Health Information Technology Commons^™

Targeted Ehr-Based Communication Of Diagnostic Uncertainty (Tecu) In The Emergency Department: Protocol For An Effectiveness Implementation Trial, Danielle M Mccarthy, Sara Malone, Dimitrios Papanagnou, Benjamin E Leiby, Amandy M B Doty, Phillip Watts, Rahul Yadav, Julia K Pugliese, Jonathan Woodworth, Tracy Esteves Camacho, Efrat Kean, Kristin L Rising

Department of Emergency Medicine Faculty Papers

BACKGROUND: At least 37 % emergency department (ED) patients are discharged without a definitive diagnosis, resulting in diagnostic uncertainty. Transitions of care are high-risk periods for patient safety, especially for patients discharged with diagnostic uncertainty. Effective communication between clinicians and patients improves these care transitions. Previous research developed tools to support high quality discharge in the setting of diagnostic uncertainty, including: a communication checklist, a physician training program, and a patient-facing information sheet.

METHODS: This study aims to enhance transitions for patients leaving the ED with diagnostic uncertainty through an electronic health record (EHR)-based strategy. The intervention, the Targeted EHR-based …

Improving Bone Density Screening Rates In Patients At Risk For Falls Using Chart Screening And Protocol Orders, Lona Winnegan

Doctor of Nursing Practice Final Project Abstract

PURPOSE: This quality improvement project’s purpose was to identify those at risk for low bone density from a clinic’s population of positive fall risk screenings, to encourage bone density screening and identify those who would benefit from bone health optimization.

BACKGROUND: Spine fractures result in serious morbidity and mortality. The type of treatment options available for spine fractures and the timing of intervention is affected by the patient’s bone density.

METHODOLOGY: The aim was for patients diagnosed with spine fractures and degenerative spine conditions to be screened for osteoporosis/osteopenia according to screening recommendation standards. The goals were to maintain …

Study Of Proportion Of Cardiac Involvement Secondary To Dengue Infection In Pediatric Population Admitted In A Tertiary Hospital- A Prospective Cross-Sectional Study, Neha Bhongale, Qudsiya Ansari, Ravindra Chittal

Digital Journal of Clinical Medicine

Background- Dengue is one of the most important mosquito-borne illnesses worldwide. Cardiac manifestations of dengue illness can range from asymptomatic bradycardia to life-threatening myocarditis. There is an overall paucity of published Indian studies of clear demonstration of cardiac manifestations secondary to dengue in the pediatric population. Aim- To study the proportion of patients with cardiac involvement secondary to dengue viral infection in the pediatric age group based on clinical manifestations of cardiac enzymes (CKMB, Troponin I) and ECG (electrocardiography), in a tertiary center. Methodology- This study is undertaken to find out the proportion of patients with cardiac manifestations secondary to …

An Exploration Of Telemedicine Application Service Quality And Its Relevance With Patient Satisfaction, Victoria Olguin

Posters - 2025

Telehealth is the usage of technology to connect people from distinct locations to deliver healthcare services. Though the COVID-19 pandemic did accelerate the usage of telehealth, the practice of telehealth can date back to the civil war in the 1860s, when messages were sent from wounded soldiers back to medics. When the COVID-19 pandemic hit, the telehealth care model quickly accelerated and is now used and accepted by many worldwide. After the pandemic, patients have continued to use telehealth health services by downloading telehealth mobile applications on their mobile devices that connect them to their healthcare provider. This has raised …

A New Member Benefit: The Talk Space Go App, Lisa Knowles Dds

The Journal of the Michigan Dental Association

This article introduces TalkSpace Go, a new ADA member benefit providing mental health support for dentists. Dr. Lisa Knowles explains how the app offers private access to therapists, courses, and workshops to help manage professional stress and prevent burnout. The piece highlights that 82% of dentists experience clinical burnout symptoms and emphasizes the importance of prioritizing mental well-being. Knowles describes her personal experience with burnout and using the app alongside the ADA's Well-Being Index assessment tool. The article includes instructions for accessing both resources, which are free for ADA/MDA members.

Exploring The Web And Language Accessibility Of Medical Tourism Providers’ Websites: Implications For Online Marketing And Patient Recruitment Practices, Alicia Mason, Elizabeth Spencer, Kristen Livingston, Treyton Meyers

Faculty Submissions

Background: Web accessibility as an attribute of the digital presence of organizations has been studied across domains and contexts. Our study aims to add to existing lines of research inquiry by examining the web and language accessibility of medical tourism provider (MTP) websites commonly used to market and promote international medical tourism treatments and services globally.

Objective: This study aims to (1) systematically analyze the web and language accessibility of MTP online health messages and (2) discuss challenges and implications for medical tourists’ user experiences when seeking health information online.

Method: We conducted an exploratory quantitative content analysis of web …

For Patients’ Sake! Can We Get Some Clarity? Defending The Privilege And Confidentiality Of Patient Safety Work Product, Alyssa Boob

Dickinson Law Review (2017-Present)

In 2000, the Institute of Medicine published To Err is Human: Building a Safe Health System, a report revealing the shocking rate of medical errors plaguing the United States healthcare system. Faced with the horrifying consequences of these medical mishaps, Congress sprang into action. It enacted the Patient Safety and Quality Improvement Act of 2005 (PSQIA), which authorized the creation of Patient Safety Organizations (PSOs). Intended to increase transparency and communication amongst healthcare providers, PSOs collect provider medical error data—termed Patient Safety Work Product (PSWP)—and suggest areas of improvement.

The Act grants privilege and confidentiality protections to any information …

April 2025, Swosu Rural Health Center

RURAL ROCKS

This is the April 2025 issue of Rural Rocks from the SWOSU College of Pharmacy.

It-Enabled Services In Online Healthcare Platforms, Anqi Zhao

Dissertations and Theses Collection (Open Access)

Despite the growing prevalence of IT-enabled applications and interventions, online healthcare platforms (OHPs) face notable challenges in addressing technological and informational barriers, maintaining patient and physician engagement, and ensuring quality of care. To address these challenges, this dissertation examines the impact of IT-enabled services in OHPs across key stages of the healthcare service process—preconsultation, consultation, and postconsultation.

In the preconsultation stage, we scrutinize the effects of online preconsultation from both physician and patient perspectives. The findings reveal that preconsultation, significantly increases the consultation physician’s response speed,support abundance, and informational support. However, because emotional support is the …

April 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Practice mindfulness!

Here are some strategies for a healthier Spring

April word search

Barriers To Telehealth Uptake And Use: A Scoping Review, Mackenzie Kemp, Kristin L. Rising, Gregory Laynor, Jessica Miao, Brooke Worster, Anna Marie Chang, Andrew J. Monick, Amanda Guth, Tracy Esteves Camacho, Kiana Mcintosh, Grace Amadio, Lindsey Shughart, Tingann Hsiao, Amy E. Leader

Jefferson Center for Connected Care Faculty Papers

OBJECTIVES: We conducted a scoping review to identify barriers to telehealth use and uptake from the perspective of patient, provider, and system that were documented in the literature. In addition to identifying and categorizing the barriers, we aimed to assess how barriers differed for studies conducted during the COVID-19 pandemic, as well as how barriers differed between the United States vs internationally based studies.

MATERIALS AND METHODS: Comprehensive searches of the PubMed/MEDLINE, CINAHL, and Scopus databases conducted on December 29, 2021 yielded 17 887 results, with 11 221 potentially eligible documents after duplicates were removed. The team conducted an initial …

The Interplay Between Endothelial Glycocalyx Maturity And Both The Toxicity And Intracellular Uptake Of Charged Nanoparticles, Claire A. Bridges, Lu Fu, Jonathan Yeow, Xiaojing Huang, Miriam Jackson, Rhiannon P. Kuchel, James D. Sterling, Shenda M. Baker, Megan S. Lord

Business and Information Technology Faculty Research & Creative Works

Nanoparticles are widely studied for delivering treatments to target tissues, but few have reached clinical use. Most nanoparticles encounter blood vessels on their way to target tissues. The inner surface of these vessels is lined with endothelial cells covered by a glycocalyx, an extracellular matrix rich in anionic glycans. The role of the glycocalyx in nanoparticle interactions is not well understood. Here, we demonstrate that endothelial cells need extended culture times to synthesize a mature glycocalyx. Our research shows that branched polyethyleneimine functionalized gold nanoparticles bind to endothelial cells expressing either a developing or mature glycocalyx, with the interaction involving …

Words Of Advice: How To Write The Story Of A Patient For A Problem-Based Learning Session In A Healthcare Education Program, Andrew D Bergemann, Matthew Mcmillin, Miriah C Gillispie-Taylor, Gareth Gingell, R Taylor Surles, Rachel Wallace

Faculty and Staff Publications

Medical education is in the process of a pedagogical revolution. Traditional lectures are playing a progressively smaller role, with more of the content being delivered through student-centered small-group sessions. Problem-based learning (PBL) has become a centerpiece of education for many medical schools, in large part because of its focus on the learners identifying their own knowledge gaps. As junior scientists seek faculty appointments in institutions focused on healthcare education, they will find that skills in PBL are valued by the academic community. Among the necessary skills is the capability to lead efforts in PBL case writing. The cases, each of …

Harnessing Sociodemographic And Anthropometric Insights To Predict Type 2 Diabetes Risk: A Machine Learning Approach, Rico Kurniawan, Rezki Yunanda, Okky Assetya Pratiwi

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

The complexity of diabetes makes early diagnosis and effective management challenging for healthcare settings. This study developed and evaluated models using machine learning algorithms to predict the risk of diabetes. The data were primarily sourced from the Indonesia Family Life Survey (IFLS). Diabetes status was identified using A1c whole blood sample values (A1c WBS ³5.7%). Sociodemographic and anthropometric factors were set as predictors, most of which were significantly correlated with diabetes status. Discrete machine learning algorithms such as decision tree, k-nearest neighbors (KNN), random forest (RF), naïve Bayer, support vector machine (SVM), and neural network (MLP) were applied to construct …

Analisis Kepuasan Pengguna Simrs Pada Klaim Jkn Di Rsud Khidmat Sehat Afiat, Kota Depok Tahun 2023, Robiatul Adawiyah, R Sutiawan

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Keberlangsungan klaim JKN di RSUD Khidmat Sehat Afiat Kota Depok sekurang-kurangnya harus didukung oleh SIMRS yang dapat diintegrasikan dengan E-Klaim INA-CBG’s dan V-Claim. Maka pada tahun 2019 SIMRS dilakukan integrasi dengan kedua sistem informasi tersebut guna meningkatkan keberhasilan klaim JKN. Namun, sejak SIMRS diintegrasi, hingga saat ini belum pernah dilakukan analisis. Padahal, E-Klaim INA-CBG’s dan V-Claim terus mengalami perubahan yang menjadikan banyaknya fitur yang belum tersedia pada SIMRS yang berujung membuat proses pengajuan klaim JKN menjadi terhambat. Desain penelitian ini menggunakan teori Delone dan McLean dengan jenis penelitian kuantitatif dan pendekatan cross-sectional. Pengambilan sampel menggunakan proportional stratified random sampling …

Peran Tempat Persalinan Dalam Inisiasi Menyusu Dini: Analisis Survei Demografi Dan Kesehatan Indonesia Tahun 2017, Siti Sunya Kumala, Besral Besral

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Cakupan inisiasi menyusu dini (IMD) di Indonesia lebih rendah dibandingkan rata-rata ASEAN. Padahal cakupan persalinan di fasilitas kesehatan dan dibantu oleh tenaga kesehatan telah melampaui 70%. Penyedia layanan kesehatan menjadi faktor pendukung ibu untuk melakukan IMD. Penelitian ini bertujuan untuk mengetahui peran tempat persalinan dalam IMD di Indonesia. Penelitian dilakukan dengan desain potong lintang, dan menggunakan data Survei Demografi Kesehatan Indonesia tahun 2017. Sampel penelitian adalah wanita usia 15-49 tahun dari seluruh provinsi di Indonesia. Regresi logistik ganda dilakukan untuk menganalisis IMD dari berbagai tempat persalinan. Proporsi IMD pada tahun 2017 adalah 60,7%. Proporsi IMD paling banyak di poskesdes/polindes (72,8%), …

Vaccination As A Protective Factor Against Hospitalization For Sars-Cov-2 Infections: An Observational Study Using Surveillance Data, Chandrayani Simanjorang, Kristin Mutiara Tarigan, Diva Anita Churiana Sudrajat, Rana Zahra Raniyah Wangsawinangun, Asy Syifa Anwari Zahra

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Death due to SARS-CoV-2 generally occurs in patients requiring hospital care (hospitalization). However, it is still unclear whether vaccination acts as a protective factor against hospitalization in SARS-CoV-2 patients in Indonesia. This study examines the association between vaccination and hospitalization among SARS-CoV-2 patients. It employs a quantitative, cross-sectional design using secondary data from SARS-CoV-2 surveillance records at the Jakarta Health Agency (January–August 2021). Findings show that patients who received the 1st vaccine dose had a 0.34 times lower risk of hospitalization compared to unvaccinated individuals (aPOR=0.34; 95% CI=0.31–0.38). Those who received the 2nd dose had an even lower risk (aPOR=0.16; …

Factors Affecting Nurse Retention In A Private Healthcare System In Malaysia, Zarin Ikmal Zan Mohd Zain, Annamma Kunjukunju, Govethamma Subramaniam, Nur Izzana Tajuddin

Jurnal Keperawatan Indonesia

Nurse retention has become increasingly challenging in the post-pandemic era, particularly for private hospitals. This study aimed to identify the significant predictors of nurse retention in selected private hospitals in Malaysia. A quantitative, descriptive, cross-sectional design was employed. A pre-validated, self-administered questionnaire, distributed via Google Forms, was used for data collection. The respondents included 532 registered nurses employed at three private hospitals in Malaysia. Data analysis was conducted using descriptive statistics and correlation studies, including Spearman’s rho and multiple regression analysis. Among the participants, 54% reported good job satisfaction, 27.37% expressed organizational commitment, 25.97% were satisfied with human resource practices, …

Assessment Of Nurses’ Knowledge Of Multiple Sclerosis In Morocco, Rachid Lotfi, Hind Bel Amgharia, Mourad Chikhaoui, Abdeslam El Kardoudi, Fatiha Chigr

Jurnal Keperawatan Indonesia

Nurses are essential in early detection, education, symptom management, treatment administration, and care coordination for patients with multiple sclerosis (MS). This role requires both theoretical and practical knowledge. This study evaluates the knowledge level among nurses regarding multiple sclerosis in Morocco. We conducted this cross- sectional study on 326 nurses in Morocco using a purposive sampling method, which involves selecting nursing specialties that have direct contact with patients with MS, aiming to target the most relevant professionals for the study. The data are collected using an anonymous questionnaire distributed individually to participants. We opted for multi- variable logistic regression models …

Resilience, Social Support, And Quality Of Life Among People Living With Hiv/Aids, Firman Firman, Sri Yona, Agung Waluyo

Jurnal Keperawatan Indonesia

One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross- sectional study, it involved 433 respondents. Data collection was carried out using a questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief …