articles included in this review, it was clear that the CDSS alerts physicians about potential DDI should be developed with a focus on the user experience, thus increasing their confidence and satisfaction, which may increase patient clinical safety.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241263242"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgina Spies, Jessica Huss, Oscar Motswage, Soraya Seedat, Christiane Eichenberg
{"title":"Attitudes of patients and mental health professionals towards hypothetical use of serious games in psychotherapy.","authors":"Georgina Spies, Jessica Huss, Oscar Motswage, Soraya Seedat, Christiane Eichenberg","doi":"10.1177/14604582241259343","DOIUrl":"10.1177/14604582241259343","url":null,"abstract":"<p><p>Serious games are increasingly being applied within healthcare, but their integration in psychotherapeutic settings is less documented.</p><p><strong>Objectives: </strong>The present study sought to identify the attitudes of psychotherapists and patients towards the hypothetical use of serious games in psychotherapy in the South African context.</p><p><strong>Methods: </strong>Online surveys assessed acceptance, experience, and requirements for the utilisation of serious games in therapeutic contexts. Clients utilising mental health services (<i>n</i> = 209) and psychotherapists delivering mental health services (<i>n</i> = 156) in South Africa completed the online survey.</p><p><strong>Results: </strong>Knowledge about serious games is limited with only 15% of clients and 16% of therapists reporting knowledge of the existence and application of serious games. Use of serious games is even more infrequent with only 1% of therapists and 6% of clients currently using serious games as an intervention. Despite this, our findings highlight an apparent demand for their use, with 71% of therapists indicating that serious games would be a suitable adjunct treatment modality for their patients. Our results show a general openness toward the use of serious games in psychotherapy.</p><p><strong>Conclusion: </strong>The use of serious games as an e-mental health treatment modality is conceivable for both patients and therapists, particularly as a complementary strategy to traditional face-to-face psychotherapy.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241259343"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}