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Category : Rapid Learning Healthcare System

ABSTRACT: Imaging informatics for consumer health: towards a radiology patient portal

Objective With the increased routine use of advanced imaging in clinical diagnosis and treatment, it has become imperative to provide patients with a means to view and understand their imaging studies. We illustrate the feasibility of a patient portal that automatically structures and integrates radiology reports with corresponding imaging studies
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MANUSCRIPT: Making psychological theory useful for implementing evidence based practice: a consensus approach — Michie et al. 14 (1): 26 — BMJ Quality and Safety

Background: Evidence-based guidelines are often not implemented effectively with the result that best health outcomes are not achieved. This may be due to a lack of theoretical understanding of the processes involved in changing the behaviour of healthcare professionals. This paper reports the development of a consensus on a theoretical
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ABSTRACT: Assessment and standardization of resident handoff practices: PACT project.

BACKGROUND:Accreditation Council for Graduate Medical Education duty hour guidelines have resulted in increased patient care transfers. Although structured hand-over processes are required in the guidelines, how to implement these processes is not defined. The purpose of this study is to investigate current handoff methods at our center in order to
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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: Cutting-edge technology for public health workforce training in comparative effectiveness research

A critical mass of public health practitioners with expertise in analytic techniques and best practices in comparative effectiveness research is needed to fuel informed decisions and improve the quality of health care. The purpose of this case study is to describe the development and formative evaluation of a technology-enhanced comparative
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ABSTRACT: The ethics of health information technology in oncology: emerging issues from both local and global perspectives.

Health information technology (HIT) is ever-increasing in complexity and has incrementally become a fundamental part of our everyday clinical lives. As HIT becomes more complex and commonplace, so do the questions it raises about stewardship and usage of data, along with the ethics of these applications. With the development of
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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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MANUSCRIPT: Ten challenges in improving quality in healthcare: lessons from the Health Foundation’s programme evaluations and relevant literature.

BACKGROUND:Formal evaluations of programmes are an important source of learning about the challenges faced in improving quality in healthcare and how they can be addressed. The authors aimed to integrate lessons from evaluations of the Health Foundations improvement programmes with relevant literature.METHODS:The authors analysed evaluation reports relating to five Health
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ABSTRACT: Ordinary search engine users carrying out complex search tasks

Web search engines have become the dominant tools for finding information on the Internet. Owing to their popularity, users of all educational backgrounds and professions use them for a wide range of tasks, from simple look-up to rather complex information-seeking needs. This paper presents the results of a study that
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