Electronic Information Management Research Articles

From reactive to proactive appraisal

The records continuum made waves in Britain in the early-2000s and was variously hailed as a long-needed theoretical framework for electronic information management or rejected as an abstract model that has little relevance for recordkeeping processes. What made the model so appealing to some was its move away from a linear view of recordkeeping processes to a multi-dimensional way of seeing and perceiving recordkeeping responsibilities.1 Archivists and records managers, now no longer seen as at opposite ends of the professional scale, were asked to exert their influence at creation stage to ensure the right records were created and to help develop coherent recordkeeping systems. A proactive approach to the creation, management and, not least, the appraisal of records was stipulated, so that records were fit to not only serve business needs but also wider societal interests in permanence.

G469 Use of electronic diabetes information management system and routine uploading of glucometers and pumps in improving outpatient paediatric diabetes care

Novel strategies and incorporation of information systems were identified for development to improve overall patient care within the outpatient setting. One of the ways to improve the Diabetes service is...

Currents in contemporary bioethics. Extending the minimum necessary standard to uses and disclosures for treatment.

Encouraged by the financial incentives in the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), electronic health record (EHR) adoption is on the rise. According to a study by the Centers for Disease Control and Prevention published in 2014, 78% of office-based physicians had adopted some type of EHR system, up from 18% in 2001. Implementation of EHRs able to support the Department of Health and Human Services (HHS) “meaningful use” requirements has also significantly increased since 2010. Such a growth in EHR adoption with the capacity to achieve “meaningful use” standards suggests that the goal of nationwide, interoperable health records is moving closer to a reality.While movement toward a system-wide, interoperable EHR promises benefits of such an electronic information management tool, the risks related to patients’ privacy of their health information remains a concern.

Electronic recording and reporting system for tuberculosis in China: experience and opportunities

Tuberculosis (TB) surveillance in China is organized through a nationwide network of about 3200 hospitals and health facilities. In 2005, an electronic Tuberculosis Information Management System (TBIMS) started to be phased in to replace paper recording. The TBIMS collects key information on TB cases notified in TB care facilities, and exchanges real-time data with the Infectious Disease Reporting System, which covers the country's 37 notifiable diseases. The system is accessible to authorized users at every level of the TB network through a password-protected website. By 2009 the TBIMS achieved nationwide coverage. Completeness of data on patient bacteriological end points improved remarkably over time. Data on about a million active TB cases, including drug-resistant TB, are included each year. The sheer scale of the data handling and the intricate functions that the China TBIMS performs makes it stand apart from the electronic information systems for TB adopted in other countries.

Miscount Incidents: A Novel Approach to Exploring Risk Factors for Unintentionally Retained Surgical Items

An estimated 1,500 operations result in retained surgical items (RSIs) each year in the United States, resulting in substantial morbidity. The rarity of these events makes studying them difficult, but miscount incidents may provide a window into understanding risk factors for RSIs. A cohort study of all consecutive operative cases during a 12-month period was conducted at a large academic medical center to identify risk factors for surgical miscounts. A multidisciplinary electronic miscount reconciliation checklist (necessitating both surgeon and nurse input) was introduced into the internally developed electronic Perioperative Information Management System to build a predictive model for RSI cases. Among 23,955 operations, 84 resulted in miscount incidents (0.35% [95% confidence interval: 0.28% to 0.43%]). Increased case duration was strongly associated with increased risk of a miscount in unadjusted analyses (p < .0001). In the nested case-control analysis, both the case duration and the number of providers present were independently associated with a more than doubling of the odds of a miscount, even after adjustment for one another, the elective/urgent/emergent status of a case, and personnel changes occurring during the case. The finding that both the length of the case and the number of providers involved in the case were independent risk factors for miscount incidents may offer insight into risk-targeted strategies to prevent RSIs, such as postoperative imaging, bar-coded surgical items, and radiofrequency technology. Miscounts trigger use of the Incorrect Count Safety Checklist, which can be used to determine whether a count completed at the procedure's conclusion is consistent across disciplines (circulating nurses, scrub persons, surgeons).

Organisational Factors Associated with Electronic Health Information Management Systems Success in two Nigerian Teaching Hospitals

Background and Purpose: Electronic Health Information Management Systems (EHIMS) are seen as crucial in public health institutions today, as they enhance quality care delivery. Efforts at implementing this system in public health institutions of developing countries have usually been fraught with failure, thus preventing it from delivering its intended benefits. One reason adduced to be responsible for failure is that more attention is given towards technological factors at the expense of organisational factors. Hence, this paper examined the relationship between organisational factors and EHIMS success in Nigerian Teaching Hospitals. Methods: A correlational survey research design was adopted, while the study’s population comprised 212 health information management (HIM) personnel in two south-western public teaching hospitals in Nigeria. Total enumeration technique was used to cover the 212 personnel who served as respondents. A self-developed instrument titled “EHIMS Success Organisational Factors” was used for data collection, while simple correlation analysis was used in analysing the collected data. Results: It was revealed that a positive relationship exists between all the identified organisational factors and EHIMS success; organisational structure (r = 0.443, p < 0.05); top management support (r = 0.613, p < 0.05); leadership style (r = 0.645, p < 0.05); users’ training (r = 0.521, p < 0.05); financial resources availability (r = 0.331, p < 0.05); and users’ involvement in system design (r = 0.633, p < 0.05). Conclusions: It was concluded that an understanding of the identified organisational factors are crucial in attaining successful implementation of EHIMS in Nigeria Teaching Hospitals. Keywords: Electronic health information management system, Organisational factors, Information system success, Teaching hospitals, Nigeria

Minimal Vaginal Displacement With Use of a Rectal Balloon During Pelvic IMRT for Gynecologic Malignancies

Minimal Vaginal Displacement With Use of a Rectal Balloon During Pelvic IMRT for Gynecologic Malignancies

Application of GIS System in City Gas Pipe Network

The GIS system is a computer system consisting of software, hardware, and to describe the geographic information,and subsidiary information data. The underground gas pipeline is a new application field of GIS system, realizes the electronic and information technology infrastructure information management of gas pipe network, as the transmission and distribution scheduling, document management, network planning, network provides modern means of emergency decision, the daily operation management, construction management and auxiliary decision and other gas.

Electronic dental record use and clinical information management patterns among practitioner-investigators in The Dental Practice-Based Research Network

The growing availability of electronic data offers practitioners increased opportunities for reusing clinical data for research and quality improvement. However, relatively little is known about what clinical data practitioners keep on their computers regarding patients. The authors conducted a web-based survey of 991 U.S. and Scandinavian practitioner-investigators (P-Is) in The Dental Practice-Based Research Network to determine the extent of their use of computers to manage clinical information; the type of patient information they kept on paper, a computer or both; and their willingness to reuse electronic dental record (EDR) data for research. A total of 729 (73.6 percent) of 991 P-Is responded.A total of 73.8 percent of U.S. solo practitioners and 78.7 percent of group practitioners used a computer to manage some patient information, and 14.3 percent and 15.9 percent, respectively, managed all patient information on a computer. U.S. practitioners stored appointments, treatment plans, completed treatment and images electronically most frequently, and the periodontal charting, diagnosis, medical history, progress notes and the chief complaint least frequently.More than 90 percent of Scandinavian practitioners stored all information electronically.A total of 50.8 percent of all P-Is were willing to reuse EDR data for research, and 63.1 percent preferred electronic forms for data collection. The results of this study show that the trend toward increased adoption of EDRs in the United States is continuing, potentially making more data in electronic form available for research. Participants appear to be willing to reuse EDR data for research and to collect data electronically. The rising rates of EDR adoption may offer increased opportunities for reusing electronic data for quality improvement and research.

Challenges of Electronic Information Management in Nigerian University Libraries

The study is intended to establish the best ways of managing electronic information and improving library services using Delta State University of Abraka and University of Benin as a case study. The survey research design was adopted, the systems administrators were interviewed and the researchers also observed ICTs facilities on ground in the two universities. Studies have shown that, even academic libraries with sizable budgets are having difficulty in coping with the incessant changes in electronic information. More technologies and methods are needed to manage, filter, organize and summarize electronic information sources. Electronic information services are gradually becoming the most likely use services in libraries. This paper is an overview of the challenges of electronic information management in university libraries, issues ranging from management style, frequent changes in technologies, financial constraints, availability of ebooks and e-journals and constraints to the management of eresources. It concludes by recommending actions that need to be taken if the challenges are to be fully addressed.

Analysis and discussion on electronic information management of drug clinical trials

Objective: To investigate and analyze the application of electronic information management of drug clinical trials.Methods:Through design and application of "the OA Information Management System" and "the Clinical Trial Information Management System",electronic information management has been realized in drug clinical trials.Results: Through the electronic information system platform and network technology,related data processing and analysis could be done,which is helpful to clinical trial information integration,facilitates communication between research departments and related organizations,and improves the management efficiency of the drug clinical trial institution.Conclusion: The electronic information management of drug clinical trials is convenient,fast and safe,and has become a general trend in drug clinical trial management.

New technologies in pediatric anesthesia

This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes. Although it remains unknown whether similar results are applicable to children, current technology enables the monitoring of cardiac output non-invasively and continuously in pediatric patients. It may be important to integrate the data about cardiac output with other information to facilitate therapeutic interventions. (3) Anesthesia information management systems: Although perioperative electronic anesthesia information management systems are gaining popularity in operating rooms, their potential functions may not be fully appreciated. With advances in information technology, anesthesia information management systems may facilitate bedside clinical decisions, administrative needs, and research in the perioperative setting.

Improving Documentation of a Beta-Blocker Quality Measure Through an Anesthesia Information Management System and Real-Time Notification of Documentation Errors

Continuation of perioperative beta-blockers for surgical patients who are receiving beta-blockers prior to arrival for surgery is an important quality measure (SCIP-Card-2). For this measure to be considered successful, name, date, and time of the perioperative beta-blocker must be documented. Alternately, if the beta-blocker is not given, the medical reason for not administering must be documented. Before the study was conducted, the institution lacked a highly reliable process to document the date and time of self-administration of beta-blockers prior to hospital admission. Because of this, compliance with the beta-blocker quality measure was poor (-65%). To improve this measure, the anesthesia care team was made responsible for documenting perioperative beta-blockade. Clear documentation guidelines were outlined, and an electronic Anesthesia Information Management System (AIMS) was configured to facilitate complete documentation of the beta-blocker quality measure. In addition, real-time electronic alerts were generated using Smart Anesthesia Messenger (SAM), an internally developed decision-support system, to notify users concerning incomplete beta-blocker documentation. Weekly compliance for perioperative beta-blocker documentation before the study was 65.8 +/- 16.6%, which served as the baseline value. When the anesthesia care team started documenting perioperative beta-blocker in AIMS, compliance was 60.5 +/- 8.6% (p = .677 as compared with baseline). Electronic alerts with SAM improved documentation compliance to 94.6 +/- 3.5% (p < .001 as compared with baseline). To achieve high compliance for the beta-blocker measure, it is essential to (1) clearly assign a medical team to perform beta-blocker documentation and (2) enhance features in the electronic medical systems to alert the user concerning incomplete documentation.

Hipertexto na coleta caótica da informação nas organizações públicas.

This paper illustrates the use of electronic hypertext, Chaos Theory, and Information Management as tools for information gathering in public organizations. It presents the evolution of hypertext till the rise of the electronic hypertext. It presents some theoretical definitions of Chaos Theory and how this theory complements the information management definitions. It concludes that there is a directly relationship between hypertext and sharing, Chaos Theory and information management. Finally, it differentiates the techniques for information gathering in chaotic environments and how these techniques might improve information management in organizations.

Role Based Authentication Schemes for Security Automation

58 Abstract—Academy Automation implies to the various different computing hardware and software that can be used to digitally create, manipulate, collect, store, and relay Academy information needed for accomplishing basic Operation like admissions and registration to finance, student and faculty interaction, online library, medical and business development. Raw data storage, electronic transfer, and the management of electronic business information comprise the basic activities of an Academy automation system. The main aim of this work was to design and implement a Role Based Authentication (RBA) System wherein each user has certain roles allotted to him/her which defines the user's limits and capabilities of making changes, accessing various areas of the software and transferring/allotting these roles recursively. Strict security measures had kept in mind while designing such a system and proper encryption and decryption techniques are used at both ends to prevent any possibility of any third party attacks. Further, various new age authentication techniques like OpenID and WindowsCardSpace are surveyed and discussed to serve as a foundation for future work in this area.

Controlling Chaos: Management of Electronic Journal Holdings in an Academic Library Environment

Management of electronic journal holdings information has been a challenge for librarians because of the complexities of how these resources are published, purchased, and disseminated to library users. This column discusses current practices among academic librarians for managing electronic holdings; explores tools, strategies, and innovations that librarians have used to enhance this process for the benefit of their library users and staffs; and examines the costs and benefits of different management practices. Telephone interviews with several librarians and the author's own experiences working with electronic journal holdings supplement the discussion with practical perspective and real life examples.

How a Data-Driven Quality Management System Can Manage Compliance Risk in Clinical Trials

A majority of data presented to global regulatory agencies during the approval stage of an investigational product is collected during its clinical development. Any concern or doubt about the integrity or quality of clinical data, compliance with GCP, or ethical standards during regulatory review can lead to costly delays in the granting of a marketing authorization. This risk can be minimized if accurate metrics are used to continually monitor the quality of the contributing research operations. As highly cost-effective tools, metrics can be used to monitor operations throughout this phase of development. With continuous monitoring, proactive measures can be implemented to prevent issues from escalating into regulatory concerns. This article describes the development of a quality management system based on a data- and metrics-driven compliance strategy. Combined with an electronic information management system, the aim of this system is to monitor and manage cost and timelines while ensuring the quality of clinical research operations.

Mindfulness Research Guide: a New Paradigm for Managing Empirical Health Information.

Scientific knowledge of human health continues to grow substantially through publication in empirical journals. These journals, which serve as the warehouses of scientific knowledge, continue to publish vast amounts of empirical information. This abundance of information, which promotes an understanding of and advances in human health, is also a precursor of information overload that can result in unintended and negative effects in both empirical and applied fields. Researchers and practitioners also struggle with this abundance as they are often pressured by an inability to stay abreast with the vast influx of current information. I offer a brief discussion of a new paradigm to manage empirical health information. The Mindfulness Research Guide serves as a case example for use as a publicly available specialized electronic information management system that endeavors to manage, organize, centralize, and deliver a wide range of information on a specific health construct-mindfulness. As empirical information continues to accumulate and guide our knowledge of human health at an unprecedented pace, new information management paradigms such as the Mindfulness Research Guide will be needed to organize, maintain, and deliver information in an easily accessible and timely fashion.

Cultural and associated enablers of, and barriers to, adverse incident reporting

AimFollowing the introduction of an electronic Incident Information Management System (IIMS) in New South Wales, Australia, the authors investigated enablers and barriers to the use of IIMS and factors associated...

Legal issues for information professionals IX

PurposeThis paper aims to provide an update to the last major review by Burrull and Oppenheim of legal aspects of information management in relation to the web.Design/methodology/approachThe paper reports developments in the primary areas of law in relation to the internet since 2004. Topics covered include: copyright, domain names and trademarks, linking, framing, caching and spamdexing (the use of artificial means to enhance one's position in search engines' outputs), patents, censorship, defamation, liability, conflict of laws and jurisdiction and legal deposit.FindingsThe paper shows that legal issues surrounding the internet are likely to become increasingly difficult and that either a new system is needed to resolve disputes, or that a new body of law is needed. It also suggests that information professionals need to contribute more to the ongoing legal debate.Originality/valueThe paper systematically describes legal issues associated with the management of electronic information.