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Category : Informatics & Analysis

ABSTRACT: Strategies to overcome clinical, regulatory, and financial challenges in the implementation of personalized medicine.

This article highlights major developments over the last decade in personalized medicine in cancer. Emerging data from clinical studies demonstrate that the use of targeted agents in patients with targetable molecular aberrations improves clinical outcomes. Despite a surge of studies, however, significant gaps in knowledge remain, especially in identifying driver
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ABSTRACT: A systematic review of the literature on the evaluation of handoff tools: implications for research and practice — Abraham et al. — Journal of the American Medical Informatics Association

Objective Given the complexities of the healthcare environment, efforts to develop standardized handoff practices have led to widely varying manifestations of handoff tools. A systematic review of the literature on handoff evaluation studies was performed to investigate the nature, methodological, and theoretical foundations underlying the evaluation of handoff tools and
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ABSTRACT: Aggregate health data in the United States: Steps toward a public good

The rise of electronic medical records promotes the collection and aggregation of medical data. These data have tremendous potential utility for health policy and public health; yet there are gaps in the scholarly literature. No articles in the medical or legal literature have mapped the “information flows” from patient to
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ABSTRACT: Profiling undergraduates’ generic learning skills on entry to medical school; an international study.

BACKGROUND: Medical education faces challenges posed by widening access to training, a demand for globally competent healthcare workers and progress towards harmonisation of standards. AIM: To explore potential challenges arising from variation in diversity and educational background of medical school entrants. METHOD: This study investigated the reported experience and confidence, in a range of 31
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MANUSCRIPT: Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research

BACKGROUND: There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing and assessing quality of clinical documentation is a necessary improvement in an increasingly
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ABSTRACT: Temporal reasoning over clinical text: the state of the art

Objectives To provide an overview of the problem of temporal reasoning over clinical text and to summarize the state of the art in clinical natural language processing for this task. Target audience This overview targets medical informatics researchers who are unfamiliar with the problems and applications of temporal reasoning over clinical
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ABSTRACT: Patient–provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study — Lyles et al. — Journal of the American Medical Informatics Association

Patient–provider relationships influence diabetes care; less is known about their impact on online patient portal use. Diabetes patients rated provider communication and trust. In this study, we linked responses to electronic medical record data on being a registered portal user and using secure messaging (SM). We specified regression models to
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ABSTRACT: Development of a Method to Measure and Compare Hospital Waste

Abstract The authors developed 15 measures and a comparative index to assist acute care facilities in identifying and monitoring clinical and administrative functions for health care waste reduction. Primary clinical and administrative data were collected from 261 acute care facilities contained within a database maintained by Premier Inc, spanning October 1,
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MANUSCRIPT: Clinicians’ expectations of Web 2.0 as a mechanism for knowledge transfer of stroke best practices

Abstract BACKGROUND: Health professionals are increasingly encouraged to adopt an evidence-based practice to ensure greater efficiency of their services. To promote this practice, several strategies exist: distribution of educational materials, local consensus processes, educational outreach visits, local opinion leaders, and reminders. Despite these strategies, gaps continue to be observed between practice and
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MANUSCRIPT: An electronic portfolio for quantitative assessment of surgical skills in undergraduate medical education.

Abstract BACKGROUND: We evaluated a newly designed electronic portfolio (e-Portfolio) that provided quantitative evaluation of surgical skills. Medical students at the University of Seville used the e-Portfolio on a voluntary basis for evaluation of their performance in undergraduate surgical subjects. METHODS: Our new web-based e-Portfolio was designed to evaluate surgical practical knowledge and skills
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