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Author: Brian S McGowan, PhD

ABSTRACT: Federated queries of clinical data repositories: the sum of the parts does not equal the whole — Weber — Journal of the American Medical Informatics Association

Abstract
Background and objective In 2008 we developed a shared health research information network (SHRINE), which for the first time enabled research queries across the full patient populations of four Boston hospitals. It uses a federated architecture, where each hospital returns only the aggregate count of the number of patients who match a query. This allows hospitals to retain control over their local databases and comply with federal and state privacy laws. However, because patients may receive care from multiple hospitals, the result of a federated query might differ from what the result would be if the query were run against a single central repository. This paper describes the situations when this happens and presents a technique for correcting these errors.

via Federated queries of clinical data repositories: the sum of the parts does not equal the whole — Weber — Journal of the American Medical Informatics Association.

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ABSTRACT: Harnessing the cloud of patient experience: using social media to detect poor quality healthcare.

Abstract
Recent years have seen increasing interest in patient-centred care and calls to focus on improving the patient experience. At the same time, a growing number of patients are using the internet to describe their experiences of healthcare. We believe the increasing availability of patients’ accounts of their care on blogs, social networks, Twitter and hospital review sites presents an intriguing opportunity to advance the patient-centred care agenda and provide novel quality of care data. We describe this concept as a ‘cloud of patient experience’. In this commentary, we outline the ways in which the collection and aggregation of patients’ descriptions of their experiences on the internet could be used to detect poor clinical care. Over time, such an approach could also identify excellence and allow it to be built on. We suggest using the techniques of natural language processing and sentiment analysis to transform unstructured descriptions of patient experience on the internet into usable measures of healthcare performance. We consider the various sources of information that could be used, the limitations of the approach and discuss whether these new techniques could detect poor performance before conventional measures of healthcare quality.

via Harnessing the cloud of patient experience: usi… [BMJ Qual Saf. 2013] – PubMed – NCBI.

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ABSTRACT: Is it worth investing in online continuous education for healthcare staff?

Abstract
Educational activities for hospital staff don’t easily match with the congestive rhythm of healthcare personnel working life. Online learning could make it easier for healthcare personnel to attend courses, but there is still uncertainty about the feasibility of using distance learning to effectively meet education goals in healthcare institutions. Fondazione Salvatore Maugeri (FSM) started an online educational program, as pilot project, in October 2010. The present study hence is aimed at evaluating the impact of this initiative (in terms of extent and intensity of healthcare staff attendance; objective and subjective effectiveness) in order to take informed decisions for the future. In 15 months, 5 elearning courses have been provided to 2261 potential users of 14 FSM hospitals, in parallel with traditional education. 1099 users from all the hospital have intensively attended the courses (58% of nurses, 50% of therapists, 44%, of technicians, 25% of physicians) for a total of 27459 CME credits. Effectiveness in terms of knowledge gain is satisfactory and subjective evaluation is good (more than 95% of satisfied users). Elearning is not appropriate for all the educational needs and is not a panacea, but the reported results point out that it may be an effective and economically convenient mean to support massive educational interventions reaching results hardly attainable with traditional education. Users should be better educated about how to exploit online education at best.

via Is it worth investing in online c… [Stud Health Technol Inform. 2012] – PubMed – NCBI.

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ABSTRACT: Podcasting in medical education: can we turn this toy into an effective learning tool?

Abstract

Advances in information technology have changed how we deliver medical education, sometimes for the better, sometimes not. Technologies that were designed for purposes other than education, such as podcasting, are now frequently used in medical education. In this article, the authors discuss the pros and cons of adapting existing technologies for medical education, caution against limiting evaluation of technologies to the level of rater satisfaction, and suggest a research agenda for formally evaluating the role of existing and future technologies in medical education.

http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=22

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MANUSCRIPT: Fragmentation in US Medical Education, Research, and Practice: The Need for System Wide Defrag

Indeed, fragmentation is pervasive in all facets of American medicine and health care, including systems of medical education and research, health care delivery, and practice transformation. Fragmentation results from a lack of national and regional health care planning, an absence of a unified vision for social accountability and moral imperative, and a deficiency of financial incentive for a cohesive system of care with a balanced health care workforce.

http://www.stfm.org/fmhub/fm2013/January/Jerry54.pdf

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MANUSCRIPT: Protocol for development of the guideline for reporting evidence based practice educational interventions and teaching (GREET) statement

There are an increasing number of studies reporting the efficacy of educational strategies to facilitate the development of knowledge and skills underpinning evidence based practice (EBP). To date there is no standardised guideline for describing the teaching, evaluation, context or content of EBP educational strategies. The heterogeneity in the reporting of EBP educational interventions makes comparisons between studies difficult. The aim of this program of research is to develop the Guideline for Reporting EBP Educational interventions and Teaching (GREET) statement and an accompanying explanation and elaboration (E&E)
paper.

http://www.biomedcentral.com/content/pdf/1472-6920-13-9.pdf

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MANUSCRIPT: How Do Social Networks and Faculty Development Courses Affect Clinical Supervisors’ Adoption of a Medical Education Innovation? An Exploratory Study

A clinical supervisor’s social network may be as important as faculty development course participation in determining whether the supervisor adopts an educational innovation. Faculty development initiatives should use faculty members’ social networks to improve the adoption of educational innovations and help build and maintain communities of practice.

via How Do Social Networks and Faculty Development Courses Affec… : Academic Medicine.

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RESOURCE: 6 Expert Tips for Flipping the Classroom — Campus Technology

Three leaders in flipped classroom instruction share their best practices for creating a classroom experience guaranteed to inspire lifelong learning.

“If you were to step into one of my classrooms, you’d think I was teaching a kindergarten class, not a physics class,” laughs Harvard University (MA) professor Eric Mazur. “Not because the students are children, but because of the chaos and how oblivious the students are to my presence.”

Such pandemonium is a good thing, insists Mazur, an early adopter of the flipped classroom model that has become all the rage at colleges and universities across the country. “That’s how we all learn: by actively engaging in the material rather than sitting in a classroom and writing down the words said by the professor.”

via 6 Expert Tips for Flipping the Classroom — Campus Technology.

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MANUSCRIPT: Tumor Boards (Team Huddles) Aren’t Enough to Reach the Goal

Incremental changes in the tumor board infrastructure may increase the value of these team meetings and extend their potential benefits to low-volume physicians. The application of technology to create the “virtual” or telemedicine tumor board should be explored. Synchronous audio and video presentations that link physicians in remote areas with disease-specific expert clinicians, as well as asynchronous (“store and forward”) discussions, which focus on patient-specific management issues, are a potential infrastructure
enhancement (6).

http://www.oxfordjournals.org/our_journals/jnci/press_releases/blayneydjs523.pdf

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