Health Information Technology Commons^™

Patterns And Implications Of Electronic Messaging Use In Clinical Communication: Insights From A Single-Center Survey., Basil George Verghese, Rupinder Buttar, Prakash Upreti, Kaiwen Zhu, Tamer Salhab Altamimi

Advances in Clinical Medical Research and Healthcare Delivery

Background: Efficient communication in healthcare is critical, significantly impacting patient outcomes. Electronic messaging tools, like Epic Secure Chat, are increasingly integrated into healthcare settings to enhance interactions among professionals. However, the practical implications of these tools on workflow and care quality are underexplored.

Methods: We conducted a comprehensive cross-sectional survey involving 309 healthcare professionals, including hospitalist physicians, advanced practice providers (APPs), and internal medicine residents, to evaluate Epic Secure Chat's usage patterns, satisfaction levels, and communication preferences.

Results: The survey yielded insightful data from 156 complete responses, revealing a notable issue with misdirected messages: 64.1% of hospitalists, 52.6% of residents, …

Does The Addition Of Digital Care Along With Standard Chemotherapy Teaching That Is Provided At City Of Hope Increase Patient Satisfaction And Confidence?, Sheridan Wendy Lomeli, Brooklin Mize, Tatyana Franco, Daniela Naemi

Master's Projects and Capstones

Chemotherapy education is critical when it comes to improving patient confidence, reducing anxiety, and enhancing symptom management. However, there is still a variety of patients who begin their infusion therapy with a limited understanding of what to expect. This quality improvement project was conducted at an outpatient infusion center, exploring whether combining traditional nurse-led chemotherapy education calls with a digital care platform would enhance patient satisfaction and confidence compared to standard care alone. A total of forty-one adult oncology patients participated in an educational survey at the end of each follow-up phone call, which was completed three days after their …

Comparative Dosimetric Evaluation Of Single-Beam And Two-Beam Grid Therapy In Head And Neck Cancers, Stephanie Scott Stinson

Masters Projects

This study aimed to evaluate whether a single-beam or two-beam configuration in GRID therapy offers superior tumor coverage to the Gross target volume(GTV) and organ-at-risk (OAR) sparing in head and neck cancer patients. Ten patients previously treated with GRID therapy to the left neck were retrospectively selected. For each patient, single-beam and two-beam plans were generated using consistent field size and energy. Dosimetric comparisons were performed using dose-volume histograms (DVHs), focusing on the highest dose received at any single point( dmax) and the average radiation dose delivered across an entire volume (dmean), and the volume covered by the 70% and …

August 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

• Yoga classes coming 9/16 - 10/14
• National Wellness Month
• 5 Habits of Self-Care
• Vaccines and Immunization
• Zucchini Brownies!
• Family Fun Month - Ideas!
• Standing Desks Available
• Word Search

Establishment Of Neonatal Sepsis Predictors Utilizing Non-Invasive Monitoring Techniques, Dalton Janssen

Dissertations

Neonatal sepsis remains one of the leading causes of global neonatal mortality. Reactionary approaches for diagnosis and treatment have dominated the tactics in addressing neonatal sepsis but clinical intuition is an untapped resource that could lead to earlier prediction of sepsis onset. Nurses and other staff with specialized training and experience who have served as routine caregivers for a specific patient are able to identify when the patient’s status is altered. This clinical intuition may be substantiated by referencing specific patient trends in non-invasive measures over time. This retrospective, exploratory study examined whether variation in non-invasive monitoring variables could serve …

Delusional Parasitosis With Depression, Hypertension And Migraine, Mouli Mandal, M Kishor, Mr Murali

Digital Journal of Clinical Medicine

Delusional Parasitosis (DP) , also known as Ekbom Syndrome, is a psychiatric disorder characterised by the unshakeable belief of infestation by parasites, insects or other organisms, despite the absence of objective medical evidence.
This case report presents a 49 year old female with a history of chronic headaches, progressively worsening insect crawling sensations. She was initiated on treatment and supportive psychotherapy.
This case highlights the importance of a thorough multidisciplinary approach in managing Delusional Parasitosis, emphasising the need to differentiate between primary and secondary forms, address the potential medical and psychiatric comorbidities, and implement appropriate pharmacological and psychotherapeutic interventions.

Exploring Ict Adoption In Teaching And Learning Of Science: A Case Of Senior Teachers In Kenya, David Odhiambo, Winston Edward Massam, Fredrick Mtenzi

Institute for Educational Development, East Africa

This study was conducted in Homa Bay Sub County, Kenya to explore the adoption of ICT among senior teachers, aged between 45-60 years, in teaching and learning of science. A qualitative research approach using a case study design was employed. Eight secondary school senior teachers of science, 2 females and 6 males, within Homa Bay Sub County were purposefully selected. Semi structured interviews were conducted one-on-one basis followed by classroom observation and document analysis. Analysis of the data revealed that senior teachers of science generally integrate ICTs in planning, assessment and in classroom teaching; however pedagogical preferences and teacher’s workload …

Use Of Cognitive-Behavioral Therapy In A Nation-Wide Veterans Health Administration Sample: The Role Of Clinic, Therapist, And Patient Factors., Alan Mcguire, Mindy Flanagan, Madison E Stout, Jessica Coffing, Marina Kukla, Morgan Traylor, Laura Myers, Nancy Henry, Jessica Carter, Marianne Matthias

Health Services and Informatics Research

OBJECTIVE: To examine the use of CBT-CP (Cognitive-behavioral therapy for chronic pain) by CBT-CP-trained therapists to treat patients with pain over a five-year period (October 2015-February 2020).

DATA SOURCES AND STUDY SETTING: CBT-CP is a core evidence-based practice that is central to multidisciplinary chronic pain care. However, research suggests that CBT-CP is underused. The current study used national Veterans Health Administration data to examine the use of CBT-CP by CBT-CP-trained therapists to treat patients with pain over a five-year period.

STUDY DESIGN: Multilevel modeling was used to evaluate clinic, therapist, and patient-level factors as predictors of CBT-CP receipt.

DATA COLLECTION: …

Objective Phone Use During Time With One’S Partner: Associations With Relationship And Individual Well-Being, Brandon T. Mcdaniel Phd, Sabrina Uva, Victor P. Cornet, Michelle Drouin

Health Services and Informatics Research

When a person chooses to interact with their phone instead of their partner (e.g., technoference, phubbing), it may diminish interactional quality, relationship satisfaction, and well-being. However, much of the research on technology use in relationships has utilized self-reports. We extend prior work by objectively measuring smartphone use in a sample of 247 adult participants (75% women; mean age = 30.87 years) to better understand the extent of use around one’s partner and the connection between this use and relational and personal well-being. Participants completed an online baseline survey and 8 days of phone tracking and nightly time diaries. On average, …

August 2025, Swosu Rural Health Center

RURAL ROCKS

• Natural Probiotics: 7 Foods to Eat for Better Gut Health
• The Overlooked Link Between Vitamin D and GI Health

• Colorectal Cancer by Stephen Drinnon, Pharm.D.

• PHARMACIST’S IMMUNIZATION TRAINING PROGRAM

• PHARMACY TECHNICIAN IMMUNIZATION TRAINING PROGRAM

• How Pharmacies Can Address Social Drivers of Health

Cholinesterase Enzyme Association With Quality Of Life Among Farmers In Khong Chai District, Kalasin Province, Thailand, Supasin Deeraksa, Mayuree Suuwunnakhot, Khanittha Madngammuang

Jurnal Keperawatan Indonesia

The agricultural sector in Thailand faces challenges that impact farmers' health and quality of life. This study examines the quality of life, cholinesterase enzyme levels, and factors associated with quality of life among farmers in Khong Chai District, Kalasin Province, Thailand. This cross-sectional analytical study was conducted using systematic random sampling. The respondents had a mean age of 54.97 ± 10.50 years (range 25–75 years) and comprised 75.56% females (n = 204), 24.44% males(n = 66). Data collection included demographic information, blood samples to assess cholinesterase enzyme safety levels, and responses to the World Health Organization Quality of Life Brief-Thai …

Community-Based Intervention For Type 2 Diabetes Management In Developing Countries: A Systematic Review, Lutfian Lutfian, Izdihar Javier Wardika, Aufa Azizah, Fahmi Wildana, Yusti Muzdalifa Taplo, Riki Wartakusumah

Jurnal Keperawatan Indonesia

Type 2 Diabetes Mellitus (T2DM) poses a significant public health challenge, especially in developing countries with limited healthcare resources. There is a critical need for community-based interventions (CBIs) to promote healthy lifestyles for individuals with T2DM. This study explores CBIs to improve health behavior among T2DM patients in developing countries. It systematically reviews articles from PubMed, Scopus, CENTRAL, and CINAHL databases. The search strategy employed specific keywords following the PRISMA Extension for Systematic Reviews. The quality of the included articles was appraised using the Joanna Briggs Institute (JBI). A narrative synthesis summarized the key findings across the selected articles. The …

Correlation Between Family Support And Depression Among Pre-Elderly Individuals With Hiv In Jakarta, Gracella Tanjaya, Surilena Surilena, Nicholas Hardi, Eva Suryani

Jurnal Keperawatan Indonesia

Depression among pre-elderly with human immunodeficiency virus (HIV) can significantly impact their quality of life. Family is often the primary source of support for this demographic and is recognized as a protective factor against depression. Therefore, identifying protective factors against depression is essential for promoting healthy aging among pre-elderly with HIV. This study aimed to determine the correlation between family support and depression among pre- elderly with HIV in Jakarta. A total of 120 pre-elderly with HIV from the Indonesia AIDS Coalition who were receiving HIV care at health centers across Jakarta participated in this cross-sectional study. The participants were …

Determinants Influencing The Readiness Of Non-Medical Hospital Personnel To Perform Basic Life Support, Elin Hidayat, Suaib Suaib, I Made Rio Dwijayanto, Nur Aviva Pemasi, Ilne Ai Purana Adel

Jurnal Keperawatan Indonesia

All healthcare personnel, including both medical and non-medical staff within hospitals, are expected to possess the capability to administer Basic Life Support (BLS) in order to provide immediate assistance during emergencies. However, many non-medical hospital staff remain unprepared to perform BLS due to a lack of knowledge, willingness, and confidence. This study aims to identify the factors affecting the preparedness of non-medical hospital staff in carrying out BLS at Undata Hospital, a healthcare facility in Central Sulawesi. This research employed quantitative design with a cross-sectional approach. The sample comprised 103 non-medical respondents selected through total sampling. Data were collected through …

Effects Of An Integrated Nutritional Health Intervention On Energy And Protein Intake In Under Five-Year Malnourished Children, Yani Maidelwita, Tukimin Bin Sansuwito, Faridah Mohd Said

Jurnal Keperawatan Indonesia

Malnutrition is thought to be the cause of more than one third of all child deaths, despite being rarely cited as a cause. In Indonesia, 19.9% of the population is malnourished, which is a very high prevalence. To prevent and treat malnutrition in children, numerous strategies have been developed, including an integrated nutritional health intervention. This research aimed to determine the effectiveness of an integrated nutritional health intervention for the energy and protein intake of malnourished children under the age of five. This study had a quasi-experimental design with a pre- and post- test control group. The research took place …

Effects Of Incremental Shuttle Walk Test On Maximal Oxygen Consumption And Comfort In Patients With Coronary Artery Disease Undergoing Phase 3 Cardiac Rehabilitation, Mutarobin Mutarobin, Tutiany Tutiany

Jurnal Keperawatan Indonesia

Coronary artery disease (CAD) is a condition characterized by impaired cardiac function due to a reduced blood supply to the myocardial tissue, resulting from narrowing or obstructing of the coronary arteries. This condition can negatively impact the physical, psychological, and social dimensions of the patient’s life, often leading to a decline in maximal oxygen consumption (VO2max) and perceived comfort. One solution for increasing the decreased VO2max is cardiac rehabilitation. Cardiac rehabilitation is an effective preventive and recovery intervention that includes assessments of VO2max, and the effects of the incremental shuttle walk test (ISWT) on the VO2max and comfort of CAD …

The Effect Of Nursing Process Education On Students’ Perceptions Of Nursing Diagnoses, Ezgi Bağrıaçık, Burcu Totur Dikmen

Jurnal Keperawatan Indonesia

The aim of this study is to evaluate the effect of nursing process education on nursing students' perception of nursing diagnoses. This quasi-experimental study was conducted with the second-year students who took the course of internal medicine nursing. One hundred and eleven second-year students (91.72%) who were attending a nursing faculty were included in the pretest. Each of the training sessions given to the students lasted for 60 minutes, and a total of 12 sessions of training were applied as three sessions per week. The online training was given to students by an educator with a presentation and case discussion. …

The Strategies And Interventions For Interprofessional Collaboration To Improving Patient Safety In Hospitals: A Systematic Review, Keumalasari Keumalasari, Krisna Yetti, Enie Novieastari, Evi Martha

Jurnal Keperawatan Indonesia

Interprofessional collaboration strategies and interventions are carried out to improve patient safety in hospitals. This study aimed to analyze the strategies and interventions used in interprofessional collaboration to improve patient safety. Interprofessional collaboration strategies and interventions were searched using five English-language databases, eligible studies were extracted, and the risk of bias was independently evaluated by two authors. The literature search yielded a total of 10,729 registered papers. We conducted an analysis on 3,793 health professionals. The following articles were included: 1) articles that described an intervention interprofessional collaboration to improve patient safety; 2) those focused on interprofessional collaboration in hospitals; …

Transforming Healthcare Virtually: A Comprehensive Exploration Of Artificial Intelligence In Telehealth Across Internal Medicine Subspecialties, Jassimran Singh, Aditi Agrawal

Internet Journal of Allied Health Sciences and Practice

This review provides a comprehensive exploration of the transformative role of artificial intelligence (AI) in revolutionizing telehealth within various subspecialties of internal medicine. The focus is on enhancing patient care, addressing healthcare challenges, and mitigating professional burnout through the real-time, data-driven insights offered by AI. The integration of AI in telehealth is examined across diverse medical fields such as cardiology, pulmonary medicine, gastroenterology, endocrinology, geriatrics, nephrology, neurology, and hematology-oncology. The research methodology employs a systematic literature review and analysis approach, utilizing academic databases such as PubMed, Scopus, and IEEE Xplore to identify relevant literature up to July 2023. Inclusion criteria …

Act With Nmosd: A Targeted, Telehealth-Delivered Mental Health Intervention For Patients & Caregivers, Darcy C. Esiason, Patrick J. Smith, Charles L. Peppers, Emily Wakschal, Leigh Andrews, Chelsi N. Nurse, Hallie M. Kushner, Christopher F. Drescher, Heather Bruschwein, Wendy Erler, Tom Hattrich, Ankita Deshpande, Michael Levy, Thomas P. Leist, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: The rare, unpredictable, debilitating nature of neuromyelitis optica spectrum disorder (NMOSD) constitutes a unique psychological burden. This single-arm, pilot clinical trial examined the effectiveness of Acceptance and Commitment Therapy (ACT) tailored to meet the psychological burden of NMOSD, a brief telehealth-delivered intervention, targeting this burden.

METHODS: Forty-three adults with NMOSD (76 % aquaporin-4 seropositive (AQP4+)) in USA, with elevated anxiety and/or depression completed 6-weeks of an experiential talk therapy designed to increase psychological flexibility and valued action, specifically tailored to address the psychological burden of NMOSD: Acceptance and Commitment Therapy (ACT) w NMOSD. Patients attended via Zoom, along with …

Visualisasi Data Dalam Pencegahan Dan Pengendalian Infeksi: Otomasi Data Komite Ppi Rumah Sakit Universitas Indonesia Tahun 2024, Clarissa T. Firjatullah, Kemal N. Siregar, Dara A. Wardhani

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Health Care Associated Infections (HAIs), salah satu masalah kesehatan yang dapat meningkatkan morbiditas dan mortalitas pasien yang dirawat. Di Asia Tenggara, prevalensi HAIs mencapai 21,6% dengan Indonesia sebagai negara dengan prevalensi tertinggi, yaitu 30,4%. Pencegahan dilakukan melalui surveilans HAIs oleh Komite Pencegahan dan Pengendalian Infeksi (PPI). Tujuan dari studi ini adalah menghasilkan analisis sederhana secara grafis dengan visualisasi data melalui dashboard data infeksi HAIs, NSI, dan audit penerapan PPI di RS UI tahun 2024. Data yang digunakan dari database Komite PPI RS UI adalah kasus Phlebitis, CLABSI, CAUTI, VAP, HAP, SSI, NSI, audit hand hygiene dan penggunaan APD, audit bundles …

Implementation Of Artificial Intelligence For Scribing In An Outpatient Mental Health Clinic, Elissa A. Moore

Student Scholarly Projects

Practice Problem: Traditional documentation practices place a significant burden on psychiatric mental health nurse practitioners (PMHNP) in outpatient mental health clinics (MHC), contributing to provider burnout and negatively impacting the patient-provider relationship. Preserving practicing PMHNPs is essential across the United States, but imperative in medically underserved areas where mental health services are limited.

PICOT: In PMHNPs (Population), does the use of AI scribing software (Intervention) compared to traditional documentation methods (Comparison) reduce documentation time and increase provider satisfaction (Outcome) over a ten-week period (Time)?

Evidence: This Doctor of Nursing Practice (DNP) scholarly project was informed by evidence obtained from 15 …

Impact Of Primary Care Healthcare Providers Patient Electronic Medical Records Completion Rates Using Speech Recognition Dictation, Pepper Losely

Student Scholarly Projects

Practice Problem: Completion of electronic medical records (EMRs) is an ongoing problem for providers, facilities, and insurance reimbursement. Current completion of EMRs lack standardized processes to make EMRs completion easier for providers with their busy workday and allow optimal time for patient care.

PICOT: For healthcare providers at primary clinics (P) will implementing speech recognition dictation (SRD) for data entry into the electronic medical records (EMRs) (I) compared to the current practice of manually typing all data causing long medical record turnaround times (c) improve medical record completion within 30 days (O) over 10-weeks (T).

Evidence: Evidence that was …

Incidence And Clinical Profile Of Cardiovascular Abnormalities In Infants Of Diabetic Mother, Kailas Randad, Praveen Das, Akash Dnyandeo Sarkate, Qudsiya Ansari

Digital Journal of Clinical Medicine

Background: Maternal diabetes is associated with adverse pregnancy outcomes, notably congenital heart disease (CHD) in infants of diabetic mothers (IDMs). This study evaluated the prevalence and spectrum of CHDs in IDMs and the effect of maternal glycemic control.

Materials and Methods: A prospective observational study was conducted over 18 months at a tertiary care centre in Mumbai. A total of 112 IDMs were enrolled. Maternal glycemic status was assessed using HbA1c and random blood sugar. All infants underwent clinical examination, oxygen saturation measurement, and echocardiography.

Results: CHDs were identified in 26.7% of infants. The most frequent lesions …

Pola Sebaran Spasial Pada Kejadian Stunting Di Provinsi Lampung Tahun 2019 -2023, R Nasrullah Nur Nugroho, Indang Trihandini, Martya Rahmaniati Makful

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Stunting merupakan gangguan pertumbuhan dan perkembangan yang dialami anak-anak akibat gizi buruk, infeksi berulang dan stimulasi psikososial yang tidak memadai. Menurut Survei Kesehatan Indonesia (SKI) 2023, prevalensi stunting di Indonesia sebesar 21,5%, sementara Lampung 14,9% yang menempatkannya pada posisi ke-empat terendah setelah Bali, Jambi dan Riau. Penelitian ini bertujuan untuk menganalisis pola sebaran spasial dan autokorelasi spasial kejadian stunting di Provinsi Lampung tahun 2019–2023 dengan pendekatan studi ekologi. Sampel penelitian adalah 13 kabupaten dan 2 kota di Provinsi Lampung. Metode analisis spasial yang digunakan adalah Moran’s I untuk mengukur autokorelasi spasial global dan Local Indicators of Spatial Association (LISA) untuk …

Klasifikasi Penggunaan Kontrasepsi Pada Pasangan Usia Subur Di Kalimantan Timur Dengan Metode Chaid (Analisis Hasil Pendataan Pemutakhiran Keluarga Bkkbn Tahun 2023), Rifky Irlika Akbar, Rahmi Susanti, Ismail Andi Baso

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Data BKKBN Kalimantan Timur menyebutkan, dari sekitar 800 ribu pasangan usia subur (PUS), hanya 60,1% yang menggunakan alat kontrasepsi. Hampir 40% PUS belum berpartisipasi dalam program keluarga berencana yang berdampak pada peningkatan angka kelahiran dan beban kesehatan reproduksi. Tujuan dari penelitian ini adalah mengetahui karakteristik dan variabel penggunaan kontrasepsi pada PUS di Kalimantan Timur, serta hasil klasifikasi dan evaluasi model CHAID berdasarkan akurasi, recall, presisi, dan F1-score. Penelitian ini menggunakan metode non-reaktif dengan populasi 510.319 PUS di Kalimantan Timur. Analisis data dilakukan dengan metode CHAID, menggunakan perbandingan data training dan testing 70:30. Hasil analisis CHAID menunjukkan bahwa …

Rapid Access Chest Pain Assessment Clinic: An Australian Virtual Care Experience, Marwan Shawki, Thalys Sampaio Rodrigues, Hussein Al-Fiadh, Karen Sanders Mnursing, Ali H. Al-Fiadh

Journal of the Saudi Heart Association

Background: The Rapid Access Chest Pain Assessment Clinic (RACPAC) streamlines the evaluation of low to intermediate-risk chest pain patients, reducing hospitalisation and healthcare costs. However, there is limited data on the virtual model of care for RACPAC.

Aim: We sought to evaluate the structure, cost-effectiveness, and imaging modalities performance of face-to-face and virtual RACPAC in an Australian setting.

Methods:A retrospective analysis of patients attending the RACPAC within a large Australian quaternary hospital between 2012 and 2021. We described the clinic parameters and imaging modality utilisation with parametric and non-parametric descriptive statics. Patterns of diagnostic modality utilisation were assessed with …

A Rare Cause Of Severe Bleeding In Neonate: Congenital Afibrogenemia Case Report, Abdul Azeem Hulkoti, Qudsiya Ansari, Kailas Randad, Akash Dnyandeo Sarkate Dr

Digital Journal of Clinical Medicine

Background- Congenital afibrinogenemia is a rare autosomal recessive disorder characterized by the complete absence of fibrinogen, a critical factor for clot formation in the blood. This deficiency leads to significant bleeding tendencies from birth. Patients typically present with severe haemorrhagic symptoms early in the neonatal period.

Case presentation- We describe a case of a neonate presenting with umbilical bleeding diagnosed with congenital afibrinogenemia. Initial clinical manifestations included active umbilical bleeding and pallor, while hematological workup revealed a lack of detectable fibrinogen. The diagnosis was confirmed by coagulation assays and genetic testing. The infant was managed with Fresh Frozen Plasma (FFP) …

Educating Healthcare Providers To Prevent And Mitigate The Effects Of Zoom Fatigue, Andrea Lima

Doctor of Nursing Practice Scholarly Projects

Zoom Fatigue (ZF), or physical and neuropsychological responses to excessive videoconferencing (VC), increased during the COVID-19 pandemic. Like burnout, ZF can compromise patient safety by causing decreased job satisfaction, social isolation, disrupted focus, and difficulty empathizing with patients. This Plan-Do-Study-Act quality improvement project aimed to assess feelings about VC, raise awareness of the adverse effects of overuse, and empower primary care providers (PCPs) to improve their work experiences. A group of on-site PCPs at a tertiary care medical center in the Southwest, who continued holding exclusive virtual team meetings after the pandemic, was asked to complete the 15-question Zoom Exhaustion …

When Patients Ask Chatgpt About Statins: Clinical Implications In The Community Setting, Jayashree Ravikumar

Journal of Community Hospital Internal Medicine Perspectives

No abstract for this article type.