Having missed HIMAA matters last month, we have a big list for March – 11 papers demonstrating the diversity in both nations and HIM-related topics HIMJ receives, and the international reach your academic journal has achieved. Our ‘On-line First’ list this month includes articles from Australia, the USA, Portugal, Greece, the UK, India, the Netherlands, and Sweden.
Research article Performance of ICD-10-AM codes for quality improvement monitoring of hospital-acquired pneumonia in a haematology-oncology casemix in Victoria, Australia
Jake C Valentine, Elizabeth Gillespie, Karin, M Verspoor, Lisa Hall, Leon J Worth
November 14, 2022 | OnlineFirst
A retrospective case review was used to determine the positive predictive value (PPV) of IDC-10-AM codes in the Australian hospital-acquired complication framework to detect hospital-acquired pneumonia in patients with cancer and to describe any change in PPV before and after implementation of an electronic medical record (EMR) at the Peter McCallum Cancer Centre in Melbourne, Australia.
Research article Concordance between coding sources of burn size and depth across Australian and New Zealand specialist burn services
Monica Perkins, Heather Cleland, Belinda J Gabbe, Lincoln M Tracy.
November 14, 2022 | OnlineFirst
This retrospective population-based review of all patients who sustained a burn injury (July 2009 – June 2019) requiring admission into a specialist burn service across Australia and New Zealand, investigated the concordance between ICD-10-AM codes and expert burn clinician decisions in assessing burn injury severity.
Research article Comparison of comorbidities of stroke collected in administrative data, surveys, clinical trials and cohort studies
Monique F Kilkenny, Lachlan L Dalli, Ailie Sanders, Muideen T Olaiya, Joosup Kim, David Ung, Nadine E Andrew.
November 15, 2022 | OnlineFirst
Administrative data for a cohort of patients with stroke or transient ischaemic attack admitted to hospitals (2012–2016; Victoria and Queensland) and in the Australian Stroke Clinical Registry (N = 26,111) were investigated to compare the prevalence of comorbidities of stroke identified using ICD-10-AM or Anatomical Therapeutic Chemical codes, with those from (i) self-reported data and (ii) published studies, to assess the quality of these data for identifying comorbidities related to stroke.
Research article Individual and contextual factors in the Swedish Nutrition Care Process Terminology implementation
Elin Lövestram, Ylva Orrevall, Anne-Marie Böstrom.
November 21, 2022 | OnlineFirst
A standardised terminology for nutrition care, the Nutrition Care Process Terminology (NCPT), is being implemented internationally, with four stages: Nutrition Assessment (NA), Nutrition Diagnosis (ND), Nutrition Intervention (NI) and Nutrition Monitoring and Evaluation (NME). A survey of 226 dietitians was used to explore the NCPT implementation level, and the individual and contextual factors associated with its implementation.
Research article Patient online access to general practice medical records: A qualitative study on patients’ needs and expectations
Rosa RLC Thielmann, Ciska Hoving, Esther Schutgens-Kok, Jochen WL Cals, Rik Crutzen.
January 19, 2023 | OnlineFirst
Semi-structured interviews were employed to gain insight into Dutch patients’ needs and expectations with regard to online access to their medical record in general practice. The concerns and obstacles participants identified suggest a need for organisational changes in general practice e.g., adjusted documentation practices, and the key role of the general practitioner and staff in promoting and facilitating online access.
Research article Evaluation of Medical Certification of Cause of Death in Tertiary Cancer Hospitals in Northern India
Akash Anand, Divya Khanna, Payal Singh, Anuj Singh, Abhishek Pandey, Atul Budukh, Satyajit Pradhan.
January 21, 2023 | OnlineFirst
In a retrospective observational study at two tertiary cancer care hospitals in Varanasi, India, medical records and cause of death certificates were examined to evaluate the accuracy of cause or death certificates. The study identified the pressing need for appropriate interventions to improve quality of certification through training of doctors.
Research article The importance of SNOMED CT concept specificity in healthcare analytics
Luke Roberts, Sadie Lanes, Oliver Peatman, Phil Assheton.
January 21, 2023 | OnlineFirst
A retrospective data analysis was conducted of pneumonia admissions to a tertiary hospital between 2011 and 2021, to quantify the importance of the specificity of a SNOMED CT concept, against well-established predictors, for forecasting length of stay for pneumonia patients. SNOMED CT concepts with higher specificity explained more variance in length of stay than a range of well-studied predictors.
Research article IPPASOS: The first digital forensic information system in Greece
Michael Kalochristianakis, Andreas Kontogiannis, Despoina E Flouri, Despoina Nathena, Katerina Kanaki, Elena F Kranioti.
February 17, 2023 | OnlineFirst
This article describes the development of the first digital clinical information system tailored to support the operational needs of a forensic unit in Greece and to maintain its archives. It represents the first systematic effort to record forensic cases through a digital clinical information system in Greece, and to demonstrate its effectiveness, daily usability, and vast potential for data extraction and for future research.
Research article Unsupervised algorithms to identify potential under-coding of secondary diagnoses in hospitalisations databases in Portugal
Diana Portela, Rita Amaral, Pedro P Rodrigues, Alberto Freitas, Elisio Costa, Joao A Fonseca, Bernardo Sousa-Pinto.
February 17, 2023 | OnlineFirst
In this study, the authors investigated the issue that quantifying and managing the lack of consistency in administrative databases (namely, under-coding) requires the often-challenging task of tracking patients longitudinally without compromising anonymity. Their objectives were to (i) assess and compare different hierarchical clustering methods on the identification of individual patients in an administrative database that does not easily allow tracking of episodes from the same patient; (ii) quantify the frequency of potential under-coding; and (iii) identify factors associated with such phenomena.
Research article For-profit versus non-profit cybersecurity posture: breach types and locations in healthcare organisations
Martin Ignatovski.
February 24, 2023 | OnlineFirst
The implementation of new technologies has resulted in an increase of data breaches in healthcare organisations. Health information and cybersecurity managers need to understand if, and to what extent, breach types and locations are associated with their organisation’s business type. This study investigated whether breach type and breach location are associated with business type, and if so, how these factors affect information systems and protected health information in for-profit versus non-profit organisations.
Research article Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis
Sheree Lloyd, Karrie Long, Yasmine Probst, Josie Di Donato, Abraham Oshni Alvandi, Jeremy Roach, Christopher Bain.
March 3, 2023 | OnlineFirst
Qualitative analysis of questionnaire results from a web-based survey of medical and nursing/midwifery professionals in Australian hospitals explored participants’ perspectives on Electronic Medical Record (EMR) usability and design for supporting clinicians to effectively deliver and document care, and EMR impact on clinical workflow, safety and quality, communication, and collaboration across health systems.