International Perspectives in Health Informatics - Volume 164 Studies in Health Technology and Informatics

Health information systems are now widely used around the world to raise the quality of healthcare, reduce medical error rates and improve access to health information and services, and health informatics is now recognized as a separate and unique area of disciplinary study and professional practice. This book presents the proceedings of the 2011 Information Technology and Communications in Health (ITCH) conference, in Victoria, BC, Canada in February 2011. Health informatics issues are not unique to one country or one organization and with its theme of International Perspectives, this conference provides a unique opportunity to share the lessons learned by both developed and developing countries. Effective use of scarce healthcare resources, ensuring the long-term sustainability of healthcare systems and moving the science of health informatics forward are discussed, and the conference also addresses key issues at the intersection of technology and healthcare such as; privacy, ethics, patient safety, efficiency and effectiveness, which are common to healthcare providers worldwide. The improvement of healthcare systems which employ health informatics technology is dependent upon such international exchanges and solution-sharing, and this book will be of interest to all those involved in providing better healthcare worldwide.IOS Press is an international science, technical and medical publisher of high-quality books for academics, scientists, and professionals in all fields. Some of the areas we publish in: -Biomedicine -Oncology -Artificial intelligence -Databases and information systems -Maritime engineering -Nanotechnology -Geoengineering -All aspects of physics -E-governance -E-commerce -The knowledge economy -Urban studies -Arms control -Understanding and responding to terrorism -Medical informatics -Computer Sciences Title page......Page 1 Preface......Page 5 ITCH 2011 Steering Committee......Page 7 ITCH 2011 Scientific Program Committee......Page 8 Contents......Page 11 Clinical Decision Support......Page 17 Decision Support and Automation Bias: Methodology and Preliminary Results of a Systematic Review......Page 19 Automated Recognition and Post-Coordination of Complex Clinical Terms......Page 24 Study of the Effects of Clinical Decision Support System's Incorrect Advice and Clinical Case Difficulty on Users' Decision Making Accuracy......Page 29 Automation Bias - A Hidden Issue for Clinical Decision Support System Use......Page 33 Clinical Informatics......Page 39 The SignOut Discharge Summary System: Using Workflow Byproducts to Pre-Populate and Assemble Discharge Summaries......Page 41 Delivery of Psychosocial Care for Cancer Patients: A Pilot Investigation......Page 48 Critical Care Providers Refer to Information Tools Less During Communication Tasks After a Critical Care Clinical Information System Introduction......Page 53 E-Learning and Education......Page 59 Harmonizing the Competency Cacophony......Page 61 The National Student Forum and the Emergence of Health Informatics Clubs......Page 68 Clinical Informatics in Undergraduate Teaching of Health Informatics......Page 74 Critical Success Factors for Implementing Healthcare e-Learning......Page 80 Development of a Graduate Level Course in e-Health and Emerging Technology in Saudi Arabia......Page 85 Evaluation......Page 91 Clinical and Economic Results from a Randomized Trial of Clinical Decision Support in a Rural Health Network......Page 93 Economic Analysis of Centralized vs. Decentralized Electronic Data Capture in Multi-Center Clinical Studies......Page 98 Sociotechnical Evaluation of a Clinical Transformation Project in a Specialized Cancer Care Centre......Page 105 Defining a Framework for Health Information Technology Evaluation......Page 110 Health Records......Page 117 Use of Ontologies for Monitoring Electronic Health Records for Compliance with Clinical Practice Guidelines......Page 119 The Use of Biometrics in the Personal Health Record (PHR)......Page 126 Longitudinal Analysis on Utilization of Medical Document Management System in a Hospital with EPR Implementation......Page 133 Early Development of an Enterprise Health Data Warehouse......Page 138 Informed Use of Patients' Records on Trusted Health Care Services......Page 143 Scenario-Based Stress Testing of an Electronic Patient Record System in a Thin-Client Computing Implementation......Page 148 EHR Strategy: Top Down, Bottom Up or Middle Out?......Page 154 Beyond Individual Patient Care: Enhanced Use of EMR Data in a Primary Care Setting......Page 159 e-Health Promises and Challenges: Some Ethical Considerations......Page 164 Health Informatics Initiatives in Developing Countries......Page 171 Monitoring of Congenital Anomalies in Developing Countries: A Pilot Model in Iran......Page 173 Economics of Health Informatics in Developing Countries......Page 178 An Online Method for Diagnosis of Difficult TB Cases for Developing Countries......Page 184 Developing a Medical Records System at the Ola During Children's Hospital, Freetown, Sierra Leone......Page 190 Healthcare Modeling and Simulation......Page 197 Making Eco-Friendly Transportation Safer: Developing Computer-Based Simulations to Assess of the Impacts of Bicycle Accident Prevention Interventions on Healthcare Utilization......Page 199 Model Human Behavior: Don't Constrain It!......Page 204 Waiting Time in Emergency Department by Simulation......Page 212 Human Computer Interaction......Page 217 Cognitive Analysis of a Medication Reconciliation Tool: Applying Laboratory and Naturalistic Approaches to System Evaluation......Page 219 Usability Analysis of the Tele-Nursing Call Management Software at HealthLink BC......Page 224 Adapting Usability Testing Techniques to Gather User Requirements: An Illustrative Proposal......Page 229 Usability Evaluation of a Pilot Implementation of the Electronic Clinical Transfusion Management System IT Specification for Blood Tracking......Page 235 Initiatives in International Health Informatics......Page 241 POND4Kids: A Web-Based Pediatric Cancer Database for Hospital-Based Cancer Registration and Clinical Collaboration......Page 243 Occurrence Detection and Selection Procedures in Healthcare Facilities: A Comparison Across Canada and Brazil......Page 248 National Strategies for Health Data Interoperability......Page 254 Applying a Methodological Approach for a Telecare Solution in Saudi Arabia......Page 259 On-Line Communities......Page 265 Getting Better Together? Opportunities and Limitations for Technology-Facilitated Social Support in Cardiac Rehabilitation......Page 267 The Role of User-Centred Design Within Online Community Development......Page 272 A Requirements Engineering Approach for Improving the Quality of Diabetes Education Websites......Page 277 Methods......Page 283 Application of a Non-Linear Autoassociator to Breast Cancer Diagnosis......Page 285 From Complexity Theory to a Generalized Governance Model: A Practical Architectural Pattern for Health Care and Wellness Economies......Page 290 Who's Users? Participation and Empowerment in Socio-Technical Approaches to Health IT Developments......Page 296 Grounded Theory Evolution and Its Application in Health Informatics......Page 302 Use of Qualitative Methods Across the Software Development Lifecycle in Health Informatics......Page 309 Health Information System Access Control Redesign - Rationale and Method......Page 314 National Patient Flow Framework: An Ontological Patient-Oriented Redesign......Page 321 A Model for Representing Formal, Informal and Hybrid Communication in the Clinical Communication Space......Page 327 The Action Case Method in Health Informatics Research......Page 332 Nursing Informatics......Page 337 Application of Language Processing Techniques to Capture the Use of Nursing Clinical Terms from Narrative Statements: Report of a Pilot Study......Page 339 Leveling: An Approach to Advanced Human Simulation which Maximizes Learning and Available Resources......Page 344 Usability of Electronic Nursing Record Systems: Definition and Results from an Evaluation Study in Finland......Page 349 Public Health Informatics......Page 355 Design and Testing of an Architecture for a National Primary Care Chronic Disease Surveillance Network in Canada......Page 357 Mandatory Public Reporting: Build It and Who Will Come?......Page 362 Emergence of a New Consumer Health Informatics Framework: Introducing the Healthcare Organization......Page 369 Safety and Quality Management......Page 375 Evaluation of Alert-Based Monitoring in a Computerised Blood Transfusion Management System......Page 377 Data that Makes a Difference in Quality Improvements in Primary Health Care: Approaches Through a Pan-Canadian Voluntary Electronic Medical Record Source......Page 383 Situation Awareness and Risk Management Understanding the Notification Issues......Page 388 Design of Adverse Drug Events-Scorecards......Page 393 Standardization and Interoperability......Page 399 Development of a Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard......Page 401 Data Encryptions Techniques for Electronic Health Record Exchange......Page 408 Telehealth......Page 413 Teleoncology Uptake in British Columbia......Page 415 Strengths and Weaknesses of Using Conferencing Technologies to Support Drug Policy Knowledge Exchange......Page 421 Functional Safety in Telecare: A Proposal for Implementation and Joint Validation......Page 426 Robots, Multi-User Virtual Environments and Healthcare: Synergies for Future Directions......Page 431 Tele-ICU - A Canadian Review......Page 436 Subject Index......Page 441 Author Index......Page 445