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  1. Article ; Online: The critical components of an electronic care plan tool for primary care

    Lisa Rotenstein / Suhavi Tucker / Rose Kakoza / Lori Tishler / Adrian Zai / Charlotte Wu

    Journal of Innovation in Health Informatics, Vol 23, Iss

    an exploratory qualitative study

    2016  Volume 2

    Abstract: Background A critical need exists for effective electronic tools that facilitate multidisciplinary care for complex patients in patient-centered medical homes. Objective To identify the essential components of a primary care (PC) based electronic care ... ...

    Abstract Background A critical need exists for effective electronic tools that facilitate multidisciplinary care for complex patients in patient-centered medical homes. Objective To identify the essential components of a primary care (PC) based electronic care plan (ECP) tool that facilitates coordination of care for complex patients. Methods Three focus groups and nine semi-structured interviews were conducted at an academic PC practice in order to identify the ideal components of an ECP. Results Critical components of an ECP identified included: 1) patient background information, including patient demographics, care team member designation and key patient contacts, 2) user- and patient-centric task management functionalities, 3) a summary of a patient’s care needs linked to the responsible member of the care team and 4) integration with the electronic medical record. We then designed an ECP mockup incorporating these components. Conclusion Our investigation identified key principles that healthcare software developers can integrate into PC and patient-centered ECP tools.
    Keywords patient care planning ; health information technology ; interdisciplinary communication ; health care team ; primary care ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 360
    Language English
    Publishing date 2016-07-01T00:00:00Z
    Publisher BCS, The Chartered Institute for IT
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Designing healthcare information technology to catalyse change in clinical care

    William Lester / Adrian Zai / Richard Grant / Henry Chueh

    Journal of Innovation in Health Informatics, Vol 16, Iss 1, Pp 9-

    2008  Volume 19

    Abstract: The gap between best practice and actual patient care continues to be a pervasive problem in our healthcare system. Efforts to improve on this knowledge_performance gap have included computerised disease management programs designed to improve guideline ... ...

    Abstract The gap between best practice and actual patient care continues to be a pervasive problem in our healthcare system. Efforts to improve on this knowledge_performance gap have included computerised disease management programs designed to improve guideline adherence. However, current computerised reminder and decision support interventions directed at changing physician behaviour have had only a limited and variable effect on clinical outcomes. Further, immediate pay-for-performance financial pressures on institutions have created an environmentwhere disease management systems are often created under duress, appended to existing clinical systems and poorly integrated into the existing workflow, potentially limiting their realworld effectiveness. The authors present a review of disease management as well as a conceptual framework to guide the development of more effective health information technology (HIT) tools for translating clinical information into clinical action.
    Keywords clinical reminder systems ; electronic medical records ; system design ; Computer applications to medicine. Medical informatics ; R858-859.7
    Language English
    Publishing date 2008-05-01T00:00:00Z
    Publisher BCS, The Chartered Institute for IT
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

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  3. Article ; Online: Design and implementation of a digital site-less clinical study of serial rapid antigen testing to identify asymptomatic SARS-CoV-2 infection

    Apurv Soni / Carly Herbert / Caitlin Pretz / Pamela Stamegna / Andreas Filippaios / Qiming Shi / Thejas Suvarna / Emma Harman / Summer Schrader / Chris Nowak / Eric Schramm / Vik Kheterpal / Stephanie Behar / Seanan Tarrant / Julia Ferranto / Nathaniel Hafer / Matthew Robinson / Chad Achenbach / Robert L. Murphy /
    Yukari C. Manabe / Laura Gibson / Bruce Barton / Laurel O’Connor / Nisha Fahey / Elizabeth Orvek / Peter Lazar / Didem Ayturk / Steven Wong / Adrian Zai / Lisa Cashman / Lokinendi V. Rao / Katherine Luzuriaga / Stephenie Lemon / Allison Blodgett / Elizabeth Trippe / Mary Barcus / Brittany Goldberg / Kristian Roth / Timothy Stenzel / William Heetderks / John Broach / David McManus

    Journal of Clinical and Translational Science, Vol

    2023  Volume 7

    Abstract: Abstract Background: Rapid antigen detection tests (Ag-RDT) for SARS-CoV-2 with emergency use authorization generally include a condition of authorization to evaluate the test’s performance in asymptomatic individuals when used serially. We aim to ... ...

    Abstract Abstract Background: Rapid antigen detection tests (Ag-RDT) for SARS-CoV-2 with emergency use authorization generally include a condition of authorization to evaluate the test’s performance in asymptomatic individuals when used serially. We aim to describe a novel study design that was used to generate regulatory-quality data to evaluate the serial use of Ag-RDT in detecting SARS-CoV-2 virus among asymptomatic individuals. Methods:This prospective cohort study used a siteless, digital approach to assess longitudinal performance of Ag-RDT. Individuals over 2 years old from across the USA with no reported COVID-19 symptoms in the 14 days prior to study enrollment were eligible to enroll in this study. Participants throughout the mainland USA were enrolled through a digital platform between October 18, 2021 and February 15, 2022. Participants were asked to test using Ag-RDT and molecular comparators every 48 hours for 15 days. Enrollment demographics, geographic distribution, and SARS-CoV-2 infection rates are reported. Key Results:A total of 7361 participants enrolled in the study, and 492 participants tested positive for SARS-CoV-2, including 154 who were asymptomatic and tested negative to start the study. This exceeded the initial enrollment goals of 60 positive participants. We enrolled participants from 44 US states, and geographic distribution of participants shifted in accordance with the changing COVID-19 prevalence nationwide. Conclusions:The digital site-less approach employed in the “Test Us At Home” study enabled rapid, efficient, and rigorous evaluation of rapid diagnostics for COVID-19 and can be adapted across research disciplines to optimize study enrollment and accessibility.
    Keywords Covid-19 ; study recruitment ; digital trial ; rapid antigen tests ; point-of-care diagnostics ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Cambridge University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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