JMIR Medical Informatics
Clinical informatics, decision support for health professionals, electronic health records, and ehealth infrastructures.
JMIR Medical Informatics (JMI, ISSN 2291-9694) focusses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals.
Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2015: 4.532), JMIR Med Inform has a different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.
JMIR Medical Informatics journal features a rapid and thorough peer-review process, professional copyediting, professional production of PDF, XHTML, and XML proofs (ready for deposit in PubMed Central/PubMed). The site is optimized for mobile and iPad use.
JMIR Medical Informatics adheres to the same quality standards as JMIR and all articles published here are also cross-listed in the Table of Contents of JMIR, the worlds' leading medical journal in health sciences / health services research and health informatics (http://www.jmir.org/issue/current).
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May 27, 2016
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Latest Submissions Open for Peer-Review:View All Open Peer Review Articles
The Value of Electronic Medical Record Implementation in Mental Health Care: A Case Study
Date Submitted: Aug 18, 2016
Open Peer Review Period: Aug 19, 2016 - Oct 14, 2016
Background: Electronic medical records (EMR) have been implemented in many organizations to improve the quality of care. Evidence supporting the value added to a recovery-oriented mental health facili...
Background: Electronic medical records (EMR) have been implemented in many organizations to improve the quality of care. Evidence supporting the value added to a recovery-oriented mental health facility is lacking. Objective: The goal of this project was to implement a fully integrated EMR system in a tertiary level, specialized mental health care facility to support organizational change, ultimately providing clinical, organizational and societal value. Methods: The setting was a tertiary level mental health facility in Ontario, Canada. Clinical informatics and decision support worked closely with point-of-care staff to develop workflows and documentation tools in the EMR. The primary initiatives were implementation of modules for: closed loop medication administration, clinical practice guidelines for schizophrenia, restraint minimization, the Infection Prevention and Control Surveillance Status Board, drug of abuse screening and business intelligence. Results: Medication and service user scan rates have been greater than 95% since April 2014, mitigating the adverse effects of medication errors. Specifically, between April 2014 and March 2015, only one moderately severe and zero severe adverse drug events occurred. The number of restraint incidents was decreased, which resulted in cost savings of more than $1.4 million (CAD) over two years. Implementation of clinical practice guidelines for schizophrenia increased adherence to evidence-based practices, standardizing care across the facility. Improved infection prevention and control surveillance reduced the number of outbreak days from 47 in the year preceding implementation of the status board to seven days in the year following. Decision support to encourage preferential use of the cost-effective drug of abuse screen when clinically indicated resulted in organizational cost savings. Conclusions: EMR implementation allowed Ontario Shores to use data analytics to identify and select appropriate quality improvement initiatives, providing value at the clinical, organizational and societal levels.
E-Health Equity: Current Perspectives
Date Submitted: Aug 8, 2016
Open Peer Review Period: Aug 11, 2016 - Oct 6, 2016
Health justice is something that every country in the world needs. However, the existence of health disparities among different social groups and geographical regions in various countries of the world...
Health justice is something that every country in the world needs. However, the existence of health disparities among different social groups and geographical regions in various countries of the world is inevitable. These health inequalities are a major obstacle in achieving health justice. There are a number of factors affecting health equity such as socio-economic status, education level, geographical position, racial and ethnical differences, gender minorities, environmental factors, accessibility level to health care services and resources, and also the quality of health care. Although e-health has the potential of eliminating health inequalities leading to the establishment of health justice, it is essential that governments and health policy makers provide some measures to diminish major barriers facing the society members specially the elderly, low-income people, low-educated people, and disabled people when implementing it. This can result in attaining the advantages of e-health for establishing health equity.
Qualitative improvement methods through analysis of inquiry contents for cancer registration
Date Submitted: Jul 17, 2016
Open Peer Review Period: Jul 17, 2016 - Sep 11, 2016
Background: In South Korea, the national cancer database was constructed after the initiation of the national cancer registration project in 1980, and the annual national cancer registration report ha...
Background: In South Korea, the national cancer database was constructed after the initiation of the national cancer registration project in 1980, and the annual national cancer registration report has been published every year since 2005. Consequently, data management must begin even at the stage of data collection in order to ensure quality. Objective: To determine the suitability of cancer registries’ inquiry tools through the inquiry analysis of the Korea Central Cancer Registry (KCCR), and identify the needs to improve the quality of cancer registration. Methods: Results of 721 inquiries to the KCCR from 2000 to 2014 were analyzed by inquiry year, question type, and medical institution characteristics. Using Stata version 14.1, descriptive analysis was performed to identify general participant characteristics, and chi-square analysis was applied to investigate significant differences in distribution characteristics by factors affecting the quality of cancer registration data. Results: The number of inquiries increased in 2005–2009. During this period there were various changes, including the addition of cancer registration items such as brain tumors and guideline updates. Of the inquirers, 65.3% worked at hospitals in metropolitan cities and 60.89% of hospitals had 601–1000 beds. Tertiary hospitals had the highest number of inquiries (64.91%), and the highest number of questions by type were 353 (48.96%) for histological codes, 92 (12.76%) for primary sites, and 76 (10.54%) for reportable. Conclusions: A cancer registration inquiry system is an effective method when not confident about codes during cancer registration, or when confronting cancer cases in which previous clinical knowledge or information on the cancer registration guidelines are insufficient.