Using Information to Improve Clinical Care
What the chapter is about
This chapter considers the role of information in clinical care. It starts by looking at record-keeping and the role of records in clinical decision-making. It goes on to explore how technology has influenced the way we store and use clinical information, including the role of structured terminologies and clinical decision support, before finishing with a discussion of the use of information for patient communication and education.
Listen to an AI-generated discussion about the contents of the chapter
The case studies from this chapter are from:
- England
- Israel
References with links to full text where available
Ancker, J. S., Singh, M. P., Thomas, R., Edwards, A., Snyder, A., Kashyap, A., & Kaushal, R. (2013). Predictors of success for electronic health record implementation in small physician practices. Applied Clinical Informatics, 4(1), 12–24.
http://10.4338/ACI-2012-09-RA-0033
Artzi, N. S., Shilo, S., Hadar, E., Rossman, H., Barbash-Hazan, S., Ben-Haroush, A., … & Segal, E. (2020). Prediction of gestational diabetes based on nationwide electronic health records. Nature medicine, 26(1), 71-76.
Beasley, S., & Girard J. (2016). Office-based physician EHR adoption and use in Southern US States. SAIS 2016 Proceedings, 26.
Benson, T. (2005, June 2). Code of practice. Digital Health. https://www.digitalhealth.net/2005/06/code-of-practice/
Ben-Zion, R., Pliskin, N., & Fink, L. (2014). Critical success factors for adoption of electronic health record systems: Literature review and prescription analysis. Information Systems Management, 31(4), 296–312.
https://doi.org/10.1080/10580530.2014.958024
de Sousa, M. M., Lopes, C. T., Almeida, A. A. M., Almeida, T. D. C. F., Gouveia, B. D. L. A., & Oliveira, S. H. D. S. (2023). Development and validation of a mobile application for heart failure patients self-care. Revista da Escola de Enfermagem da USP, 56.
https://www.scielo.br/j/reeusp/a/HgcHVb8LrmFcfNNgH6YFcwG/?lang=en
Gillies, AC (2006) The Clinician’s Guide to Surviving IT, CRC Press; 1st edition (15 Feb. 2006) ISBN: 978-1857757972
Health and Care Professions Council, (n.d.) Meeting our standards Record keeping
https://www.hcpc-uk.org/standards/meeting-our-standards/record-keeping/
Hall, D. E., Prochazka, A. V., & Fink, A. S. (2012). Informed consent for clinical treatment. CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne, 184(5), 533–540. https://doi.org/10.1503/cmaj.112120
Hosseini, A., Jackson, A. C., Chegini, N., Dehghan, M. F., Mazloum, D., Haghani, S., & Bahramnezhad, F. (2023). The effect of an educational app on hemodialysis patients’ self-efficacy and self-care: A quasi-experimental longitudinal study. Chronic Illness, 19(2), 383-394.
Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to electronic health record adoption: A systematic literature review. Journal of Medical Systems, 40(12), 252.
https://doi.org/10.1007/s10916-016-0628-9
Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Therapeutic advances in drug safety, 11, 2042098620968309.
Mason, P., Mayer, R., Chien, W. W., & Monestime, J. P. (2017). Overcoming barriers to implementing electronic health records in rural primary care clinics. The Qualitative Report, 22(11), 2943-2955.
Menon, S., Singh, H., Meyer, A. N., Belmont, E., & Sittig, D. F. (2014). Electronic health record-related safety concerns: A cross-sectional survey. Journal of Healthcare Risk Management, 34(1), 14–26.
https://pubmed.ncbi.nlm.nih.gov/25070253/
World Health Organisation. (2022). International statistical classification of diseases and related health problems (ICD). https://www.who.int/standards/classifications/classification-of-diseases