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Can clinicians create high-quality databases: a study on a flexible electronic health record (fEHR) system

Authors:

Xiaohua HuAuthors Info & Claims

IHI '10: Proceedings of the 1st ACM International Health Informatics Symposium

Pages 8 - 17

https://doi.org/10.1145/1882992.1882997

Published: 11 November 2010 Publication History

Abstract

Clinicians are becoming increasingly dependent on health information technologies (HIT) in their daily activities, like data collection. However, currently, most HITs are vendor designed systems, which are often inconsistent and inflexible with respect to the needs of the clinicians. Consequently, time and again, the HITs are found to be unfit for the healthcare workflow. A better HIT design is to empower the clinicians with the ability to modify system functionality as per their needs. In this paper, we propose a flexible Electronic Health Record (fEHR) system, which allows clinicians to build new templates/forms for data collection over an existing EHR system through a user interface. The system automatically translates the forms to underlying databases while shielding the user from knowing the technical details. A key contribution is that the generated databases are high-quality with desirable properties. To test the system usability, we conducted a user study with clinicians working in a nurse-managed health services center. The participants performed the given tasks with 100% effectiveness, within a short span of time, in all but one case; and exhibited an improvement in their understanding of the system. Our study demonstrates that the fEHR system has the potentials of incorporating flexibility into HITs to make them more effective and efficient for healthcare. We show that the fEHR is a favorable environment for clinicians to develop and improve their need-modeling skills.

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Cited By

Khare RGood BLeaman RSu ALu Z(2015)Crowdsourcing in biomedicine: challenges and opportunitiesBriefings in Bioinformatics10.1093/bib/bbv02117:1(23-32)Online publication date: 17-Apr-2015
https://doi.org/10.1093/bib/bbv021
An YKhare RSong IHu XLuo GLiu JYang C(2012)Data exploration and knowledge discovery in a patient wellness tracking (PWT) system at a nurse-managed health services centerProceedings of the 2nd ACM SIGHIT International Health Informatics Symposium10.1145/2110363.2110437(661-666)Online publication date: 28-Jan-2012
https://dl.acm.org/doi/10.1145/2110363.2110437
Khare RAn YLi JSong IHu XLuo GLiu JYang C(2012)Exploiting semantic structure for mapping user-specified form terms to SNOMED CT conceptsProceedings of the 2nd ACM SIGHIT International Health Informatics Symposium10.1145/2110363.2110397(285-294)Online publication date: 28-Jan-2012
https://dl.acm.org/doi/10.1145/2110363.2110397
Show More Cited By

Index Terms

Can clinicians create high-quality databases: a study on a flexible electronic health record (fEHR) system
1. Human-centered computing
  1. Interaction design
    1. Interaction design process and methods
      1. User centered design
2. Information systems
  1. Data management systems
    1. Database design and models

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Published In

cover image ACM Other conferences

IHI '10: Proceedings of the 1st ACM International Health Informatics Symposium

November 2010

886 pages

ISBN:9781450300308

DOI:10.1145/1882992

Editor:
Tiffany Veinot
University of Michigan, USA
,
General Chairs:
Ümit V. Çatalyürek
The Ohio State University, USA
,
Gang Luo
IBM Research, USA
,
Program Chairs:
Henrique Andrade
Goldman Sachs, USA
,
Neil R. Smalheiser
University of Illinois, Chicago, USA

Copyright © 2010 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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SIGHIT: ACM Special Interest Group on Health Informatics

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 11 November 2010

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IHI '10

IHI '10: ACM International Health Informatics Symposium

November 11 - 12, 2010

Virginia, Arlington, USA

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Cited By

Khare RGood BLeaman RSu ALu Z(2015)Crowdsourcing in biomedicine: challenges and opportunitiesBriefings in Bioinformatics10.1093/bib/bbv02117:1(23-32)Online publication date: 17-Apr-2015
https://doi.org/10.1093/bib/bbv021
An YKhare RSong IHu XLuo GLiu JYang C(2012)Data exploration and knowledge discovery in a patient wellness tracking (PWT) system at a nurse-managed health services centerProceedings of the 2nd ACM SIGHIT International Health Informatics Symposium10.1145/2110363.2110437(661-666)Online publication date: 28-Jan-2012
https://dl.acm.org/doi/10.1145/2110363.2110437
Khare RAn YLi JSong IHu XLuo GLiu JYang C(2012)Exploiting semantic structure for mapping user-specified form terms to SNOMED CT conceptsProceedings of the 2nd ACM SIGHIT International Health Informatics Symposium10.1145/2110363.2110397(285-294)Online publication date: 28-Jan-2012
https://dl.acm.org/doi/10.1145/2110363.2110397
Khare RSong IAn YHu X(2012)Bridging encounter forms and electronic medical record databasesProceedings of the 2012 IEEE International Conference on Bioinformatics and Biomedicine (BIBM)10.1109/BIBM.2012.6392709(1-4)Online publication date: 4-Oct-2012
https://dl.acm.org/doi/10.1109/BIBM.2012.6392709
An YKhare RSong IHu X(2011)Automatically mapping and integrating multiple data entry forms into a databaseProceedings of the 30th international conference on Conceptual modeling10.5555/2075144.2075171(261-274)Online publication date: 31-Oct-2011
https://dl.acm.org/doi/10.5555/2075144.2075171
An YKhare RSong IHu X(2011)Automatically Mapping and Integrating Multiple Data Entry Forms into a DatabaseConceptual Modeling – ER 201110.1007/978-3-642-24606-7_20(261-274)Online publication date: 2011
https://doi.org/10.1007/978-3-642-24606-7_20

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