| 1. |
- Ahltorp, Magnus, et al.
(författare)
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Using text prediction for facilitating input and improving readability of clinical text
- 2013
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Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1149-
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Konferensbidrag (refereegranskat)abstract
- Text prediction has the potential for facilitating and speeding up the documentation work within health care, making it possible for health personnel to allocate less time to documentation and more time to patient care. It also offers a way to produce clinical text with fewer misspellings and abbreviations, increasing readability. We have explored how text prediction can be used for input of clinical text, and how the specific challenges of text prediction in this domain can be addressed. A text prediction prototype was constructed using data from a medical journal and from medical terminologies. This prototype achieved keystroke savings of 26% when evaluated on texts mimicking authentic clinical text. The results are encouraging, indicating that there are feasible methods for text prediction in the clinical domain.
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| 2. |
- Andersen, Per Øivin, et al.
(författare)
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Mobile-supported life charting for bipolar patients - user requirements study
- 2013
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Ingår i: MEDINFO 2013. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1111-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- It is assumed that bipolar disorder patients can benefit from monitoring their mood, sleep, medicine intake and behavior which could be both done by patients themselves and in cooperation with health care professionals. This study aims at understanding what is required from a computerized system, as seen from the view of therapists and the patients, and how the newer mobile technologies (smart phones and tablets) can be utilized to support development of such a system. The study focuses on several existing solutions available either freely or on the market. Then these solutions are evaluated by both patients and medical professionals as a part of the system requirements study to be used in a new system development that will utilize mobile technologies to support the performance and patient outcomes.
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| 3. |
- Balkanyi, Laszlo, et al.
(författare)
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Medical concept representation : the years beyond 2000.
- 2013
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Ingår i: Proceedings of Studies in Health Technology & Informatics, vol. 192. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1011-1011
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Konferensbidrag (refereegranskat)abstract
- This work aims at understanding the state of the art in the broad contextual research area of "medical concept representation". Our data support the general understanding that the focus of research has moved toward medical ontologies, which we interpret as a paradigm shift. Both the opinion of socially active groups of researchers and changes in bibliometric data since 1988 support this opinion. Socially active researchers mention the OBO foundry, SNOMED CT, and the UMLS as anchor activities.
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| 4. |
- Berntsen, Eirik, et al.
(författare)
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Cherry : mobile application for children with cancer
- 2013
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Ingår i: MEDINFO 2013. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1168-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The Cherry project seeks to address the information needs of young cancer patients, their parents, and health care providers. It aims at helping the patients to understand various aspects of their disease and treatment, and allow them to assess and record their disease related quality of life. It uses elements of social media to offer a meeting point with the physician and peers. Information is presented in a way that is both understandable and appealing to young children in school age and adolescents. Preschool children will be studied as a separate user group to address their needs and possibilities to meet them. The Cherry system wants to utilize Internet and mobile technologies to benefit patient outcome.
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| 5. |
- Chapman, Wendy W., et al.
(författare)
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Extending the NegEx Lexicon for Multiple Languages
- 2013
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Ingår i: Proceedings of the 14th World Congress on Medical and Health Informatics. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 677-681
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Konferensbidrag (refereegranskat)abstract
- We translated an existing English negation lexicon (NegEx) to Swedish, French, and German and compared the lexicon on corpora from each language. We observed Zipf’s law for all languages, i.e., a few phrases occur a large number of times, and a large number of phrases occur fewer times. Negation triggers “no” and “not” were common for all languages; however, other triggers varied considerably. The lexicon is available in OWL and RDF format and can be extended to other languages. We discuss the challenges in translating negation triggers to other languages and issues in representing multilingual lexical knowledge.
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| 6. |
- Dentler, Kathrin, et al.
(författare)
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Barriers to the reuse of routinely recorded clinical data : a field report
- 2013
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Ingår i: Proceedings of Studies in Health Technology & Informatics, vol.192. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 313-317
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Konferensbidrag (refereegranskat)abstract
- Today, clinical data is routinely recorded in vast amounts, but its reuse can be challenging. A secondary use that should ideally be based on previously collected clinical data is the computation of clinical quality indicators. In the present study, we attempted to retrieve all data from our hospital that is required to compute a set of quality indicators in the domain of colorectal cancer surgery. We categorised the barriers that we encountered in the scope of this project according to an existing framework, and provide recommendations on how to prevent or surmount these barriers. Assuming that our case is not unique, these recommendations might be applicable for the design, evaluation and optimisation of Electronic Health Records.
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| 7. |
- Joukes, Erik, et al.
(författare)
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Composite Quality of Care Scores, Electronic Health Record Maturity Models, and their Associations; Preliminary Literature Review Results.
- 2013
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Ingår i: Proceedings of Studies in Health Technology & Informatics, vol. 192. - 9781614992882 - 9781614992899 ; , s. 981-981
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Konferensbidrag (refereegranskat)abstract
- To accurately assess the association between the use of EHR systems and the quality of healthcare we need (composite) measures for quality of healthcare, and a model to measure the maturity of the EHR. This Medline-based literature study therefore focussed on three topics; (1) methods to compose a measure for quality of care based on individual quality indicators (QI), (2) models to measure EHR maturity, and (3) the association between the former two. Composite quality is most often measured using opportunity-based scores, maturity is measured in functionalities or levels. EHR maturity measures are not used extensively in biomedical literature. Most studies found a positive association between EHR use and the quality of care but almost none of them differentiate in maturity of EHR which hampers firm conclusions about this relation.
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| 8. |
- Lazuardi, Lutfan, et al.
(författare)
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Automatic Platelets Counter for Supporting Dengue Case Detection in Primary Health Care in Indonesia
- 2013
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Ingår i: Medinfo 2013. - : IOS Press. - 9781614992899 - 9781614992882 ; , s. 585-588
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Konferensbidrag (refereegranskat)abstract
- Dengue fever is a major problem in many developing countries, including Indonesia. Laboratory examination is used to diagnose dengue infection and to monitor disease progression. Hematology tests, such as platelet count, are also used for timely recognition of the development of severe dengue. In primary health care centers platelet counting is typically performed manually, which is labor intensive and requires an experienced laboratory technician. To address this challenge, we have developed an automatic platelet counter for primary health care and resource-poor settings. The technology is based on a conventional microscope equipped with a digital camera linked to a personal computer, which can capture and analyze microscope images of blood samples. To evaluate the accuracy of the technology, it was compared to platelet counts performed manual by an experienced laboratory technician. Statistical analysis shows no difference between the techniques with a kappa coefficient of 0.6. This method is judged to have great potential as a tool to help primary health centers and other facilities with limited resources to deal with the burden of dengue.
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| 9. |
- Lövestam, Elin, et al.
(författare)
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Evaluating Documentation of Dietetic Care in Swedish Medical Records
- 2013
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Ingår i: MEDINFO 2013. - 9781614992899 - 9781614992882 ; 192, s. 1078-
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Konferensbidrag (refereegranskat)abstract
- An adequate documentation in medical records is essential for patient safety and high quality care. The aim of this study was to evaluate documentation by dietitians in Swedish medical records. A retrospective audit of 147 dietetic notes in electronic medical records was performed. The audit focused at documentation of essential parts of the dietetic care, as well as other quality aspects such as lingual clarity and structure of the documentation. The nutrition intervention showed to be the most documented part of dietetic care. However, the audit showed that several important parts of nutrition care were poorly documented, for instance nearly half of the audited records had no clear nutrition problem documented, and in most of the records, the goal of nutrition intervention was missing. The study shows that Swedish dietitians need to improve documentation in medical records, as a suggestion by implementing a more structured documentation model.
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| 10. |
- Meystre, Stéphane M., et al.
(författare)
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Automatic clinical text de-identification : is it worth it, and could it work for me?
- 2013
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Ingår i: Proceedings of the 14th World Congress on Medical and Health Informatics. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1242-1242
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Konferensbidrag (refereegranskat)abstract
- The increased use and adoption of Electronic Health Records, and parallel growth in patient data available for secondary use by clinicians, researchers, and operational purposes, all cause patient confidentiality protection to become an increasingly more important requirement and expectation. The laws protecting patient confidentiality typically require the informed consent of the patient to use data for research purposes, a requirement that can be waived if the data are de-identified. Several methods to automatically remove identifying information from clinical text have been tested experimen- tally over the last 10 years, guided by the HIPAA “Safe Harbor” methodology. This panel will focus on the issues related with the automatic de-identification of clinical text. It will include an overview of the domain, a demonstration of good examples of such applications in English and in Swedish with their main authors sharing development and adaptation experiences, and a discussion of the HIPAA “Safe Harbor” de-identification quality and the risk for re-identification of de-identified data. The difficulties and issues related to this task will be debated, as well as the main methods used and the performance and adaptability of these methods.
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